New Speech Delay Study

by Gordy Rogers, M.S. CCC-SLP normal speech milestones Parents' Corner Speech and Hearing Disorders Speech Therapy for Kids Speech Therapy Techniques

When the American Medical Association Speaks, We Listen          

 

I’ve been quite affected by a recent research study published in the Journal of the American Medical Association (JAMA). The research aimed at answering this question: did the Covid-19 pandemic affect the rate of diagnosis of speech delay in children up to the age of five? 

The answer was a clear yes. The pandemic did see a great frequency of diagnosis of speech delay in children.

This post is dedicated to acknowledging this reality and proposing solutions to the collateral effect of the pandemic.

Study Key Points:

First, the study was huge. The authors’ analysis covered almost 2.5 million children. They were broken into four groups, one year-olds, two year-olds, three year-olds and four year-olds.

Second, the results were statistically significant. The researchers can be very confident that their findings are not due to chance and are in fact a representation of reality.

Third, they found increased diagnosis across all four age groups analyzed. 

Solutions:

Now that we understand this situation is real and the pandemic is the likely cause of a greater prevalence of speech delay, let’s talk about what we can do to address it.

When a parent, teacher or pediatrician first raises a concern about a child’s speech development, the first step is always an evaluation with a licensed speech-language pathologist. Should the evaluation yield a diagnosis of speech delay, the next urgent step is to begin a course of therapy.

For decades, we’ve known of the existence of critical periods of speech development.  The periods that children are expected to acquire given skills by a certain age. If a child misses these critical windows of development, rest assured speech therapy has been proven to catch children up.  However, the sooner a child can be seen, the better the child’s prognosis.

Once a decision is made to get an evaluation, the next question to answer is where will we get these services? Luckily, there are many ways to do this but they all require a different procedure and have their strengths and drawbacks.

Options to explore:

See below for a list of these options which may be dependent on age, income or employment requirements:

This list is not absolutely exhaustive and other options that may be available to you.  Here are a few examples:

Grant funding
TriCare (military insurance)
Therapeutic day schools – more significant developmental or medical needs

Connect:

At Speech Buddies we are committed to providing superior speech therapy solutions for all involved in the process (children, parents, caregivers, educators and fellow therapists).

Our Speech Buddies Tools have strong data to support their use with a wide range of speech delays. We also offer a free online directory for speech therapists nationwide on Speech Buddies Connect.

Lastly, we know the importance of setting up speech therapy promptly following a speech delay diagnosis.  Please feel free to email us at info@speechbuddies.com for guidance on how to get started. We’d welcome the opportunity to point you in the right direction of either local, regional or national resources that you’d have available to you.

 

By Gordy Rogers, M.S. CCC-SLP

 

 


Time-Series Analysis of First-Time Pediatric Speech Delays From 2018 to 2022

December 4, 2023 Brianna M. Goodwin Cartwright, MS1; Peter D. Smits, PhD1; Sarah Stewart, MD1; et al Patricia J. Rodriguez, PhD, MPH1; Samuel Gratzl, PhD1; Charlotte Baker, DrPH, MPH, CPH1; Nicholas Stucky, MD, PhD1
JAMA Pediatr. 2024;178(2):193-195. doi:10.1001/jamapediatrics.2023.5226

 

Guiding Your Child’s Speech Journey: A Parent’s Guide

by Gordy Rogers, M.S. CCC-SLP Language Development Parents' Corner Speech Therapy for Kids Speech Therapy Ideas

In my clinical career, I have direct comparisons of parents who were deeply involved in their children’s therapy regimen and those who were not. In almost every case, the parents who were more involved in their child’s speech regimen had the most success. 

Here are several tips for how you can be the ideal partner in your child’s therapy process.

