# data[].attributes.headline
COMING SOON-Online Workshop-The Role of the Early Years Champion in Bury-April 2026

# data[].attributes.subject
COMING SOON-Online Workshop-The Role of the Early Years Champion in Bury-April 2026

# data[].attributes.attachment_link.title
The Role of the Early Years Communication Champion-advert-may 25

# data[].attributes.headline
OUR NEXT Communication Champion  Network .... May 26

# data[].attributes.subject
OUR NEXT Communication Champion  Network .... May 26

# data[].attributes.headline
OUR NEXT Communication Champion  Network .... May 26

# data[].attributes.subject
OUR NEXT Communication Champion  Network .... May 26

# data[].attributes.headline
Our setting supports ... Bury EY's Communication Champion Network (downloadable logo)

# data[].attributes.subject
Our setting supports ... Bury EY's Communication Champion Network (downloadable logo)

# data[].attributes.body
In memory of Laura Smith and Jen Lowe.

# data[].attributes.headline
Our school supports... Bury EY's Communication Champion Network downloadable logo

# data[].attributes.subject
Our school supports... Bury EY's Communication Champion Network downloadable logo

# data[].attributes.body
In memory of Laura Smith and Jen Lowe.

# data[].attributes.headline
Bury Early Years Communication Champion Network Logo

# data[].attributes.subject
Bury Early Years Communication Champion Network Logo

# data[].attributes.body
In memory of Laura Smith and Jen Lowe.

# data[].attributes.headline
Communication Champion Network Session- February 2026

# data[].attributes.subject
Communication Champion Network Session- February 2026

# data[].attributes.attachment_link.title
Audiology PAEDIATRIC REFERRAL FORM 2025 (003)

# data[].attributes.headline
NEW-The Bloom Toolkit- A FREE resource to support your child’s sensory and communication needs in a gentle, neuro-affirming way

# data[].attributes.subject
NEW-The Bloom Toolkit- A FREE resource to support your child’s sensory and communication needs in a gentle, neuro-affirming way

# data[].attributes.attachment_link.description
Explore Welcome to BLOOM space in The Bloom Toolkit

# data[].attributes.headline
NEW-Jan 26. National Year of Reading-Soundtrack your story for 3-5 year olds

# data[].attributes.subject
NEW-Jan 26. National Year of Reading-Soundtrack your story for 3-5 year olds

# data[].attributes.attachment_link.title
Early Years National Storytelling Week Project | National Literacy Trust

# data[].attributes.attachment_link.description
Access free Early Years resources and accompanying interactive videos to celebrate National Storytelling Week 2026 in your setting.

# data[].attributes.headline
NEW- JAN 26. National Year of Reading 2026-Early Years Resources 

# data[].attributes.subject
NEW- JAN 26. National Year of Reading 2026-Early Years Resources 

# data[].attributes.attachment_link.title
Schools And Early Years Settings Offer Toolkit & Resources | National Year Of Reading | National Literacy Trust

# data[].attributes.attachment_link.description
Start your planning for Spring Term 2026 activity for schools and early years settings with our National Year of Reading downloadable calendar and whole-school or setting briefing presentation.

# data[].attributes.headline
COMING SOON-May, June and July 2026-GMCA Gold Standard WellComm Training-Delivered by Bury LA and Bury SALT.

# data[].attributes.subject
COMING SOON-May, June and July 2026-GMCA Gold Standard WellComm Training-Delivered by Bury LA and Bury SALT.

# data[].attributes.body
Booking essential

# data[].attributes.attachment_link.readable_text
Oral language interventions (also known as oracy or speaking and listening interventions) refer to approaches that emphasise the importance of spoken language and verbal interaction in the classroom. They include dialogic activities.

Oral language interventions are based on the idea that comprehension and reading skills benefit from explicit discussion of either content or processes of learning, or both, oral language interventions aim to support learners' use of vocabulary, articulation of ideas and spoken expression.

Oral language approaches might include:

targeted reading aloud and book discussion with young children;

explicitly extending pupils' spoken vocabulary;

the use of structured questioning to develop reading comprehension; and

the use of purposeful, curriculum-focused, dialogue and interaction.

Oral language interventions have some similarity to approaches based on Metacognition (which make talk about learning explicit in classrooms), and to Collaborative learning approaches which promote pupils' interaction in groups.

# data[].attributes.attachment_link.description
Approaches that emphasise the importance of spoken language and verbal interaction in the classroom.

