SpeechPathology.com Phone: 800-242-5183


Sunbelt Staffing Banner 2- December 2020

Target Sounds for Late Talking Toddlers

Nancye C. Roussel, Ph.D., CCC-SLP

June 1, 2009

Share:

Question

I am working with an 18 month old girl who has no single words. She babbles little but seems to understand much receptively. She likes shape sorters, can identify some animals and daily objects and can follow a simple one step direction when she chooses.

Answer

For late talking toddlers, begin by targeting animal sounds (simple CV syllable shapes such as MOO and BAA) and single words that start with sounds she can already make (usually bilabials) such as MAMA, BABY, MORE, BALL, BOOK, BUBBLES. Use a focused stimulation approach, that is, know your targets and provide multiple models. Research shows you don't even have to try to elicit a response from the child as the multiple models are planting a seed. (I do try to elicit production of the target word after the multiple models, but don't dwell on it.) Introduce signs so the child can communicate now, even if not verbally.

Once you know your target sounds and words, choose books, songs, and toys that provide contexts for you to model the words/signs and required opportunities for the child to produce them. Build an integrated session around the target words. For example, to elicit animal sounds, sing Old MacDonald, read I CAN SAY THAT (by Suzy Lederer), play with a barn and only the animals whose sounds and names you are targeting. Introduce simple pretend play (a symbol system much like language) to work on symbolic development. Feed the BABY, give BABY a bath, read BABY a book, put BABY to sleep. Play reciprocal games with a BALL to work on interpersonal communication. Talk about the BALL over and over! And of course, POP lots of BUBBLES. Make up your own song about bubbles as you POP!

Finally, if after a few months there is still no progress verbally (especially if the child has learned the signs), be sure to rule out a motor speech problem.

Susan Hendler Lederer, Ph.D. is an Associate Professor the Department of Communication Sciences & Disorders at Adelphi University, Garden City, Long Island, NY. She is a state licensed and nationally certified speech-language pathologist with over 25 years of professional experience in the areas of speech, language, and emergent literacy development and disorders.


nancye c roussel

Nancye C. Roussel, Ph.D., CCC-SLP

Dr. Nancye Roussel is an associate professor and Head of the Department of Communicative Disorders.  She has over twenty years of experience teaching in the areas of voice, swallowing and motor speech disorders as well as the neurophysiology of the speech mechanism.  Her research interests include the use of instrumental analysis in the description of voice and speech disorders. 


Related Courses

Interpreting Test Scores & Key Concepts with Standardized Tests
Presented by Carolyn (Carney) Sotto, PhD, CCC-SLP
Video

Presenter

Carolyn (Carney) Sotto, PhD, CCC-SLP
Course: #8295Level: Intermediate1 Hour
  'I enjoyed the review'   Read Reviews
Many of the assessment instruments we use are norm-referenced tests that are standardized. There are certain statistical properties needed to understand the psychometric criteria of the tests, which is part of being an informed consumer. This course will help SLPs understand fundamental concepts of descriptive statistics so they can interpret test scores correctly and summarize quantitative data about their clients or patients.

ApPARENTly This Is Not Going Well: Difficult Conversations with Parents
Presented by Marva Mount, MA, CCC-SLP
Live WebinarTue, Jun 29, 2021 at 3:00 pm EDT
Tue, Jun 29, 2021 at 3:00 pm EDT

Presenter

Marva Mount, MA, CCC-SLP
Course: #9726Level: Intermediate1 Hour
This course explores emotional intelligence (EQ) and how to "plug in" and use it in situations that go awry with parents of clients. Specific strategies for handling difficult situations and de-escalating arguments are discussed.

Updates in Phonological Process Analysis in Preschoolers
Presented by Lisa R. LaSalle, PhD, CCC-SLP
Video

Presenter

Lisa R. LaSalle, PhD, CCC-SLP
Course: #8327Level: Intermediate1 Hour
  'This course was excellent because it provided great detail on phonological processes and is a very good resource for determining atypical vs'   Read Reviews
This course will cover current background and normative data for two-, three- and four-year-olds, and some options for how to analyze and interpret phonological processes. Treatment approach considerations will also be addressed.

Evidence-Based Practices in Selecting and Using Standardized Tests: Purposes of Testing and Test Uses
Presented by Stacey L. Pavelko, PhD, CCC-SLP
Video

Presenter

Stacey L. Pavelko, PhD, CCC-SLP
Course: #8096Level: Introductory1 Hour
  'Provided new information'   Read Reviews
This is Part 1 of a five-part series. This course will discuss the various types of assessment and the appropriate use of standardized tests relative to each type of assessment. (Part 2: Course 8097, Part 3: Course 8101, Part 4: Course 8102, Part 5: Course 8104)

Evidence-Based Practices in Selecting and Using Standardized Tests: Psychometric Adequacy
Presented by Stacey L. Pavelko, PhD, CCC-SLP
Video

Presenter

Stacey L. Pavelko, PhD, CCC-SLP
Course: #8097Level: Introductory1 Hour
  'Great explanation about terms and definitions'   Read Reviews
This is Part 2 of a five-part series. This course will discuss psychometric considerations including validity, reliability, norming sample, and other testing considerations. (Part 1: Course 8096, Part 3: Course 8101, Part 4: Course 8102, Part 5: Course 8104)