  1. Ask Questions – Starting from your child’s initial evaluation through every stage of therapy, don’t be afraid to ask your speech therapist questions. Make sure you understand the recommendations given in your child’s evaluation report. Whenever therapy goals are listed, ask about the rationale behind each goal and the sequence of those goals. Will they target goals individually or several at once?
     Inquire about your child’s progress after a few weeks of therapy. What goals is your child most naturally making progress with? What activities are your child most motivated by? And what the discharge plan is.
     Your therapist will appreciate your active involvement in the therapy process, even if it seems like micro-managing.

  2. Offer Suggestions – Don’t be afraid to offer suggestions to your therapist. You will defer to your experienced, licensed professional regarding therapy techniques, goal selection, and the key clinical considerations. However, it is essential that your therapist know what brings your child joy. This can include games or activities that motivate your child, their preferred feedback or reinforcement (i.e. after each correct answer or at the end of a block of items), and potential prizes.
     Therapy should always be fun and focus on connecting with your child and their interests. Most therapists are well-stocked with games and other reinforcement tokens but, imparting your knowledge of what makes your child tick will pay enormous dividends for their growth.

  3. Practice Makes Perfect – This adage applies in almost every area of speech and language therapy. There’s no need to do more than your family can reasonably take on. However, research strongly suggests that frequent short home-based “sessions” are the ideal way to pursue follow-up exercises.
     For example, three to four times per week for ten to fifteen minutes per session. Definitely take your therapist’s lead and refrain from doing activities or exercises that aren’t “assigned” by your therapist.
     When in doubt, ask for direction or clarification from your therapist.

  4. It’s a Process – Speech and language therapy isn’t a linear process. I’ve seen early strong progress turn to mid-therapy frustration and vice versa. I’ve seen minimal early progress give way to rapid change just as everyone was throwing their hands up in frustration. The lesson here is it’s probably prudent to expect at least several months of visits, depending on the nature and number of goals on your child’s therapy plan.

Speech and language are complex behaviors that can require time, persistence, and thoughtful intervention to change. In many cases, there’s simply no way around this. By following the guidelines I’ve provided, you can make therapy more efficient and ensure a positive experience for your family.

Visit our website at speechbuddies.com or contact us for more information.

We also offer a free directory, Speech Buddies Connect, of SLP’s on our website.

 

By Gordy Rogers, M.S. CCC-SLP

Your Child’s Speech Development: Is it Time For An Evaluation?

by Gordy Rogers, M.S. CCC-SLP Expert Corner Language Development Speech Disorders Speech Therapy for Kids

As parents, my wife and I always try to perform cost-benefit analysis when our kids need professional or healthcare services. We all want the best for our children, but is that service worth the cost? This question often boils down to determining if it’s the right time for these services.

I’ll provide clarity on this important decision using an impactful research study. My goal is to help you better perform your own cost-benefit analysis when you feel your child may need a speech evaluation.

It’s important to understand that this article is devoted to speech clarity errors rather than language or cognitive development. I’m not addressing speech fluency here; one of the most common disorders being stuttering.

In 2018, two prominent Australian researchers and speech-language pathologists, Sharynne McLeod and Kathryn Crowe, published a highly influential study which looked into 27 major languages, on the ages that children are expected to acquire the speech sounds of their language.

Before this study was published, most speech pathologists relied on now fifty-year-old data to help determine whether the speech errors a child was making were age-appropriate (i.e. “normal” for that age group) or suggestive of a speech disorder. McLeod and Crowe’s data sent shockwaves through the world of speech pathology.

Speech pathologists thought that some of the trickiest-to-learn speech sounds can be misarticulated up to age 7, or even 8, without triggering a concern. The old data suggested therapists should recommend a “wait and watch” approach for a child who couldn’t pronounce [r] or [th] sounds at age 7.

One common issue is [th] and [r] are produced incorrectly in a 7-year-old that a good percentage of these children would spontaneously correct these speech errors without therapy.

McLeod and Crowe’s study examined many previous studies (termed a meta-analysis) and changed this thinking. They found that 90% of the speech sounds in a language should be acquired (i.e. correctly produced) by age 5! So whereas in years past, a 5 and a half-year old presenting with a challenge in saying his/her [s] and [sh] sounds might be told to wait a year before going to therapy, this new guidance would more strongly support intervening right away.

