Much More Than Words Complete
Much More Than Words Complete
HEARING...................................................................................................................................... 3
Hearing and Signs of Hearing Difficulties.............................................................................................................4
General Strategies to Help Children with Hearing Loss ......................................................................................4
LISTENING.................................................................................................................................... 5
Helping Children to Listen.....................................................................................................................................6
Fun Activities to Develop Listening Skills..............................................................................................................6
SPEECH......................................................................................................................................... 9
Speech Sound Development...............................................................................................................................10
Taking a Speech Sample......................................................................................................................................12
Responding to Speech Sound Errors...................................................................................................................13
Fun Activities to Promote Speech Sound Development....................................................................................14
Speech Sound Errors – What to Do and When to Refer.....................................................................................15
LANGUAGE................................................................................................................................. 17
Language Development.......................................................................................................................................18
Social Use of Language........................................................................................................................................20
Making a Communication Observation..............................................................................................................21
Taking a Language Sample..................................................................................................................................23
General Strategies to Encourage Language Development.................................................................................24
Specific Language Development Techniques.....................................................................................................25
Encouraging a Reluctant Speaker to Talk...........................................................................................................26
Language Development – What to Do and When to Refer...............................................................................27
VOICE......................................................................................................................................... 31
Voice – What to Look For.....................................................................................................................................32
Voice – What to Do and When to Refer..............................................................................................................33
REFERENCES............................................................................................................................... 43
INTRODUCTION 1
Much More Than Words is based on the belief that every child needs opportunities to develop essential
communication skills. Te Whäriki is the framework for early childhood education centres to provide these
opportunities for all children.
Much More Than Words provides strategies for early childhood educators to help children who need
additional support.
Much More Than Words will help early childhood educators identify the children requiring additional
specialist support.
Objectives
Much More Than Words will:
Definitions
Learning to talk involves the development and interaction of many different skills. Although all the elements
of communication are inextricably linked, they fall into four broad areas:
Speech Sounds – the sounds and sequences of sounds that are used for talking. The coordination and
strength of mouth muscles is an important factor in speech production
Language – the words and patterns of words that are used to relate meaning and to communicate ideas
and thoughts. Language includes things such as: sentence length, vocabulary, grammar, understanding
of what is said and the social use of language for example, greeting, staying on topic, asking and
answering questions
Voice – the sound made by the vocal folds (cords) vibrating. Voice includes volume, pitch, resonance,
intonation and overall quality
Fluency – the smooth, rapid, effortless use of speech and language. ‘Dysfluency’ is stuttering.
HEARING 3
There are two main types of tests used to investigate hearing. A tympanogram is a procedure that can show
how well the ear drum moves. It is helpful in identifying middle ear problems such as glue ear.
NOTE: A child may have a normal tympanogram but still have difficulties hearing.
If you are concerned about a child’s hearing make a referral for a hearing assessment as soon as possible.
If you have a child in your centre with an identified hearing loss make sure the Advisor on Deaf Children at
your local GSE office has been notified. The advisor will be able to give specific advice related to the child’s
particular type and severity of hearing loss.
Strategies to Help
Gain the child’s attention by saying his/her name first before speaking.
When it is culturally appropriate, gain eye contact with the child before speaking.
Keep a listening distance of within two metres.
Be aware of background noise.
If the child has not heard you, rephrase what you said rather than repeating word for word.
Check the child’s understanding of instructions by asking a question like “What will you do now?”
not “Did you hear me?” and not “Do you understand?”
Use a clear voice with normal intonation. Never shout or speak too loudly as this distorts the sound.
Face the child while you are speaking.
Ensure light is on your face while you are speaking.
If you are unsure about the best way to help a child with hearing loss in your centre contact an Advisor
on Deaf Children at GSE.
LISTENING 5
make sure that you have the child’s attention. Be aware of distractions, particularly when the child
needs to concentrate on what you are saying
if it is culturally appropriate, establish eye contact and stand or sit close to the child when you speak
slow down your rate of speech. Pause to give the child time to think before responding
repeat or rephrase your message when the child does not understand
speak clearly. Use gestures, pauses and inflection to emphasise the message
model good listening behaviours. Take the time to listen. Stop what you are doing and give your
full attention as you listen. Set aside specific times for sharing conversation and interacting with
individual children
simplify the language of your message. Use clear and concise vocabulary and sentence structure. If the
message is too difficult to understand the child will stop listening.
