Saturday, 12 March 2011

Another parental dilemma: baby signing


We hear a lot about baby signing in the news; on the one hand there are those who say it enhances IQ and there are others including the Royal College of Speech & Language Therapists who say it shouldn’t be used with children without a speech therapy need or Karen Pine’s team from the University of Hertfordshire, who say it could be linked with increased parental stress.
So what is a parent supposed to believe? How is a parent supposed to react? It’s yet another baffling issue for parents to figure out. Let's look  at the pros and cons to help you make up your own mind. 
What is signing?
Signing is the use of an extended gesture system usually Makaton, BSL (British Sign Language) or ASL (American Sign Language). We all use gesture in our everyday communication but if we feel we are having difficulty getting our message across e.g. when talking to a foreigner or maybe someone elderly, we will use it much more. Our attempts to explain using this added gesture are usually much more successful at helping the person understand and this is exactly the same with babies and young children.
The benefits of signing:  
·         It empowers babies to communicate earlier.
The more you know about all the factors involved in making speech sounds, the more you wonder how anyone manages it. The brain has to send a signal to the muscles, and then the airflow has to be co-ordinated with moving the tongue, mouth and gums (teeth in older children and adults). A baby can move their hands with some control from very early on.  Babies will not talk until 12months of age or later but they can indicate by gesture or sign much earlier. Early communication intention is about making choices and making your needs known. It is estimated that a baby understands a word several weeks before he can say it.
·         Increases self-esteem
Helping a child’s self esteem isn’t just telling them how well they’re doing. Being seen as having something worth saying and that someone will listen and respond, is a huge component in the development of self esteem in both children and adults. If you can’t get your message across, self esteem will always be affected. If the baby signs and is rewarded, he knows he has something worth saying even before he had the spoken vocabulary e.g. that he wants milk or that he’s hungry.
·         Reduces frustration
If someone can express themselves they will be less frustrated. Sign can also be used as part of the explanation about why something can’t happen or has finished. A case study done recently by Small Talk showed fewer toddler temper tantrums when sign was used. Kim Nash, mum to Oliver felt it really made a difference, ‘When you’re too upset to ‘hear’ explanations, a visual prompt may get through’. The general consensus of opinion is that up to 90% of temper tantrums are linked to frustration (Shelley Ensor 2010).
·         Enhances language skills.
Language is not just the words that are spoken. A huge part is the understanding of what is said to you. Children learn in different ways and use different means e.g. auditory (what they hear), kinaesthetic (what they can feel) and visual (what they can see). These days the visual channel is usually stronger so than the auditory channel. To learn words/vocabulary is mainly auditory, when this is boosted by a sign it capitalises on this strength and so it helps the chid to learn the words more quickly. At Horn End nurseries in Staffordshire, where they use sign as part of a consolidated approach to encourage language development, they know that if they sign to accompany an instruction e.g. perhaps with a preposition, the children will follow more quickly. They have had training from Small Talk about enhancing all communication opportunities. Deborah Falshaw, nursery owner and Early Years professional sees it as ‘another layer to encourage children’s understanding and expressive skills’. OFSTED have made particular reference to it in one of the nurseries who received outstanding across the board.
Katya O-Neill has used sign very effectively to help develop the communication skills of children whose first language is not English in her excellent ‘Sign a Story’ project in Luton. This was a pilot project which will undoubtedly be used in many other areas of the country where this is an issue.
·         Enhances bonding and enriches parent-child interaction
The main benefit of baby signing is that it gives the parent a reason to interact very early on. The sign is the vehicle for the enhanced interaction. The more communication attempts are recognised and rewarded the more they will develop. The less a baby is interacted with, the slower the brain connections necessary for language and communication will develop. Studies have linked a lack of communication with babies with later difficulties including ADHD and a lack of social understanding especially empathy. Sue Gerhardt’s Book ‘Why love matters’ is an excellent reference for this area.
·         Makes signing socially acceptable
One of the benefits of it being widely accepted is that parents of children with a clinical need to sign are more likely to agree to their chid signing. Previously, when a speech and language therapist wanted to introduce sign to assist a child’s understanding or expressive language skills, parents frequently felt that it would single their child out even further. A greater use in all children prevents this and promotes better acceptance.

