when to be concerned about speech?

I wonder why on earth then kids aren't automatically checked for their speech @ 3 by a specialist if its that important for every child to be screened? Or at least before starting kindergarten? have it a requirement just like shots...:confused:

Speech therapists are in such high demand, there is no way they can assess every child. Speech issues are usually picked up by the family, or the preschool teacher, and then they can ask for an evaluation.
 
.....
A speech and language assessment by itself takes a couple of hours......

Seriously? DD had a full evaluation through the school a couple of months ago, and the speech lady only asked her a few questions and told me she didn't have any concerns that warranted further assessment. 90 seconds with her, tops :sad2:
 
Seriously? DD had a full evaluation through the school a couple of months ago, and the speech lady only asked her a few questions and told me she didn't have any concerns that warranted further assessment. 90 seconds with her, tops :sad2:

A screening is different from an assessment.

My son was "screened" so to speak by his pediatrician who through asking questions as well as her own observations figured something was up.

He was eligible for Early Steps Eval, so we coordinated through them. He had a 1 hour assessment (maybe not that long for the assessment part, but that included asking me questions as well). The assessment included much more than speech.

His "test" for speech on his graduation from Early steps and transition to the school system--that was an articulation test and it took several minutes. It was included in the overall assessment for other things as well.

In any case--if people cannot understand a child, it can impact learning. This is why my son is eligible for services. I understand him, but there are moments where I Can't figure out what he is saying. But in other settings, he still requires some translation--and as he gets "tired", his error rate increases. And by "tired'--this isn't after giving a 3 hour dissertation--it's within a short period of one on one time.


Another note to the OP--I have been told that speech issues could impair learning to read. Not in all cases, but depending on what the speech issue is, it can inhibit phonics or word recognition. I think the example given for my son--he omits syllables. While he hears words and can ID a picture association, he'll speak the word by omitting either the initial consonant or a syllable somewhere. When it comes time to read the word at a later date, if he didn't have it fixed--it could complicate his ability to read that same word. (Best way I can explain how I understand it--speech experts can feel free to adjust what I just said.)

But just b/c a child is "understood"--if other people outside that circle of understanding have issues--then there is could be a problem.


I can understand the hesitation--my mother REAMED me for having my son take speech so early. She had speech growing up--and there was a stigma associated with that (i.e. she was thought to be dumb and stupid by her peers). She also never knew why she was in speech. Let's just say--my oldest was on meds for ADHD and my mom was mad about that--but the fact that my son was in speech....you would have thought that she preferred my oldest to be on Ritalin (she wasn't) by her reaction to his speech therapy.

So I quit discussing it with her. Speech done right has no stigma associated with it. And if she can get treated now (if needed)--much better now than in later years where you increase the chances of their being a social issue.

Seriously--there is no problem with Speech. It isn't a sign that there is anything wrong with your child. They just need extra exercises and practice to help learn to formulate the sounds correctly.

There is an artculation chart that exists that lists the ages when children should have certain sounds.

My chart lists it as follows:

age 2:
h
m

age 3:
b
g
n
p
t
w

age 4
d
f
kw

age 5
bl
ch
j
l
ng
r(final)
s
sh
y

And it goes up to age 8. While I understand what my son is saying....he just hit the 2yo sounds....at near the age of 3. He is inconsistent and lacking in the age 3 sounds.

The comment on my chart states:
the ages are the age at which 85% GFTA-2 standardization sample correctly produced the sound/cluster.

So--if you know that your daughter can say boat, goat--or banana....but the "b" for example is omitted--or fudged....it could be a speech issue. It may not be--but that is what the evaluation is for. My son is 3--but that b will get omitted, not b/c it is a big word--but b/c he has issues with the sound that "b" makes.


I'm not sure we will convince you--but you are not harming your daughter if there is nothing wrong, but you have her checked and she is cleared. You are harming your daughter if something is wrong, but you refuse to have her checked.

The only way to know for sure is to have her checked. It doesn't hurt her at all.
 
What are you afraid of? You have to be afraid of something because you are coming up with every excuse in the book to not go have an evaluation.

A speech evaluation is free and completely non-invasive.

Somebody has mentioned a problem with your child. And since your pediatrician/family doc doesn't see your kids regularly, he/she probably has not had the opportunity to recognize .a speech impediment. Isn't it better to just go and find out for sure?

Are you afraid of what the results may be? Do you have concerns about image if your daughter would need speech therapy? Is it the stigma of having to contact the special education department? A speech problem is NOT an indicator of intelligence or any kind of developmental delay.

Waiting is not going to make the problem go away if there is a problem.


And if there is a part of speech that needs attention, once again, the earlier the intervention, the quicker and more successful the results.

I'm not making excuses - I was just stating my opinions - I guess I'm getting second opinions from people on the DIS and from people who have talked to dd & don't have a problem understanding her. It may be free - but someone is paying for the test so I'm guessing its our tax dollars
 

Really? No well-visit checks? Wow. We don't go to the dr. often either, unless the kids are truly and visibly sick, but I do make sure they go for their well visits yearly. It's good for the dr. to build a relationship with them, and to make sure that everyone is growing properly and is up-to-date on shots, etc. I have to agree with your MIL on this one...

My kids are up to date on shots - we just don't think its necessary to go in a germy drs office for someone who's well. If docs still did house calls then we'd do that.

Our peds office is too big here to be able to see your own dr when you're sick - so you're stuck with 1 of the 8 (I think that's how many there are now). The 2 youngest haven't seen their ped in over a year - they each were sick 1 time in the last year or so & we couldn't get in to see her. In fact we see the dr more at WM or Target than in the office! SO there's no building a relationship with a doc you can't see.
 
A screening is different from an assessment.

