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Speech, language and communication difficulties

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School support section:

Advice for the classroom
School issues
Books and articles
Programmes, games & software
Useful addresses & websites

Home support section:

What are Speech, language and communication difficulties?
How will this affect my child?
How can I help?
Where can I find out more?

School support:

What are specific speech, language and communication difficulties?

The difficulty here is a motor and/or cognitive weakness with processing and organising expressive and/or receptive language. These are children who may have been later starting to talk, and whose speech is still a little unclear. They may show plenty of evidence of competence and skill with non-verbal activities (for example, constructional toys, or visual puzzles) but be less skilled with language.

Advice for the classroom:

  • Information processing:
    Do not expect immediate answers to oral questions, or assume that because the pupil’s hand is not up, he/she does not know the answer – the right answer may be there, but takes time to be formulated.
    Allow for some measure of frustration – remember that the pupil may be continuously undergoing a ‘tip-of-the-tongue’ experience.
    Look for every opportunity to stimulate verbal exchanges and processing, through question and answer.
    Try to give immediate verbal and non-verbal reinforcement and prompts when he/she is speaking.

  • Assessment:
    Be careful not to judge overall levels of ability on the basis of the pupil’s spoken contributions.

  • Presentation:
    Use visual and spatial prompts and aids to learning if and when possible.
    In group work, encourage turn-taking to lead the group – this needs to be carefully monitored.

  • Motivation and Self-esteem:
    Let the pupil know you are aware of his/her difficulty, and that you are sympathetic – but that you have high expectations.
    Be specially generous with praise and cautious with criticism. Praise can be a natural motivator as long as the child feels the praise is genuine and deserved. It is important to let the pupil know why he/she is being praised rather than just to provide praise. In a behavioural reward system with extrinsic rewards such as stickers or points, the child can easily see why he/she is being praised. This can be an effective motivator, as long as the rewards are meaningful and appropriate.

School issues:

Ensure that all the pupil's teachers know about the difficulty and understand its implications. Recommend referral for speech therapy assessment, if this has not already taken place.

Books & articles:

Leonard, L. (2000) Children with Specific Language Impairment (Language, Speech and Communication) (MIT Press).

Martin, D. and Miller, C. (2002) Speech and Language Difficulties in the Classroom (Fulton).

Reid, Gavin (ed.) (1996) Dimensions of Dyslexia, Volumes 1 and 2 (Moray House Publications).
Saunders, M. D. (2001) ‘Who's getting the message? Helping your students understand in a verbal world’, Teaching Exceptional Children, 33, 4, 70–4.

Programmes, Games and Software:

Basic Exercises for Articulatory Dyspraxia – available from the Dyspraxia Foundation, tel: 01462 455016; email: admin@dyspraxiafoundation.org.uk; website: www.dyspraxiafoundation.org.uk

An excellent range of activities and games to aid word access and expressive language can be found on: http://members.tripod.com/~Caroline_Bowen/wordretrieval.html

Before Alpha: Learning Games for the Under Fives – this is a programme of learning games developed by Bev Hornsby (1996, Souvenir Press) which can be used with children under five. The games are in a series of structured stages, are multi-sensory and aim to foster language development and other pre-reading skills such as visual and auditory perception and discrimination, fine motor control, spatial relationships, knowledge of colour, number and directions.

Computer games can be useful, as some of these can help with processing speed utilising both visual and auditory modalities – sources include:

KCS – Tools for the Computer Enabled, Freepost, Southampton SO17 1YA; tel: 0123 80584314; fax: 0123 80584320; email: info@keytools.com

National Council for Educational Technology (NCET), Milburn Hill Road, Science Park, Coventry CV4 7JJ; tel: 01203 416994; fax: 01203 411418; email: enquiry_desk@ncet.org.uk

Xavier Educational Software Ltd, Psychology Department, University College of Wales, Bangor, Gwynedd LL57 2DG; tel: 01248 382616; fax: 01248 382599; email: xavier@bangor.ac.uk); website: www.xavier.bangor.ac.uk

Scottish Council for Educational Technology (SCET), 74 Victoria Crescent Road, Glasgow G12 9JN; tel: 0141 337 5051.

Crick Software, website: www.cricksoft.com/uk

Crossbow Education, 41 Sawpit Lane, Brocton, Stafford ST17 0TE; tel: 01785 660902; website: www.crossboweducation.com – games for learning.

Useful addresses & websites:

Afasic (50–2 Great Sutton Street, London EC1V 0DJ, tel: 020 7490 9410; Helpline: 0845 355 5577;
email: info@afasic.org.uk; website: www.afasic.org.uk) – a charity for people with communication difficulties.