What about disadvantages?
·         Will it stop my baby talking?
One of the biggest concerns is that children will not talk if they can sign more easily. If it’s done correctly, this won’t happen. A good deal of research has been done to address this and has shown us that babies who sign do not have an increased risk of delayed speech/language. In fact, research indicates that many babies who sign actually go on to have early, advanced speech. It’s very important, however, that parents talk as well as sign.  Christina Schabow speech and language pathologist from the US says, ‘Ultimately, signing will NOT cause your baby to have delayed speech. It WILL be one of the best things you do to help prepare your baby for talking!’
·         It shouldn’t be sold as a must-do for parents
All the previous well known research was done by Americans, however, we have our own team here in the UK now led by Professor Karen Pine, she feels that signing classes should not be sold as a necessity to all parents. There is perhaps, a great deal of commercialism which puts pressure on middle class parents to take it up. It’s the fastest growing trend in pre-school activities in the 21st century. She feels that its adding to parental pressure with families who already know how to interact and whose offspring are benefitting from stimulating, communicative homes. Her research at the University of Hertfordshire does not back up the American findings i.e. there is no proof that children have higher IQs or better vocabularies than the control group.  
·         Will it add to my stress levels?
Karen’s team also felt it was linked to high stress levels in parents. However, having a baby or toddler is a stressful experience anyway so parents of little ones are very likely to report increased stress
 It is a fact that anything which helps communication WILL decrease stress levels in adults, babies and children.
·         Is it just for middle class families?
Shelley Ensor from The Little Signers Club reports: "We've seen interest in baby signing increase dramatically over the last five years.  In our classes we see thousands of parents from very different backgrounds every year and they all want the same thing - the very best for their baby.  In my experience signing babies are more eager to progress to speech and their communication development is generally accelerated. How confusing - and patronising - to have it suggested that only babies and parents from certain backgrounds should experience the sheer wonder of baby signing."

·         Or should it only be used to target families who don’t talk to their children?
In any clinical caseload there are children with language deprivation. It is however, misleading to believe that only children from poorer socio-economic backgrounds will have problems which are a result of language deprivation. As an independent therapy team, Small Talk have clients from all backgrounds, ‘we’ve just introduced sign to a child whose parents are both barristers... she is the one of the most language deprived children I’ve met’ reports Franky Shepperson SLT for Small Talk.
·         There’s some wild claims made that I don’t believe
Some of the American research promotes the idea that signing will somehow create young geniuses with higher IQs and vocabulary than their peers who have not experienced signing. This however, is not supported by recent more valid research.

·         There’s no regulation of teachers, anyone can set up
Unfortunately this is reportedly true, so it is that there are some classes who may be are more interested in taking the money than enhancing communication. However, these are the exception. There are some great teachers with excellent classes available nationwide. Shelley Ensor at Little Signers Club feels that it may be time to begin regulation of classes to ensure adequate knowledge, training and integrity of teachers.
Conclusion
Ultimately, there is a major concern about the general levels of speech, language and communication which is resulting in up to 50% of children starting school without the necessary levels of spoken language development according to a Government report by John Bercow in 2009. If the signing was part of a programme to target national parental interaction and also used as part of a consolidated approach to reach families who don’t know how to communicate with their offspring or may be don’t even realise they should, then that would be much better way forwards. Good signing classes such as Libby’s Smart Talkers, Shelley’s Little Signers Club and Kasha’s Sign2learn sessions are part of such a regime so that they are developmentally planned and incorporate language and communication aims too. ‘The baby signing we do is also a forum for discussing parental interaction and the development of communication’, says Libby.   
So... if you are interested in knowing more about baby signing locally, then go ahead but be cautious.
·         Check out the teacher and the class, talk to other parents there.
·         Don’t expect too much of yourself or your little one.
·         If you see it as fun activity to share which will help communication between you, then great!
·         Just remember that you have to talk too.
·         Sign is only a part of your communication together. See Smart Talkers website for tips about how to talk to your child, you can give yourself a pat on the back if you are..... If not you’ll see simple free tips to help you  www.smarttalkers.org.uk


What parents say:

