The child with delayed language: assessment and management (original) (raw)
Related papers
Evaluation and Management of Children with delayed speech and language acquisition
Physician's Digest, 2005
"Good communication skills have emerged as a key social skill in modern day society. Children are not exempt from this pressure to communicate effectively. Paradoxically so perhaps because of this pressure there is an increasing awareness of delays in language development in children. Whether because of this increasing awareness or because of other biological, social and environmental causes the incidence of communication disorders in children has risen sharply in the last couple of decades. Given the increasing emphasis on good communication skills in modern day schools and society this has necessitated that children with these disorders be identified early and provided with early intervention in order to prevent the cascading negative consequences to a given child. The paper describes the major subtypes of communication disorders found in children, their causes, why they need to be identified early and how this can be done. The paper concludes with a note on intervention possibilities and the need for increasing awareness among physicians, pediatricians in particular."
Language Delay in Children (age group, toddler)
2020
Language development in children involves a dynamic process. Language development also involves not only the understanding but also the process and production of communication. Children are said to have language delay when the development of their speech is slow compared to other children of the same age (Shetty, 2012). For children that experience language delay, they struggle with incapacities to learn and apply language despite their normal development. Children that struggle with language delay are also at risk of less successful educational and developmental outcomes. For many of these children, they tend to be susceptible to social exclusion, academic failure, emotional and behavioral difficulties, and likely to be bullied.
How to investigate and manage the child who is slow to speak
BMJ, 2004
Children who are slow to speak often present clinicians with a dilemma-should they conduct further investigations or just wait and see if the problem resolves (as it does in most children aged under 3 years)? Two paediatricians propose a guideline that can be used to investigate and manage children with speech or language delays Delay in speech and language development is the most common developmental disorder in children aged 3 to 16 years. The prevalence of this disorder ranges from 1% to 32% in the normal population and is influenced by factors such as the age of the child at presentation and the test method used in diagnosis. 1 2 A high rate of comorbidity (up to 50%) is known to exist between psychiatric disorders such as autism and disorders of speech and language development. 3 Despite the prevalence and reported risks of comorbidity, however, about 60% of cases of speech and language delay tend to resolve spontaneously in children aged under 3 years. 1 Children who are slow to speak form a particular category of patients with speech and language developmental disorders and often present clinicians with a dilemma-whether to conduct further investigations or just wait and see. This is because a delay in speaking could be either a normal (and temporary) stage in the child's development or the initial symptom of a psychiatric, neurological, or behavioural problem. As a result, the timely diagnosis, choice of therapy, and an individualised approach to the child with a speech and language delay become imperative as these interventions may prevent subsequent psychological or psychiatric problems later in life.
Child: Care, Health and Development, 2003
Aim The aim of this paper is to examine the natural history of early speech and language delay in preschool children over a 12-month period. Methods The study reports data on 69 children under the age of 3.5years who were referred for speech and language therapy because of early speech and language delay. The children were monitored over a 12-month period but received no direct intervention during that time. Assessment of their comprehension, expressive language and their phonology took place at baseline and again at 6 and 12months after baseline.
CASE STUDIES OF LANGUAGE DEVELOPMENT DELAY IN CHILDREN
The early years of life are very influential in children's language development. The vocabulary is all the words taped from the environment. The methods used in this research is a case study of. The subject is a child age 14 months with a delay in language development. Researchers conduct research using observation and interview as technique of data collection. The initial findings of the study, children not yet able to express the desire with simple verbal language or mention the words simple. Based on the results of the study known factors cause delay in language development the child affected by the adults around the child and the mother does not give these exercises a simple syllable uttered. When the child is at the stage raving, mother also not repeat syllables pronounced the child by saying a simple meaningful words.
Children with language delay referred to Dutch speech and hearing centres: caseload characteristics
International Journal of Language & Communication Disorders, 2020
Background: Early detection and remediation of language disorders are important in helping children to establish appropriate communicative and social behaviour and acquire additional information about the world through the use of language. In the Netherlands, children with (a suspicion of) language disorders are referred to speech and hearing centres for multidisciplinary assessment. Reliable data are needed on the nature of language disorders, as well as the age and source of referral, and the effects of cultural and socioeconomic profiles of the population served in order to plan speech and language therapy service provision. Aims: To provide a detailed description of caseload characteristics of children referred with a possible language disorder by generating more understanding of factors that might influence early identification. Methods & Procedures: A database of 11,450 children was analysed consisting of data on children, aged 2-7 years (70% boys, 30% girls), visiting Dutch speech and hearing centres. The factors analysed were age of referral, ratio of boys to girls, mono-and bilingualism, nature of the language delay, and language profile of the children. Outcomes & Results: Results revealed an age bias in the referral of children with language disorders. On average, boys were referred 5 months earlier than girls, and monolingual children were referred 3 months earlier than bilingual children. In addition, bilingual children seemed to have more complex problems at referral than monolingual children. They more often had both a disorder in both receptive and expressive language, and a language disorder with additional (developmental) problems. Conclusions & Implications: This study revealed a bias in age of referral of young children with language disorders. The results implicate the need for objective language screening instruments and the need to increase the awareness of staff in primary child healthcare of red flags in language development of girls and multilingual children aiming at earlier identification of language disorders in these children.
Neuropsychiatric Disease and Treatment, 2018
Purpose: To characterize language disorder and developmental profiles in children who screened positive for language delay but negative for autism at 2.5 years of age. Patients and methods: The first 100 children who screened positive for language delay-but negative for autism-in 2016 were assessed in detail by speech language pathologists. Parents completed a newly developed questionnaire covering eight domains-Motor, Executive functions, Perception, Memory, Language, Learning, Social skills and Child's behaviour-with impairment scored for each domain. Results: ICD-10 language disorder diagnoses were made in 87/100 children (29 girls, 58 boys). Of 52 children with mixed receptive-expressive language disorder, 32% had problems in other developmental areas according to the "global rating" in the impairment questions of the questionnaire. Of the 35 with expressive language disorder, 21% had problems in other areas according to the impairment questions. Thirteen children had isolated language delay with no other diagnoses according to the speech and language pathologists' assessment; however, 23% of them had problems according to the parental rating on the impairment questions. Conclusion: Most children screening positive for language delay but negative for autism at age 2.5 years were diagnosed with ICD-10 language disorder diagnoses. Parents in about one in four cases reported impairing problems within other developmental areas. Possible explanations for the findings are discussed.
Problems and limitations in studies on screening for language delay
Research in Developmental Disabilities, 2010
Early identification of most medical problems is advantageous in that it generally provides better opportunities for successful intervention. Yet, medical screening involves many considerations of an economic, ethical and methodological nature before early identification within a certain population can be decided. This study reviews some recent studies on screening for language delay (LD) and identifies some common methodological limitations. Hence, the present context is screening for LD but the methodological considerations are of a general nature.