How to tell if your child has a speech or language impairment
an estimated 2,300 to 4,700 words. Speech and language development takes time. Speech gradually becomes easier to understand; language gradually becomes more sophisticated. Problems arise when speech and language milestones are not met. Left untreated, children who start school with speech and language difficulties face an increased risk of reading and writing difficulties, more bullying, poorer peer relationships and less enjoyment of school. So, what should parents expect of children at different ages?
‘Normal’ speech and language development
During the early years a child learns language – that is, converting thoughts and emotions into words. A child also learns speech – that is, figuring out the mouth movements needed to make speech sounds in words and deciphering the rules for how those sounds combine to form words. For instance, children learning English learn that you can start a word with three consonants, but that the first consonant must be s, the second consonant p, t or k and the third consonant l, r, w or j as in splash, street and square. By 24 months, a child should have at least 50 words and should be putting two words together. These two-word utterances should form basic sentences to request actions (“mummy up”), request objects (“more milk”) and make comments (“big ball”). The child should also understand a range of words and follow simple commands (“Where’s your nose?” “Where’s Amy’s tummy?”). Approximately 50% of a 24-month-old’s speech should be understood by an unfamiliar listener. Speech errors such as substituting easy speech sounds for more difficult sounds (saying “wook” for “look”), omitting sounds in words (saying “poon” for “spoon”) and deleting entire syllables (saying “getti” for “spaghetti”) are typical of this age. Between 24 and 36 months, a child’s speech and language ability should show rapid growth. By 36 months, 75% of what a child says should be understood by an unfamiliar listener. By 48 months, a child should be talking in much longer, grammatically correct sentences. The child should be joining sentences using words such as “and” and “because”. As many parents will be able to confirm, children can ask an average of 107 questions an hour including: what, where, who, whose, why and how? A four-year-old should be able to explain recent events. However, they may struggle with some elements, particularly those involving time. “When” questions can be difficult for a child to answer.
Vocabulary and long-term outcomes
The amount and types of words addressed to children in the home from a young age correlates with their growing vocabulary. In an interesting longitudinal study of 42 children and their families, two researchers observed children at home once a month for an hour for 2 ½ years. When they analysed their data according to family socio-economic status (upper socio-economic status, middle/lower socio-economic status and welfare) they noticed that the average child from a family on welfare heard 616 words per hour, the average child from a middle/lower socio-economic status (working class) family heard 1,251 words per hour while the average child from an upper socio-economic status (professional) family heard 2153 words per hour. When they extrapolated their results over four years of experience, they found that:the average child in a professional family would have accumulated experience with almost 45 million wordswhile
an average child in a welfare family would have accumulated experience with 13 million words.Not surprisingly, the children who heard more words, had bigger vocabularies and better language abilities by school age. Vocabulary size is important because children who start school with larger vocabularies develop superior reading abilities. Children should be seen and heard, and engaged in conversation from a young age. If you are concerned about your child’s speech or language development, seek the advice of a speech pathologist.