“I think somehow it’s easier for mums to develop ways of communicating with babies, they seem innately able to read those subtle cues, tell the difference between cries, but baby signing unlocks some of these mysteries for everyone. As a father I feel like I can meet my son’s needs now. When he first signed to me that he needed a nappy change (at 4 months old), and he did, I was bowled over!”  Ben, signing Daddy to Fin

  
"I decided to take Sam to baby signing classes for two reasons.  Firstly for some much needed adult company and more so because Sam was such an inquisitive and vivacious little boy.  I was becoming so despondent - needless to say tired and frustrated - by his growing dissatisfaction, no matter what I did with him or where I took him he seemed to be constantly needing more!  I was the Mummy at your average mother and baby group desperately trying to chat and feel normal again...whilst all the other little babies happily played on the mat, Sam was fidgety, frustrated and needed constant attention.  I was fighting the tide expecting him to play happily whilst I indulged in a cup of tea and chocolate muffin.  Sam wasn't that sort of child and so I decided to do something for the both of us.  It was a crucial turning point and the best decision I have ever made in what had so far been a hard and emotional first six months of being a Mummy.  I truly believe that taking Sam to baby signing classes opened a gateway in his mind, enhanced his brain development and helped him to become a calmer, more communicative baby.  I looked forward to each class as the pleasure and involvement Sam showed during the sessions was a breath of fresh air to me.  No frustration, no fidgeting...instead there were smiles, laughter and one contended little boy who I was at last able to understand and enjoy.... Oh and I made some wonderful friends too who made me feel very normal again."
Frances, signing Mummy to Sam

Libby Hill Specialist Speech & Language Therapist Oct 2010

Contacts:
Katja O’Neill www.sign2learn.co.uk
Debbie Falshaw www.hornend.co.uk
References:
Why love matters-how affection shapes a baby’s brain by Sue Gerhardt pub by Bruner-Routledge 2004
Will signing stop my baby talking Christina Schabow www.smarttalkers.blogspot
To Sign or not to Sign?  The Impact of Encouraging Infants to Gesture on Infant Language and Maternal Mind-Mindedness by Elizabeth Kirk, Neil Howlett, Karen J Pine and Ben (C) Fletcher University of Hertfordshire School of Psychology
Hands on mothering: Improving infant communication in  low socio-economic families with gesture Karen Pine & Elizabeth Kirk University of Hertfordshire School of Psychology



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Thursday, 10 March 2011

Guidelines for contributors to S & L World:the global bulletin for SLT/SLP


S & L World welcomes letters, news items and features/articles
How to submit your contribution:  E-mail articles to editor@slworldbulletin.com Please  submit email as Word attachments, together with a brief biography and suggestions for visuals. If you are using quotations, identify the sources and give full information for references.

The proposed article could not have been published nor submitted to any other publication unless specifically agreed in advance with the editor. If your article is accepted, you might be asked to do revisions, where necessary to clarify something. But do not necessarily expect to be able to make any changes once the article has been submitted. The article may be edited and you are unlikely to be able to approve the final version.

If an article does not meet the guidelines or if the editor has been misled about the writing qualifications of the author or any other detail, S & L World is under no obligation to publish the article. 

Please write in an accessible style. 
·         Avoid jargon or abbreviations, or make sure they are  made clear
·         The idea is to share ideas and information and not be an academic forum (see the RCSLT International Bulletin if this is your intention). Academic articles need to be made accessible for the general readership i.e. SLT/SLPs from many different specialist areas plus other students and SLT/SLP Assistants.
·         Bibliographic references should be according to the Harvard Format - APA style.


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Letters to the editor
A letter is the easiest way to let others know about your idea or opinion.
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News Items
S & L World is interested in printing information about any projects or research, pleas for help, awards or if you have held an interesting event in the news section. These items should be no more than 300 words (half page) but could be as short as 75 (quarter page).

Features/Articles
Articles should be around 1,200 words in length, including references. You can include up to three tables, charts or photographs (see later). Longer contributions may be discussed with editor prior to submission. The minimum number of words for a one page feature is approx 600 words in length.
 