Association for Rehabilitation of Communication and Oral Skills (ARCOS) – Whitbourne Lodge, 137 Church Street, Malvern, Worcs, WR14 2AN; tel: 01684 576795;
email: arcos@globalnet.co.uk; website: www.arcos.org.uk

Association of Speech and Language Therapists in Independent Practice (ASLTIP) (WSS, Coleheath Bottom, Speen, Princes Risborough, Bucks HP27 0SZ; tel: 0870 2413357;
email: awdry@demon.co.uk; website: www.helpwithtalking.com) – information/database concerning appropriate local therapists.

Becta (British Educational Communications and Technology Agency), Milburn Hill Road, Science Park, Coventry CV4 7JJ; tel: 024 7641 6994; fax: 024 7641 1418; email: becta@becta.org.uk;
website: www.becta.org.uk

Crick Software, website: www.cricksoft.com/uk

Crossbow Education, 41 Sawpit Lane, Brocton, Stafford ST17 0TE; tel: 01785 660902;
website: www.crossboweducation.com – games for learning.

Fledglings, 6 Southfield, Ickleton, Saffron Waldon, CB10 1BE; tel: 0845 458 1124;
e-mail: enquiries@fledglings.org.uk; website: www.fledglings.org.uk – a free product and service search for families of children with special needs, for educational items and developmental toys.

I CAN (Central Office, 4 Dyer’s Buildings, Holborn, London EC1N 2QP; tel: 0870 010 4066;
email: info@ican.org.uk; website: www.ican.org.uk ) – an educational charity for children with speech and language difficulties, training centre for parents and professionals, numerous factsheets.

Johansen Sound Therapy programmes suitable for children with spoken language difficulties and literacy difficulties are available – see, for example, www.johansensoundtherapy.com and www.developmentalintegration.co.uk

National Information Centre for Speech and Language Therapy (NICeST) (Dept. of Human Communication Science, UCL, Chandler House, 2 Wakefield Street, London WC1N 1PG; tel: 020 7679 4207;
website: library.hcs.ucl.ac.uk) – enquiry service, library and literature search.

Office for Advice, Assistance, Support and Information on Special Needs (OAASIS), Brock House, Grigg Lane, Brockenhurst, Hants SO42 7RE; helpline tel: 09068 633201; website: www.oaasis.co.uk – an advice, training and resource centre for parents and professionals.

Professional Association of Teachers of Students with Specific Learning Difficulties (Patoss), website: www.patoss-dyslexia.org

Royal College of Speech and Language Therapists, website: www.rcslt.org

Scottish Sensory Centre, and CALL Centre, Moray House School of Education, University of Edinburgh, Holyrood Road, Edinburgh EH8 8AQ; tel: 0131 651 6501 – provides materials and advice on sensory difficulties, including language difficulties.

Scottish Sensory Centre promotes and supports new developments and effective practices in the education of children and young people with sensory impairments – that is; visual impairment, deaf and deafblind. SSC collaborates with education authorities, schools and groups of teachers, voluntary organisations, parents’ groups and young people themselves. Sister website: VI Scotland: www.viscotland.org.uk

Stass Publications’ catalogue contains books and materials all written by speech and language therapists: Stass publications, 44 North Road, Ponteland, Northumberland, NE20 9UR; tel/fax: 01661 860440;
email: susan@stass.demon.co.uk

www.afasic.org.uk

www.cafamily.org.uk

www.childspeech.net

www.ican.org.uk/information_centre/speech_and_language.asp

www.inclusive.co.uk/infosite/spandl.shtml

www.speechnlanguage.org.uk

www.talkingpoint.org.uk – aims to provide a one-stop shop for professionals and parents.

Home support:

What are specific speech, language and communication difficulties?

The difficulty here is a motor and/or cognitive weakness with processing and organising expressive and/or receptive language.

These are children who may have been later starting to talk, and whose speech is still a little unclear. They may show plenty of evidence of competence and skill with non-verbal activities (for example, constructional toys, or visual puzzles) but be less skilled with language.

How will this affect my child?

Your child’s speech may not be clear and well articulated, and he/she may muddle words, and mix up the sounds within them.

It may often be hard for your child to find the right words, even when he/she obviously knows what he/she wants to say.

There may be delays when answering questions, and a sense that thought is a bit laborious.

This can be very frustrating for your child – all the right answers might be there, but it is hard work getting them out, like a continuous ‘tip-of-the-tongue’ experience.

How can I help?

  • Encourage as many language and communication opportunities as possible.

  • Be patient and allow your child to respond to questions even if he/she takes a long time – encourage explanations, and listen to what he/she has to say.

