You might think we’re ‘just’ having a snack....

But I’m actually..

·       Making a choice of snack and drink which is really important.

·       having a good reason to communicate

·       Increasing my confidence. 

·       Taking part in one of the best communication opportunities of the day. Notice how they only give me a little bit so I have to ask for more. The word ‘more’ is a good word to build from 1 to 2 words together.

·       Working in my expressive language skills: they expect me to request in the best way I can and they push me to do a little more when they know I am able

Working on language and communication skills is best done in real everyday situations. We need to make sure we are giving a reason to communicate, an opportunity and a means. The means can be pointing first then answering a forced alternative e.g. do you want water or juice? Put the one you think he wants last to begin with so he can copy easily at first.  One of the biggest causes of language delay today is that we don't expect enough of our children and we give them what they want without making them work for it. We take away the opportunities and reasons to communicate so their means of communicating doesn't need to progress.

Hanen have a great term called 'owling' and we all need to do  more of this:

• Observe
• Wait
• Listen

 Take a step back and see every day activities as opportunities for communication...

So don't just provide food and drink, use snack or mealtime to help your child's language skills!

 We can show you how if you come to one of our sessions www.smarttalkers.org.uk

Communication break down in a big way!

I have just spent a fabulous week in Sharm el Sheikh, Egypt. The weather was hot, sunny and a major change from the cold, wet drizzle from which I had escaped. It was relaxing, refreshing and a world away from work.... except in a way it wasn't really, as there was communication break down to a major degree.

There are around 5,000 Russians who arrive weekly into the area. At present there are no Germans, Belgians or Scandinavians because they are advised against travel to Egypt given the current domestic difficulties. There are some Polish, some Italians and some British. The resort staff speak english, french, german, italian and spanish but hardly any know any Russian. They aren't really keen to go to to the trouble of learning as the Russians behave as if the staff are something scraped off the bottom of their shoes. The Russians, however don't ordinarily speak any English or any other language but their own.The result is similar to what I see on a daily basis: Communication breakdown leading to frustration, infuriation and temper tantrums. The difference is that the one throwing the tantrum is an 17 stone, twenty something not a pre-schooler.

It was almost funny to see how they tried to get around the problem. They tried raising their voices, then moved on to shouting then stamping fists on tables. The worst was in the Italian a  la carte restaurant where the menu was a mix of Italian and English. The poor waiter was flustered, upset and completely overwhelmed, the Russian couple angry, disappointed and so very frustrated. 

The same strategies we use with the children would have worked brilliantly: lots of gesture and visual clues. The 4 s's if there's limited vocabulary knowledge:

1. Go slow

2. Show

3. Say less

4. Stress (the important words)

Pictures and symbols would have solved the issue where no spoken vocabulary is known and if everyone could sign, well..... imagine how fantastic that would be!

Is it ADHD, ASD or SLI?

The overlap of ADHD symptoms and autism symptoms have confused many families. When a child can’t sit still for homework or a meal, or stay in his chair in class, when he fidgets or talks too much and too insistently, most parents and practitioners think, “This child must be hyper-active!”

The first explanation most doctors arrive at is also attention deficit hyperactivity disorder (ADHD). The condition is familiar, it’s been around for a long time, and there are effective strategies to manage it. It is important to remember, however, that almost any psychological or developmental disorder of childhood can look like ADHD, with or without the hyperactivity. Children under stress, due to learning disabilities, anxiety, depression, communication based difficulties, specific language impairment (SLI) or sensory integration problems, may exhibit the same symptoms. It takes a skillful evaluation to tease out explanations for the behaviors.

The biggest part of our case load have had an ADHD query at some point but with time getting to know them, listening to parents and careful assessment show those who do and those who just have attention control issues.

www.private-speech-therapy.co.uk

Sad but true!

I cant help but feel sad that the level of apathy in some sections of society is so bad that its debilitating. The Sure Start children's centres aim to provide quality pre-school activities to both entertain and support parents and children. They do prioritise families with needs such as sole parents, children with disabilities, travelling families, fathers or those known to social services  but everyone is welcomed.


