What are the key indicators for referring a child with speech delay to a speech and language therapist?

The key indicator for referring a child with speech delay to speech and language services is when children aged over 2 years present with abnormal speech development ².

It is also important to be aware that delay or regression in speech and language can be a symptom of autism ². If there is regression in language, children younger than 3 years should be referred to the autism team ¹. For children older than 3 years with language regression, the initial referral should be to a paediatrician or paediatric neurologist ¹. When considering the possibility of autism, inquire about the child's use and understanding of their first language ¹. Do not assume that language delay is solely due to English not being the family's first language or to early hearing difficulties ¹.