Tuning In
Listening Walk
Go for a ten minute ‘listening walk’ with a child or group of children. See how many noises you can identify
together. It may help to stop, close your eyes and listen. What is making the noise? Where is it? Is it loud
or quiet?
Rhyming
Say a word and see how many rhyming words the children can think of. Some starter words are; boat, toe,
cat, lake, cook, wig, chin, clock.
Louder – Softer
Play a song on the cd player. Ask the children to listen as you turn the volume up and down. Tell them to
stand up when the sound increases and to squat down when the volume goes down.
Shopping List
The same kind of game can be played as a shopping list – “I went to town and I bought a…” with each child
trying to remember what came before and taking a turn to add something to the list.
Story Time
Select a story at the child’s language and interest level. Read the story aloud. At the end of each page or
paragraph stop to ask questions. Ask the child to tell you what just happened in the story. Follow the story
with questions relating to the sequence of events.
Listening to Understand
What’s in the Bag?
Fill a bag with everyday objects. Choose an item and without showing the children, describe three or four
details about it – colour, size, texture, shape, function. Ask the children to guess what it is you are holding.
This is also a good expressive language activity when you reverse roles and ask the children to describe what
they are holding.
Find It
Look around the room and think of something you can describe by location; for example, the fishbowl.
Give the child three clues about how to find it – “it’s at the back of the room, it’s on the table, there’s a net
beside it”.
Who Am I?
Talk about different kinds of jobs that people have. Choose an occupation. Give the child two or three clues
about that job. For example, ‘Postie’ – “I ride a bike, I carry lots of letters, I see a lot of houses every day…”
LISTENING 7
SPEECH 9
Some consonant sounds such as ‘b’ and ‘m’, are easy to make and are typically among the first to be
achieved. More complex movements are required for sounds such as ‘ch’ and blends of two sounds like ‘sp’
and ‘fl’ – these sounds generally develop later on. The chart on page 11 is a guide to the approximate ages
by which most children have developed each sound.
Many vowel sounds (a, e, i, o, u) are used by two and a half years. All should be achieved by four years.
Children from non-English speaking backgrounds may carry an accent on the vowel sounds.
changing a sound to another English sound for example, ‘car’ to ‘tar’; ‘fire’ to ‘pire’; ‘sun’ to ‘dun’
distorting a sound to a non-English sound for example, a ‘slushy’ ‘s’ or a nasal ‘snort’. The substitution
of a non-English sound is an error that does not usually resolve spontaneously.
leaving out the final consonant in a word; for example, ‘ca’ for ‘cat’
dropping unstressed syllables for example, ‘nana’ for ‘banana’; ‘sketti’ for ‘spaghetti’
repeating the first syllable of a word for example, ‘bobo’ for ‘bottle’.
These three patterns usually stop by three and a half years. Some patterns may persist for longer such as
reducing sound clusters to one sound for example, ‘pug’ for ‘plug’.
Intelligibility Norms
Sometimes a child may be able to produce a range of sounds within normal age limits, but overall it is still
hard to understand them. The following is a guide to the approximate level of intelligibility expected:
By age three years understood by adults who live or work with children
Oral Motor Control – control of muscles of the mouth such as lips and tongue
The muscles used for speech are the same as those required for sucking, eating and saliva control. Children
with speech difficulties sometimes have problems with the strength, movement and/or coordination of
these muscles.
Age in years
1 2 3 4 5 6 7 8
ng
f
y
s st sp sm sn sk
gl bl pl
ch
sh
br tr dr
th
SPEECH 11
Check any errors against the Speech Sound Development Chart. Is it within normal age limits for the
child to be making errors on that sound at their age? Is the child using a ‘shortcut’ pattern?
How intelligible are they overall?
COMMENTS
You can correct the child’s sounds quite naturally within a conversation. When you hear an error, repeat
the word correctly within the conversation so that the child can compare his/her pronunciation with
yours eg,
Child “I see a bish!”.
Adult “Yes I see a fish … wow…… It’s a big fish….The fish is swimming”.
You can emphasise the error sound if you like, but the child should not be required to repeat the word
or produce the sound correctly. You are simply giving a good speech model.
Remember, responding to what the child is saying is more important than responding to how it
is said.