  • Activities which allow your child to explain what is happening in a picture can be useful. This can help with comprehension as well as verbal expression.

  • It is particularly important to give praise, especially when your child is describing something or giving some oral response to a question.

  • Consider a request for referral for speech therapy assessment, if this has not already taken place.

  • Consider assessment for auditory therapy, with subsequent auditory training exercises (this may be available through some Speech and Language Therapy services, or arranged privately – it is unlikely to be available through the school or education authority).

  • Exercises: for younger children, an excellent range of activities and games to aid word access and expressive language can be found on: http://members.tripod.com/~Caroline_Bowen/wordretrieval.html

  • Basic Exercises for Articulatory Dyspraxia are available from the Dyspraxia Foundation, tel: 01462 455016; email: admin@dyspraxiafoundation.org.uk; website: www.dyspraxiafoundation.org.uk

  • Johansen Sound Therapy programmes suitable for children with spoken language difficulties and literacy difficulties are available – see, for example, www.johansensoundtherapy.com and www.developmentalintegration.co.uk

  • Paired reading can be done at home, and actively involves the parent and the child. It is a very successful method and involves the parent (tutor) and the child (tutee) reading aloud at the same time. Both parent and child read all the words out together, with the parent modulating speed to match that of the child, while giving a good model of competent reading. The child must read every word and when the child says a word wrong, the parent just tells the child the correct way to say the word. The child then repeats the word correctly and the pair carry on. It is intended only for use with individually chosen, highly motivating, non-fiction or fiction books which are above the independent readability level of the child.

    One of the important aspects of paired reading, and indeed any reading activities, is praise – the parent should look pleased when the child succeeds using this technique. A similar technique can be used with another, older, child as the tutor.

    Further information is available from the Centre for Paired Reading website (www.dundee.ac.uk/psychology/TRW), where details of the publication Thinking Reading Writing: A Practical Guide to Paired Learning with Peers, Parents and Volunteers, by Keith Topping (2001) (Continuum), can be found. The Centre for Paired Learning website is www.dundee.ac.uk/psychology/c_p_lear.html and contains information and details of linked publications.

Where can I find out more?

Afasic (50–2 Great Sutton Street, London EC1V 0DJ, tel: 020 7490 9410; Helpline: 0845 355 5577;
email: info@afasic.org.uk; website: www.afasic.org.uk) – a charity for people with communication difficulties.

Association for Rehabilitation of Communication and Oral Skills (ARCOS) – Whitbourne Lodge, 137 Church Street, Malvern, Worcs, WR14 2AN; tel: 01684 576795; email: arcos@globalnet.co.uk;
website: www.arcos.org.uk

Association of Speech and Language Therapists in Independent Practice (ASLTIP) (WSS, Coleheath Bottom, Speen, Princes Risborough, Bucks HP27 0SZ; tel: 0870 2413357;
email: awdry@demon.co.uk; website: www.helpwithtalking.com) – information/database concerning appropriate local therapists.

Fledglings, 6 Southfield, Ickleton, Saffron Waldon, CB10 1BE; tel: 0845 458 1124;
e-mail: enquiries@fledglings.org.uk; website: www.fledglings.org.uk – a free product and service search for families of children with special needs, for educational items and developmental toys.

I CAN (Central Office, 4 Dyer’s Buildings, Holborn, London EC1N 2QP; tel: 0870 010 4066;
email: info@ican.org.uk; website: www.ican.org.uk ) – an educational charity for children with speech and language difficulties, training centre for parents and professionals, numerous factsheets.

Leonard, L. B. (2000) Children with Specific Language Impairment (Language, Speech and Communication) (MIT Press).

Martin, D. and Miller, C. (2002) Speech and Language Difficulties in the Classroom (David Fulton).

National Information Centre for Speech and Language Therapy (NICeST) (Dept. of Human Communication Science, UCL, Chandler House, 2 Wakefield Street, London WC1N 1PG; tel: 020 7679 4207;
website: http://library.hcs.ucl.ac.uk) – enquiry service, library and literature search.

Office for Advice, Assistance, Support and Information on Special Needs (OAASIS), Brock House, Grigg Lane, Brockenhurst, Hants SO42 7RE; helpline tel: 09068 633201; website: www.oaasis.co.uk – an advice, training and resource centre for parents and professionals.

Some useful websites:

www.afasic.org.uk
www.cafamily.org.uk
www.childspeech.net
www.ican.org.uk/information_centre/speech_and_language.asp
www.inclusive.co.uk/infosite/spandl.shtml
www.speechnlanguage.org.uk
www.talkingpoint.org.uk – aims to provide a one-stop shop for professionals and parents.

 

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