Towards a more family oriented and interdisciplinary language screening

Only a small number of children with atypical language development who can benefit from early intervention are actually identified before reaching school age. Our aim was to explore perceptions of caregivers of monolingual and multilingual children with and without atypical language development in order to provide relevant themes for improving language screening and referral in Well Child Care (WCC). We interviewed 38 Dutch caregivers of monolingual and multilingual children with and without atypical language development. They were recruited via kindergarten, nurseries, and speech and language pathologists. First, we analyzed the interviews of caregivers of monolingual children with atypical language development and caregivers of multilingual children. Second, we adopted data source triangulation with the interviews of caregivers of monolingual children without atypical language development for further exploration of the results of the first round. Third, we categorized emerging codes across identified subthemes and themes. We identified six subthemes: (1) Perception WCC; (2) Perception consult at the WCC; (3) Opinion of the consult at the WCC; (4) Desires regarding WCC; (5) Parent factors, and (6) Child factors (first and second round). Target themes, relating to the themes and subthemes, that can be used to enhance structural language screening in WCC are: a more family oriented consult, better interprofessional collaboration, and more specific knowledge about language development and different referral routes for children with atypical language development.