My son was "screened" so to speak by his pediatrician who through asking questions as well as her own observations figured something was up.

He was eligible for Early Steps Eval, so we coordinated through them. He had a 1 hour assessment (maybe not that long for the assessment part, but that included asking me questions as well). The assessment included much more than speech.

His "test" for speech on his graduation from Early steps and transition to the school system--that was an articulation test and it took several minutes. It was included in the overall assessment for other things as well.

In any case--if people cannot understand a child, it can impact learning. This is why my son is eligible for services. I understand him, but there are moments where I Can't figure out what he is saying. But in other settings, he still requires some translation--and as he gets "tired", his error rate increases. And by "tired'--this isn't after giving a 3 hour dissertation--it's within a short period of one on one time.


Another note to the OP--I have been told that speech issues could impair learning to read. Not in all cases, but depending on what the speech issue is, it can inhibit phonics or word recognition. I think the example given for my son--he omits syllables. While he hears words and can ID a picture association, he'll speak the word by omitting either the initial consonant or a syllable somewhere. When it comes time to read the word at a later date, if he didn't have it fixed--it could complicate his ability to read that same word. (Best way I can explain how I understand it--speech experts can feel free to adjust what I just said.)

But just b/c a child is "understood"--if other people outside that circle of understanding have issues--then there is could be a problem.


I can understand the hesitation--my mother REAMED me for having my son take speech so early. She had speech growing up--and there was a stigma associated with that (i.e. she was thought to be dumb and stupid by her peers). She also never knew why she was in speech. Let's just say--my oldest was on meds for ADHD and my mom was mad about that--but the fact that my son was in speech....you would have thought that she preferred my oldest to be on Ritalin (she wasn't) by her reaction to his speech therapy.

So I quit discussing it with her. Speech done right has no stigma associated with it. And if she can get treated now (if needed)--much better now than in later years where you increase the chances of their being a social issue.

Seriously--there is no problem with Speech. It isn't a sign that there is anything wrong with your child. They just need extra exercises and practice to help learn to formulate the sounds correctly.

There is an artculation chart that exists that lists the ages when children should have certain sounds.

My chart lists it as follows:

age 2:
h
m

age 3:
b
g
n
p
t
w

age 4
d
f
kw

age 5
bl
ch
j
l
ng
r(final)
s
sh
y

And it goes up to age 8. While I understand what my son is saying....he just hit the 2yo sounds....at near the age of 3. He is inconsistent and lacking in the age 3 sounds.

The comment on my chart states:
the ages are the age at which 85% GFTA-2 standardization sample correctly produced the sound/cluster.

So--if you know that your daughter can say boat, goat--or banana....but the "b" for example is omitted--or fudged....it could be a speech issue. It may not be--but that is what the evaluation is for. My son is 3--but that b will get omitted, not b/c it is a big word--but b/c he has issues with the sound that "b" makes.


I'm not sure we will convince you--but you are not harming your daughter if there is nothing wrong, but you have her checked and she is cleared. You are harming your daughter if something is wrong, but you refuse to have her checked.

The only way to know for sure is to have her checked. It doesn't hurt her at all.

Thanks for the all the info - this is the kind of list I ran across - but a shortened version. There is only 1 sound that I know of (without listening carefully to her) that she has a problem with & that's the y. SHe says wellow for yellow. According to that chart (for that one sound) she'd be right on.
 
My dh did talk to his sis about dd & his mom this weekend. She was floored to hear about her speech issues - she said she can understand her - she hasn't seen her since Dec & had no probs then. Her opinion was their mom's hearing may be failing. Wonder who'll be the one to tell her that? :rotfl2: I'm staying out of THAT one! Unless of course her speech is fine & then I can come back & suggest its her with the problem...as someone mentioned the ammo....just kidding! I actually like MIL (I know you'd never guess by my posts - she just gets on my nerves & y'all are the only ones I can vent to) we even go on a mini vacation with her every year - she's just a incredibly negative person.
 
Ya know this is my most southern talking child. She really may have trouble with her phonetics at school 'cause she has added syllabels to all her words - something I've really never thought about before.
 
Ya know this is my most southern talking child. She really may have trouble with her phonetics at school 'cause she has added syllabels to all her words - something I've really never thought about before.

I grew up in the South and had quite an accent, but never added a syllable to my words and don't recall that with any of my friends or family. Can you give us examples?
 
OP - I haven't read all the posts but did want to say, my DD12 started speech therapy around age 3. I knew she was hard for others to understand, but always knew what she was saying. I probably would have been very defensive about getting her screened if I hadn't been good friends with a speech pathologist who approached me in a very tactful way about DD. One of her most persuasive points was that if other kids couldn't understand DD, she would never become a "leader" among her peers.

Anyway, I remember thinking she did improve when we got her in therapy, but that she hadn't been all that bad to begin with. Then the other day, I watched some old home videos we took when she was 3, before the therapy. OMG, that poor child was completely incomprehensible! I had just learned another language (hers) b/c I loved her so much, and had no idea how bad it really was.

I also noticed in the video that I automatically repeated everything DD said - translating it. I have no memory of doing this (almost 10 years ago, now) but if you find yourself doing this, it may be a good indication....
 
If you have concerns, have her screened through your school district. My son just turned 5 and I had him screened last fall. He qualified for services and is attending the school district's preschool for free. They did a full evaluation while he was in school, it takes hours to do a full evaluation and they spread it out over several days. But, my son, I couldn't understand alot of what he said and I relied on my older kids to interpret for him. I also noticed his vocabulary wasn't very big and the evaluation revealed all this to be true. It's the best thing I could have done for him, the preschool teachers are wonderful! Best teachers I've ever encountered and I have a 9th and 5th grader also!
 







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