05/23/2025
Why to avoid the “wait and see” approach.
Many families are advised to wait and see if the child will catch up when not meeting developmental milestones. There are children with speech/language delays who may catch up with peers without intervention. However, research suggests most children with language delay at 30 months continue to show delayed language skills at age 6.
Young children have an easier time learning speech & language skills prior to school age. This may be because once they enter school, they are working on many skills at once and have less energy for communication skill growth.
Milestones are based on the age 90% of children have acquired a skill. If a child is not meeting milestones that means that they are in the bottom 10% of children their age in that skill area. A child who falls within the average range is where the majority of children (50%) fall. The longer a child waits for intervention, often the larger the gap between their communication skills and those of their peers grows. The graph shows an example comparing number of words at different ages for three children. The first child is not meeting milestones, the second child is meeting the milestones, & the third is in the average range. As the children age, the gap in number of words each are using grows significantly by 30 months. The earlier intervention is provided, the sooner family can work towards closing that gap.
Delays in speech & language skills are associated with literacy challenges. Initially, school focuses on learning to read, but by the third grade, children are reading to learn. This means that children rely on literacy skills for learning. Challenges with reading/writing can impact later academic performance. Early intervention for speech & language can strengthen communication skills prior to entry to school.
In Ontario, the preschool speech and language program is free to access and provides services from birth to entry to school. We strive to provide consistent service with a view to prepare children for academic success as they enter school and ensure supports are in place to thrive.
Contact smallTALK if you have concerns about your child’s communication.