-Patient meets criteria for a speech-language delay.
-Refer to a speech-language pathologist / Local early development intervention program.
-Refer to an audiologist.
-MCHAT – Passed
Patient not meeting the expected milestones for speech and language, a comprehensive developmental evaluation is essential,
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Parent Counseling
“Two books were recommended in a recent article: The New Language of Toys: Teaching Communication Skills to Children with Special Needs: A Guide for Parents and Teachers,which provides specific suggestions for using toys and books in a developmentally appropriate manner to encourage communication, and Childhood Speech, Language, and Listening Problems: What Every Parent Should Know, which explains different communication problems and advises parents on available resources. The American Speech-Language-Hearing Association Web site (http://www.asha.org/) may also be helpful. It offers information on childhood speech and language disorders, and provides links to national organizations.” AFP 2011
“Types of primary speech and language delay include developmental speech and language delay, expressive language disorder, and receptive language disorder. Secondary speech and language delays are attributable to another condition such as hearing loss, intellectual disability, autism spectrum disorder, physical speech problems, or selective mutism. ”
A child should use 2-word phrases by 2½ years of age.
When evaluating a patient with language delays, Many family physicians would implement a parent-completed developmental survey such as Ages and Stages.
References
http://www.aafp.org/afp/2011/0515/p1183.html