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____ children are at a greater risk for late language emergence.
Language Delay
The child is hitting the developmental milestones that are expected for their age but at a slower rate. There is no disordered development.
Language Disorder
The child is not meeting their developmental milestones. They may exhibit an uneven profile and not show progress in some areas. They most likely would be struggling receptively and socially.
Established Risk
The child has a known condition or diagnosis that is strongly associated with language delays or disorders.
Intellectual Disabilities, Autism, Cerebral Palsy, Deafness, Deaf-Blindness, Cleft Palate
Established Risk Conditions
Intellectual Disability
A disability charactered by significant limitations in both intellectual functioning (e.g. learning, reasoning, problem-solving) and adaptive behavior, which covers a range of everyday social and practical skills.
Intellectual Disability Risks
Often have delays which can affect their ability to understand and use language. may have difficulties with vocab, grammar, and conversational skills. their cog limitations can impeded their ability to process and produce language effectively.
Autism
A developmental disorder that affects communication and behavior. It is characterized by difficulty with social interaction, restricted interests, and repetitive behaviors. Severity and symptoms vary.
Autism Risk
Significant challenges with verbal and nonverbal communication, may have delayed speech development, difficulty understanding language, and trouble using language in social contexts. Some individuals may be nonverbal or have limited speech.
Cerebral Palsy
A group of disorders that affect a person’s ability to move and maintain balance and posture. It is caused by damage to the developing brain, usually before or during birth early in life.
Cerebral Palsy Risk
May experience delays due to motor impairments, may have cognitive impairments, some also have hearing and or vision difficulties which can contribute to delays.
Deafness
A severe hearing impairment that affects a child’s ability to process linguistic information through hearing, with or without amplification.
Deaf-Blindness
A combination of vision and hearing impairments that severely impacts communication, development, and educational needs.
Deaf and Deaf-Blindness Risks
May have significant challenges acquiring spoken language, the lack of auditory input can delay or alter the typical process of language development. May use alternative methods of communication (ex. ASL).
Cleft Palate
A congenital condition where there is an opening or split in the roof of the mouth due to incomplete fusion during fetal development. It can occur alone or with other syndromes or anomalies.
Cleft Palate Risk
Difficulties with speech production (articulation and resonance) which affects intelligibility. Recurrent ear infections can affect hearing and subsequent language development.
At Risk
Children who may have a language disorder but don’t have a specific diagnosis that guarantees language issues, but they have factors in their lives that increase the likelihood of language delays or disorders. These factors may be environmental, biological, or a combination of both.
Monitoring
At-risk requires _______ and potential EI to prevent language development issues.
Premature Birth, Low Birth Weight, SES, family history, exposure to tocins, chronic ear infections, and limited language exposure
At-Risk Conditions
Premature Birth
Birth that occurs before 37 weeks of gestation
Low Birth Weight
Premature Birth and Low Birth Weight Risk
Underdeveloped brain can impact cognition and language skills. Medical issues that can impact hearing can hinder the process and production of language. Medical intervention can also limit language exposure.
SES
An individual’s or family’s economic and social position relative to others, based on income, education, and occupation.
SES Risk
Limited access to resources (ex. books, toys, enrichment), may be less exposed to rich and varied language interactions, and stress can impact overall development.
Family History
One or more family members have experiences language development issues.
Family History Risk
They may inherit a predisposition to language difficulty which can impact their ability to acquire and use language effectively.
Exposure to Toxins
Exposure to harmful substances in the environment, such as lead, can occur through contaminated water, soil, or old paint.
Chronic Ear Infections (Otitis Media)
Recurrent inflammation or infection of the middle ear, often accompanied by fluid build up.
Otitis Media Risk
It interferes with a child’s ability to hear and process speech sounds during critical periods of language development. This can delay receptive and expressive language skills.
Limited Language Exposure at Home
A home environment where children are not regularly exposed to rich and diverse language interactions.
Limited Language Exposure Risk
Limited exposure to conversations, reading, and vocabulary can delay language acquisition. This can result in weak vocabulary, grammar, and overall communication skills.