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Saturday, 5 March 2011

Speak Clearly Resources


As I was doing an in service training session last week, I was asked what materials I recommend. I  replied, 'Speak Clearly', so I thought share that with the blog readers too. They have been nominated for an award in the NASEN 2011 awards.
Speak Clearly Ltd bridges the gap between Speech and Language Therapy and schools/nurseries, giving clear, practical guidance about how to enhance speech and language development in busy classrooms.
Achieving high acclaim in primary and nursery settings across the UK, Naomi Mason’s specialist knowledge,  down-to earth-suggestions, cleverly designed teaching resources, and enthusiastic presentation style will refresh teachers and assistants alike.
So if you are passionate about identifying children's speech and language difficulties as early as possible, need workable strategies for helping these children within the contexts of a busy classroom, need help with a SENDIST tribunal,  or simply want to be more effective in improving speech and language skills across the board, trust in Naomi.
She hAs developed hundreds of refreshingly simple five-minute activities for teachers and their assistants to identify and help children who have Speech and Language difficulties or EAL. 
  • Create powerful and inspiring resources, packed with new ideas
  • Photo real artwork makes them suitable across all ages
  • Ideal for group activities and personalised learning
  • Presented on CD Rom, so can be shared across the school
Developed by Naomi Mason, eminent Speech and Language Therapist, then tried and tested by teachers across the UK, these resources are a vital addition to your Speech and Language toolbox. 
Simply print out the activity sheet (on A3 is best, but they work on A4 too)  – each one has everything you need on one side, and clear instructions on the back, making it even easier for busy teachers to implement these terrific strategies.
Each collection addresses a different speech or language skill, from early years right up to Year 6.
You can even use them on your whiteboard as a whole-class activity. 


I first met Naomi in 1988 when I started at Dudley HA, we've kept in touch since.



Thursday, 3 March 2011

Sad to say goodbye..... for now!

I've had to say goodbye to 2 groups of children this week. I've been working with them since January and had come to really look forwards to both groups.
The first one was at Stretton Springs Pre-School where we've been delivering Languageland for nursery. We've had a small core of children plus a rotation of others so they could all 'have a turn' on the magic carpet. The sessions were for the staff, mainly to help share a speech and language therapist's knowledge to add what to what they already know.
The other group was a set of 12 children from Pirehill First School and their parents. These were a bright, wriggly group who needed extra help with confidence, attention, listening and other simple skills so that they can achieve their potential. I used a languageland style approach here too with homework. Feedback was very good with all the parents feeling that they had learned something.
Languageland is a programme that has been developed over a 7 year period by Newcastle under Lyme PCT. It is demonstration training so that the SLT can show staff simple techniques to help in their own groups/classroom. It is available from Blacksheep Press with a  special offer at the moment www.blacksheeppress.co.uk
The good news is that I can still keep in touch with both places, as they have valued what we've done. I'll be doing further training for parents and staff at Stretton Springs and plan to run some pre-school groups for the up-coming intake at Pirehill, so that they are ready to listen and learn when they start school in September.

Tuesday, 1 March 2011

Help Your Child Talk and Grow Smarter With Bedtime Stories

Welcome to our March guest blogger, Frances Evesham:

