saturday 12th may 2007 presented to tamba study day 1 language development in multiples michelle...
TRANSCRIPT
Saturday 12th May 2007
Presented to TAMBA Study Day1
Language Development in Language Development in MultiplesMultiples
Michelle Field Speech and Language Therapist
Janet O’KeefeIndependent Speech and Language Therapist
Saturday 12th May 2007
Presented to TAMBA Study Day2
Introduction Introduction Why are multiples
more at risk of language delay ?
How can you encourage early language development ?
Developmental progress – hearing and speech
Referral criteria References
Saturday 12th May 2007
Presented to TAMBA Study Day3
Overview Overview In non-selective
studies, irrespective of the measures used and aspects of language studied, a significant language delay is found in multiples (on average)
Why?
Saturday 12th May 2007
Presented to TAMBA Study Day4
Risk Factors for Language Risk Factors for Language Delay (in all children)Delay (in all children) Male Premature Birth Trauma Low Birth Weight Quiet or irritable
baby Delayed motor
milestones Feeding problems Family History
Saturday 12th May 2007
Presented to TAMBA Study Day5
More Risk Factors!More Risk Factors! Siblings close in
age Large family Hearing problems Bilingual home Poor stimulation Frequent
hospitalisation Poor
concentration Poor coordination
Saturday 12th May 2007
Presented to TAMBA Study Day6
Multiple Specific FactorsMultiple Specific Factors
Late diagnosis Identical
Also consider:
Who is babies’ main model for language?
Shared attention
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Background HistoryBackground History
Do remember that these are risk factors.
‘Children with one or more of these characteristics are more likely to have difficulties, most will not.’
La Trobe Twin Study, 1987
Saturday 12th May 2007
Presented to TAMBA Study Day8
What can you do to encourage What can you do to encourage early language developmentearly language development
Encourage babies to attend to their environment
Turn everything off for 30 minutes a day
Look at books with each child individually
Give individual time and attention
Address comments to the children individually
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Presented to TAMBA Study Day9
More ideas …More ideas …
Encourage outside social contacts and individual friends
Each parent to spend time with each multiple
Help others to tell the multiples apart
Find strategies to help you to have time as parents without the children to re-charge your batteries!
Saturday 12th May 2007
Presented to TAMBA Study Day10
0-12 months0-12 months Cooing Babbling Laughing Waving Showing affection to
parents Understands ‘no’ and
‘bye’ Recognises object
names and simple requests
Begins to use specific sounds
May acquire first true words
Saturday 12th May 2007
Presented to TAMBA Study Day11
12 – 24 months12 – 24 months
Jargon Recognisable words Copies new words Pointing Wants to
communicate Gives familiar
objects on request Understands verbs
and attributes Echolalia
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Presented to TAMBA Study Day12
2-3 years2-3 years Uses 50-200 recognisable
words and understands many more
Can concentrate for 5 minutes
Combines 2-3 words in simple sentences
Refers to self by name Enjoys stories, nursery
rhymes and songs Knows body parts Names objects and pictures Enjoys miniature doll play Talks during play Asks questions
Saturday 12th May 2007
Presented to TAMBA Study Day13
3-4 years3-4 yearsMost speech sounds correctFluency increasesTenses may be confusedUnderstands concepts of colour and sizeCan pretend an object is something else80% intelligibleLarge vocabularyCan count to 10
Saturday 12th May 2007
Presented to TAMBA Study Day14
4 – 5 years4 – 5 years Fluent, grammatically
correct and intelligible 4-6 word sentences Asks ‘Why ?’ and other
questions Constructs own stories Understands abstract
words Plays pretend games with
other children Understands numbers Can concentrate for 10
minutes Enjoys jokes
Saturday 12th May 2007
Presented to TAMBA Study Day15
Referral CriteriaReferral Criteria
Hearing Interest in peopleSingle words by 2 yearsSentences by 2.5 years Intelligible by 4 yearsCorrect grammar by 5 years
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SummarySummary
2-3 years – hearing, understanding and play
3-4 years – listening, attention and cooperation
4-5 years – speech, language and fluency
5-10 years ‘AFASIC language checklists’ available from Winslow Press
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Presented to TAMBA Study Day17
ReadingReading
Early Communication Skills by Charlotte Lynch and Julia Cooper
Working With Children’s Language by Jackie Cooke and Diana Williams
Talking Together by Rachel HallBaby Talk by Dr Sally WardHelp Me Speak – A Parent’s Guide to
Speech and Language Therapy by Jenny Barrett