The sessions they provide are mostly free in Staffordshire. They are sourced from the leading pre-school activity providers in the area and strive for excellent service. There's choices of messy play, yoga, Debutots drama, music with mummy, cookery club and of course our own Smart Talkers Pre-School Communication groups to name but a few. It sounds great doesn't it and in most of the centres it works really well. However, because of the level of apathy in some of the areas or in the sections of society they most want to attract, the numbers attending are limited. In one Centre I couldn't get anyone at all and after 3 weeks of twiddling my thumbs, we had to give up. I'd tried everything possible including posters in local shops and  newsagents, a newspaper article, adverts, netmums etc and contacted all the health professionals, local nurseries, pre-schools and other groups.


At these centres, I see mothers with pyjamas under their coats dropping youngsters off at the adjacent school claiming they're going back to bed, others chatting aimlessly smoking with their mates at the school gate. They usually have a pre-schooler or two in tow (complete with the essential badge..... sorry dummy). They would be welcome at the groups but they'd prefer to do nothing except press the button on the remote control for little Keesha or KayD.

Unfortunately, many of these little ones suffer from a lack of appropriate stimulation and as a result are likely to have an increased risk of delayed speech, language and communication. This will then mean that they will have problems with written language as spoken language skills are the building blocks for written language.    


Unfortunately, research shows that the gap at aged 7 years is likely to persist into adulthood. This has in turn been linked to lower expected socio-economic status in later adult by such eminent scholars as Professor James Law from City University. Another US study showed that language deprivation and teen pregnancy can be linked.It is estimated here in the UK that 75% of young offenders have speech, language and communication difficulties of some type or other.


These problems could be transient difficulties i.e. they'd develop appropriate skills with stimulation or intervention, but will be real and intrusive.  These cases are not to be confused with speech, language and communication disorders which are unavoidable and will need speech and language therapy input, these are children who are language deprived.


We're not entirely sure what is happening to the children's centres after April 1st 2011 but one thing is for certain.... we cant stop trying to engage with these families by breaking through the apathy. There's too much at stake to stop!

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Related articles

• Language intervention provides educational benefits for preschool children (scienceblog.com)
• Language intervention provides educational benefits for preschool children (eurekalert.org)

A sign of things to come?

Speech & Language Therapy has always been the 'Cinderella' of the services within the NHS, historically, whenever there have been cut-backs to be made, the NHS bosses have known that it's an easy option. This is in, part due to the fact that the departments are mostly staffed by very nice ladies who wouldn't complain (or of they did, it would be 'ever so politely' and not very loudly). They know there would be little chance of strike action or industrial dispute. And who else would moan? Our clients have problems communicating their everyday needs, thoughts and wants, never mind be able to make a statement in support of the shortage of therapists. 

Yet, any communication difficulty, however small, can be devastating to the individual and have a major impact on the whole of that person's life. As I've put at the top of the blog, and can't say any better,‘The ability to communicate is central to all that we do, to who we are, how we learn and how we relate to others’ (Ross, Leeds Metropolitan University, 2007). Communication problems of any kind, however mild, will certainly lead to isolation, frustration and an inability to fully integrate into society. Children will have a harder time making friends and fitting into nursery or school while adults will have inummerable social, emotional and day to day difficulties.


Whether it's an adult who has suffered a stroke or a young child who is not developing language as they should, it is vital that they receive the help they need from suitably qualified, experienced professionals...I.E. SPEECH & LANGUAGE THERAPISTS. The Royal College of Speech & Language Therapists' Giving Voice Campaign is an excellent attempt to bring home the issues from the clients point of view. Unfortunately, this might have little impact in today's climate of cut-backs see http://www.northernireland.gov.uk/news/news-dhssps/news-dhssps-20102010-lack-of-funding.htm for what's happening in one area.


Am I falling into 'nimby-ism' (i.e. not in my back yard')? No, as I'm an independent therapist, who is likely to benefit from any NHS cutbacks. I am, however, a sad observer of what is happening to an essential service. I know speech, language and communication problems are not life threatening but they are thoroughly life impacting.

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