Tag: Expressive Communication

  • Top Tips for Supporting Early Communicators

    Top Tips for Supporting Early Communicators

    Learning to communicate starts at birth. Babies and young children gain an understanding of communication by watching others around them and participating in meaningful interactions that support the development of early communication skills. Help your child develop their early communication skills with these top tips!

    1. Communication Starts with Attention

    Young children need to develop their attention to and interest in other people in order to learn how to effectively communicate. You can help your young child develop their attention by:

    • Reducing background noise and turning off the TV and other distractions when interacting with your child.
    • Practicing joint attention skills by focusing on something together during an interaction (e.g., looking at a book together).
    • When possible, creating predictable routines as a part of your child’s day such as bath, books, lullabies, then bed. Young children find it easier to attend and learn when they have the security of routines and know what to expect.

    2. Follow Your Child’s Lead

    Children learn best when they are interested and engaged in the interaction. By observing your child, you will learn what they are interested in; you then can respond to and expand on what your child enjoys to help develop new skills. For example, if your child enjoys rolling cars back and forth, you can sit with your child and roll cars while making a car noise (“vroom” or “beep-beep”).

    3. Be Face-to-Face when possible

    Children learning to communicate benefit from seeing the facial expressions of others as well as how sounds are formed when people move their mouths. Being face-to-face with your child gives them the best opportunity to learn these important communication skills from you.

    4. Practice ‘Serve and Return’ Interactions

    ‘Serve and return’ interactions occur when your child (or you) does something (‘serve’) and the other person does something back (‘return’). Games such as rolling a ball back and forth, peek-a-boo, making facial expressions or noises in turn, and taking turns dropping blocks into a container, are all communication building ‘serve and return’ interactions.

    5. Model Communication

    Children need to hear and see communication to learn to communicate; so talk with your child about what the two of you are doing together and what you see. Use simple language that your child understands, and include nonverbal communication such as facial expressions and gestures in your communicative interactions.

    6. Use Expectant Pauses

    During routine language interactions, pause and look at your child expectantly to encourage them to actively participate in the communicative exchange.

    For children not yet using words, try putting an expectant pause in a motivating interaction. For example, after pushing your child a few times on the swing, pause and look at your child expectantly to let them know you are waiting for them to tell you to keep pushing the swing. Your child may communicate this by making a noise, reaching, or looking toward you.

    If your child has newly started using words, use an expectant pause during a verbal routine such as a favourite song or familiar phrase. For example, just before releasing your child to go down the slide you might say “ready, steady…” and wait for your child to say “go!”.

    7. Offer Choices

    Offering your child a choice by holding up two objects is a great way to encourage communication. Children are naturally motivated to communicate when offered a desired item and giving a visual choice allows your child to communicate through reaching, pointing, vocalizing and/or verbalizing.

    8. Match Plus One

    When your child starts using words, use ‘match plus one’ to help them learn new words and start to build sentences. With ‘match plus one,’ you repeat what your child says and add one word or concept. For example:

    • Child: “Dog” Adult: “Big dog”
    • Child: “Mummy car” Adult: “Mummy’s red car”
    • Child: “Biscuit” Adult: “Eat biscuit”
    • Child: “Baby bed” Adult: “Baby is going to bed” or Baby is tired”

    9. Fewer Questions

    When children are early communicators, it is easy for adults to get in the habit of asking questions. However, for children not yet using words, answering questions is difficult. Plus children learn language by hearing others use language; hearing too many questions limits a young child’s language learning opportunities. Instead of asking your early communicator a question, comment on what he or she is doing. For example, instead of asking “What are you doing?” or “What do you have?”, comment “You are playing blocks” or “Wow, a big block tower!”.

    10. Limit Screen Time

    Babies and young children learn best from in-person, face-to-face interactions with you and other important people in their life. Limit screen time to video calls with friends and family so your early communicator has plenty of practice and learning time with face-to-face interactions.

    If you would like more information about children’s speech and language, please get in touch. Follow us on Facebook for more speech, language and feeding tips and sign up for South Lakes Speech & Language Therapy’s newsletter if you would like new posts sent directly to your inbox.

  • Big Chef, Little Chef: Cooking Together to Support Communication and Mealtime Skills

    Big Chef, Little Chef: Cooking Together to Support Communication and Mealtime Skills

    As the nights draw in and the trees lose their leaves, the distinct feeling of autumn is here. In my household, the excitement starts to build as the 31st of October approaches… what will the Halloween costume be this year, what sweets will be given out, and when are we making the cupcakes? Yes, Halloween cupcakes!