Bedtime stories pack a secret punch. Quiet and relaxing, they tick all the right boxes for your health and that of your child. Take ten minutes to de-stress yourself and help him learn language skills to make him as smart as he can be. Growing Up in Scotland research suggests that children involved in activities like storytelling with their parents at an early age, develop more quickly. 
Sleep
After his busy day, your child needs plenty of sleep. The daily noise and excitement may leave him over stimulated, agitated and over excited.  A bedtime story provides the perfect opportunity to switch off the TV, stop other busy activity and concentrate on your child. Your child will relax as he listens to the calm sound of your voice and Looks at the pictures in a book.  Even a baby in his first year benefits from this oasis of peaceful tranquillity and he tends to fall asleep more quickly.
Repetition
From birth, your baby enjoys listening to your voice. He finds it soothing and in his first few weeks, he settles down when you speak to him. Build on these early listening skills with short, repetitive bedtime stories. Your tiny baby’s brain already contains many billions of neurons. Pathways linking these neurons together develop rapidly during his first three years, through repetitive experiences and actions. Read or tell the same story many times over, to help those brain pathways develop.
Vocabulary and speech
Short sentences linked to pictures help your child recognise words and, as he grows older, they help him develop a wide vocabulary. Young children love long words, like “elephant” and “caterpillar”, words that imitate sounds, like “quack” and  “crash” and words that are fun to say, like “tick tock” and “pitter patter”.  As your child makes you repeat them many times, he learns to anticipate every word and insists that the story is identical every time you read.
Speech sounds
Hearing those words often and joining in with you as you say them, encourages him to exercise his speech muscles and try out tricky sound combinations.  Remember, it doesn’t matter that he won’t say all the sounds properly. Avoid the temptation to correct him. When he’s ready, he’ll get them right, and bedtime stories are a time for gentle enjoyment.
Relaxation
You gain as much from bedtime stories as your child does. Those few moments of quiet every day force you to forget household duties or work anxieties.  Aim to enjoy the time. Sit comfortably, with your happy child snuggled against you. Breathe slowly and quietly, noticing how his breathing also slows down.  Let your inner actor free, with your uncritical child as your audience.  Your child grows up and leaves home, and these memories will remain with you forever.
Learning about life
Try making up your own stories. Tell a tale about your child’s teddy and the adventures he has while the family sleeps, or make your child himself the centre of a story. As he grows older, story is a safe way to introduce information on difficult or scary topics, like death, moving house or bullying. Begin storytelling when your baby is small, and you lay down a habit to benefit him for years to come.
Some of my favourites:
We're Going on a Bear Hunt; Michael Rosen; 2003
The Very Hungry Caterpillar; Eric Carle; 1969
Brown Bear, Brown Bear, What Do You See?; Bill Martin Jr; 1996
Can’t You Sleep, Little Bear?; Martin Waddell; 2001
What stories do your children love?
Growing Up in Scotland is following the progress of 5,000 babies born between June 2004 and May 2005.

Frances Evesham worked as a speech and language therapist for many years. Her Kindle eBook, How to help your child talk and grow smarter, explains how your child learns to talk and how you can help. Find out more at http://www.getmeoffthehook.com/speechcontacts/book.html







Saturday, 26 February 2011

Hear hear!!

I was very concerned about the poor listening skills of children in primary schools so I decided to seek the views of colleagues in education. This was to reveiw an earlier study in the 1990s which I had been done with a colleague at the time, Sue Gowers. This is a brief report on the findings:

The Problem?
        189 Early Years Departments including Head Teachers, class Teaches, early years co-ordinators and special needs co-ordinators contributed their feelings. The 94% return rate for a questionnaire probably speaks for itself about the level of concern as typically, a response of around 32.5%
All of the schools were extremely worried: children generally have shorter attention span and most have difficulty listening. The problem is getting worse with children entering school ill-prepared for the demands of the classroom.
Many respondents blamed the constant blare of 24 hour TV with increased background noise causing children to switch off. Others felt that children’s senses were being over loaded with non-auditory stimulation. Most expressed a concern about the time children spend watching television & DVDs or playing computer type games. All felt that too much screen time including TV was partly to blame because children could just watch the pictures and didn’t need to listen.
On the whole respondents blamed parents for children’s poor attention and listening skills. Perhaps it’s the pressure of today’s busy lifestyle that necessitates leaving them in front of the TV as surrogate babysitter with little time set aside for conversation. 75% felt there were no social status differences.  Could it be that all families experience pressure but for different reasons? ‘Middle class’ parents are busy working to pay the mortgage, cars and holidays so they don’t have time to interact with their children, while others don’t realise they ought to?

Consequences?
As a result of poor attention and listening skills the class teacher has to begin by teaching them to listen. Unfortunately, it is assumed that children are equipped with the necessary abilities to learn but most school staff found that a great deal of time is taken up directing and re-focussing. In the 1970s it was felt that by the time a child arrived at school they had almost fully developed attention so that they could be drawing whilst listening to and understanding a completely separate instruction (Cooper, Moodley & Reynell 1978). These days the Teacher would have to ask them to put down their pencils, turn to the teacher, give the instruction and then tell them to continue the task.
As listening is a learned skill, children with learning difficulties will take longer than their peers to acquire it. Often extra work is needed for this group within the mainstream classroom. 
Probably as a result of poor auditory skills, there are many more speech and language problems in mainstream schools. Estimates vary but it is generally accepted that 7% of any class is likely to experience specific difficulty. Jean Gross Government Communication Tsar identified 1 in 6 3 year olds with identified difficulties but ‘many, many more’  with delays which hadn’t been picked up. Delays are almost becoming the norm. Bercow (2008) found up to 50% had communication difficulties which would impact on the children’s learning in school.