SPEECH 13
B SH
G
a car or trolley that goes mmmm
things that taste yummy – mmm a noisy drinker goes ggg
T give dolls a drink or pretend to drink from
a cup going ggg
tapping a hammer on anything
K
a dripping tap goes ttt
a ticking clock the click of a camera as a photo is taken
D
Other sound sequences can be used to practise
pretend to be banging a drum ddd vowel sounds and assist younger children to gain
F control over their lips and tongues.
animal noises
imitate a rabbit’s teeth fff
phone ringing – brring brring
a sky rocket as it fizzes up fff
exaggerated laughing – ho ho hee he ha ha
V exaggerated crying – boo hoo
something’s wrong or broken – uh oh, oh no
a noisy plane, truck or car goes vvvvvv big smiles – eee
fish face, hooting like an owl ooo
CH
blowing kisses
the train goes ch ch ch toot toot
Speech Sounds
Take speech sample and consider overall intelligibility.
Compare to developmental norms:
Speech sound development chart (page 11).
Intelligibility norms (page 10).
Patterns of sound changes (page 10).
How does the child’s speech compare with these norms?
SPEECH 15
LANGUAGE 17
LANGUAGE 19
Date:
LANGUAGE 21
How does this child’s communication compare with the norms and expectations for
his/her age and culture?
Record your observation at a time when the child is talking to other children or to adults. Write down
everything the child says for about 10 minutes. Make sure you record only the words the child actually says (it
can be easy to mistakenly add in words). It may be easier to tape-record the child’s language and transcribe
it later. As this is a language sample you are focusing only on the words said, not the pronunciation of them.
While taking the sample try to be as unobtrusive as possible. You may be able to sit somewhere within
earshot without the child being aware of what you are doing.
Context:
Date of Sample:
For example, playing with toys, talking to peer, helping with cooking etc
LANGUAGE 23
Commenting
Talk about what you and the child are doing.
Focus on what the child is doing, not saying.
Speak to the child at his/her language level or just above it.
Simplify your language to short, simple but complete sentences so the child can understand everything
that is said.
Talk about things happening here and now.
Remember, you are commenting, not asking questions.
Expansion
You are now expanding the child’s talking to a more adult form. This technique does not require the child
to talk. You are modelling language to help them move forward in their language development. The child
is not required to repeat your expansion.
car a car
The following techniques require only a minimal response and may be useful to encourage language from
a reluctant speaker.
Choice Questions
This technique demands a response from the child.
The child is given two alternatives using questions.
This is a useful technique to elicit one-word responses or complex sentences eg,
“Is it in or on?”
LANGUAGE 25
You can use this technique from single words through to phrases eg,
Help the child finish the sentence by using gestures and facial expression.
Remember, only use this technique to elicit words/phrases you know the child already knows.
It is important to give the child time for settling in without pressure to communicate verbally. However,
we hope that, sooner or later, the child will want to share and respond. The following are suggestions to
encourage a reluctant speaker to start talking:
focus on encouraging, not forcing, the child to speak. Pressures, including punishment, bribery or
consequences, don’t work. Keep oral language times fun
avoid direct questions. If you must ask a question try to make it a simple yes or no and accept a
nod or shake of the head initially. Children are more likely to offer speech when they feel all their
communication attempts are accepted
remember that some children are naturally less talkative than others
create a verbal climate around the child by talking with someone nearby, by commenting in a low-key
way on what s/he is doing and moving on before there is pressure on the child to respond
help the child to take small gradual steps towards speaking in front of others. Once a child is beginning
to use single words in a one-to-one setting encourage them to talk in a small group. Wait until the child
feels comfortable speaking in a small group before building up to a larger group
reinforce the child’s talking by responding positively to the meaning rather than giving direct praise or
drawing attention to the child.
Language development
Make communication observation language and/or take language sample and compare
to development norms:
Expressive and Receptive Language Checklist (pages 18-19).
Social Use of Language Checklist (page 20).
Refer if:
the child shows deviation or a delay of more than 6-12 months from the Intelligibility Norms
the child’s language compares adequately with age norms but your overall impression causes you to
remain concerned about the child’s communication.
LANGUAGE 27
Children can be expected to go through some periods of mixing their two (or more) languages. This
may happen within the same sentence. It occurs because vocabulary may exist in one language but not
in the other. Also, words from one language may convey a message that is not easily translated into the
other language.
Children may not be equally skilled in both languages. It is common for there to be greater
understanding than actual use of one language.
There may be periods when one language is used more than the other.
