17 Speech Language
17 Speech Language
17 Speech Language
Communication Difficulties
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Saying sounds
accurately and in the
right places in words;
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Speaking uently,
without hesitating,
or prolonging or
repeating words or
sounds; and
Using words to
build up sentences,
sentences to build up
conversations and
longer stretches of
spoken language; and
Understanding and
making sense of what
people say.
Communication refers
to:
how we interact with
others (pragmatic/
social)
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Using language to
represent concepts
and thoughts;
Using language in
different ways; to
question, clarify,
describe etc.;
Non-verbal rules of
communication; good
listening, looking at
people knowing how
to talk to others and
take turns, how to
change language use
to suit the situation
or the person being
spoken to;
Many pupils
communicate
successfully
using non-verbal
means such as
signing, gestures,
communication
books or electronic
communication
equipment.
Speaking with
expression with a clear
voice, using pitch,
volume and intonation
to support meaning.
Prevalence
The gures relating to the prevalence of language and communication difculty
vary. The Department of Education School Census 2009-2010 gives a total of
8,650 pupils identied with speech, language and communication difculties.
According to a report from Ireland (DES, 2005) research suggests that the
gures range between 2 and 10 per cent. Accepting these gures, it may then
be possible that as many as three children in a class of 30 may have difculty in
the area of language and communication.
3 Pupils in a Class of 30
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Overview
Language can be broken down into input (receptive) and output (expressive).
A pupil with SLCN may present with difculties in any or all of the areas of
language, including morphology, syntax/grammar, semantics, pragmatics and
phonology;
Language can also be thought of in terms of content, form and use.
morphology
syntax
semantics
pragmatics
phonology
Syntax is the grammar system of a language - the way that words and
parts of words combine in phrases and sentences.
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Articulatory
This refers to the mechanics of speech, for example, how speech sounds are
formed. Manifestations include dyspraxia, dysarthia or cleft lip and/or palate.
They may have a difculty pronouncing speech at an articulatory output level
even though they know the words involved perfectly well.
With persisting difculties there may be involvement with all aspects of
processing and there may also be language difculties. Although not all speech
and language difculties have associated literacy difculties, many pupils whose
speech difculties persist beyond 5 years of age are most at risk for associated
difculties in reading, spelling and sometimes maths.
repeat what the child says correctly so that they hear the correct
production;
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The following points are features of receptive language skills. Pupils may:
P
nd it hard to concentrate;
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check that the pupil has understood, observe their response and
clarify any misunderstandings;
encourage the pupil to let you know when they have not
understood, this can be via verbal or non-verbal means, such as
using a trafc light system; and
Expressive Language
give time for the pupil to think about what they need to say, nd
the right words and formulate the sentence;
give prompts if the pupil cannot think of the word, for example,
what do you do with it? Where would you nd it? What does it
look like?
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repeat back what the pupil has said, but using the correct words
and grammar so that they can hear the correct form;
avoid asking the pupil to repeat the sentence again after you;
and
Pupils are also required to use language in a social context as well. They need
to have an understanding of the rules of interaction. This is covered in the next
section.
Changing language
Following rules
staying on topic;
being specic;
comprehension;
play skills;
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humour;
Some pupils have global language disorder and experience difculties with both
receptive and expressive language. Global language disorders affect both the
understanding and use of language.
All three elements of speech, language and communication are needed in
order to get messages across. Each of the three elements (using, changing and
following rules) is multifaceted and multi-layered. Without aspects of any one
of these elements, what pupils say and understand can become confused. With
all these elements, pupils can maximise their attainment.
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try to work out with the pupil anything they have said that not
been understood through using pictures, objects and guesswork;
give the pupil time to talk, the pupil may need more time to
understand a question, think about a reply and then say it;
avoid nishing the sentence for a pupil but repeat back what
the pupil has said clearly and correctly so that he hears good
examples; and
Environmental Considerations
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Active Learning
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Make the pupil aware of good listening skills and promote active
listening.
Encourage the pupil to explain what they have heard. The pupil
will know that his listening will be checked, but the adult can
also monitor the level of language that is understood and
modify it accordingly.
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Resource Suggestions
Expressive and Receptive Language
Books
Locke, A.(1985) Living Language and Teaching Talking. Windsor: NFER Nelson
Martin, D. and Miller, C. (1996) Speech and Language Difculties in the
Classroom. London: David Fulton.
