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Overview of Needs
What you might notice
Speech
Children may:
- Have difficulties pronouncing words clearly
- Produce excessive saliva
- Stammer
- Lisp
- Be unable to say certain sounds
- Miss out sounds in a world
- Change one sound/phoneme for another
- Find longer words with more than one syllable tricky to pronounce
Expressive language
Children may:
- Not talk very much
- Have a limited vocabulary
- Misunderstanding instructions
- Use words in the wrong context
- Be selective of whom they talk to and when
- Give short answers
- Use short words
- Struggle to put words into a sentence
Receptive language
Children may:
- Have difficulties understanding and following instructions, particularly lengthy ones
- Take longer to understand what you have said
- Find it difficult to follow the storyline of a book
Social communication
Children may:
- Find making and keeping friends difficult
- Appear not to want to communicate with others
- Misunderstanding gestures and body language
- Struggle to take turns (or follow other social rules)
- Have difficulties learning, remembering and using names
- Find identifying, understanding and expressing emotions challenging
- Daydream
- Fallout with friends due to misunderstanding social situations
- Have concentration difficulties.
Strategies
Speech
- Model good speech
- Over-emphasise speech sounds
- Be careful when correcting
- Give time
- Be sensitive about public speaking
Language (expressive and receptive)
- Think about your instructions
- Use visuals to support
- Actively support vocabulary
- Check their working space
- Think about your questions
- Avoid idioms

Resources Interventions and Activities
Interventions and programmes
- Vocabulary Building – Use of word maps, semantic webs, and pre-teaching key vocabulary.
- Narrative Therapy – Storytelling frameworks like Colourful Semantics to help structure sentences.
- Receptive Language Activities – Following instructions games, barrier games, and picture sequencing.
- Expressive Language Support – Expanding utterances using sentence starters, modelling language, and scripting.
Visual Supports and AAC supports
- Choice boards
- Communication boards
- Picture cards
- “Now and Next” boards and “First…Then” strips
- Visual timetable
- Visual task plan
- Attention handbook Be patient Choices SLCN handbook (PDF)
Further Reading & Support
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