VOICE 31
a voice which is frequently or constantly hoarse (even when the child doesn’t have a cold)
a voice which is excessively loud or quiet
any other voice quality which sounds particularly unusual eg, very nasal.
encourage the child to take regular drinks of water. This helps to ‘oil’ the vocal cords and helps them to
work together smoothly
discourage the child from making a lot of animal or ‘growly’ noises, such as roaring like a lion, making
machine noises, high pitched squeaking etc. This type of voice use can strain the vocal cords
discourage the child from yelling or screaming during play. Suggest alternative activities which do not
involve the use of a loud voice
praise the child for using a quiet voice
instead of calling out across a room, encourage the child to come closer
reduce background noise (TV, radio, open window) when you are listening to the child so there is no
need for raised voices
model good voice use. Demonstrate the way to care for a voice by doing the things listed yourself.
VOICE 33
STUTTERING/DYSFLUENCY 35
During a dysfluent moment some children may make face or body movements such as: grimacing,
eye-rolling, blinking or foot stamping. Some dysfluent children will use a lot of extra filler words like ‘you’
and ‘ah’.
Note – that the terms ‘stuttering’, ‘stammering’ and ‘dysfluency’ refer to the same thing.
When to be Concerned?
Many children go through a period of what is known as ‘normal nonfluency’. This often occurs when
their language is rapidly developing and they have a lot to say. They are beginning to talk more like an
adult but are not quite ready to do so. This results in repetitions, hesitations and reformulations. ‘Normal
non-fluency’ is a stage that most children will move through without any cause for concern. However,
referral is appropriate if:
YES
Continue to monitor
STUTTERING/DYSFLUENCY 37
Name of Centre:
Staff member completing form:
Stuttering Parent/caregiver
Language Other
Speech sounds
Action taken:
Plan:
Diaried
Outcome of review:
National Office Waikato District Office Taranaki District Office Otago District Office
4th Floor St Pauls Square Blg Ken Browne Drive Level 4, Tasman Towers Public Trust Building
45-47 Pipitea Street PO Box 774 52-58 Gill Street 414 Moray Place
Thorndon Hamilton, 3240 PO Box 8158 PO Box 5147
Wellington, 6011 Ph: 07 850 8880 New Plymouth, 4342 Dunedin, 9058
Ph: 04 463 8910 Fax: 07 850 8998 Ph: 06 758 7858 Ph: 03 471 5200
Fax: 04 463 8254 Fax: 06 758 4135 Fax: 03 479 0541
Bay of Plenty East District
Tai Tokerau District Office Office Central District Office Southland District Office
10 Awaroa River Road Level 3, Regency House Cnr Fitzherbert Ave & 190 Forth Street
PO Box 911 1 Elizabeth Street Ferguson Street PO Box 887
Whangarei, 0140 Tauranga, 3110 PO Box 758 Invercargill, 9840
Ph: 09 436 8900 Ph: 07 571 7800 Palmerston North, 4440 Ph: 03 218 2442
Fax: 09 436 8902 Fax: 07 571 7864 Ph: 06 358 3026 Fax: 03 218 2171
Fax: 06 358 9590
Northwest District Office Bay of Plenty West District
129-155 Hurstmere Road Office Greater Wellington
PO Box 33 137 Level 3, 1144 Pukaki Street District Office
Takapuna PO Box 701 Level 2, 19 Market Grove
Auckland, 0740 Rotorua, 3040 PO Box 30 177
Ph: 09 487 1100 Ph: 07 348 5145 Lower Hutt, 5040
Fax: 09 487 1187 Fax: 07 349 2560 Ph: 04 439 4600
Fax: 04 570 3667
Manukau District Office Gisborne District Office
492 Great South Road 2nd Floor Tower Building Marlborough/Nelson/West
PO Box 22 420 Cnr Gladstone Road & Coast District Office
Otahuhu Grey Street Level 3, Aon House
Auckland, 1640 PO Box 658 241 Hardy Street
Ph: 09 270 4489 Gisborne, 4040 PO Box 282
Fax: 09 270 2531 Ph: 06 868 0120 Nelson, 7040
Fax: 06 868 0121 Ph: 03 546 3470
Auckland City District Office Fax: 03 539 1501
Eden 5 Building Hawke’s Bay District Office
12-18 Normanby Road Heretaunga House Canterbury District Office
Mt Eden Cnr Warren Street & 39 Princess Street
Private Bag 92 644 Lyndon Road Addington
Symonds Street PO Box 1248 PO Box 2522
Auckland, 1150 Hastings, 4156 Christchurch, 8140
Ph: 09 632 9400 Ph: 06 870 9750 Ph: 03 378 7300
Fax: 09 632 9401 Fax: 06 870 9789 Fax: 03 378 7302
REFERENCES 43
Establish eye contact and stand or sit close to your child when you speak.
