As you know, due to COVID-19, we now offer telehealth sessions which can either be requested by the clinician or by the parent. Here at DeSilva Kids Clinic, we use Zoom to deliver our sessions.

Here are some tips to get the best out of your telehealth session:
• Familiarise yourself and your child with the software by downloading it and practicing using it with the video on. This will reduce anxiety and will not overwhelm both you and your child.
• Remove distractions from the environment. This means placing the device (that will be used for Telehealth) in a location where there are minimal distractions (i.e. a quiet room).
• Get actively involved in sessions. This provides a great opportunity for parents to engage in therapy and will provide parents with valuable skills to implement activities as well as learn how to best support your child at home.
• Prepare any required resources and have materials ready prior to the session. If there are any required resources or materials to be ready prior to the session, the clinician will let you know prior to the session.
• Ask questions – don’t be afraid to ask questions from your clinician. Your clinician is there to guide you and answer any questions you may have.

Senali Alahakone – Speech Pathologist at De Silva Kids Clinic

Stay Informed:
– Ensure to access RELIABLE and ACCURATE information
– Some reliable sources include: www.health.gov.au, www. healthdirect.gov.au, or the Coronavirus information line 1800 020 080

Staying Healthy and Calm:
– Maintain a healthy diet, exercise, and sleep regime
– Talk to loved ones about worries and concerns
– Engage in hobbies and enjoyable activities
– Avoid or reduce the use of alcohol or tobacco
– Limit media exposure – excess media exposure to coverage of stressful events can result in negative mental health outcomes

Helping Children and Adolescents:
– Provide age appropriate and accurate information – correct misinformation or misunderstandings
– Encourage children to share their concerns
– Children model their parents’ behaviour. The way you behave can have a significant influence on children
– Model health-promoting behaviours – washing hands with soap and water, wearing face masks
– Educate the entire family about good health habits
– Include children in family discussions and plans in an age-appropriate way
– Address misconceptions that may result in stigmatising people or groups of people in the community

If quarantining or self-isolating:
– Maintain a normal daily routine – make time for some exercise
– Stay connected with family and friends using social media and over the phone
– Use your time purposefully, e.g., working from home or getting work sent to you
– Take advantage of the time to do things that you have wanted to do like reading a book or learning a new skill

When to seek help:
– It is normal and understandable to experience emotional distress during these times
– If experiencing SEVERE emotional distress or mental health issues, you can speak with your GP or mental health practitioner

Written by Marisa Donnoli – Psychologist at De Silva Kids Clinic

Dialogic reading involves having a discussion or dialogue with your child about the storybook you are reading. The parent and child engage in a conversation about the book.

Often times, adults read as the child listens to the storybook. Dialogic reading allows the child to become the storyteller. The adult listens, asks questions, and becomes the audience for the child. The child becomes actively involved in the book reading experience.

The two strategies in dialogic reading are PEER and CROWD.

PEER (prompt, evaluate, expand, repeat) can be used by parents to encourage more meaningful responses to questions.
• Prompt the child to say something about the book.
Parent: Who ate through one apple?
Child: The caterpillar.

• Evaluate the child’s response.
Parent thinks to self, “That’s correct, it was a caterpillar…but we can add more to that response”.

• Expand the child’s response
Parent: “Yes, it was the very hungry caterpillar”.

• Repeat the prompt.
Parent: Who ate through one apple?
Child: The very hungry caterpillar.

CROWD (completion, recall, open-ended, wh- questions, distancing) can be used by parents to remember the types of questions to ask.
• Completion question
Parent: “On Thursday, he ate through four strawberries, but ________”.
Child: He was still hungry.

• Recall question
Parent: “What happened to the caterpillar when he came out of the cocoon?”
Child: “He became a butterfly”.

• Open-ended question
Parent: “Why did the caterpillar have a stomach ache?”
Child: “He ate too much. He felt sick.”

• Wh– question
Parent: “What was the last thing the hungry caterpillar ate?”
Child: “A leaf”.

• Distancing question
Parent: “When was the last time you had a stomach ache?”
Child: “I had a stomach ache _____”

Written by Sumeyya Yilmaz – Speech Pathologist at De Silva Kids Clinic

Before children start to communicate with words, they develop pre-language skills.
Developing pre-language skills is essential for successful communication and is the non-verbal means of communication. Pre-language skills typically develop around 9-15 months. Pre-language skills is important as it forms the foundation for language development and facilitates social and emotional development.

Pre-language skills include the following:

• Joint attention: The ability to share interest in an object or action.
• Eye Contact: Encourage your child to maintain eye contact by facing your child when you are speaking with him or her. It is also important to be at the child’s eye level when engaging with him.
• Attention: A child needs to be able to focus on people, objects and events in the present environment to learn.
• Turn-taking: It is important for a child to learn how to take turns as this encourages a rhythmic back and forth exchange when conversing. Turn-taking also facilitates social interaction skills.
• Play skills: Play skills are important as it facilitates social and communication skills as they explore and learn the environment and interact with others.
• Imitation: Imitation involves copying the communication partner. Imitation is crucial as it allows children to learn new skills quickly by watching those around them.

Strategies to facilitate pre-language skills:
• Play with your child at his/her level using various toys.
• Talk about activities that you’re doing throughout the day.
• Simplify your language.
• Change your vocal intonation to help gain the child’s attention and to keep the conversation interesting.
• Encourage joint attention by following the child’s eye gaze or interest and talk about what they are doing or looking at using simple language.
• Turn off background noise to allow the child to solely focus on your voice.
• Be face to face with your child when engaging with him/her.

Written by Senali Alahakone – Speech Pathologist at De Silva Kids Clinic

Bilingualism and Language

Often times, parents have questions regarding bilingualism and its effects on language acquisition or language delay.

There are many benefits of being Bilingual: 

• Bilingualism improves memory, concentration and numeracy skills.
• It builds the child’s identity and will help in maintaining strong relationships with family, friends, culture and community.
• As Bilingual children learn to switch languages, they develop flexible thinking as well as creative and problem solving skills.
• Being Bilingual, increases the chances of obtaining jobs as they are able to participate in the global community and have access to a wider range of resources.

FAQ:

Will Bilingualism cause a language delay?

No. Bilingualism does not cause a language delay. The research has shown that children who are bilingual can have a smaller than average vocabulary in both languages however his total vocabulary from both languages may be the same size as a monolingual child. Children should be producing their first words between 8-15 months so if your bilingual child is demonstrating significant delays in acquiring his/her language milestones then he could have a language disorder. In this case, seek advice from a Speech Pathologist who can confirm whether or not it is a language disorder.

My child is mixing both languages. Does that mean they are confused?

When children or adults mix two or more languages it is called code-switching. Code-switching is normal and is a natural occurrence when bilingual speakers engage in conversation or when learning a second language.

Should I stop speaking in my native language at home?

No. Currently there is no evidence to suggest that increasing the use of English or the desired language at home is essential to improving the child’s acquisition of that language.  Speaking a language that is not your native language at home can cause the interactions with your child to be unnatural and uncomfortable. It is better to speak in a language that you are fluent and comfortable with than in a language that you are not proficient in as this will provide your child with a less than ideal model and this can consequently cause your child to speak in sentences that are grammatically incorrect or consist of the incorrect word order.

How can I support my bilingual child?

• Speak the language that you are fluent in at home.
• Provide as many opportunities as you can for your child to hear, speak, play and interact using your home language.
• If you feel your child’s language is delayed, seek advice from a Speech Pathologist.

Written by Senali Alahakone – Speech Pathologist at De Silva Kids Clinic