School Support

Identifying and Supporting Children with Speech, Language and Communication Needs

Written by Mable Therapy | Jul 17, 2025

Did you know it is estimated that 1.9 million children are behind in their speech and language skills?

And, that’s not all. Speech, Language and Communication Needs can have a serious knock-on effect on academic attainment, with children 6 times more likely to be behind in English at the age of 11, eleven times more likely to be behind in Maths, and twice as likely to be unemployed as an adult.

These subsequently lead to an increase in mental health issues. In fact, 81% of children with emotional and behavioural disorders have unidentified language difficulties. 

In this blog post, we will delve into each of the key skills children need to develop within their language acquisition via what we know as the ‘Speech and Language Pyramid’. As we explore each layer, we will dive into the signs to look out for within your classroom, and the ways in which you can support pupils in each area.

Introducing The Speech and Language Pyramid

Let’s kickstart with the Speech and Language Pyramid - a useful diagram which helps to illustrate how a children’s speech, language and communication skills develop. 

Children should begin on the bottom layer of the pyramid, with each layer methodologically acting as a ‘stepping stone’ to the next. Children who have not developed the required skills in ‘Attention and Listening’, for example, will be unable to progress with Speech Sounds, as attention and listening 

The broader foundational skills sit at the bottom, whilst more complex skills toward the top.

You can learn more about this in this short video from our Head of Speech and Language Therapy, Emily, below.

 

Layer 1. Opportunity and Motivation

Firstly, let’s start with the very bottom layer: ‘Opportunity and Motivation’.

The simplest layer, this illustrates how, in order for a child to communicate, they must be in an environment which provides them with the opportunity to learn. This is often a language-rich setting, with adults around to model speech from.

 

Layer 2. Attention and Listening

It’s important that children possess attention and listening skills, and as part of their language development, children need to learn how to filter out competing stimuli - for example, in a nursery setting where there are multiple sounds, such as adults chatting, children chatting, songs playing, toys making sounds and children crying. 

Attention or listening skills can often develop at different times amongst different children, and it can be more difficult for some children than others to filter out multiple stimuli at once. Some children may benefit from a bit of background noise, whilst others may thrive best in a quiet environment, for example.

Identifying Differences and Difficulties in Attention and Listening
A child in your classroom may be struggling with attention and listening if they are:

  • Unable to recall what somebody has said
  • Struggling to follow instructions
  • Zoning out
  • Quickly changing between activities
  • Interrupting others
  • Easily distracted
  • Not responding to communication attempts
  • Swinging on chairs
  • Focussed for short periods of time
  • Reliant on prompts to switch their focus

Supportive Strategies
To help support children who present with these difficulties, you may wish to implement a few of the following strategies in the classroom:

  • Saying a child’s name before sharing instructions
  • Reducing background noises where possible
  • Giving a child your full attention when communicating with them
  • Slowing down the pace at which you are speaking
  • Ensuring variety between activities
  • Using countdowns or timers
  • Breaking longer tasks into shorter, more manageable chunks
  • Incorporating movement breaks
  • Using songs and rhyme where appropriate
  • Using positive reinforcement to encourage attentive behaviours
  • Using physical or visual cues like pointing or gestures to help direct attention
  • Providing simple, clear and consistent routines to help with predictability
  • Incorporating games that promote listening skills, such as Simon Says or Musical Chairs.

When talking about developing attention and listening skills, we often also speak about something called Joint Attention, in which two people (ie. two children, a child and an adult, two adults) share attention on something such as a toy together. You can help to develop a child’s joint attention with something that they really enjoy, such as bubbles or a book.

 

Layer 3. Understanding Language

Language Disorders affect a child’s ability to understand or use language effectively - or in some cases, can even affect both these skills. The former is known as a Receptive Language Disorder, where a child has difficulty understanding spoken language (such as answering questions; understanding stories; following instructions). 

Meanwhile, the latter is known as an Expressive Language Disorder, in which children have difficulty using language to express themself effectively - such as finding the right words or problems with grammar. Alternatively, a child could demonstrate signs of both.