# data[].attributes.attachment_link.provider_name
Voice 21 - The national oracy education charity

# data[].attributes.attachment_link.title
Little Learners, Big Voices: Oracy in the Early Years - Voice 21

# data[].attributes.headline
DadPad- The Essential guide for new dads

# data[].attributes.subject
DadPad- The Essential guide for new dads

# data[].attributes.attachment_link.readable_text
I was a bit scared when we found out we were having a baby, obviously happy, but a bit scared and in the beginning I was a bit clueless. The child development part is my favourite bit, but there's things in there, like things about mental health, that I didn't know about and that I didn't know you needed to know about.

Ross, 22

# data[].attributes.attachment_link.title
DadPad | The Essential Guide for New Dads | Support Guide for New Dads

# data[].attributes.attachment_link.description
Developed with the NHS, DadPad gives new dads and dads-to-be the knowledge and skills needed to gain confidence and give their baby the best start in life.

# data[].attributes.headline
Impact of WellComm in a Setting- Bright Futures Stronger Practice Hubs

# data[].attributes.subject
Impact of WellComm in a Setting- Bright Futures Stronger Practice Hubs

# data[].attributes.body
To enquire about WellComm Training for practitioners in Bury, please email s.walton@bury.gov.uk

# data[].attributes.attachment_link.title
Working with WellComm at Kids Start, Manchester

# data[].attributes.attachment_link.description
By Natalie Bignell - Head of Service and Development at Kids Start Day Nursery, Northenden, Manchester.

# data[].attributes.headline
Editable template for practitioner planning

# data[].attributes.subject
Editable template for practitioner planning

# data[].attributes.headline
Practitioner Intervention Sheets all of Section 4 of WellComm

# data[].attributes.subject
Practitioner Intervention Sheets all of Section 4 of WellComm

# data[].attributes.headline
Practitioner Intervention Sheets all of section 3 of WellComm

# data[].attributes.subject
Practitioner Intervention Sheets all of section 3 of WellComm

# data[].attributes.headline
Parent Intervention Sheets all of Section 3 of WellComm

# data[].attributes.subject
Parent Intervention Sheets all of Section 3 of WellComm

# data[].attributes.headline
Parent Intervention Tips-all of Section 4 of WellComm

# data[].attributes.subject
Parent Intervention Tips-all of Section 4 of WellComm

# data[].attributes.headline
Communication Champion Network Session -PowerPoint slides-October 2025

# data[].attributes.subject
Communication Champion Network Session -PowerPoint slides-October 2025

# data[].attributes.headline
Bury Speech Language and Communication Support while waiting

# data[].attributes.subject
Bury Speech Language and Communication Support while waiting

# data[].attributes.headline
Bury Speech and Language Pathway Overview

# data[].attributes.subject
Bury Speech and Language Pathway Overview

# data[].attributes.attachment_link.title
Bury EY Speech and Language Pathway overview-FINAL

# data[].attributes.headline
June 2025-Bury Early Years Integrated Speech and Language Pathway Guidance

# data[].attributes.subject
June 2025-Bury Early Years Integrated Speech and Language Pathway Guidance

# data[].attributes.body
Find out all about the Speech, Language and Communication support available in Bury

# data[].attributes.headline
A video for professionals explaining the digital 'Can Do' offer. 

# data[].attributes.subject
A video for professionals explaining the digital 'Can Do' offer. 

# data[].attributes.attachment_link.description
Kandoo Pilot is a programme designed to support parents of late-talking children, empowering them through community engagement and effective communication strategies. With over 25 years of experience, the presenter offers practical, flexible learning tailored for parents of children aged 12 months to 5 years facing language delays. The course emphasises integrating learning into daily life, celebrating small achievements, and utilising technology like WhatsApp for ongoing support and progress tracking. Key strategies focus on play, routines, and personalised goal setting to foster language development and build confidence in both parents and children.

# data[].attributes.headline
A video to share with parents explaining the 'Can Do' digital offer. 

# data[].attributes.subject
A video to share with parents explaining the 'Can Do' digital offer. 

# data[].attributes.attachment_link.title
Welcome to the Parent Path - is it for you?

# data[].attributes.headline
'CAN DO' information and QR code to access the support

# data[].attributes.subject
'CAN DO' information and QR code to access the support

# data[].attributes.headline
Setting Observational Tool- Supporting the Use of Excellent Speech Language and Communication Skills in Settings in Greater Manchester.

# data[].attributes.subject
Setting Observational Tool- Supporting the Use of Excellent Speech Language and Communication Skills in Settings in Greater Manchester.