The Solution?
Ideally, one of the solutions is parental guidance when the children are younger which is why I set up Smart Talkers pre-school groups. One of the main aims is to show parents how to use ‘active listening’. We tend to think of listening as a passive skill but it actually an active learning task involving several aspects: good sitting, good looking, good waiting and good thinking. These were identified by Maggie Johnson who has done a great deal of work on this area including with children who have ADHD. Each part needs to be worked on in order. Realistically, however, the task of sorting the problem falls to the class teacher.
When working with children with short attention spans, learning activities have to be restructured so that only short periods of concentration are required with many different activities designed to retain interest and attention. Maggie has written ‘How to get them to hang on to your every word’ which has some great class room techniques for all ages. However, the following general strategies will be useful:

General Strategies

·        Ensure you have full attention and eye contact
·        Keep the instructions short & simple so that the key words are kept to a minimum
·        Speak as slowly, clearly and naturally as possible
·        Give the child time to understand/process the information/instruction. It may be necessary to repeat even simple instructions several times in order for the child to process the information
·        Check they have understood what is expected of them ‘Comprehension monitoring’
·        Try to develop the child overall confidence by praising him for things he is good at. Also try to make communication as pleasurable an experience as possible. When a child is nervous or anxious the ability to understand may be adversely affected
·        Keep external distractions to a minimum whist giving instructions
·        Use gesture and other non-verbal cues whenever possible e.g. facial expression pointing etc
·        Use visual clues and cues e.g. pictures of the tasks, picture timetable





                                                                                                                   



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Tuesday, 22 February 2011

10 ways to develop your child's language skills


Guest blog by the Talking Matters Team, an excellent  group of speech pathologists from Australia

If you are waiting for an assessment or therapy to begin, or if you just want to help your child’s development every day, here are some simple things you can do that make a real difference to your child’s language skills.
1. Talk together every day. Talk to your child whenever you can, as you go about daily activities like cooking, bathing, dressing, eating, travelling to kindy or school, getting ready for bed. 
2. Get down to your child’s level. Ensure your child can see your face when you are talking to them. This helps them focus, lets them see and hear your words better and encourages them to copy you. 
3. Follow your child’s lead when you talk. Take some time to see what holds your child’s interests. Watch what they look at, touch, hear and reach for and talk with them about these things. 
4. Talk about what you are doing and ‘think out loud’. Talk in simple words about what you are doing as you do your daily activities to develop your child’s vocabulary. “I am cutting carrots into circles”. 
5. Be positive. Use lots of encouragement and tell your child what they have done well. Use specific words. “I like the way you used your words to ask for that”. “The red colour in that picture looks great”. 
6. Model new words. Tell your child the names of things they have not seen before. Teach them new action words when you do things together. Teach them describing words by talking about what they see, hear, touch, taste and smell. Include words about size, shape, colour and feel.
7. Recast your child’s errors. If your child makes a mistake when talking, repeat the sentence, fixing the mistake to show them the right way. Use a positive tone and repeat it a few times but keep it natural. E.g. Child “I runned”. Adult “Yes you ran, you ran very fast, you ran right to mummy”. Try repeating this same word a few more times later on, so your child gets lots of chances to hear it the right way.
8. Use lots of repetition. Young children learn though repetition. Repeat new ideas, words and concepts over and over. Repeat stories and songs too. Repeat new words and ideas in different places, times and situations to help your child learn the full meaning and understand different ways the word can be used.
9. Read lots of books together. Reading to your child is one of the best things you can do to help them learn. Make it a part of your day every day. Read new books but also old repeat old favourites. Choose books which suit your child’s age, language level and interests. Talk about what you read and ask your child questions.
10. Embrace new experiences. Try new places, games, songs, books and activities with your child. Do something special and different every chance you can as this opens up new words, ideas and concepts to talk about.  
For more details on these ideas go to our website at www.talkingmatters.com.auand log into plus then go to language difficulties to download more information for free.
Talking Matters TeamDaily activities can develop language skills