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Child language development & Strategies
     for developing language at Home.




                                  EIPIC – Fei Yue
                       2 June 2008 Parent Training Workshop
Presenter:
Mr. Rajeev Ranjan
Speech Language therapist
Outline of presentation…
Definition.
Normal development.
Pre-requisites for speech and language.
Modes of communication.
Conditions which lead to sp & lg delay.
Autism.
Sp & Lg problems in Autism.
How and why child communicate.
Child’s stage of communication development.
Assessment.
Approaches and speech and lg stimulation.
General techniques and strategies.
Summary, and
References.
Speech Language And Communication


 Definition:
 “Speech is audible manifestation of language. It’s a
   complex motor act which involve movements of
   various articulators for production of speech”
Language: is a set of arbitrary symbols used
by a group of people for the purpose of
communication.



Language is the main vehicle for
communication
Communication is a process through which
human beings share ideas ,feelings, desires,
emotions and for sheer pleasure.
ormal development of Communication:



   0 – 2 months   Undifferentiated cry
   2 – 4 months   Differentiated cry
   4 – 8 months   Babbling
   8 – 10 mnths   Adding intonation to
                   babbling /
                  Expressive jargon
Cont…..

   1 year    .     First word
   15 months .     First 20 words
   1.6 yrs .       Vocabulary spurt
   2 yrs .         Two word/multi word
                   utterances
   2.6 – 3 yrs .   Simple sentences
   3– 3.6 yrs .    Complex sentences
Pre-requisites for Speech and Language
Normal development of….
                     Neuro-Motor
                      Maturation


     Stimulating
                                   Motor abilities
     environment

                      Speech &
                      Language

    Intelligence &
                                   Sensory abilities
      Cognition

                       Speech
                     production
                     mechanism
Modes of Communication
 Communication:
                                     Commu-
                                     nication




             Receptive                                        Expressive




Hearing
          Touch     Smell   Vision   Speech     Gestures   Drama     Poetry   Writing   Mime
COMMU ICATIO
             VERBAL           O VERBAL

VOCAL      HUMA SPEECH          CRIES
            SY THETIC SPCH.    MOA S
                                SIGHS

O -VOCAL    WRITI G             DRAWI G
           SIG LA G.           GESTURES
           BLISS SYMBOL.        PICTURES
Pre verbal skills

  Eye contact
  Attention span
  Breath control
  Imitation
Conditions which lead to speech and
language delay
   AUTISM :
   MENTAL RETARDATION:
   HEARING IMPAIRMENT:
   CEREBRAL PALSY:
   MULTIPLE DISABILITIES:
   SENSORY PROBLEMS
Definition of autism

 Autism is a brain development disorder that
 impairs social interaction and communication,
 and causes restricted and repetitive behavior,
 all starting before a child is three years old.
Speech and language Problems in
Autism:
 Deficits in paying attention to auditory
 information
 Delayed/ normal comprehension of language
 Delayed development in expression
 Difficulty in expressing needs, using gestures or
 pointing instead of words
 Repeating words or phrases in place of normal,
 responsive language
Cont…

 Non responsive to verbal cues; acts as if
 deaf, although hearing tests in normal
 range.
 Poor breath control for speech
 Inability in performing manual signs and
 other non vocal communications
 Speech sound production problems
Cont..

 First year of life
 -delayed onset of babbling
 -unusual gestures
 -desynchronization of vocal patterns with the
 caregiver
Cont…

 second and third years
 -less frequent and less diverse babbling, -
 consonants, words, and word combinations
 -less likely to make requests or share
 experiences
 -simply repeat others' words (echolalia)
 -reverse pronouns.
 -difficulty with imaginative play and with
 developing symbols into language
General characteristics, Cont..