# data[].attributes.attachment_link.title
Settings Observation Tool - final Jan 25

# data[].attributes.headline
Little Moments Together- You Tube  Videos

# data[].attributes.subject
Little Moments Together- You Tube  Videos

# data[].attributes.attachment_link.title
Better Health Start for Life – Little Moments Together

# data[].attributes.attachment_link.description
Every interaction is a chance to build your child’s brain. Anytime, anywhere, at home or out and about, it all adds up. The Better Health Start for Life webs…

# data[].attributes.attachment_link.description
Talking and listening to your baby helps build their communication skills from the very start. Discover our new Little Moments Together Cards perfect for helping you chat to your 0 to 2 year old throughout the day.

# data[].attributes.headline
** NEW- July 25. Shaping Us-Centre for Early Childhood

# data[].attributes.subject
** NEW- July 25. Shaping Us-Centre for Early Childhood

# data[].attributes.attachment_link.description
Shaping Us, a campaign led by The Princess of Wales, aims to raise awareness of the critical importance of early childhood in shaping the adults we become.

# data[].attributes.headline
Bury Vision and hearing Impairment / Deaf Education Service 

# data[].attributes.subject
Bury Vision and hearing Impairment / Deaf Education Service 

# data[].attributes.headline
Communication Champion Network Meeting-pp slides Oct 24-Session 12

# data[].attributes.subject
Communication Champion Network Meeting-pp slides Oct 24-Session 12

# data[].attributes.attachment_link.title
Early Years Communication Champion Network Meeting-pdf version

# data[].attributes.headline
Communication Champion Network pp slides-March 25. AN INTRODUCTION TO VISUALS. Session 13.

# data[].attributes.subject
Communication Champion Network pp slides-March 25. AN INTRODUCTION TO VISUALS. Session 13.

# data[].attributes.headline
Communication Champion Network Session pp slides-March 25. Session 13

# data[].attributes.subject
Communication Champion Network Session pp slides-March 25. Session 13

# data[].attributes.body
The Portage Service also have a useful padlet which contains useful information and resources. This can be found in the -Other useful Padlets Section 6 of this padlet.

# data[].attributes.headline
NEW JULY 25 ***Early Years Referral form for SALT

# data[].attributes.subject
NEW JULY 25 ***Early Years Referral form for SALT

# data[].attributes.headline
Bright Futures Stronger Practice Hub- Tiny Voices Resources

# data[].attributes.subject
Bright Futures Stronger Practice Hub- Tiny Voices Resources

# data[].attributes.attachment_link.title
Tiny Voices Resources - Bright Futures Early Years Hub

# data[].attributes.attachment_link.description
Please see below a number of resources to support the Tiny Voices programme.

# data[].attributes.attachment_link.description
Simple things that can support the development of your babys speech, language & communication skills

# data[].attributes.headline
NEW- 2024-Language Through Listening -A pack of activities and ideas to develop pre-linguistic skills

# data[].attributes.subject
NEW- 2024-Language Through Listening -A pack of activities and ideas to develop pre-linguistic skills

# data[].attributes.body
Black Sheep Press

# data[].attributes.headline
FREE ONLINE TRAINING-An Introduction to Speech and Language- Speech and Language UK

# data[].attributes.subject
FREE ONLINE TRAINING-An Introduction to Speech and Language- Speech and Language UK

# data[].attributes.attachment_link.provider_name
Speech and Language UK: Changing young lives

# data[].attributes.attachment_link.readable_text
Skip to content

Our online short course is free and a great place to start learning about children and young people's speech and language development.

This short course looks at how you can support the development of these skills on a day-to-day basis in your setting, and how to spot children and young people who might be struggling to develop these important skills.

We have re-developed this course so it is now tailored for the needs of practitioners working across all the different education phases. You have the option to access four different pathways - early years, primary, secondary or further education so you can choose which pathway is most relevant to your area of work.

If you work across more than one educational phase, you will only need to complete the phase which you predominately work in as the key principles are transferable across all the age ranges. The course takes approximately half a day to complete.

Please note, we are experiencing a surge in demand for the online short-course, which is causing the application to buffer. If your browser is timing out after signing up, we recommend giving it some time and trying again later. Also, we would recommend accessing the course on a laptop or computer via chrome.

# data[].attributes.attachment_link.title
An introduction to speech, language and communication - Speech and Language UK: Changing young lives

# data[].attributes.attachment_link.description
Our online short course is free and a great place to start learning about children and young people's speech and language development.

