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/Our Services (A-Z)/Speech and Language Therapy/Speech and Language Therapy Toolkit/Early Development
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Early Development

This section contains some general advice which will support you with early interactions with your infant or young child.

Mother and child reading together.

Action Songs and Rhymes

Singing songs with your child is an easy and fun interaction! Songs are a playful way to learn language, develop shared attention, help memory skills, and help children follow instructions. They help build interaction skills with finger play, hand and body movement and rhyming. Action songs and nursery rhymes are also great for supporting learning signs.

Children often enjoy ‘filling in the gaps’ if a word is missed out in a song, e.g. ‘twinkle twinkle, little…………..?’.

Great songs to start with are “The Wheels on The Bus”, “Row Row Row Your Boat”, “Old MacDonald Had A Farm” and “If You’re Happy and You Know it” – you can often find them on the internet if you don’t know the tune, but remember to sing them together without the screen as well to help your child develop communication and interaction skills.

Screen Time

Tablets, TVs and phones – ‘screens’ – are becoming increasingly popular with children. It’s tempting to think that screens are teaching language skills, and they can be useful and educational when used correctly, but it’s important to remember that if a child talks to a screen, it can’t talk back and help them to learn.

To make the most of screens and technology, they can be used as tools to support language and interactions.

Top tips:

  • It’s important to make sure children have time to develop their other skills too – try to limit screen time, and if this is difficult then encourage plenty of screen breaks with motivating activities that don’t involve screens.
  • Reducing background noise can help with attention development – children find it harder to filter out language from other sounds. Try to turn TVs off when you are not watching.
  • Screen time can be used as a platform for language learning – share time with your child when they are watching, talking about what is happening e.g. ‘she’s running’ and commenting on what you can see e.g. ‘that’s a big red car’.
  • Follow your child’s lead in what they are interested in
  • Use your phone or tablet to take pictures of your child playing and then look at them together, engaging them in conversation about what they were doing ‘I took some pictures of you building! What were you building?’
  • Try watching musical videos such as nursery rhymes, and sing them together without the screen too
  • For older children, watching together can provide opportunities for developing prediction skills by asking ‘what do you think will happen next?’ and inference skills ‘why do you think he feels angry?’.
  • It’s challenging, but try to be a good role model yourself. This could include balancing time with screens and time without them, or modelling finishing and putting your screens away.

Making Connections

Not all children find interacting with other people easy. There are lots of different reasons for this.

All children can build on their interaction skills with support – here are some ideas of how to help build connections

Join in! The most helpful thing to try is joining in with what your child is interested in (whatever it is!). Follow their lead. Try not to imitate everything, like a mirror, but match your activities together, sharing your attention to the same things.

Don’t worry about eye contact if it is difficult at the moment.

People games work well for building connections. Try peek-a-boo, making funny faces, tickling, chasing, physical fun like bouncing and swinging, and simple turn-taking games.

Ideal objects are bubbles, balloons, balls, cause and effect toys (simple slides, lights and sounds), and first musical instruments.

Action songs are great for building interaction – repetition can become familiar and reassuring. Try pat-a-cake, row row your boat, if you’re happy and you know it.

Simply being together and sharing space can be so valuable, without a plan to teach anything. Skills will build gradually and naturally.

“Burst pause” sequences can help build anticipation of interaction, and engagement. These are when you do something that engages your child, then hold a pause for a prompt to do it again.

Good activities for this are hiding games, ready steady go, making interesting sounds, or trying pausing in between a line of a favourite song – join in with what they enjoy.

Accept any form of response – a movement, sound or facial expression – and treat it as a request to do it again. If you don’t get a prompt at all, carry on, it’ll come!

Repeat activities over and over again – it may feel boring, but familiar activities really help children to learn skills. Routines can be very reassuring.

Keep it fun!  If you show that you are enjoying an activity, this helps make the interaction more successful, keeps it going and demonstrates the skills you want to build.

Eye contact is not needed for these activities. Some children find eye-contact difficult and uncomfortable, or distracting from the activity – never force your child to give eye contact. They may prefer eye contact to be very brief, to look slightly away from your face, or to show they are listening in a different way. This is okay – eye contact is not vital for effective communication and engagement.

Positive Praise

Make praise specific

Instead of ‘well done!’ or “good boy” and so on, make it clear what you are praising e.g. ‘that was a great ‘k’ sound’ or ‘I liked that you used a ‘where’ word in that sentence!

Being specific, e.g. “that’s good listening” can help children know what to do next time.

Praise effort as well as getting it right

As well as providing praise when children achieve, children need praise to keep them motivated and to encourage them to keep trying e.g. ‘You tried really hard to remember your ‘t’ sound today.’

Keep praise realistic

Whilst it is important to provide lots of praise, unrealistic praise or praise that is ‘over the top’ can set high expectations and put pressure on children.

Instead of ‘that’s the best sentence I’ve ever heard!’, try ‘I can tell you tried really hard to make that a good sentence!’

Positive Instructions

Instructions are usually most effective, both for listening and for behaviour, when they are positive.

Saying what you don’t want also tends to make children focus on that – try this for yourself:

“Don’t think about a blue car”… what are you thinking of?!

Instead of telling a child what not to do, focus on telling them what they can do instead.

E.g. “Don’t run” is a negative – try saying “let’s see good walking!”

“Don’t drop it” – try saying “hold on tight!” instead, or “keep holding it like that.”

“Stop touching” – how about “come and see this” instead?

You can combine the two things e.g. “That’s too loud. Can you use your quiet voice?”, “You can’t hold the knife but you can hold this spoon.”

Remember that showing what you want is also really helpful e.g. “like this!”

This also gives you a brilliant opportunity to give praise!!

This is much easier said than done, but it can make a huge difference!!

Dummies

Some babies have dummies to help them settle. It can be a difficult habit to break if a baby uses a dummy for too long. In some cases babies and children have a sensory need to chew, please discuss with your Speech and Language therapist.

Tips to reduce dummy use

Increase the time your baby has without the dummy – this will give them more time for smiling and babbling.

Try to use the dummy as little as possible e.g. at sleep time only.

It is much easier to wean a baby off a dummy than a toddler!

Always remove your child’s dummy when he/she is making noises, talking or playing.

When your child is upset, try to find out why and distract him/her with something else first instead of offering the dummy.

Never dip the dummy into anything sweet – this leads to tooth decay.

Don’t ‘clean’ the dummy in your own mouth – this can pass germs to your child.

Tips to help you both break the habit 

When you decide to stop dummy use, carefully choose a time when you and your child are well and happy.

Be prepared for your child to be upset for a few days but try to be strong and not give the dummy back!

Don’t replace the dummy with a bottle – many babies are able to start using a cup from 6 to 12 months old.

Make sure that family and friends know what you’re trying to do or they might undo all your hard work.

Leave the dummy at home when you go out. Swap the dummy for a special toy or present.

You can say you’re going to give the dummy to Santa or the Dummy Fairy.

There are books written for children about giving up dummies – ask at your local library e.g. ‘The Last Noo-Noo’ by Jill Murphy.

This link provides more information

Contact Us

For general enquiries about Children’s Speech and Language Therapy please email lcht.cslt@nhs.net

If you have any questions, comments or suggestions about the Toolkit, please email Andrea Arnold andrea.arnold@nhs.net

Useful Links

  • BBC Tiny Happy People
  • Hungry Little Minds campaign
  • Look, Say, Sing, Play
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