Case Study
Joshua aged 2.5 years has been in nursery for 4 weeks. Staff have been working closely with him completing observations to find out his interests, They have noticed he has very limited speech and prefers to play alone. He often becomes frustrated when other children become involved in his personal space.
What would be your next steps, and who would be part of the multi-agency team?
To look at books with Joshua I.e name the pictures, ask questions, and talk about the story. To encourage Joshua to play in the role play area, this will benefit his social skills, he will be using eye contact, turn-taking and listening skills. This will be great for expanding his imagination and introducing new vocabulary.
Once the parent/carer has visited the Gp or health visitor a referral will be made initially to check vision and hearing to see if there is a problem there. In this case a referral may be made directly to speech and language services. If communication difficulties are linked to other other learning difficulties, an assessment by an educational psychologist may be required. Once established what types of support is needed then all professionals, parents and carers need to work together.
If this was left and no further action was taken how would this have an impact on the child?
The sooner a child's needs can be identified the greater chance there is to make sure they have the correct support so they don't get left behind.
The child may find it hard to control their behaviour and play with other children, this will result them feeling isolated and frustrated. Language is linked to the development of literacy, children who have poor speech will find it difficult to understand the link between sounds and letter shapes so reading could be delayed. Writing will also be affected. The child may have low self-esteem and it may become difficult to prevent them from anti-social behaviours.