  Insistence on sameness; resistance to change
  Laughing (and/or crying) for no apparent
  reason showing distress for reasons not
  apparent to others
  Preference to being alone; aloof manner
  Tantrums
  Difficulty in mixing with others
  Not wanting to cuddle or be cuddled
Cont…

 Little or no eye contact
 Unresponsive to normal teaching methods
 Sustained odd play
 Spinning objects
 Obsessive attachment to objects
 Apparent over-sensitivity or under-sensitivity
 to pain
 No real fears of danger
 Noticeable physical over-activity or extreme
 under-activity
 Uneven gross/fine motor skills
How and why child communicates:
HOW my child communicates:
  Cries or screams
  Smiles
  Moves his body
  Changes his facial expression
  Makes sounds
  Looks at me or what he wants
  Takes me by the hand to what he wants.
  Uses gestures, such as waving for bye-bye
  Uses sounds that stands for words
  Uses single words
  Combines two or more words at a time.
Why my child communicates:
 Because he is hungry or tired
 Because he is happy
 To respond to something interesting, such as my
 voice
 To protest or refuse something
 To get attention
 To request something
 To show me something he is interested in
 To greet or say good bye
 To follow directions
 To answer questions
 To tell someone about something
 To ask a question
Child’s stage of Communication:
 Discoverers- react to how they feel and to
 what is happening around them, but do not
 communicate with a specific purpose in mind.
Cont…
Communicators- send specific messages
without using words.
Cont…

First word users - use single words (or signs or
pictures).
Cont…
Combiners- combine words into sentences of
two or three words.
Con…My child’s stage of
communication development:

  Use
Always,
Often,
Rarely and
Rarely,
 ever, to understand yours child receptive and
  expressive language.
Con…Discoverer:
    Understanding*                                Expression
My child..                                   My child….
-looks at me when I talk or sing softly to   -cries or fusses when he is sleepy, hungry
    him                                           or uncomfortable
-smiles when I smile at him or talk to       -has different cries, depending upon what
    him                                           he needs
-Recognizes familiar voices                  -    Makes sounds when he is spoken to
-turns his head towards sounds he hears           or smiled at.
-responds when I call his name by            -makes vowel sounds like ‘ah’. ‘uh’ and
    looking at me, moving his body or             eh’
    holding still.                           -make consonants sounds like ‘buh. Guh,
-recognizes a few gestures                        or ma’
-anticipates the next step in daily          -imitates some sounds he hears
    routines.                                -imitates me back when I imitate a sound
                                                  that he makes
                                             -imitates simple actions
(*Discoverers don’t yet understand what      -babbles
   words mean)                               -Close his eye when he doesn’t want
                                                  something
                                             -looks at, reaches for object or people
                                                  he’s interested in.
Con…Communicator:

                                           Expression
   Understanding                       -takes me by the hand and pulls me
-understands familiar words in             toward objects that he wants
    routine situations, like bye-bye   -draws my attention to objects and
-understands names of familiar             people by giving or showing
                                           them to me or pointing to them
    objects
                                       -imitates actions such as clapping
-responds to simple questions like'
                                       -imitates sounds
    where's your teddy bear?’ by
    moving to the object, looking at   -uses a few gestures
    it or pointing to it.              -Looks at or point what he wants or
                                           is interested in, and then looks at
-can follow simple directions              me.
    accompanied by gestures.           -makes sounds that resemble words.
-understands the meaning of no.        -put strings of sounds together that
                                           almost sound like speech
                                       (jargon).
Con…First words user:
   Understanding                           Expression
-can point to familiar body parts and   -uses at least 3 words or signs, or
    objects
                                           points to pictures) to
-follows simple instructions even
    without gestures.                      communicate.
-can answer yes or no questions         -uses more gestures or sounds
-responds the questions like where is      than he used to.
    the cup?                            -imitates sounds like those
-understands the names of many             animals make and words.
    familiar objects, peoples and
    animals                             -uses between 10 and 25 words
                                           or signs.
                                        -points to 10 or more pictures to
                                           send messages.
                                        -uses 25-50 words or signs.
Con…Combiner:

    Understanding                        Expression
-can answer questions like what
                                     -combines two words or signs
                                         together as in want juice or
    do you wear on your feet?            no bed’
-understands questions that starts   -   Uses at least 50 words.
    with who (who is at the          -ask questions using a rising tone
    door?)                           -ask questions that start with
-understands of the meaning of           what and where?
    the following concepts: in,      -combines three words together,
                                         as in want more juice’
    on, under, big, little.          -refers to himself by his name.
-   Can sort objects by category
    such as animals or toys.
-listens to simple stories.
Assessment of the following aspects is
important
  Pre-linguistic skills
  Mode of communication used by child
  Sensory aspect- suspected problem
  Speech mechanism- structure and function
  speech aspect- imitation skills, intelligibility of
  speech, intonation patterns, fluency, voice
Cont…,
  Linguistic aspects-
 vocabulary
      category, types of word, Number of words
  Semantics,
  Syntax
      MLU, types of sentences, use of grammatical
      morphemes, subject-verb agreement
  Pragmatics
      Initiation of conversation, turn taking, ending
      conversation, contextual usage
   on-verbal behaviors - gestures.
Cont…,
  Articulation
  Speech sounds- SODA
  Analysis of problems- Place, manner, voicing
  problems
APPROACHES FOR S&L TRAI I G
 COGNITIVE TRAINING
 SENSORY/MOTOR TRAINING
 ENVIRONMENTAL ENRICHMENT
 VERBAL COMPREHENSION
 EXPRESSIVE LANGUAGE
S&L Stimulation
 Modeling- It draws from what the child says to extend the child’s
comments.
-It does not correct or repeat the child’s syntactic forms or sentence structure.
TWO TYPS OF MODELLING-
Antecedent technique in modeling, and
Sub sequential technique in modeling.
 Prompting – Prompts are special stimuli that increase the probability of
evoking responses. Prompts are like hints of everyday life.
 Shaping –Complex target behaviors need to be simplified, so that the child
is able to learn them easily step by step.
 Semantic cueing –In this technique mother or the adult gives
meaningful cues to the child, so he can easily come out with the target or the
required responses.
Cont
Sentence completion – In this technique, an incomplete
sentence is presented to the child and he has to complete the sentence with
an appropriate word.
Expansion –This occurs when the child’s utterance is expanded
into the correct grammatical form.
Questioning – It is one of the best methods to get response from a
person, Questions can be of 3 types,
Questions requiring yes-no response: E.g: Did you eat in the morning?
Questions requiring a naming response: E.g: What is that?
Questions requiring an open-ended response: E.g: Where did you go
yesterday evening?
General Techniques and strategies
  Let your child lead.
-Get face to face.
  OWL to let your child lead
  Observe (Child’s Interest)
  Wait (Processing and Response time)
  Listen (paying close attention to all of your
  child’s words and sounds)
Cont
   Create opportunities for your   -Offer a little bit.. Then wait
   child to lead.
-Help your child make a request.




-Place a favorite object out of
   reach.. then wait
Cont
 Take Turns
Cont
  Match the length of your child’s turn
  Match your child’s interest
Use explicit cues:
Physical help
Physical model
Verbal model
Use natural cues:
Visual cues
Non-verbal cues
Cont….

 Rewarding routines
 Use a routine to SPARK an interaction:
 Start the same way each time,
 Plan your child’s turn,
 Adjust the routine so your child can take his
 turn,
 Repeat the same actions, sounds and words
 each time, and
 Keep the end the same.
Cont…
 Add language to the Interaction
 -Use a variety of words,
Cont…
Knowing a variety of words:
Cont
 Highlight your language:
 Use the Four S’s:




 Expand your child’s message,
Cont
   Let’s play.
-Functional Play
-Constructive play, and
-Pretend play
Cont..
 Attention control
 Concept formation
 Symbolic understanding
 Verbal comprehension
 Expressive language
 Articulation training
 Fluency
Summary…
     Get to know more about your child’s:
1.   Normal development of communication.
2.   Modes of communication
     Set language intervention goals by knowing your
     child’s stage of communication.
     Follow your child’s lead.
     Create opportunities to communicate for your child.
     Reward routines.
     Highlight your language.
     Help your child understand what you say, and
     Play with your child, have fun.
References:
 De Feo, A.(1995). Parent Articles 2: More articles to enhance
 Parent Involvement. Texas: Pro-Ed.
 Pepper.J.& Weitzman,E.(2004), It takes Two to Talk : A
 practical guide for parents of children with language delays.
 Canada: The Beacon Herald Fine Printing Division.
 Schrader,M.(1988). Parent Articles1:
 Enhance Parent Involvement in Language Learning. Texas:
 Pro-Ed.
 Sussman,F.(1999). More than Words: A guide to helping
 Parent’s Promote communication and Social skills in children
 with Autism spectrum Disorders. Canada: The Beacon Herald
 Fine Printing Division.
Any question???

Suggestions please….
THA K YOU

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Child Lg Devt And Stratigies For Devloping Lg At Home