Each case is unique and is best informed by a comprehensive speech evaluation by a trained Pathologist. However, McLeod and Crowe’s work suggests a more proactive approach earlier in a child’s development. This applies broadly to children’s speech development as well.

Knowing language history, bilingualism, and family speech disorders is critical for clinical decision making. This boils down to a maxim: when in doubt, evaluate!

This study further underscores the potential urgency of the situation. The watchful waiting approach may actually be the best one, but you won’t know that without getting all the facts.

Best of luck in your family’s speech journey. Please share this article with someone who needs help with determining when the time is right for a professional speech evaluation.

By Gordy Rogers, M.S. CCC-SLP

**References  “Children’s Consonant Acquisition in 27 Languages: A Cross-Linguistic Review”
by Sharynne McLeod and Kathryn Crowe

 

 

Keeping the Momentum In Your Child’s Speech Plan During The Summer

by Gordy Rogers, M.S. CCC-SLP Parents' Corner Speech Therapy for Kids Speech Therapy Ideas

Ahhh summer. The time of year when your child’s speech plan is interrupted because of camp and family vacations. As much as our kids deserve a break from their academic routine, pausing can affect your child’s momentum toward his/her speech goals.

Speech Buddies® can maintain and progress speech skills over the summer, regardless of the learning phase or service provider. 

Phases of speech development:

1. The Establishment Phase – With the help of his/her therapist the child is learning to unlearn previous patterns of speech production. If your child is in this phase, it’s crucial to include frequent practice sessions with the Speech Buddies tools. By feeling the correct placement of the tongue in a variety of speech contexts, summer practice with Speech Buddies can be directed, effective and very efficient. Just five to ten minutes per day is beneficial.

2. The Generalization Phase – In this phase, the sound has already been established, but your child still requires these new speech skills to become a habit in everyday speech.

Our tools help orient your child’s entire sound system to the proper placement and movement of the challenge sound (s). We offer carefully developed supplementary materials to support your home-based programming. Find our free lesson plans here.

Applying a framework like Speech Buddies can provide structure and direction to your home-based work with your child; just getting going and sticking with a program is half the battle.

Kids deserve their summers to explore, to experiment, and unwind. Yet, with Speech Buddies, summers can also be a time of growth through practice without it feeling like work. 

Visit our website or contact us to help with your family’s summer speech program! 

 

How To Manage Your Child’s Speech Challenges While On A School Waiting List

by Gordy Rogers, M.S. CCC-SLP Expert Corner Parents' Corner Special Needs Speech delay Speech Therapy for Kids

The Covid pandemic brought an unprecedented staffing challenge across the entire American healthcare system. From hospitals, to outpatient private practices to schools, there aren’t enough speech pathologists to serve the demand for services that further exploded because of lockdowns.

We are seeing research studies come out now that confirm how lockdowns and remote learning set children back in their speech development.

While this might explain why your child hasn’t been receiving the school-based or clinic-based services, it does nothing to allay your concerns as a parent.

But with the help of Speech Buddies®, you can take your child’s speech development into your own hands.

Let me explain.

Speech Buddies are a set of patented, clinically proven hand-held devices that help a child feel correct tongue placement for those most difficult speech sounds that typically develop in late pre-school and early school years.

Since 2007? thousands of speech pathologists and tens of thousands of parents and children have successfully used them. See our testimonials here. Speech Buddies takes the guesswork out of eliciting speech sounds and speed up a child’s acquisitions of these often difficult-to-learn speech sounds.

The elegance of Speech Buddies as a speech therapy solution lies both in its efficacy and flexibility.

We always recommend having your child evaluated and treated by a licensed speech pathologist for a diagnosed speech challenge, especially if you believe your child’s speech challenge may be more than just of mild severity.