Identifying Differences in Understanding Language

A child in your classroom may be struggling with understanding language if they:

  • Demonstrate avoidance or disruptive behaviours
  • Appear blank
  • Struggle to sequence their thoughts
  • Copy others
  • Mix up their word order and grammar
  • Repeat back questions
  • Are unable to structure or answer questions
  • Use the wrong words or are unable to find their words
  • Show poor time keeping
  • Rely heavily on gestures


Supportive Strategies

Some ways in which you can help with this within the classroom can include:

  • Allowing plenty of processing time
  • Encouraging the use of gestures or actions to support verbal communication
  • Using the child’s name to ensure their attention is gained first
  • Reducing questions and increase commenting
  • Using simple language and break longer instructions down into smaller parts
  • Recasting and expanding
  • Being repetitive with new vocabulary
  • Pairing spoken language with written words/symbols to reinforce understanding
  • Pre-teach new vocabulary or concepts before introducing them in a group setting
  • Using closed questions (ie. yes/no  for easier responses when open-ended questions may be too challenging)
  • Providing sentence starters to help the child begin verbal responses
  • Using storytelling activities with visual prompts to encourage language use
  • Focusing on keywords in sentences to emphasise important information
  • Encouraging peer support through group work where language can be modelled and practiced


Layer 4. Use of Language

We use Social Communication every day. These skills can be verbal and non-verbal that help children to build relationships, express needs and effectively navigate social situations. They can refer to things like conversational skills, topic maintenance, tone and volume of voice, adapting language, conflict resolution, body language, friendships, emotions, personal space and reading-between-the-lines, for example. 

The term ‘differences’ is used here, as opposed to ‘difficulties’ in line with neurodiverse-affirming practices.


Identifying Differences in Social Communication

A child in your classroom may present social communication differences if they:

  • Show differences in interaction styles
  • Have a preference for consistency
  • Demonstrate differences with ‘theory of mind’
  • Have specific passions
  • Are uncomfortable with eye contact
  • Enjoy solo play
  • Interpret language literally
  • Find it harder to recognise non-verbal communication
  • Have emotional outbursts
  • Show differences in intonation and volume

Supportive Strategies

To support children who present with social communication differences, the following strategies can help within the classroom:

  • Following the child’s lead
  • Joining in with their passions and interests
  • Modelling turn-taking in a group or 1:1 settings
  • Using specific praise, ie. ‘That was great sharing’
  • Trying people games (eg. peek-a-boo; bubbles)
  • Not forcing or expecting eye contact
  • Being explicit about rules and why they are in place - social stories
  • Ensuring consistency and routine

Layer 5. Speech Sounds

In the final layer of the pyramid, children can present as having various difficulties with Speech Sounds.

A child can have a Speech Sound Delay, for example, which occurs when a child is developing phonological skills, but not at the age milestones expected. To share an example. if a 3 year old says ‘tat’ instead of cat, this would be expected; but if a 6 year old does this, this would be classed as a delay.

A child can also have a Speech Sound Disorder. This occurs when mistakes are more unusual and the child does not follow typical development patterns. These errors can be phonological or articulatory.

In addition to the above, a child can also or otherwise have Articulation Difficulties, referring to specific challenges in physically coordinating their articulators to produce particular sounds, often leading to incorrect sound production.


Identifying Differences in Use of Language

A child in your classroom may present with having speech sound difficulties if they:

  • Have unintelligible speech
  • Demonstrate a limited use of sounds
  • Replicate errors in their written work
  • Have hoarse voice quality
  • Have nasal voice quality
  • Miss out sounds in words
  • Have difficulty copying sounds
  • Have abnormal airflow
  • Have slushy speech
  • Have difficulty coordinating articulators

Supportive Strategies

To support children with speech sound difficulties, the following strategies can help within the classroom:

  • Avoiding pointing out their errors
  • Modelling the correct speech sounds
  • Focussing on what they say rather than how it was produced
  • Slowing down your talking
  • Placing gentle emphasis on the target sound
  • Encouraging other means of communication, e.g. gestures, writing
  • Providing plenty of time for the child to respond or express themselves
  • Using visual aids like pictures or diagrams to support understanding and communication
  • Reinforcing and celebrating progress, no matter how small, to build confidence
  • Practicing speech sounds during play-based activities
  • Providing regular opportunity for the child to practice sounds in both structured and spontaneous conversations
  • Incorporating sound based stories or rhymes to create fun, repetitive practice for challenging sounds

MELCs Communication Screener

If you are looking to further help identify and support children with SLCN, Mable Therapy’s ‘MELCS’ (Mable Early Years Language and Communication Screener) is a brilliant, research-driven digital tool designed to help your team screen your Reception age pupils, and identify those at risk.

Our screener is engaging and assesses children via several gamified sub-tests, and provides detailed reports highlighting areas of concern and suggesting next steps. For children identified as needing additional support, we offer resources to your school to deliver targeted, small-group interventions - as well as access to the Mable Academy which contains on-demand CPD for your staff on supporting pupils with SLCN.

MELCS can enable your team to save time and resources by screening multiple children at once. It provides quick results - and is packaged in fun, visual tasks, making the process enjoyable and effective for children.

Click here to learn more about MELCS.