  • 1. Child language development & Strategies for developing language at Home. EIPIC – Fei Yue 2 June 2008 Parent Training Workshop Presenter: Mr. Rajeev Ranjan Speech Language therapist
  • 2. Outline of presentation… Definition. Normal development. Pre-requisites for speech and language. Modes of communication. Conditions which lead to sp & lg delay. Autism. Sp & Lg problems in Autism. How and why child communicate. Child’s stage of communication development. Assessment. Approaches and speech and lg stimulation. General techniques and strategies. Summary, and References.
  • 3. Speech Language And Communication Definition: “Speech is audible manifestation of language. It’s a complex motor act which involve movements of various articulators for production of speech”
  • 4. Language: is a set of arbitrary symbols used by a group of people for the purpose of communication. Language is the main vehicle for communication
  • 5. Communication is a process through which human beings share ideas ,feelings, desires, emotions and for sheer pleasure.
  • 6. ormal development of Communication: 0 – 2 months Undifferentiated cry 2 – 4 months Differentiated cry 4 – 8 months Babbling 8 – 10 mnths Adding intonation to babbling / Expressive jargon
  • 7. Cont….. 1 year . First word 15 months . First 20 words 1.6 yrs . Vocabulary spurt 2 yrs . Two word/multi word utterances 2.6 – 3 yrs . Simple sentences 3– 3.6 yrs . Complex sentences
  • 8. Pre-requisites for Speech and Language Normal development of…. Neuro-Motor Maturation Stimulating Motor abilities environment Speech & Language Intelligence & Sensory abilities Cognition Speech production mechanism
  • 9. Modes of Communication Communication: Commu- nication Receptive Expressive Hearing Touch Smell Vision Speech Gestures Drama Poetry Writing Mime
  • 10. COMMU ICATIO VERBAL O VERBAL VOCAL HUMA SPEECH CRIES SY THETIC SPCH. MOA S SIGHS O -VOCAL WRITI G DRAWI G SIG LA G. GESTURES BLISS SYMBOL. PICTURES
  • 11. Pre verbal skills Eye contact Attention span Breath control Imitation
  • 12. Conditions which lead to speech and language delay AUTISM : MENTAL RETARDATION: HEARING IMPAIRMENT: CEREBRAL PALSY: MULTIPLE DISABILITIES: SENSORY PROBLEMS
  • 13. Definition of autism Autism is a brain development disorder that impairs social interaction and communication, and causes restricted and repetitive behavior, all starting before a child is three years old.
  • 14. Speech and language Problems in Autism: Deficits in paying attention to auditory information Delayed/ normal comprehension of language Delayed development in expression Difficulty in expressing needs, using gestures or pointing instead of words Repeating words or phrases in place of normal, responsive language
  • 15. Cont… Non responsive to verbal cues; acts as if deaf, although hearing tests in normal range. Poor breath control for speech Inability in performing manual signs and other non vocal communications Speech sound production problems
  • 16. Cont.. First year of life -delayed onset of babbling -unusual gestures -desynchronization of vocal patterns with the caregiver
  • 17. Cont… second and third years -less frequent and less diverse babbling, - consonants, words, and word combinations -less likely to make requests or share experiences -simply repeat others' words (echolalia) -reverse pronouns. -difficulty with imaginative play and with developing symbols into language
  • 18. General characteristics, Cont.. Insistence on sameness; resistance to change Laughing (and/or crying) for no apparent reason showing distress for reasons not apparent to others Preference to being alone; aloof manner Tantrums Difficulty in mixing with others Not wanting to cuddle or be cuddled
  • 19. Cont… Little or no eye contact Unresponsive to normal teaching methods Sustained odd play Spinning objects Obsessive attachment to objects Apparent over-sensitivity or under-sensitivity to pain No real fears of danger Noticeable physical over-activity or extreme under-activity Uneven gross/fine motor skills
  • 20. How and why child communicates: HOW my child communicates: Cries or screams Smiles Moves his body Changes his facial expression Makes sounds Looks at me or what he wants Takes me by the hand to what he wants. Uses gestures, such as waving for bye-bye Uses sounds that stands for words Uses single words Combines two or more words at a time.
  • 21. Why my child communicates: Because he is hungry or tired Because he is happy To respond to something interesting, such as my voice To protest or refuse something To get attention To request something To show me something he is interested in To greet or say good bye To follow directions To answer questions To tell someone about something To ask a question
  • 22. Child’s stage of Communication: Discoverers- react to how they feel and to what is happening around them, but do not communicate with a specific purpose in mind.
  • 23. Cont… Communicators- send specific messages without using words.
  • 24. Cont… First word users - use single words (or signs or pictures).
  • 25. Cont… Combiners- combine words into sentences of two or three words.
  • 26. Con…My child’s stage of communication development: Use Always, Often, Rarely and Rarely, ever, to understand yours child receptive and expressive language.
  • 27. Con…Discoverer: Understanding* Expression My child.. My child…. -looks at me when I talk or sing softly to -cries or fusses when he is sleepy, hungry him or uncomfortable -smiles when I smile at him or talk to -has different cries, depending upon what him he needs -Recognizes familiar voices - Makes sounds when he is spoken to -turns his head towards sounds he hears or smiled at. -responds when I call his name by -makes vowel sounds like ‘ah’. ‘uh’ and looking at me, moving his body or eh’ holding still. -make consonants sounds like ‘buh. Guh, -recognizes a few gestures or ma’ -anticipates the next step in daily -imitates some sounds he hears routines. -imitates me back when I imitate a sound that he makes -imitates simple actions (*Discoverers don’t yet understand what -babbles words mean) -Close his eye when he doesn’t want something -looks at, reaches for object or people he’s interested in.