# data[].attributes.headline
Communication Champion Network -Power point slides: Session 11-June 24

# data[].attributes.subject
Communication Champion Network -Power point slides: Session 11-June 24

# data[].attributes.headline
NEW- Jan 26 -Multi agency 'Little Talkers' Referral Form

# data[].attributes.subject
NEW- Jan 26 -Multi agency 'Little Talkers' Referral Form

# data[].attributes.body
Email back to parentinghub@bury.gov.uk

# data[].attributes.attachment_link.title
BLANK Little Talkers Group- Referral Form NEW 2026

# data[].attributes.headline
Ready Steady Write Padlet- Bury Council Early Years Advisors

# data[].attributes.subject
Ready Steady Write Padlet- Bury Council Early Years Advisors

# data[].attributes.headline
WORDS FOR LIFE: Talking to your child when you are out and about

# data[].attributes.subject
WORDS FOR LIFE: Talking to your child when you are out and about

# data[].attributes.attachment_link.readable_text
Make the most of everyday opportunities to chat with your baby or toddler, especially while you are out and about. It will help them learn new words and develop their communication skills.

Use our walk and talk trail to chat to your baby or child. Here you'll discover tips, activities and prompts to have exciting new conversations. Download the trail here. Scroll down for translated versions of the trail.

Watch the video below to see a dad talking with his daughter about what they see and hear on their journey to the park. He mimics the sounds of what he sees and hears, and encourages his daughter to join in too.

How will the trail help my baby or toddler to start talking?

Both the trail and activities on this page will support you to introduce new words to your baby or child. This will help them begin talking and communicating. If you child is already very chatty, the trail will help them develop their vocabulary.

The first five years of a child's life have a big impact. The development that happens helps improve their future learning, happiness and wellbeing. You can encourage this development by finding as many opportunities as you can to talk and listen to them, and introduce new things.

The walk and talk trail will help you get started.

What if English isn't my first language?

It's important to talk to your baby or child in your home language. Translated copies of the walk and talk trail can be downloaded below:

We like reading together. Are there any books based on chatting and exploring outside?

Sharing a book together is a great way to introduce your children to new words and develop their imagination. There's lots of great books about the outdoors you can read together, to inspire you to spend outside. Check out our booklist for suggestions. If you don't have these books at home, visit your local library to borrow a copy and see what other outdoor stories you can find.

Remember, you don't always need to read the words in books. Looking at and talking about picture books is a great way to encourage your child to enjoy stories.

# data[].attributes.attachment_link.title
Talking to your child when you're out and about

# data[].attributes.attachment_link.description
Walking near your home can be a good chance to get your child speaking about the things they see and hear around them.

# data[].attributes.headline
Signing for Early Years-Little Signers Club

# data[].attributes.subject
Signing for Early Years-Little Signers Club

# data[].attributes.headline
Bury Council-Universal/Universal PLUS sessions for 0-5's

# data[].attributes.subject
Bury Council-Universal/Universal PLUS sessions for 0-5's

# data[].attributes.headline
Communication Champion Network Session- 10

# data[].attributes.subject
Communication Champion Network Session- 10

# data[].attributes.attachment_link.description
© 2018 - 2023 STAMMA, British Stammering Association trading as STAMMA, reg. charity no. 1089967/SC038866, reg. company no. 04297778 (England & Wales)

# data[].attributes.headline
The Michael Palin Centre for Stammering advice page.

# data[].attributes.subject
The Michael Palin Centre for Stammering advice page.

# data[].attributes.headline
A GMCA Virtual Parent Child Interaction Package.

# data[].attributes.subject
A GMCA Virtual Parent Child Interaction Package.

# data[].attributes.body
Information, strategies and signposting to support the development of children’s speech, language and communication skills from 18 months up to 2.5 years.

# data[].attributes.attachment_link.readable_text
Information, strategies and signposting to support the development of children's speech, language and communication skills from 18 months up to 2.5 years.

The package below is made up of 6 videos and the aim of the package is to:

Provide a virtual and interactive targeted PCI offer

Develop parent's knowledge and confidence to support their child's speech, language and communication development

Support the development of children's speech, language and communication skills.

Ensure that families who are unable to access a face to face group (e.g. due to work commitments, anxiety, transport issues) are still able to access a targeted support to receive key messages and strategies to support their child's speech, language and communication.

