How to investigate and manage the child who is slow to speak

Summary points Delay in speech and language development in children can be defined as a "delay in speech and/or language development compared with controls matched for age, sex, cultural background, and intelligence" To evaluate such children, carefully analyse the child's cognitive s...

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Bibliographic Details
Published in:	BMJ Vol. 328; no. 7434; pp. 272 - 276
Main Authors:	Busari, Jamiu O, Weggelaar, Nielske M
Format:	Journal Article Book Review
Language:	English
Published:	London British Medical Journal Publishing Group 31-01-2004 BMJ Publishing Group British Medical Association BMJ Publishing Group LTD BMJ Group
Edition:	International edition
Subjects:	Algorithms Biological and medical sciences Child clinical studies Child psychiatry Child, Preschool Children Children & youth Clinical Review Developmental delay Disorders Early intervention Humans Infant Language Language acquisition Language and communication disorders Language Development Language development disorders Language disorders Language Disorders - diagnosis Language Disorders - etiology Language Disorders - therapy Linguistics Medical sciences Pediatrics Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Speech disorders Speech Disorders - diagnosis Speech Disorders - etiology Speech Disorders - therapy Human Communication disorder Clinical management Language retardation Diagnosis Child Recommendation Language disorder
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Summary:	Summary points Delay in speech and language development in children can be defined as a "delay in speech and/or language development compared with controls matched for age, sex, cultural background, and intelligence" To evaluate such children, carefully analyse the child's cognitive strengths and weaknesses The analysis should take account of the history and context in which the child is developing, the observed performance of the child, and the results of a validated test of cognitive function In all cases of suspected speech and language delay, audiometry and a good clinical evaluation of the central nervous system and ear, nose, and throat are mandatory The management of children with speech and language delay should be multidisciplinary, involving the child's parents and school teacher, as well as various health professionals
Bibliography:	ark:/67375/NVC-H74VQWB5-7 istex:0F89E04A20C71BD1062BE98905FABACD06628A64 Correspondence to: J O Busari, Department of Paediatrics, Boven IJ Hospital, Statenjachtstraat 1, 1030 BD, Amsterdam href:bmj-328-272.pdf local:bmj;328/7434/272 ArticleID:bmj.328.7434.272 PMID:14751899 content type line 1 SourceType-Scholarly Journals-1 ObjectType-Review-1 ObjectType-Article-2 ObjectType-Feature-3 content type line 23 Funding: No external funding. We thank B Poll-The, C de Kruiff, P Jiya, and M Koster for the helpful feedback on the early drafts of this paper. We also thank A Leenders for his help in the literature search. A fuller summary box and three boxes about classifying and evaluating speech and language disorders are on bmj.com Contributors: Both authors participated in the design and analysis and in writing the paper. They have both seen and approved the final version. JOB will act as guarantor for the paper. Competing interests: None declared.
ISSN:	0959-8138 0959-8146 1468-5833 1756-1833
DOI:	10.1136/bmj.328.7434.272