    We started the tradition when my son was three and it has evolved over the years. Early creations involved smiling ghosts and Oreo cookie spiders. More recent versions have included bats, mummies and other creatures emerging from a chocolate grave. The joy I get as parent spending time with my child is immeasurable, as is the joy I have as a speech, language and feeding therapist thinking about all the language and mealtime learning that occurs as a part of parents and children spending time together in the kitchen.

    Speech and Language Learning through Cooking

    Learning becomes more meaningful when it happens in the real world, and the kitchen is a fantastic place to build on your child’s speech and language skills. You might be surprised at all the communication skills you can target while cooking together.

    • Vocabulary – Cooking together naturally exposes your child to new words such as recipe, boil, measure, slice, chop, etc.
    • Basic Concepts – Time in the kitchen together provides opportunities to introduce basic concepts including: hot/cold; full/empty; dirty/clean; wet/dry; big/little; heavy/light; shiny/dull; first/next/last; and more.
    • Verbs – Cooking action words such as stir, whisk, pour, cut, heat, etc. can be practiced throughout your cooking activity in present, past and future tense forms.
    • Following Directions – Cooking is a multi-step activity and you can use time in the kitchen to support your child’s ability to follow one-, two- and multi-step directions.
      • Let’s get a spoon.
      • Get a spoon and put it in the bowl.
      • Get a spoon and put it in the bowl, then pour the milk in the bowl.
    • Understanding and Answering Questions
      • Who baked the cookies?
      • Where is the cookbook?
      • What did you use to mix?
      • When do we turn on the oven?
      • How many cupcakes did we make?
      • How did we open the tin?
    • Speech Sounds – Practice sounds your child has not yet mastered while cooking.
      • /s/ – salt, soup, sauté
      • /s/ blends – slice, steam, stir
      • /l/ – liquid, lettuce, ladle
      • ‘sh’ – sugar, chef, mash
      • /r/ – roast, rice, ravioli
    • Narrative Skills – Using narrative refers to a child’s ability to tell about a sequence of events in the correct order with a clear beginning, middle and end. When you finish cooking, have your child re-tell you the story of what you did in the kitchen together.

    Mealtime Learning through Cooking

    For children who enjoy eating as well as for those who struggle with eating or are ‘picky eaters,’ time around food in a no pressure environment, such as cooking, supports the development of skills needed to manage food at the table.

    To help your child build positive food connections, when cooking together focus on:

    • Sensory Exploration – Encourage your child to smell, touch, and look at the food without pressure to it eat. Use vocabulary such as soft, crunchy, firm, and colour words to describe what you feel and see.
    • Being Okay with Food Mess – Cooking and eating are messy at times. Practice with food on hands and clothes while cooking helps children to be comfortable with food mess while eating.
    • Food Choices – ask your child to decide what vegetable to serve with the evening meal and let your child wash, cut and boil or bake the vegetable in an age-appropriate way. You may even want to let your child plan the entire meal!
    • Enjoying Time Together around Food – Part of building positive food connections is enjoying time around food. When your child has fun cooking with you, that supports their development of a positive association with food. Be silly, smile and laugh together while you create your tasty treat.

    Happy Halloween and Happy Cooking with your Child!

    If you would like more information about children’s communication or feeding, please get in touch. Follow us on Facebook for more speech, language and feeding tips, and sign up for South Lakes Speech & Language Therapy’s newsletter if you would like new posts sent directly to your inbox.

  • The Amazing Baby Brain: Zero to 3 is Key!

    The Amazing Baby Brain: Zero to 3 is Key!

    Have you ever wondered what is going on in your baby’s brain? The answer is a lot! Babies are born with billions of neurons and all those neurons are bumping around in their brain looking for connections.1 And as these neurons form connections, or synapses, your baby is learning new skills like smiling, reaching, cooing, babbling, chewing, and talking (to name a few).

    Use It or Lose It

    Between birth and three years of age, your baby’s brain is developing one million neural connections per second.2 However, after about three years of age, brain connections slowly reduce through a process called synaptic pruning where connections that are used strengthen, and connections that are not used are lost. Synaptic pruning helps your child’s brain connections become more efficient and effective in their environment3 (which in part explains why a child exposed to two languages from birth will find it easier to learn both languages compared to someone who is not exposed to a second language until later in life).

    What Does this Mean for My Child ?

    For all children, this means that early experiences (along with genetics) play a key role in future outcomes. Baby’s brains are the most flexible and primed to learn during the early years with sensory pathways such as hearing, language and higher cognitive function peaking by the first three years of life.2 As a parent, you play a key role in your child’s early brain development through the experiences that they have with you and their environment.

    How Can I Support My Baby’s Feeding and Communication Development?