Provide flexibility to our families; they can watch and re-visit the strategies at their own convenience

Guidance for practitioners using the GM Parent Child Interaction Package (PPT, 373 KB)
1. Watch Wait and Listen
Key Messages Handout (PDF, 373 KB) Key Messages Accessible Handout (Docx, 14.8 KB)
2. Fewer Questions, More Comments
Key Messages Handout (PDF, 450 KB) Key Messages Accessible Handout (Docx, 14.9 KB)
3. Interpret and Extend
Key Messages Handout (PDF, 515 KB) Key Messages Accessible Handout (Docx, 15.3 KB)
4. Sharing Books and Songs
Key Messages Handout (PDF, 605 KB) Key Messages Accessible Handout (Docx, 15.5 KB)
5. Taking Turns
Key Messages Handout (PDF, 589 KB) Key Messages Accessible Handout (Docx, 15.5 KB)
6. Bringing it all Together

# data[].attributes.attachment_link.description
Greater Manchester Combined Authority (GMCA) - working together to improve the lives of people in Greater Manchester - Bolton, Bury, Manchester, Oldham, Rochdale, Salford, Stockport, Tameside, Trafford, Wigan

# data[].attributes.headline
Chrystal Barnes. Communication Champion at Safari Kindergarten Bury. Using WellComm as an intervention tool.

# data[].attributes.subject
Chrystal Barnes. Communication Champion at Safari Kindergarten Bury. Using WellComm as an intervention tool.

# data[].attributes.headline
The role of a Bury Communication Champion-Claire Hanson-St John's CE Primary School, Radcliffe Bury

# data[].attributes.subject
The role of a Bury Communication Champion-Claire Hanson-St John's CE Primary School, Radcliffe Bury

# data[].attributes.headline
Michelle Sutherland- Early Years Worker/Communication Champion. Bury Children's Centres and Family Hub Team

# data[].attributes.subject
Michelle Sutherland- Early Years Worker/Communication Champion. Bury Children's Centres and Family Hub Team

# data[].attributes.headline
Bury Council Early Years Advisor Team-Speaking at the SLC Pathway Launch

# data[].attributes.subject
Bury Council Early Years Advisor Team-Speaking at the SLC Pathway Launch

# data[].attributes.headline
Supporting Speech Sound Development in the EYFS-Delivered at the Communication Champion Network Feb 2023

# data[].attributes.subject
Supporting Speech Sound Development in the EYFS-Delivered at the Communication Champion Network Feb 2023

# data[].attributes.attachment_link.title
FINAL - Supporting children's speech sound development in EYFS

# data[].attributes.headline
Communication Champion Network Session-9. February 2023

# data[].attributes.subject
Communication Champion Network Session-9. February 2023

# data[].attributes.headline
New April 2023-Speech Sounds Toolkit-Bury Speech Therapy Team

# data[].attributes.subject
New April 2023-Speech Sounds Toolkit-Bury Speech Therapy Team

# data[].attributes.headline
Better Start for Life-Home Learning Environment-Posters and Social Media posts 

# data[].attributes.subject
Better Start for Life-Home Learning Environment-Posters and Social Media posts 

# data[].attributes.attachment_link.title
Better Health Start for Life Home Learning Environment

# data[].attributes.attachment_link.description
Download or order resources, such as leaflets, posters, guides and resource packs for all campaigns. You don’t have to sign in or register to access or download

# data[].attributes.headline
The Relationship between Play and Language.

# data[].attributes.subject
The Relationship between Play and Language.

# data[].attributes.headline
Communication Champion Network- Session 8

# data[].attributes.subject
Communication Champion Network- Session 8

# data[].attributes.headline
New May 22-Communication Champion Network-Session 7

# data[].attributes.subject
New May 22-Communication Champion Network-Session 7

# data[].attributes.headline
The Bell Foundation-Strategies to support children with EAL in EYFS settings

# data[].attributes.subject
The Bell Foundation-Strategies to support children with EAL in EYFS settings

# data[].attributes.headline
'What to expect when in SLC'-from- Stoke Speaks Out

# data[].attributes.subject
'What to expect when in SLC'-from- Stoke Speaks Out

# data[].attributes.attachment_link.description
Communication milestones: what to expect at different ages.

# data[].attributes.attachment_link.readable_text
Selective mutism is an anxiety disorder where a person is unable to speak in certain social situations, such as with classmates at school or to relatives they do not see very often.
It usually starts during childhood and, if left untreated, can persist into adulthood.

A child or adult with selective mutism does not refuse or choose not to speak at certain times, they're literally unable to speak.

The expectation to talk to certain people triggers a freeze response with feelings of anxiety and panic, and talking is impossible.

In time, the person may learn to anticipate the situations that provoke this distressing reaction and do all they can to avoid them.

