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  • Speech Delay Question

    I have a 2 year old dcb who is almost 3 and says about 5 words I can understand and besides that makes noises but is pretty quiet all day. His mom has talked to his doctor but he is not worried but his mom is and I am a little. I can tell this child is fustrated a lot and I am wondering if there is anything additional I should be doing or anything that would be helpful for him. He is an only child and this is his first time in childcare and he is a very happy playful child (he loves being around other kids). He sings and participates during circle time and I always acknowledge him for participating and I try not to speak for him unless the other kids are taking advantage of him. Would you be concerned? How have you helped your speech delay kids in the past?

  • #2
    Most states offer free early childhood intervention (including speech therapy). I would look into what your state offers by calling the local school district and then let mom know what is offered. The sooner he can get up to speed with speech delays, the more successful he will be when he starts school.

    At the age he is at, he should have some speech skills. Does he have any other delays you can see? Does he interact with the other children well? Difficulties with eating? Is he potty trained? Does he have good eye contact?

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    • #3
      ALL doctors tell parents they are not worried. DRs literally have no clue what they are talking about. I have been through this soooo many times as a provider. I recommend the child go to see someone, Dr convinces parent to "wait and see". Problem does not get better. I have a child right now who does not pass the developmental screen for his age and DR told mom he is not worried. It is unfortunate but not much I can do.

      I would recommend an evaluation to a speech language pathologist in your area for sure! Also find out what services are available for your area.

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      • #4
        Originally posted by spud912 View Post
        Most states offer free early childhood intervention (including speech therapy). I would look into what your state offers by calling the local school district and then let mom know what is offered. The sooner he can get up to speed with speech delays, the more successful he will be when he starts school.

        At the age he is at, he should have some speech skills. Does he have any other delays you can see? Does he interact with the other children well? Difficulties with eating? Is he potty trained? Does he have good eye contact?
        He does well with the other kids and follows directions well. His gross and fine motor skills are fine but he is not potty trained and I have asked mom about it and I can't tell if it is her or him. I don't see any delays but his speech. Thanks

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        • #5
          I have had 2 of these come through my daycare, and currently have one of them. He will be 3 in September, and says a handful of words. I was also a special ed teacher prior to opening my daycare, and worked alongside a friend who gave me these ideas below. She was a behavior specialist with a classroom of non-verbal children (5-9 year olds)...by the end of the year all the kids were saying words! This is what I do/did and what she suggested:
          Do not give them what they want until they say it...it may not be the exact word (may even be a grunt), but unless they try to say something they don't get it...for example, if they want a drink, they have to say "drink please". I give them the words to say as I am holding the drink "say drink please", then wait for them to say it. The kid I have now does great with this. The other kid I had was very stubborn and refused to say things sometimes for a while until he really wanted whatever it was. He ended up talking just fine by 3.5 and is now up to where he should be at 5 and is a super smart kid! Also, the kid I have now really struggles with yes and no. He always wants to say "uh huh" for both yes and no. So we practice as often as we can...do you want a cookie "uh huh", I say "say yes or no", and ask again "do you want a cookie", "uh huh"...we do this over and over until he finally says yes. He's gotten much much better after doing this for a few weeks. Those are a couple of suggestions I've tried that seem to really help!

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          • #6
            Originally posted by Ariana View Post
            ALL doctors tell parents they are not worried. DRs literally have no clue what they are talking about. I have been through this soooo many times as a provider. I recommend the child go to see someone, Dr convinces parent to "wait and see". Problem does not get better. I have a child right now who does not pass the developmental screen for his age and DR told mom he is not worried. It is unfortunate but not much I can do.

            I would recommend an evaluation to a speech language pathologist in your area for sure! Also find out what services are available for your area.
            I totally agree and I always tell the parent that every Doctor that I have ever referred a child to has always said this. But, then the child sees a physical therapist, occupational therapist, or a speech language pathologist and they see the same need that I do. I always HIGHLY recommend that they seek a professional who is trained in what I am referring them for.

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            • #7
              This is where a 5 year olds language skills should be:
              Between five and six
              Milestones:

              Has a sentence length of 5-6 words
              Has a vocabulary of around 2000 words
              Defines objects by their use (you eat with a fork) and can tell what objects are made of
              Knows spatial relations like "on top", "behind", "far" and "near"
              Knows address
              Identifies a penny, nickel and dime
              Knows common opposites like "big/little"
              Understands "same" and "different"
              Counts ten objects
              Asks questions for information
              Distinguished left and right hand in herself
              Uses all types of sentences, for example "let's go to the store after we eat"
              Activities to encourage your child's language

              Praise your child when she talks about her feelings, thoughts, hopes and fears
              Comment on what you did or how you think your child feels
              Sing songs, rhymes with your child
              Continue to read longer stories
              Talk with him as you would an adult
              Look at family photos and talk to him about your family history
              Listen to her when she talks to you

              The sooner the better for intervention.

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              • #8
                Oops...posted wrong age group.
                Between two and three
                Milestones

                Identifies body parts
                Carries on 'conversation' with self and dolls
                Asks "what's that?" And "where's my?"
                Uses 2-word negative phrases such as "no want".
                Forms some plurals by adding "s"; book, books
                Has a 450 word vocabulary
                Gives first name, holds up fingers to tell age
                Combines nouns and verbs "mommy go"
                Understands simple time concepts: "last night", "tomorrow"
                Refers to self as "me" rather than by name
                Tries to get adult attention: "watch me"
                Likes to hear same story repeated
                May say "no" when means "yes"
                Talks to other children as well as adults
                Solves problems by talking instead of hitting or crying
                Answers "where" questions
                Names common pictures and things
                Uses short sentences like "me want more" or "me want cookie"
                Matches 3-4 colors, knows big and little

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                • #9
                  I worked for Birth to Three for awhile and we would refer children often for an evaluation who were nearing age two with only 3-5 words that a stranger could understand.

                  Also part of the component was if it was causing frustration for the child. We would also ask about receptive language....which develops first. Does he understand what you are saying and follows simple requests.

                  A child nearing three with only a few words would have been a huge red flag.

                  Mom should inquire with the school district so they can screen and then probably do an evaluation.

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