HCS2023 WEEK 2 lecture Flashcards
outline how variation of speech, language and communication development in first 10 months can make it appear as if issues, but actually be fine
comprehension of single words at 10month ranges from 0-144
child who cannot understand any at 10 months has no disorder just a variation in normal development
outline vocabularly + communication in down syndrome
less vocab but use meaningful vocalisations in communication
non-verbal communication (Makaton)
strong communicators just in different way to spoken language (body language, Makaton, vocalisation)
outline physical developments in down syndrome
slower (crawling, balance, walking)
name area in Uk with highest-rate of social disadvantagement and political issues
North West
funding pre-school provision, blame parents (however there are other factors = economic, abilities, cultures)
name some risk factors of LD
- genetic/chromosomal syndrome
- family history
- physical/motor difficulty (cerebral palsy)
- chronic illness (ICU baby, premature and low birth weight)
- sensory difficulty (hearing/visual impairment)
- environmental factors (social disadvantage, neglect)
- biological factors (male, premature, low birth weight)
what did speech, language, communicative development extreme variations USED TO be called, and what are they called now
used to be delay/disorder, but now trying to use difficulty/need
outline language delay (old terminology)
include progress, commonality, factors contributing
follow typical rate, progress but slower than expected at age
expected to catch up, delay resolves
common (10% 3 year olds)
some factors can explain (hearing loss) but usually do not have significant medical factors
outline language disorder (old terminology)
clear cause
dont follow typical rate/progress
won’t catch up, persist throughout lifetime
negative outcome for literacy, education, psychosocials, wellbeing
some also have significant learning disability
outline how delay and disorder may on a continuum
point where delay become so severe is considered disorder (8 year old with equilvant development to 3 year old)
what is critical age hypothesis
if language difficulties still present age 5 is more unlikely to resolve than if younger
termed as DLD
what does “disorder” imply
doesn’t go away and persists across lifetime
what is DLD summary
difficulty creating barrier to communcation, learning in everyday life
unlikely to resolve by 5years
complex, not by known biomedical conditions
can co-occur with other disorders (autism, ADHD)
why is it important to identify children with speech, language and communication needs
- delays common sign of neurodevelopmental disorder like autism, learning disability, chrosomal disorder, hearing impairment
- identify DLD risk children, needing support
- infoorm how to target intervention
- help pre-school child with learning and life chances
name some developmental area that should be considered
- play
- listeneing and attention
- speech
- vocabulary
- expressive language/phrase/sentence level
- language understanding
- social communication
outline public health approach
SLC needs are public health need, not a clinical condition
move away from diagnosis, to support whole population instead
SLC is essential to life chances and SLT adopt public health principles in prevention and intervention