However, people with selective mutism are able to speak freely to certain people, such as close family and friends, when nobody else is around to trigger the freeze response.

Selective mutism affects about 1 in 140 young children. It's more common in girls and children who have recently migrated from their country of birth.

Signs of selective mutism

Selective mutism can start at any age, but most often starts in early childhood, between age 2 and 4. It's often first noticed when the child starts to interact with people outside their family, such as when they begin nursery or school.

The main warning sign is the marked contrast in the child's ability to engage with different people, characterised by a sudden stillness and frozen facial expression when they're expected to talk to someone who's outside their comfort zone.

They may avoid eye contact and appear:

nervous, uneasy or socially awkward

rude, disinterested or sulky

clingy

shy and withdrawn

stiff, tense or poorly co-ordinated

stubborn or aggressive, having temper tantrums when they get home from school, or getting angry when questioned by parents

More confident children with selective mutism can use gestures to communicate - for example, they may nod for "yes" or shake their head for "no".

But more severely affected children tend to avoid any form of communication - spoken, written or gestured.

Some children may manage to respond with a few words, or they may speak in an altered voice, such as a whisper.

What causes selective mutism

Experts regard selective mutism as a fear ( phobia) of talking to certain people. The cause is not always clear, but it's known to be associated with anxiety.

The child will usually have a tendency to anxiety and have difficulty taking everyday events in their stride.

Find out more about anxiety in children.

Many children become too distressed to speak when separated from their parents and transfer this anxiety to the adults who try to settle them.

If they have a speech and language disorder or hearing problem, it can make speaking even more stressful.

Some children have trouble processing sensory information such as loud noise and jostling from crowds - a condition known as sensory integration dysfunction.

This can make them "shut down" and be unable to speak when overwhelmed in a busy environment. Again, their anxiety can transfer to other people in that environment.

When mutism occurs as a symptom of post-traumatic stress, it follows a very different pattern and the child suddenly stops talking in environments where they previously had no difficulty.

Another misconception is that a child with selective mutism is controlling or manipulative, or has autism. There's no relationship between selective mutism and autism, although a child may have both.

Diagnosing selective mutism

Left untreated, selective mutism can lead to isolation, low self-esteem and social anxiety disorder. It can continue into adolescence and adulthood if not managed.

Diagnosis in children

A child can successfully overcome selective mutism if it's diagnosed at an early age and appropriately managed.

It's important for selective mutism to be recognised early by families and schools so they can work together to reduce a child's anxiety. Staff in early years settings and schools may receive training so they're able to provide appropriate support.

If you suspect your child has selective mutism and help is not available, or there are additional concerns - for example, the child struggles to understand instructions or follow routines - speak to a GP and ask them to refer you to a local specialist service for a formal diagnosis.

You can also contact a speech and language therapy clinic directly. Do not accept the opinion that your child will grow out of it or they are "just shy".

Your GP or local integrated care board (ICB) should be able to give you the telephone number of your nearest NHS speech and language therapy service or another specialist service that can help in your area.

Your child may also need to see a mental health professional or school educational psychologist.

The clinician may initially want to talk to you without your child present, so you can speak freely about any anxieties you have about your child's development or behaviour.

They'll want to find out whether there's a history of anxiety disorders in the family, and whether anything is causing distress, such as a disrupted routine or difficulty learning a second language. They'll also look at behavioural characteristics and take a full medical history.

A person with selective mutism may not be able to speak during their assessment, but the clinician should be prepared for this and be willing to find another way to communicate.

For example, they may encourage a child with selective mutism to communicate through their parents, or suggest that older children or adults write down their responses or use a computer. They may watch the child playing or watch a video of them speaking in a comfortable environment.

Diagnosis in adults

It's possible for adults to overcome selective mutism, although they may continue to experience the psychological and practical effects of spending years without social interaction or not being able to reach their academic or occupational potential.

Adults will ideally be seen by a mental health professional with access to support from a speech and language therapist or another knowledgeable professional.

Diagnosis guidelines

Selective mutism is diagnosed according to specific guidelines. These include observations about the person concerned as outlined:

they do not speak in specific situations, such as during school lessons or when they can be overheard in public

they can speak normally in situations where they feel comfortable, such as when they're alone with parents at home, or in their empty classroom or bedroom

their inability to speak to certain people has lasted for at least 1 month (2 months in a new setting)

their inability to speak interferes with their ability to function in that setting

their inability to speak is not better explained by another behavioural, mental or communication disorder

Associated difficulties

A child with selective mutism will often have other fears and social anxieties, and they may also have additional speech and language difficulties.

