Speech, language and communication

Giving children the best possible start in life

iconThe health visiting pathway: 13-15 months

How I grow up and develop

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HOW I GROW UP AND DEVELOP

ATTENTION AND LISTENING

  • Can pay attention to adult -led activities for short a time eg looking at a book together.
  • Listens to and enjoys patterns in rhymes and stories.

PLAY AND INTERACTION

  • Enjoys social/people games such as peek a boo.
  • Beginning to play imaginatively e.g. pretending to speak on a toy phone.
  • Copies your actions (in songs etc).
  • Takes turns in back and forth interactions and play.

RECEPTIVE LANGUAGE (UNDERSTANDING)

  • Can follow simple instructions e.g. ‘bring me teddy’.
  • Points to body parts.
  • Can understand/identify familiar objects when they are named e.g. car.
  • Understands everyday words and actions.

EXPRESSIVE LANGUAGE (USE)

  • Uses gestures or pointing (sometimes with words) to indicate what they want e.g. waves bye bye.
  • Single words are emerging although may only be recognisable to familiar people.
  • May use babble between real words.
  • Says around 10 recognisable words by 18 months.
  • Particular words may have different meaning in different contexts.
  • Gets your attention by pointing, making noises, using words.

SPEECH SOUNDS

  • Uses a simple range of sounds e.g. b, d, m, n.
  • Imitates sounds, attempts to copy sounds made by another person.
  • Speech isn’t clear yet.

LOOK OUT FOR

  • Shows very little intention or motivation to communicate.
  • Lack of interest in social play and interaction with family members.
  • Lack of eye contact.
  • Child does not respond to language (and a hearing test has confirmed normal hearing).
  • Little or no babbling/experimentation with sounds.
  • Doesn’t use gestures like waving “bye bye” or shaking head for “no”.
  • Doesn’t respond to her/his name.
  • Doesn’t communicate in some way when s/he needs help with something.
  • Doesn't understand and respond to words like "no" and "up".
  • No attempts at words by 15 months.
  • Doesn’t point to things of interest.
  • Parental concern.

What I need from people who look after me

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Promoting Interaction

  • Children will communicate more when they are face to face with an adult.
  • Following a child’s interests encourages them to communicate about what is important to them.
  • Allow pauses and wait expectantly for baby to communicate with you.
  • Using a slow rate of speech which allows time for your baby to initiate and respond to communication.
  • Take turns when playing games such as peek-a-boo – this will help baby to learn about turn taking in conversations.
  • Be careful with questions - Asking too many questions or questions to ‘test’ a child can affect the interaction e.g. ‘what colour is the bus?’

Promoting Language

  • Repetition is very important to the acquisition of language. Infants and young children need to hear words over and over again before they will attempt to use them.
  • Recognising and responding positively to a child’s attempts at communication is vital.
  • Repeating words back to show you have understood and helps your baby to hear good examples.
  • Point and name objects that a child shows an interest in.
  • Using actions and gestures will build shared attention and understanding.
  • Interpret your babies messages. Provide names for things the child shows an interest in. Put into words what the child is trying to tell you. This will build vocabulary development.
  • Talk to baby as often as possible. Linking language to what they see and what they are doing. Use short, simple sentences.
  • Name a variety of vocabulary. Emphasise and stress important.

Opportunities

  • Offer choices - e.g. milk or juice. This helps a child understand and label new vocabulary and provides opportunities to practice words.
  • Reading provides opportunities for interaction, communication and sound play. Try reading one of the books from your Bookbug Toddler Bag more than once. Hearing the same stories again and again helps to develop your little one's language and social skills.
  • Singing rhymes and songs are important opportunities for language development: wait at times to see if the child will fill in the action or words in the song.
  • Play provides many opportunities for communication development (see play at home book for lots of ideas).

Environment

  • Try to reduce any distractions or background noise -eg with TV turned off. It can be helpful to have a quiet time each day for communication so baby can tune into your voice.
  • Avoid excessive use of dummies, especially when baby is bright, alert and trying to communicate.

My wider world

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Speech, language and communication skills are central to improving educational attainment, mental health, well-being and long-term life outcomes, including employment and social mobility.

Which factors are associated with better and poorer SLC outcomes? | Early Speech, Language and Communication Development: Which Factors are Associated with Better or Poorer Outcomes? | Resources | Education Scotland.

Support

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Health visitors and family nurses play a key role in promoting early language development and in the prevention and early identification of speech, language and communication needs. Below are some suggested ways of supporting families:

  • Promote positive interaction skills by role modelling talking, listening, playing and reading with baby.
  • Consider other family members who might be able to help – grandparents, older siblings – and give them key messages around talking, singing, reading and interacting.
  • Parents with mental health issues, including postnatal depression and postnatal post-traumatic stress, may need more support and encouragement to talk with their babies and use a tuneful voice – but encouragement to try this even a little can be a great help.
  • Parents with communication support needs may require additional support in communicating and interacting with baby. Ensure you are aware of individuals communication preferences.
  • Signposting: Attending local Bookbug sessions, infant massage or other community resources can support the attachment and communication process and can be a great source of support for families.
  • Bookbug Sessions in libraries and community venues are a great way for families to spend quality time together and meet other families. They also help to build children’s social skills and support their speech and language development.
  • Parents have access to developmental guidelines relating to early communication skills through the Red book, Ready Steady Baby, Ready Steady Toddler and Parent Club.

Resources

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For professionals

For parents

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