Prompt

Parents of a 5-year-old attend after the preschool teacher said he is 'behind in talking', 'doesn't listen', and may need 'autism testing'. History supports delayed phrases, limited vocabulary, and need for visual cues. No restricted interests or repetitive behaviours. Mild sound repetitions when tired. Home is bilingual. Parents fear lifelong disability, blame the second language, and ask for a medicine that will make him talk.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the child development clinic. ^[1]

Candidate instructions. Explain the working formulation of a developmental language difficulty (language disorder/DLD pathway), address autism fear without dismissing need for careful assessment, correct the bilingual-cause myth, outline SLT-first care and preschool strategies, mention hearing check, discuss mild fluency features if asked, and agree a collaborative plan. The examiner plays a parent. ^[2]^[3]^[5]

References6Show

[1]Bishop DVM, Snowling MJ, Thompson PA, Greenhalgh T; CATALISE consortium CATALISE: A Multinational and Multidisciplinary Delphi Consensus Study. Identifying Language Impairments in Children PLoS One, 2016.PMID 27392128
[2]Bishop DVM, Snowling MJ, Thompson PA, Greenhalgh T; CATALISE-2 consortium Phase 2 of CATALISE: a multinational and multidisciplinary Delphi consensus study of problems with language development: Terminology J Child Psychol Psychiatry, 2017.PMID 28369935
[3]Law J, Garrett Z, Nye C The efficacy of treatment for children with developmental speech and language delay/disorder: a meta-analysis J Speech Lang Hear Res, 2004.PMID 15324296
[4]Jones M, Onslow M, Packman A, et al. Randomised controlled trial of the Lidcombe programme of early stuttering intervention BMJ, 2005.PMID 16096286
[5]Norbury CF Practitioner review: Social (pragmatic) communication disorder conceptualization, evidence and clinical implications J Child Psychol Psychiatry, 2014.PMID 24117874
[6]Zubrick SR, Taylor CL, Rice ML, Slegers DW Late language emergence at 24 months: an epidemiological study of prevalence, predictors, and covariates J Speech Lang Hear Res, 2007.PMID 18055773

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the child development clinic. ^[1]

References6Show

[1]Bishop DVM, Snowling MJ, Thompson PA, Greenhalgh T; CATALISE consortium CATALISE: A Multinational and Multidisciplinary Delphi Consensus Study. Identifying Language Impairments in Children PLoS One, 2016.PMID 27392128
[2]Bishop DVM, Snowling MJ, Thompson PA, Greenhalgh T; CATALISE-2 consortium Phase 2 of CATALISE: a multinational and multidisciplinary Delphi consensus study of problems with language development: Terminology J Child Psychol Psychiatry, 2017.PMID 28369935
[3]Law J, Garrett Z, Nye C The efficacy of treatment for children with developmental speech and language delay/disorder: a meta-analysis J Speech Lang Hear Res, 2004.PMID 15324296
[4]Jones M, Onslow M, Packman A, et al. Randomised controlled trial of the Lidcombe programme of early stuttering intervention BMJ, 2005.PMID 16096286
[5]Norbury CF Practitioner review: Social (pragmatic) communication disorder conceptualization, evidence and clinical implications J Child Psychol Psychiatry, 2014.PMID 24117874
[6]Zubrick SR, Taylor CL, Rice ML, Slegers DW Late language emergence at 24 months: an epidemiological study of prevalence, predictors, and covariates J Speech Lang Hear Res, 2007.PMID 18055773

Explain language disorder and the school plan to parents — CASC communication station

Station brief

Explain language disorder and the school plan to parents — CASC communication station

Station brief