They're often wary of doing anything that draws attention to them because they think that by doing so, people will expect them to talk.

For example, a child may not do their best in class after seeing other children being asked to read out good work, or they may be afraid to change their routine in case this provokes comments or questions. Many have a general fear of making mistakes.

Accidents and urinary infections may result from being unable to ask to use the toilet and holding on for hours at a time. School-aged children may avoid eating and drinking throughout the day so they do not need to excuse themselves.

Children may have difficulty with homework assignments or certain topics because they're unable to ask questions in class.

Teenagers may not develop independence because they're afraid to leave the house unaccompanied. And adults may lack qualifications because they're unable to participate in college life or subsequent interviews.

Treating selective mutism

With appropriate handling and treatment, most children are able to overcome selective mutism. But the older they are when the condition is diagnosed, the longer it will take.

The effectiveness of treatment will depend on:

how long the person has had selective mutism

whether or not they have additional communication or learning difficulties or anxieties

the co-operation of everyone involved with their education and family life

Treatment does not focus on the speaking itself, but reducing the anxiety associated with speaking.

This starts by removing pressure on the person to speak. They should then gradually progress from relaxing in their school, nursery or social setting, to saying single words and sentences to one person, before eventually being able to speak freely to all people in all settings.

The need for individual treatment can be avoided if family and staff in early years settings work together to reduce the child's anxiety by creating a positive environment for them.

This means:

not letting the child know you're anxious

reassuring them that they'll be able to speak when they're ready

concentrating on having fun

praising all efforts the child makes to join in and interact with others, such as passing and taking toys, nodding and pointing

not showing surprise when the child speaks, but responding warmly as you would to any other child

As well as these environmental changes, older children may need individual support to overcome their anxiety.

Cognitive behavioural therapy

Cognitive behavioural therapy (CBT) helps a person focus on how they think about themselves, the world and other people, and how their perception of these things affects their thoughts and feelings. CBT also challenges fears and preconceptions through graded exposure.

Behavioural therapy

Behavioural therapy concentrates on helping combat current difficulties using a gradual step-by-step approach to help conquer fears.

Techniques

There are several techniques based on CBT and behavioural therapy that are useful in treating selective mutism. These can be used at the same time by individuals, family members and school or college staff, possibly under the guidance of a speech and language therapist or psychologist.

Graded exposure

In graded exposure, situations causing the least anxiety are tackled first. With realistic targets and repeated exposure, the anxiety associated with these situations decreases to a manageable level.

Older children and adults are encouraged to work out how much anxiety different situations cause, such as answering the phone or asking a stranger the time.

Stimulus fading

In stimulus fading, the person with selective mutism communicates at ease with someone, such as their parent, when nobody else is present.

Another person is gradually introduced into the situation and, once they're included in talking, the parent withdraws. The new person can introduce more people in the same way.

Shaping

Shaping involves using any technique that enables the person to gradually produce a response that's closer to the desired behaviour.

For example, starting with non-verbal communication, gradually moving to making eye contact, saying short words and then longer sentences and, finally, 2-way conversation.

Positive and negative reinforcement

Positive and negative reinforcement involves responding favourably to all forms of communication and not inadvertently encouraging avoidance and silence.

If the child is under pressure to talk, they'll experience great relief when the moment passes, which will strengthen their belief that talking is a negative experience.

Desensitisation

Desensitisation is a technique that involves reducing the person's sensitivity to other people hearing their voice by sharing voice or video recordings.

For example, email or instant messaging could progress to an exchange of voice recordings or voicemail messages, then more direct communication, such as telephone or Skype conversations.

You could also record your child at home and encourage them to watch or listen to themselves speaking.

Medicine

Medicine is only really appropriate for older children, teenagers and adults whose anxiety has led to depression and other problems.

Medicine should never be prescribed as an alternative to environmental changes and behavioural approaches. Though some health professionals recommend using a combination of medicine and behavioural therapies in adults with selective mutism.

However, antidepressants may be used alongside a treatment programme to decrease anxiety levels, particularly if previous attempts to engage the individual in treatment have failed.

Advice for parents

Do not pressurise or bribe your child to encourage them to speak.

Let your child know you understand they're scared to speak and have difficulty speaking at times. Tell them they can take small steps when they feel ready and reassure them that talking will get easier.

Do not praise your child publicly for speaking because this can cause embarrassment. Wait until you're alone with them and consider a special treat for their achievement.