But, Speech Buddies may provide a critical bridge to expedited care amid this staffing situation. You may have an “ah ha moment” within the first few minutes of using the device and our extensive library of training videos and lesson plans will give you a head start on your child’s treatment regimen.

Because we specifically designed Speech Buddies tools for each speech sound (please see descriptions of each device: R, S, SH, L, CH), you only need to purchase the device(s) that apply to your child’s situation. So, when you’re finally moved off the waiting list for services, you could be farther along in the therapy process.

Depending on the speech therapy staffing predicament in your local area, Speech Buddies may also offer a fantastic option for those who would opt for out-of-network services, resources permitting, while potentially reducing the overall cost of those services.

Out-of-network providers almost never have extensive waiting lists given very limited or unavailable funding coverage.

You should be able to get in for an evaluation and services without being placed on a waiting list. If Speech Buddies work for your child’s speech treatment regimen, our tools are proven to reduce the time in therapy for certain speech sound disorders. By accessing a key sensory modality in learning, the sense of touch, Speech Buddies can help achieve a quicker learning breakthrough.

Speech Buddies hand-held tool empowers both the parent and child to recreate the speech therapy session in your own home while building confidence and enabling critical parent involvement in therapy. We also offer a free directory, Speech Buddies Connect, of SLP’s on our website.

Parents are powerless over staffing challenges across healthcare services but, you have access the clinically proven options.

Your child’s speech development is important and can be complex. If you ever have questions about Speech Buddies as a specific solution for your child’s situation, please contact us today!

We’re happy to hear your child’s situation and point you toward actionable solutions.

Meet Lauren Jackson: SLP Highlight

by Adrienne P. Speech Therapy for Kids

1. What inspired you to become a speech therapist?  My grandmother was the matriarch of the family. In 1991 she fell ill due to a stroke and I saw how therapists, especially a speech language pathologist, came to improve her quality of life.

2. What do you love about being an SLP? I love helping children find their voices.

3. What is your SLP superpower? Patience. Not all clients I work with are happy to see me. I have found that when you take the time to find out what your client likes it makes a difference in the service provided.

4. Who do you find the most rewarding to work with? The majority of my most rewarding clients to work with are under the age of 10. They usually make the most improvement in shorter periods of time. Though parents might be excited to her their child speak for the first time, I find it to be a honor to hear a child who was completely nonverbal, now talk: all from a strategy I used.

5. What would you say to parents who have a child with a speech challenge? Offering developmental norms helps tremendously. It helps the parent understand what should be addressed as well as why. The idea for me is to keep your child within the expected milestones for communication skills.

6. What is the most challenging thing about being a kid with a speech challenge? I think children become frustrated when they do not make progress. This can be especially hard as they mature.

7. What is one question you get most often from clients and parents? Most parents ask, in various ways, “How old are you?”, since I look much younger than I am. My work experience as a Speech Language Pathologist began in 2010.

8. What advice would you like to give to families considering seeking speech services? My best advice is seek evidence based information about your child’s needs before you reach out to any service provider. The best resource for a parent seeking a Speech Language Pathologist is the American Speech-Language & Hearing Association, ASHA. There are many sources that give information that is false or not proven. It can make it hard to work with your therapist (of any training) if you come in expecting one thing and what is realistic is what your therapist is offering you.

9. I’m sure you’ve had many, but what is one of your most memorable or rewarding cases and why? My most memorable case was one where the client was completely noncompliant during an evaluation. The client I am referring to stood up on the table at home and would not allow me to complete the assessment I attempted to administer. This client’s parent was determined to have the evaluation complete and I did my very best. This client is almost a completely different child now. The client is able to combine words, sits to attends tasks, and is making good progress towards mastering speech goals.

10. What can clients expect from virtual therapy? What is different or beneficial about virtual therapy? Virtual therapy is an option for patients in areas where a Speech Language Pathologist might not be accessible. It is an ASHA approved way to provide services. The expectation should be the same as face to face speech therapy. Some considerations for virtual speech therapy are that your internet connection should be supplemented with a USB cable. It is difficult, but not extremely impossible to offer PROMPT over virtual speech therapy: some patients pick up visual cues well. An e-helper is often needed for younger patients to receive the service.