    Early, repeated enjoyable back-and-forth interactions (also known as reciprocal serve and return interactions) are essential to building strong neural connections.3 Serve and return interactions occur when your baby (or you) does something (‘serve’) and the other person does something back (‘return’). It can be as simple as you smiling at your baby when they vocalize or picking them up when they cry. As you baby develops, serve and return interactions may involve rolling a ball back and forth, playing peek-a-boo, or your child holding up their foot so you can put on their sock.

    In addition to serve and return interactions, there are many other things you can do with your baby and young child to support their feeding and communication development including:

    • Respond to your baby’s feeding cues and keep feeding times relaxed with an emphasis on bonding with your baby in addition to providing nourishment.
    • As your baby starts to wean, encourage them to actively explore their foods with their hands. Continue to focus on enjoying time together with food and keeping meal times pressure free.
    • Read books together while looking at and talking about the pictures.
    • Sing songs with your baby and toddler, including songs with gestures so your child can hear the words and watch your hand movements.
    • Talk with your baby and young child throughout the day about what you are doing together.
    • Play and interact face-to-face whenever possible so your child can see your eyes and mouth when you are talking to them.
    • Provide your baby and toddler with a range of sensory experiences including baby teethers, rattles and toys that make different types of noises, and textured toys to explore.
    • Ensure your baby has many opportunities to practice tummy time and moving on the floor (this helps strengthen your baby’s core muscles which are essential for coordinating respiration with eating and speaking).
    • Limit screen time to video calls with friends and family (babies and young children learn best from in-person, face-to-face interactions with you and other important people in their life).

    If you have concerns for your baby or toddler’s development, seek advice immediately. I frequently am asked by parents how old their child needs to be before starting services with South Lakes Speech & Language Therapy; my answer is always the same, ‘if your child is struggling with communication or feeding, they are ready to start speech, language or feeding therapy’ (usually using a parent coaching model). Early intervention is key and can make a huge difference in the rapidly developing brain of a young child; so, the earlier the better!

    If you would like more information about baby and young children’s communication development or feeding, please get in touch. Follow us on Facebook for speech, language and feeding tips, and sign up for South Lakes Speech & Language Therapy’s newsletter if you would like new posts sent directly to your inbox.

    1. Happiest Baby: Your Baby’s Brain: Why the First 3 Years Matter So Much ↩︎
    2. Zero to Three: Baby Brain Science ↩︎
    3. Harvard University Centre on the Developing Child: Brain Architecture ↩︎
  • ‘What Did You Say?’ Top Tips for Communicating When Your Child’s Speech is Unclear

    ‘What Did You Say?’ Top Tips for Communicating When Your Child’s Speech is Unclear

    Top tips from South Lakes Speech & Language Therapy to support your child’s communication when their speech is unclear.

    1. Get Face-to-Face

    Whenever possible, get eye level with your child when communicating so they can see your mouth moving and how you are forming sounds. Being eye level also helps you and your child see all the clues about what is being communicated that we give through facial expressions and body language.

    2. Eliminate Background Noise

    Turn the radio off in the car and the TV off at home when you are speaking with your child. Children are most successful communicators when they are not competing with background noises and this will give you the best chance of correctly hearing your child’s message.

    3. Encourage Gestures

    If your child’s speech is unclear, encourage them to use gestures and other natural speech signs when talking to give listeners more clues about the message they are communicating. Makaton is another way to support young communicators.

    4. Offer Choices

    When possible, offer a young child two choices so they can communicate which they want. This gives you a better chance of understanding what they say since you already know the message possibilities.

    5. Ask Your Child to Tell You in a Different Way

    If you are struggling to understand your child’s message, ask younger children to show you or take you to what they are talking about when possible. Older children may be able to describe the target word if you prompt them by asking ‘What is it used for? or ‘Where do you find it?’. This could give you the clues you need to figure out their message.

    6. Give the Conversation Context

    If your child’s speech is unclear, ask specific questions such as ‘What was your favourite lesson today?’ or ‘Who did you play with at break time?’ instead of open ended questions such as ‘What did you do at school today?’. The more context you can give the conversation, the better chance you have at figuring out your child’s message.

    7. Instead of Correcting, Model

    If your child mispronounces a word, repeat the word back clearly using the correct
    pronunciation. For example, if your child says “Look, a gog!”, You could say, “Wow, that is a big dog!” while emphasizing the mispronounced sound.

    8. Admit when you Don’t Understand

    If your child has tried several ways to communicate their message and you cannot understand, let them know. Try to be reassuring and let them know that you are sorry that you cannot understand what they are saying.

    9. Keep a ‘Translation List’

    If there are particular words your child regularly says that people find difficult to understand, keep a list of the target words and how your child pronounces them. Share this list with your child’s teacher and family members to help your child be more easily understood by the people in their life.