  • 28. Con…Communicator: Expression Understanding -takes me by the hand and pulls me -understands familiar words in toward objects that he wants routine situations, like bye-bye -draws my attention to objects and -understands names of familiar people by giving or showing them to me or pointing to them objects -imitates actions such as clapping -responds to simple questions like' -imitates sounds where's your teddy bear?’ by moving to the object, looking at -uses a few gestures it or pointing to it. -Looks at or point what he wants or is interested in, and then looks at -can follow simple directions me. accompanied by gestures. -makes sounds that resemble words. -understands the meaning of no. -put strings of sounds together that almost sound like speech (jargon).
  • 29. Con…First words user: Understanding Expression -can point to familiar body parts and -uses at least 3 words or signs, or objects points to pictures) to -follows simple instructions even without gestures. communicate. -can answer yes or no questions -uses more gestures or sounds -responds the questions like where is than he used to. the cup? -imitates sounds like those -understands the names of many animals make and words. familiar objects, peoples and animals -uses between 10 and 25 words or signs. -points to 10 or more pictures to send messages. -uses 25-50 words or signs.
  • 30. Con…Combiner: Understanding Expression -can answer questions like what -combines two words or signs together as in want juice or do you wear on your feet? no bed’ -understands questions that starts - Uses at least 50 words. with who (who is at the -ask questions using a rising tone door?) -ask questions that start with -understands of the meaning of what and where? the following concepts: in, -combines three words together, as in want more juice’ on, under, big, little. -refers to himself by his name. - Can sort objects by category such as animals or toys. -listens to simple stories.
  • 31. Assessment of the following aspects is important Pre-linguistic skills Mode of communication used by child Sensory aspect- suspected problem Speech mechanism- structure and function speech aspect- imitation skills, intelligibility of speech, intonation patterns, fluency, voice
  • 32. Cont…, Linguistic aspects- vocabulary category, types of word, Number of words Semantics, Syntax MLU, types of sentences, use of grammatical morphemes, subject-verb agreement Pragmatics Initiation of conversation, turn taking, ending conversation, contextual usage on-verbal behaviors - gestures.
  • 33. Cont…, Articulation Speech sounds- SODA Analysis of problems- Place, manner, voicing problems
  • 34. APPROACHES FOR S&L TRAI I G COGNITIVE TRAINING SENSORY/MOTOR TRAINING ENVIRONMENTAL ENRICHMENT VERBAL COMPREHENSION EXPRESSIVE LANGUAGE
  • 35. S&L Stimulation Modeling- It draws from what the child says to extend the child’s comments. -It does not correct or repeat the child’s syntactic forms or sentence structure. TWO TYPS OF MODELLING- Antecedent technique in modeling, and Sub sequential technique in modeling. Prompting – Prompts are special stimuli that increase the probability of evoking responses. Prompts are like hints of everyday life. Shaping –Complex target behaviors need to be simplified, so that the child is able to learn them easily step by step. Semantic cueing –In this technique mother or the adult gives meaningful cues to the child, so he can easily come out with the target or the required responses.
  • 36. Cont Sentence completion – In this technique, an incomplete sentence is presented to the child and he has to complete the sentence with an appropriate word. Expansion –This occurs when the child’s utterance is expanded into the correct grammatical form. Questioning – It is one of the best methods to get response from a person, Questions can be of 3 types, Questions requiring yes-no response: E.g: Did you eat in the morning? Questions requiring a naming response: E.g: What is that? Questions requiring an open-ended response: E.g: Where did you go yesterday evening?
  • 37. General Techniques and strategies Let your child lead. -Get face to face. OWL to let your child lead Observe (Child’s Interest) Wait (Processing and Response time) Listen (paying close attention to all of your child’s words and sounds)
  • 38. Cont Create opportunities for your -Offer a little bit.. Then wait child to lead. -Help your child make a request. -Place a favorite object out of reach.. then wait
  • 40. Cont Match the length of your child’s turn Match your child’s interest Use explicit cues: Physical help Physical model Verbal model Use natural cues: Visual cues Non-verbal cues
  • 41. Cont…. Rewarding routines Use a routine to SPARK an interaction: Start the same way each time, Plan your child’s turn, Adjust the routine so your child can take his turn, Repeat the same actions, sounds and words each time, and Keep the end the same.
  • 42. Cont… Add language to the Interaction -Use a variety of words,
  • 44. Cont Highlight your language: Use the Four S’s: Expand your child’s message,
  • 45. Cont Let’s play. -Functional Play -Constructive play, and -Pretend play
  • 46. Cont.. Attention control Concept formation Symbolic understanding Verbal comprehension Expressive language Articulation training Fluency
  • 47. Summary… Get to know more about your child’s: 1. Normal development of communication. 2. Modes of communication Set language intervention goals by knowing your child’s stage of communication. Follow your child’s lead. Create opportunities to communicate for your child. Reward routines. Highlight your language. Help your child understand what you say, and Play with your child, have fun.
  • 48. References: De Feo, A.(1995). Parent Articles 2: More articles to enhance Parent Involvement. Texas: Pro-Ed. Pepper.J.& Weitzman,E.(2004), It takes Two to Talk : A practical guide for parents of children with language delays. Canada: The Beacon Herald Fine Printing Division. Schrader,M.(1988). Parent Articles1: Enhance Parent Involvement in Language Learning. Texas: Pro-Ed. Sussman,F.(1999). More than Words: A guide to helping Parent’s Promote communication and Social skills in children with Autism spectrum Disorders. Canada: The Beacon Herald Fine Printing Division.