11. What is your favorite part of being a Speech Buddies Connect therapist? My favorite part of working with Speech Buddies Connect is that I am not paperwork driven. There is time that I am able to sit with parents to go over progress then offer carryover.

Pragmatics: Unspoken Rules of Communication

by Kendall Davis Speech Therapy for Kids

The Role of Pragmatics in Communication

As children grow and their language develops, they learn more than just words. They learn about the world around them and how to socialize with different people in different contexts. They learn how to adapt their behavior depending on their conversation and social environment. These rules of communication are called pragmatics, and will vary depending on the development and culture of the child. Kindergartners will behave very differently on the playground than in the classroom. Likewise, preschoolers in Japan and France may have different social communication expectations placed on them. While the United States remains a melting pot of many different cultures, research shows some common benchmarks in the development of social communication. And while it’s important to remember that all children may develop at their own pace, growth of these social skills is important for both social and academic success.

Our eyes can reveal a lot about us and our social use of eye contact is a vital act of communication. They can reveal whether we are interested or distracted, whether we are telling the truth or a lie and suggest how confidence we feel. This is why it is important for children to develop a communicative competence through appropriate eye contact  in order to become better engaged with others. Children begin learning pragmatics at birth and continue to develop these skills throughout life. Within the first year, typically developing children will show social communication with eye contact, vocal turn taking, and facial expression and recognition. As they develop, children will continue to learn from their environment, and begin to understand pragmatic rules and social clues. Children with disorders like autism tend to have significantly reduced eye contact than is considered socially accepted. This may lead communication partners to misinterpret their reduced eye contact as a lack of interest; often, the “rules” of eye contact in a social context are difficult to master for this population. Understanding social thinking, as well as the inherent challenges certain children may face here, can help build meaningful relationships.

Pragmatics and Neurodevelopmental Disorders

It is important to remember that children with neurodevelopmental disorders will display a number of developmental “red flags”, and not every child will have the same presentation. If you are concerned that your child is not meeting these milestones, you may want to consult with your pediatrician. If your child is then diagnosed with a social communication deficit, speech therapy can be an important piece of their intervention plan. Speech-language pathologists (SLPs) are not only experts on speech and language development, but also nurture the social and emotional growth of their clients. Children who struggle to make eye contact and other social communication challenges often benefit from group therapy, where they can interact with like peers who are working on the same or similar goals in a format moderated by the SLP. SLPs may also use cognitive behavioral therapy to help reduce anxiety and negative thoughts associated with social communication in order to help clients self regulate and process emotions. Additionally, SLPs work collaboratively with other specialists such as occupational therapists and therapists trained in Applied Behavior Analysis (ABA). There are many different approaches to therapy and it may take time to determine which approach, or combination of approaches, is right for your child. So continuing to educate yourself as a parent will help you make the both informed clinical decisions as well as maximize your effectiveness as a home-based partner in your child’s total therapy program.

Resources:

Autism Speaks

Social Thinking

 

 

The Impact of Speech on Social and Emotional Development

by Samantha Cardinali Expert Corner Speech Disorders Speech Therapist Speech Therapy for Kids

From birth, children’s developmental capacities are constantly growing and maturing. Speech provides all of us with imperative tools for learning and interacting with others. Uncovering speech issues early on in children can be beneficial for future emotional development.  For some parents it may be difficult to decipher emotional signs, as opposed to physical signs correlated with speech or language complications.  I spoke with child and adolescent psychotherapist, Irena Kenny about the importance of speech in a child’s everyday life, as well as emotional and social obstacles, which might arise if a child is struggling with self expression.  

 

Q: How important are speech, language and communication skills for a child’s social and emotional development?