    10. Get Specialist Support

    A 2021 study on speech intelligibility in children sampled children’s intelligibility at the single- and multiword levels. The study measured how well unfamiliar adults understood children at different ages without contextual clues; parents should expect to understand an even higher percentage of their child’s speech. The study found the following speech intelligibility norms:1

    • 25% intelligible by 3 years of age
    • 50% intelligible by 4 years of age
    • 75% intelligible by 5 years of age
    • 90% intelligible by 7 years of age

    If your child’s speech is difficult to understand and not meeting these intelligibility thresholds, consider seeking specialist support from a speech and language therapist; and if you have concerns for your child’s hearing, consider having their hearing tested.

    If you would like more information about children’s speech and language, please get in touch. Follow us on Facebook for more speech, language and feeding tips, and sign up for South Lakes Speech & Language Therapy’s newsletter if you would like new posts sent directly to your inbox.

    1. Hustad et al (2021 October 04) Speech Development Between 30 and 119 Months in Typical Children I: Intelligibility Growth Curves for Single-Word and Multiword Productions ASHAWire ↩︎
  • Back to School

    Back to School

    For children with speech, language, and/or feeding needs, a new school year can bring unique opportunities and challenges. There are some things you can do to help your child feel confident, prepared and supported as they return to school.

    Supporting Children with Speech and Language Needs

    1. Establish a Routine

    Children thrive on predictability. Establish a school day routine with consistent wake-up and go to bed times and structure school mornings so your child can predict what and when things happen before leaving for school (e.g., getting dressed, eating breakfast and brushing teeth). Some children may benefit from a wall calendar that shows the day of the week, and for children using Now / Next boards or other visual schedules, make it clear what days are school days so your child knows what is happening each day.

    2. Practice Self-Advocacy Phrases

    Practicing language such as “I need help”, “I am hungry / thirsty,” or “Where do I go?” can help your child feel more confident advocating for themselves at school. If your child’s speech is difficult to understand, help them communicate in other ways when needed such as describing or showing what they are trying to say; and if your child uses Makaton or other sign language system, make sure you show your child’s teacher the signs and their meaning. Whenever possible, provide pictures of your child’s sign vocabulary to be kept in the classroom. 

    For children who use pictures to communicate, be sure to provide the classroom teacher and teaching assistant with a copy of the pictures you use at home and explain how your child uses the pictures. There will be new picture vocabulary that you child will need at school, so talk to your child’s teacher about what pictures they think may be relevant in school that you have not yet used at home.

    3. Expand School-Related Vocabulary and Activities

    Introduce words your child might hear at school such as, “schedule,” “assembly,” “school hall,” “recess,” etc. and model how to use this new vocabulary in real-life. Looking at books together that tell stories about children at school and have pictures of classrooms and school settings is a good way to support your child to learn school-related vocabulary.

    4. Practice Social Communication and Play

    Practice social situations like asking for help, taking turns, or joining a group during free play or at recess. If your child is shy or has difficulty navigating social scenarios, simple scripts like “Can I play?” or “My turn” can help your child build confidence when meeting new friends. For children who use pictures and/or sign language to communicate, introduce social pictures and signs at home and practice using them in situations your child may encounter at school.

    Supporting Children with Feeding Challenges

    1. School Dinner and Lunchbox ‘Dress Rehearsals’

    Borrow a dinner tray and/or plate from school and let your child practice eating some meals from it at home. If your child will be bringing a packed lunch to school, let them practice eating from their actual lunchbox at home. This includes using the same containers they will bring to school. This way your child gets used to a new mealtime routine and you can see which containers, if any, are difficult for your child to open or close.

    2. Stick to Familiar Foods

    Avoid experimenting with new foods at the start of the school year; the sight, smell and sound of having a mealtime with peers can be overwhelming for some children. Pack safe, preferred foods your child is most likely to eat in a busy, sometimes overstimulating environment.

    3. Involve Your Child in Meal Preparation

    Let your child help pack their lunch and choose containers so they know what to expect when they sit down to eat. 

    4. Talk about Lunchtime Expectations

    Explain school mealtime rules: sitting in one spot, limited time to eat, and not always having an adult to help immediately. Practice these at home, so your child knows what to expect when they sit down to eat at school. 

    5. Help School Understand Your Child’s Mealtime Challenges

    Talk with the school’s mealtime supervisors to make sure they understand your child’s feeding challenges and how to support your child at mealtimes. It is important that mealtimes be pressure free and that your child find mealtimes at school enjoyable which may mean they don’t always make a healthy choice or finish what is on their plate.


    For more information about supporting children with communication and/or feeding difficulties, please see South Lakes Speech & Language Therapy’s Information & Resources page or get in touch; and sign up to our newsletter if you would like new posts sent directly to your inbox.