Evidence-based help is available for infants and toddlers with suspected Childhood Apraxia of Speech

Why it matters:

Some infants and toddlers (ages 0-3) demonstrate red-flags for childhood apraxia of speech (CAS), for example:

  • a family history of CAS;
  • receptive > expressive language skills;
  • no or limited speech attempts or “noisiness”;
  • no or limited consonants for their age;
  • no or limited babbling for their age; and
  • limited syllable and/or word shapes for their age. 

Don’t wait:

Evidence-based programs are available to help (see below). You don’t need a diagnosis to get started.

Key targets

  • improve overall communication skills (e.g. gestures, sound effects, and AAC);
  • increase vocalisations (e.g. animal noises, songs & rhymes, and verbal routines);
  • expand speech sounds (e.g. consonants) and structures (e.g. CV, CVCV, CVC); and
  • increase speech movements (e.g. “ow ah”, “moo, ba”, “ba, bee, bo, bye”, “puppy, muddy”).

How

  • Team approach, with parent/carer training/participation.
  • Short and frequent play-based sessions.
  • Lots of modelling, repetition, recasting, expanding, gestures, and feedback.

Go deeper:

Highman C, Overby M, Leitão S, Abbiati C, Velleman S. Update on Identification and Treatment of Infants and Toddlers With Suspected Childhood Apraxia of Speech. J Speech Lang Hear Res. 2024 Sep 26;67(9S):3288-3308.

Program examples:

Babble Boot Camp

Wee Words

Let’s Start Talking


Man with glasses standing in front of a bookcase

Hi there, I’m David Kinnane.

Principal Speech Pathologist, Banter Speech & Language

Our talented team of certified practising speech pathologists provide unhurried, personalised and evidence-based speech pathology care to children and adults in the Inner West of Sydney and beyond, both in our clinic and via telehealth.

David Kinnane
Speech-Language Pathologist. Lawyer. Father. Reader. Writer. Speaker.

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