Reassure your child that non-verbal communication, such as smiling and waving, is fine until they feel better about talking.

Do not avoid parties or family visits, but consider what environmental changes are necessary to make the situation more comfortable for your child.

Ask friends and relatives to give your child time to warm up at his or her own pace and focus on fun activities rather than getting them to talk.

As well as verbal reassurance, give them love, support and patience.

Getting help and support

Teenagers and adults with selective mutism can find information and support at iSpeak and the Facebook group SM SpaceCafe.

The Selective Mutism Information and Research Association (SMiRA) is another good resource for people affected by selective mutism. There's also a SMiRA Facebook page.

The Royal College of Speech and Language Therapists and the Association of Speech and Language Therapists in Independent Practice can help you find professionals in your area with experience in treating selective mutism.

# data[].attributes.attachment_link.description
Find out about selective mutism, an anxiety disorder that prevents people from speaking in certain social situations.

# data[].attributes.headline
Speech and Language UK. Supporting quiet children- Fact Sheet

# data[].attributes.subject
Speech and Language UK. Supporting quiet children- Fact Sheet

# data[].attributes.attachment_link.provider_name
Speech and Language UK: Changing young lives

# data[].attributes.attachment_link.description
Speech and Language UK: Changing young lives

# data[].attributes.attachment_link.provider_name
Speech and Language UK: Changing young lives

# data[].attributes.attachment_link.description
Check out our range of free resources for educators and professionals, designed to help you support the 2 million children facing challenges with talking and understanding words.

# data[].attributes.headline
Using pictures and symbols in early years settings

# data[].attributes.subject
Using pictures and symbols in early years settings

# data[].attributes.attachment_link.title
New -EYFS 2 yr progress check proforma -2

# data[].attributes.headline
Speech and Language UK. Fact sheet-Speech Sounds

# data[].attributes.subject
Speech and Language UK. Fact sheet-Speech Sounds

# data[].attributes.attachment_link.provider_name
Speech and Language UK: Changing young lives

# data[].attributes.attachment_link.description
Speech sounds are the sounds we use for talking. We use our tongue, lips, teeth, and other parts of our mouth to create different speech sounds. Speech sounds are not the same as letters. For example, the word 'sheep' has five letters, but only three sounds: 'sh' 'ee' 'p'.

# data[].attributes.headline
Communication Champion Network Session 1

# data[].attributes.subject
Communication Champion Network Session 1

# data[].attributes.attachment_link.readable_text
Please refer to our Tiny Happy People Supporters' Agreement before posting any images.

If you'd like to set up a cross-posting relationship with us on Facebook, send us an email . If you've set one up with us, then instructions on crossposting are available

If you're using and enjoying Tiny Happy People, or if you have any ideas for things you'd like us to include in the future, we'd love to hear from you. or send us a message on or .

# data[].attributes.attachment_link.title
Resources for professionals and volunteers

# data[].attributes.attachment_link.description
Please refer to our Tiny Happy People Supporters' Agreement before posting any images. If you'd like to set up a cross-posting relationship with us on Facebook, send us an email .

# data[].attributes.headline
Speech and Language UK. An introduction to speech, language and communication. This online short course is free and a great place to start learning about children and young people’s speech and language development.

# data[].attributes.subject
Speech and Language UK. An introduction to speech, language and communication. This online short course is free and a great place to start learning about children and young people’s speech and language development.

# data[].attributes.body
Own pace

# data[].attributes.attachment_link.provider_name
Speech and Language UK: Changing young lives

# data[].attributes.attachment_link.readable_text
Skip to content

Our online short course is free and a great place to start learning about children and young people's speech and language development.

This short course looks at how you can support the development of these skills on a day-to-day basis in your setting, and how to spot children and young people who might be struggling to develop these important skills.

We have re-developed this course so it is now tailored for the needs of practitioners working across all the different education phases. You have the option to access four different pathways - early years, primary, secondary or further education so you can choose which pathway is most relevant to your area of work.

If you work across more than one educational phase, you will only need to complete the phase which you predominately work in as the key principles are transferable across all the age ranges. The course takes approximately half a day to complete.

Please note, we are experiencing a surge in demand for the online short-course, which is causing the application to buffer. If your browser is timing out after signing up, we recommend giving it some time and trying again later. Also, we would recommend accessing the course on a laptop or computer via chrome.

# data[].attributes.attachment_link.title
An introduction to speech, language and communication - Speech and Language UK: Changing young lives

# data[].attributes.attachment_link.description
Our online short course is free and a great place to start learning about children and young people's speech and language development.