Thus, speech and language therapy usually requires that the child be engaged with a partner (clinician, parent, peer) who is a competent speaker/listener of the language. Some computer-based programs that require a minimum of adult interaction have been developed ( Tallal et al., 1996), but there is no consensus on their effectiveness ( Cohen et al., 2005 Gillam et al., 2008 Strong et al., 2011). Treatment programs for speech and language disorders nearly always require that someone, usually an adult, provide an environmental milieu that promotes speech and language growth ( Paul and Norbury, 2012). Nevertheless, even children with the most severe disorders can develop enhanced, functionally important communication skills that have a meaningful impact on their lives even though their speech and language disorders have not been completely resolved. The chapter ends with discussion of the persistence of childhood speech and language disorders and the committee's findings and conclusions.īefore beginning it is important to emphasize that treatment is considered to be essential for all children with speech and language disorders, but with few exceptions, it is most effective for less severe disorders. Next is an age-based description of treatment approaches. This is followed by a summary of policies and guidelines that influence the provision of treatment services. The chapter begins with an overview of the factors that influence treatment of speech and language disorders in children. The discussion is limited to those childhood speech and language disorders that are most common in the Supplemental Security Income (SSI) population it is not intended to be a comprehensive review of interventions for or the persistence of speech and language disorders. This chapter addresses three topics within the committee's charge: current standards of care for speech and language disorders in children which of the disorders are amenable to treatment and the typical time course required for this treatment and the persistence of these disorders in children.
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