When is a referral to a speech language pathologist needed?

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As parents, it's natural to worry about whether our children may need some extra supports to develop key language skills. The American Speech-Language-Hearing Association offers these basic guidelines for age-specific behaviours that should trigger a referral to a specialist. For the full article, please visit the association's website.

Potential Consequences/Impact of Speech Impairment Can Include

  • Difficulty expressing need or routine information intelligibly
  • Difficulty communicating intelligibly in order to function at level of independence expected for age
  • Difficulty expressing feelings intelligibly; may be at risk for frustration or depression
  • Difficulty engaging successfully in social and/or classroom situations that require intelligible speech
  • Difficulty achieving adequate intelligible speech to reach educational potential
  • At risk for personal injury due to difficulty communicating intelligibly about a dangerous situation or calling for help

Behaviors that should trigger an speech language pathologist referral

By age 3 years cannot:

  • be understood by family and/or caregivers
  • correctly produce vowels and such sounds as p, b, m, w in words
  • repeat when not understood without becoming frustrated

By age 4 years cannot:

  • be understood by individuals with whom they do not associate regularly
  • be understood by family and/or caregivers
  • correctly produce t, d, k, g, f
  • be asked to repeat without becoming sensitive

By age 5 years cannot:

  • be understood in all situations by most listeners
  • correctly produce most speech sounds
  • be asked to repeat without exhibiting frustration

Parents may also want to seek a referral to a specialist if the child exhibits a decline in abilities in speech and language.