My 3 1/2 year old ds2 has been under a SALT for the past year, and up until now, both NHS and private SALT said it was probably just be a delay - although my gut instinct knew it wasn't.
He has very poor articulation, to the point that it's hard to understand any of what he says out of context. He usually uses a consonant at the beginning of words (not always the right one) and then mostly vowel sounds (again, not always the right ones). His expressive language skills aren't quite where you'd expect a 3 year old, but I think this is only because he is so unintelligible that it isn't worth him trying anything too complicated. He has occasionally improved his pronunciation of a word, only to "lose" it. It's always three steps forward and two steps back. He talks a lot, but I still can't have anything resembling a proper conversation with him.
Therapy so far hasn't helped massively. He did a weekly session with a private therapist for a couple of months when he was just over 2 1/2. His language skills did noticeably improve at this time, but I'm not sure if it was due to the therapy or something that would have happened anyway. We decided to hold back on further therapy as it was clear what he needed was speech work, but he didn't yet have the maturity or concentration for it.
Just after this, we finally got our nhs therapy course through which was "Parent Child Interaction". This was very much based on language, and again didn't make much difference as language isn't where his true problem lies. It did help reassure me to have a second opinion, though, as the nhs therapist said much the same as the private one, ie he was too young for specific speech work.
The nhs SALT did another assessment in October where ds2 barely said anything. SALT had to largely go on my description of his speech, but did agree to reassess a month later and said he'd be down for a "group therapy" course in January. We had this follow up assessment last week, and the SALT has finally said that it's a phonological disorder and not a delay. She does want him to be assessed further by a more specialist SALT and has now said that group therapy is unsuitable and he needs 1-2-1 instead. She warned me that he would need speech therapy for many years.
Ds2 is due to start school next September, and it's clear that he's going to need a lot of support. I'm wondering if anyone has any experience or advice about what level he might need and how I go about ensuring he gets it? His receptive language is normal and he doesn't have any behavioural issues (at present!), so I ideally want to keep him at the same ms school as ds1 and where he is already at nursery. However, I do know that there are speech/language units in our borough - would these be suitable for a child with problems like ds2?
thanks...
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Phonological Disorder
20 replies
themoos · 01/12/2010 13:28
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