McMinn, J. (2002) Supporting Children with Speech and Language Impairment
and Associated Difculties. Birmingham: The Questions Publishing Company
Snowling, M. and Stackhouse, J (1995) Dyslexia, Speech and Language: A
Practitioners Book. London: Whurr Publications.
Turnbull, J and Stewart, T (1996) Helping Children Cope with Stammering.
Sheldon Press
Resources
Elklan Series of Language Builders. Resources to support children with speech,
language and communication needs. http://www.elklan.co.uk
LDA a wide range of resources to help with many areas of speech and
language work, e.g. Language Cards, Listen and Do etc. LDA, Duke Street,
Wisbech, Cambs. PE132AE
Speechmark Publishing a range of books and products.
www.speechmark.net
Winslow Press a range of resources such as Leap into Listening (photocopiable
listening activities. Wimslow Press, Goytside Road, Chestereld S40 2PH.
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Useful Contacts
AFASIC
1st Floor
20 Bowling Green Lane
London EC1R 0BD
http://www.afasicengland.org.uk/
0845 3555577
http://www.afasicnorthernireland.org.uk/
Cranogue House
19 Derrycourtney Road
Caledon
County Tyrone BT68 4UF
028 3756 9611
http://www.ican.org.uk/
info@ican.org.uk
www.rcslt.org
info@rcslt.org
Arthur House
41 Arthur Street
Belfast BT1 4GB
02890 446385
http://www.sess.ie/
info@sess.ie
http://www.belfasttrust.hscni.net/SLT.htm
http://www.northerntrust.hscni.net/
Ferguson House
57-59 Manse Road
Newtownabbey BT36 6RW
02890 341586
http://www.southerntrust.hscni.net/
02838 323262
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http://www.setrust.hscni.net/
02891 510190
Website:
Woodview
Gransha Park
Londonderry
BT47 1JG
http://www.belb.org.uk/
02890 564252
http://www.seelb.org.uk/
02890 566200
http://www.selb.org.uk/
02837 517820
http://www.welb.org.uk/
02882 411305
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02890 510523
02886 747860
02837 412830
02890 97520941
02811 865265/6
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MARTIN, D. and MILLER, C., 1996. Speech and language Difculties in the
Classroom. London: David Fulton Publishers.
McMAHON, A. and MULHOLLAND, K., 2007. Identication Strategies and
Activities for Communication in the Classroom (I.S.A.C.C.). Dundonald: South
Eastern Education and Library Board.
PARTNERSHIP OF EDUCATION PROFESSIONALS., 2005. Guidelines for a Speech
and Language Friendly School. Swindon: QEd.
RCSLT / ASSOCIATION OF SPEECH AND LANGUAGE THERAPISTS IN INDEPENDENT
PRACTICE, 22 February 2011, 2011-last update, Guidance on Quality Standards
for Local Authorities and Schools as Commissioners of Speech and
Language Therapy Services in the UK [Homepage of Royal College of Speech
and Language Therapists / Association of Speech and Language Therapists in
Independent Practice], [Online].
Available: http://www.rcslt.org/docs/quality_standards_schools_2011.
RIPLEY, K., BARRETT, J. and FLEMING, P., 2001. Inclusion for Children with Speech
and Language Impairments: Accessing the Curriculum and Promoting Personal
and Social Development. London edn. David Fulton Publishers.
RUSTIN, L., COOK, F., BOTTERILL, W., HUGHES, C. and KELMAN, E., 2001.
Stammering: A Practical Guide for Teachers and Other Professionals. London:
David Fulton Publishers.
SCOTLAND, 2010-last update, Guidance on partnership working between allied
health professions and education [Homepage of Scottish Government], [Online].
Available: http://www.scotland.gov.uk/Resource/Doc/313416/0099357.pdf
[22 February 2011]
STUART, L., WRIGHT, F., GRIGOR, S. and HOWEY, A., 2002. Spoken Language
Difculties: Practical Strategies and Activities for Teachers and Other
Professionals. London: David Fulton Publishers.
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Acknowledgements
Clare Evans
Assistant Advisory Ofcer
Southern Education and Library Board
David Ryan
Adviser Special Educational Needs and Inclusion
Belfast Education and Library Board
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