A: Speech and language are vital for the development of emotional and social skills in children. Communication is one of the most important developmental tasks, which takes place during early childhood development. It is then, children begin to form their initial understanding of the world. Difficulty in the realm of language and communication during childhood can hinder a child’s ability to confidently express their ideas and observations of the world around them. Some younger children, who do not have a well developed fund of language have all of these ideas and observations of the world in their minds, but feel unable to make themselves understood to others. Older children who suffer from speech issues such as poor annunciation, stuttering, and other unclear speech patterns may isolate themselves, withdraw from peers, and avoid situations such as speaking out loud, or minimize verbal interactions with others. A few symptoms of difficulty to express one’s thoughts clearly at earlier stages of development are low frustration tolerance, emotional outbursts, and excessive shyness. However, there are also children whose speech might appear less advanced than that of their peers, but they seem unbothered and confident.

Q: How do speech and language challenges affect academic progress?

A: Speech or some forms of linguistic expression are important for academic success; this is because, reading, writing and verbal apprehensions are essential elements of the entire learning process. When a child begins school they start to observe their surroundings and socialize predominantly with kids their own age. At this point they begin to notice a difference in their own speech compared to their classmates. For children with speech issues, it may seem majority of their peers have the ability to express themselves in a more articulate, more easily understood fashion. This realization of sounding different can have an emotional effect, ultimately leading to lower confidence, potentially causing lower class performance. But again, while some children become overly frustrated, others may not have any awareness of their speech issue. However, for some of the more self- conscious kids, rejection and teasing by peers may cause all energy to be expended on dealing with the social aspect of functioning and little energy is left to be put toward academic growth . For others, the need to avoid dealing with uncomfortable interpersonal situations can lead to isolation and possibly focusing heavily on the academic growth whilst inadvertently neglecting the social growth and development.

Q: When should speech and language enrichment take priority over other enrichment activities?

A:  If you ever feel that either speech or language (either receptive or expressive) seem to negatively affect your child’s ability to fully enjoy and participate in daily life, you should consider contacting a specialist. If a child is constantly struggling, due to speech related issues and does not seem to be making any progress, it is important to intervene and find the appropriate help best suited for you and your child. As a parent, I feel it is important to remember there is a range within each and every age group, and anxiously comparing your child to those of your peers does not always provide a clear cut sign of an issue. If you are uncertain or concerned, speak to your child’s teacher or pediatricians, who are qualified to advise you about what is and isn’t developmentally appropriate and together you can explore your concerns. If necessary they will help with making a referral to a Speech Therapist/Speech Language Pathologist, who will be able to determine the exact nature of your child’s speech related issue.

Q: What steps should be taken to find the right SLP?

A: It is a joint effort when looking for a Speech Language Pathologist best suited for parent and child. Speaking with your child’s pediatrician for an initial evaluation may help determine whether there is an overall need for therapy. Your physician will be able to provide names of SLP’s they have worked with before. Another helpful tip is to speak to friends, family members, or parenting networks, such as Park Slope Parents about recommendations for clinicians who may have previously helped their child. Ultimately, you want to find an SLP who is knowledgeable, plus able to work comfortably and safely with your child in order to promote the mastery and fine tuning of new and existing speech and language tools.

Guest post by Samantha Cardinali

Your Child Has Multiple Speech Language Goals – What to do!

Your Child Has Multiple Speech Language Goals – What to do!

by Gordy Rogers, M.S. CCC-SLP Speech Therapy for Kids

Once you’ve had your child assessed for a speech or language disorder and you’ve been told of the various goals that need to be targeted, you might find yourself throwing your hands in the air, baffled as to where to begin. It can certainly be overwhelming to wrap your head around a comprehensive treatment plan for your child. What speech language goals should be targeted first? And, how can I, a motivated parent, get involved? This post is dedicated to empowering parents in becoming more active partners in both the selection and implementation of appropriate goals for your child’s treatment plan. By understanding the rationale for as well as tips for how to best target each goal, in terms of overall child language development, you can be better equipped to support your child and help move him or her through these goals more efficiently.

Continue reading →