Small Talk: Identifying communication problems in maltreated children

Area of Science:

• Pediatrics
• Developmental Psychology
• Speech-Language Pathology

Background:

• Speech and language development is critical in early childhood.
• Developmental speech and language problems can negatively impact a child's life trajectory.
• Children exposed to abuse and neglect are at higher risk for speech and language issues.

Purpose of the Study:

• To develop a tool for early identification of speech and language assessment needs in children.
• To create a culturally sensitive screening tool for carers to complete.
• To aid in the early detection of speech and language problems in vulnerable children.

Main Methods:

• A culturally sensitive tool, the Small Talk tool, was developed for carer completion.
• The tool included questions on language, speech, hearing, voice, fluency, comprehension, and expression.
• Sixty-five children (ages 4-8) with a history of abuse/neglect were assessed; 14% were Aboriginal.

Main Results:

• The Small Talk tool demonstrated high sensitivity but low specificity.
• Further refinement of the tool is necessary.
• The tool has potential to assist non-speech pathologists in identifying children needing assessment.

Conclusions:

• The Small Talk tool is a promising practice for identifying children needing speech and language assessment.
• Early identification and intervention are vital for children experiencing abuse or neglect.
• The tool can empower carers and non-specialists to recognize potential developmental issues.