Slow down your rate of speech. Pause to give your child time to think before responding.
Repeat or rephrase your message when your child does not understand.
Speak clearly. Use gestures, pauses and inflection to emphasise the message.
Have your child repeat or rephrase what you have said to check that they have understood.
Model good listening behaviours. Take the time to listen. If possible stop what you are doing. Give your full attention
as you listen. Set aside specific times for sharing conversation and interacting with your child.
Simplify the language of your message. Use clear and concise vocabulary and sentences.
You can correct the child’s sounds quite naturally within a conversation. When you hear an error, repeat the word
correctly within the conversation, so that the child can compare his/her pronunciation with yours.
You can emphasise the error sound if you like; eg, ‘fish’ but the child is not required to repeat the word or produce
the sound correctly. You are simply giving him/her a good speech model.
Remember, responding to what the child is saying is more important than responding to how it is said.
B CH
a boat that goes bbb as it chugs along the train goes ch ch ch toot toot
a ball that bounces bbb
try peek-a-boo or something that says ‘boo’ SH
tell people to be quiet
T G
tapping a hammer on anything a noisy drinker goes ggg
a dripping tap goes ttt give dolls a drink or pretend to drink from a cup
going ggg
a ticking clock
K
D
the click of a camera as a photo is taken
pretend to be banging a drum ddd
Other sound sequences can be used to practise
vowel sounds and assist younger children to gain
F
control over their lips and tongue.
imitate a rabbit’s teeth fff
animal noises
a sky rocket as it fizzes up fff
phone ringing – brring brring
Encourage your child to take regular drinks of water. This helps to ‘oil’ the vocal cords and assists them to work
together smoothly.
Discourage your child from making a lot of animal or ‘growly’ noises, such as roaring like a lion, making machine
noises, high pitched squeaking etc. This type of voice use can strain the vocal cords.
Discourage your child from yelling or screaming during play. Suggest alternative activities which do not involve the
use of a loud voice.
Instead of calling out across a room, encourage your child to come closer to someone s/he wants to speak to. Praise
your child for doing this.
Try to reduce background noise; for example the TV and radio, when you are listening to your child so that s/he
doesn’t need a raised voice.
Model good voice use to your child. Demonstrate the way to care for a voice by doing the things listed here.
When your child is talking to you, try to give your full attention so that s/he doesn’t feel like s/he needs to shout to
be heard.
Instead of calling out across a room, encourage your child to come closer. Praise your child for doing this.
Try to reduce background noise; for example, the TV and radio, when you are listening to your child so that s/he
doesn’t need to raise his/her voice to be heard.
Model good voice use to your child. Demonstrate the way to care for a voice by doing the things listed here.
Respond to the meaning of what your child is saying more than to how they are speaking.
Encourage and praise your child for non-speaking activities – build his/her confidence as much as possible.
For most children, this type of ‘stuttering’ does not usually last longer than about three months. If your child stutters for
longer than this time or at any time shows anxiety about his/her speech, contact a Speech-language Therapist.
Reduce the number of questions you ask and give your child time to answer.
Take turns with talking. Be sure your child has time to talk without interruption and that your child allows others
to have their turn too.
Keep easy eye contact when you are talking to your child especially when they are dysfluent.
Allow your child to finish, don’t finish a word or sentence for him/her.
Pause for a second before responding to allow your child to take his/her time with talking.
Praise your child for fluent speech; eg, “That was great smooth talking!”
Praise your child for the things s/he does well to encourage self-confidence.
Try to arrange a special time together with your child; for example, at bed-time when s/he is relaxed.
Check any errors against the Speech Sound Development Chart (page 11 in the booklet). Is it within normal age
limits for the child to be making errors on that sound at their age? Is the child using a ‘shortcut’ pattern? How
intelligible are they overall?
COMMENTS
Date:
PARENT/CAREGIVER COMMENTS
How does this child’s communication compare with the norms and expectations for his/her
age and culture?
Context:
Date of Sample:
For example, playing with toys, talking to peer, helping with cooking etc
Name of Centre:
Other
Action taken:
Plan:
outcome of review
Reprinted 2008
ISBN 978-0-478-13585-5
ISBN web 978-0-478-13586-2
Ministry of Education, Special Education (GSE)