How to make sure children and young people at risk of speech, language and communication needs are identified early and effectively

The Integrated Review

The early years foundation stage (EYFS) Progress check at age 2 and the Healthy Child Programme review offer 2 opportunities to:

• identify additional needs for children aged 2 to 3
• work in partnership with parents, carers, guardians and any relevant professionals to put the right support in place for the children who need it

Since 2015, the government has encouraged early years providers, local authorities, and health visiting services to work together to combine the Healthy Child Programme review and the EYFS Progress check at age 2. This is known as an ‘integrated review’.

Cost: Free

WellComm Assessment

The WellComm Assessment is for use with any child aged 6 months to 6 years and enables practitioners to evaluate children's language skills, draw up a detailed profile and identify children at risk of having difficulty in developing language skills.  It identifies those children who need setting-based monitoring and support and those who need referral to specialist support services.  The screen is completed through observation, discussion with families and screening by asking children to carry out a variety of tasks ensuring that results obtained and conclusions drawn are more accurate than using one approach alone.

Early Language Identification Measure and Intervention (ELIM)

This handbook is a guide for practitioners to carry out the Early Language Identification Measure and Intervention programme as part of the 2 to 2½ year review. It is structured as a conversation with the child’s parent/carer, encouraging practitioners to support the parent/carer to make informed decisions for their child.  It outlines the 3 steps of the Early Language Identification Measure and Intervention programme.

The first step (Assessment) concerns a simple measure for identifying which children might have early SLCN as part of their 2 to 2½ year review. Based on the outcomes of this first step, those children where there is no current need can be offered general signposting to support ongoing language development. Where a need is identified they can be offered step 2 and 3 of the identification and intervention programme.

The second step (Conversation) gives guidance on how to discuss and explore the identified needs and observations of the child’s language with the parent/carer. This may then lead to signposting to specific support and consideration of options.

These can be explored fully in the third step (Intervention) which offers a framework for comprehensive engagement with families to work in partnership on agreed goals and interventions tailored to the family.

For further information: https://research.ncl.ac.uk/elim-i/elim-i/

Cost: Free

A Guide to Identification - Worcestershire SLCN Pathway

Identifying SLCN can be problematic for many reasons. Children and young people may have other difficulties as well as SLCN, they may have a wide and complex range of needs and therefore there can be co-occurrence with other diagnoses. SLCN is often considered to be a 'hidden disability'. Some aspects of SLCN are more visible than others, particularly those associated with speech sounds, others are less so. We know that early identification leads to better outcomes for children and young people, so the sooner a need is identified the better.

The Worcestershire SLCN Pathway guide and tools help practitioners to support identification of SLCN.

Download Worcestershire SLCN Pathway's Guide to Identification

Cost: Free

TCT Building a Profile

This document has been designed to guide you in making a referral to speech and language services.  Being aware of the different types of speech, language and communication needs (SLCN) will make it easier for you to describe the child's difficulties accurately, enabling them to access the right support as quickly as possible.

Cost: Free

Child Monitoring Tool

A profiling tool to monitor development of a toddler in relation to Listening and Attention; Understanding; Talking; and Social Skills.  As a practitioner you can highlight statements that the toddler can do through ongoing observations and assessment as well as discussion with parents. The tool includes checkpoint statements which need to be particularly considered as, if a toddler is not achieving these skills at the age indicated, this may indicate a speech, language and communication need that requires ongoing investigation and monitoring.

Cost: Free

Worcestershire Identifying SLCN

Identifying SLCN can be problematic for many reasons: children may have other difficulties as well as SLCN, they may have a wide and complex range of needs and therefore there can be co-occurrence with other labels and diagnoses. SLCN is often considered to be a 'hidden disability'. Some aspects of SLCN are more visible than others, particularly those associated with speech and sounds. Others are less so, for example the child who is experiencing difficulties understanding or using language may appear to be inattentive, passive or even rude. There are children who become very skilled at hiding their difficulties, e.g. by watching other people so they know what to do or by pretending they know when they don't. SLCN may be missed altogether or masked by these other charcateristics. 

Early warning signs information available to download.

Cost: Free

Enquiry Line

The Speech and Language UK Enquiry Service gives parents a chance to discuss questions or concerns about their child’s speech, language and communication development with one of Speech and Language UK’s speech and language therapists.  The therapists can give helpful information about children’s talking and communication development as well as tips on improving these skills. They can also offer advice on ages and stages and what can be done to help the child get the right support.

Cost: Free

Progress Checker

Speech and Language UK's progress checker provides parents with short questions they can answer to see how their toddler is getting on with their speech, language and communication development.

Cost: Free

Afasic

Afasic supports parents and carers with young children who have difficulties with listening, talking and understanding others. Here is information for you to use and share with families of the children you support. It includes a wide range of information about talking, listening and understanding and what might cause these difficulties.  If families are worried that their toddler is not talking or not saying as much as other children of their age, they can contact Afasic by telephone or email to speak to someone who can help. 

Cost: Free

Afasic Parent Helpline

If a parent is worried about their child / young person's speech, language and communication, share this Afasic helpline information so that they can speak to someone who can help by telephone or email.

Cost: Free

Speech and Language UK Ages and Stages

This is a guide to the typical stages of speech and language development in children.  Children develop language at different rates. However, understanding what is typical can help you identify speech and language problems early.  This page also provides information about how to support toddlers' development.

Cost: Free

WellComm Toolkit

The WellComm Assessment is for use with any child aged 6 months to 6 years and enables practitioners to evaluate children's language skills, draw up a detailed profile and identify children at risk of having difficulty in developing language skills.  It identifies those children who need setting-based monitoring and support and those who need referral to specialist support services.  The screen is completed through observation, discussion with families and screening by asking children to carry out a variety of tasks ensuring that results obtained and conclusions drawn are more accurate than using one approach alone.

The WellComm Big Book of Ideas has been designed for use following a WellComm assessment of any child aged 6 months to 6 years.  It includes general strategies as well as very specific activities to develop and improve children's speech and language skills and can be implemented by any early years practitioner or parent using toys and items that can be found in settings or at home.  The activities are used to develop the particular skills highlighted for support in the assessment - this means that the activities delivered are specific and appropriate to the individual child language development stage and can be used in the setting or at home.

Training videos are included in the toolkit.  

EYBIC Word Pack

Early Years Based Information Carrying Word Pack is a rich resource of beautiful pictures and interesting activities to help you assess and promote the vocabulary, speaking and listening of toddlers you work with through the principle of Information Carrying Words.  The Information Carrying Words concept provides a structured framework which helps children increase the amount of information they can remember. At the same time EYBIC will develop their knowledge and language of everyday topics.

Cost: £

ASQ-3

The Ages & Stages Questionnaires^®, Third Edition (ASQ^®-3) is a developmental screening tool that pinpoints developmental progress in children between the ages of one month to 5 ½ years. 

Speech and Language Chatter Matters

This series of videos for parents and carers outlines how speech, language and communication skills develop; what families can do to support their child; how these skills develop over time; children with speech and language needs and how to access information and support.

Cost: Free

Stoke Speaks Out - Sound Development Checklist

An overview of the typical sounds children should be able to use in words at different ages. 

Cost: Free

UKBT Assessment Tool

The UK bilingual toddlers online assessment tool is a free online site for UK educators and health care practitioners to assess the word development of bilingual toddlers at 24 months. 

Cost: Free