For Families and Carers : Communication series

These resources, co-written with a speech and language therapist, offer practical tips and activities for supporting children and young people with Down’s syndrome to develop their communication skills.

The series includes resources for supporting communication, language and speech development and can be used by families and professionals alike.

There are many ways for you to help your child’s speech, language and communication development. You will find lots of ideas in this Communication Series. Most of these can become part of your everyday life. For different ideas explore the resources on this website.

Introduction: Make communication part of everyday life

Use the ideas summarised in this series every day, when feeding, bathing, changing and playing.

You will already be doing many of these activities, as part of caring for your baby. However, interactions between parent and child can happen less when your baby has Down’s syndrome. That’s why it is helpful to use some specific strategies when interacting with your baby or child.

Introduction: Make communication visual

Support your child’s spoken communication with lots of visual cues.

For example, you can use gestures, objects, pictures and photos alongside speech, when you interact with your child. You can also learn a signing system (such as Makaton and Signalong). Sign and gesture will help your child to understand what you are saying, and will also help your child to communicate. Ask your speech and language therapist about where you can learn to sign. There are also great online resources where you can learn to sign, including Mr Tumble (CBeebies- BBC). Signing along with Mr Tumble is a fun way of learning simple sign language.

Introduction: Watch your child carefully and respond

Watch your child’s behaviour very closely, and respond to her ways of communicating.

She may be smiling, making noises, looking and/or gesturing. Copy your child. Tell her the word and make the sign for what she is interested in. Parents do this naturally, but it helps to watch children with Down’s syndrome very closely, because their attempts to communicate can be more subtle or take longer.

Introduction: Be animated

When your child tries to communicate, respond enthusiastically.

Smile, use lots of facial expressions, vary the tone of your voice and use gesture/signs. Being animated will help your child to pay attention to your facial expressions, words and gestures.

Introduction: Be repetitive

Use lots of repetition. When your child communicates, copy what he has said or done.

For example, if your child is interested in a dog and says “d” (or any other sound), repeat back, “Yes! Dog!”. Do the same thing with gestures and signs. If your child tries to speak or sign but it’s not quite right, respond by saying the correct word and making the sign.

Introduction: Be on your child's physical level

This helps you to see what your child is watching and interested in.

It also helps your child to focus on you – to listen and pick up on cues, like your facial expression and how your lips and tongue move when you make sounds, talk and sing.

Introduction: Take time

Children with Down’s syndrome often need extra time to respond.

Watch carefully, pause and wait when interacting with your child. It may take him longer to process what he sees and hears. It may also take him longer to respond by moving, gesturing, signing, vocalising or speaking. Always give your child extra time. Slow down your own talking too.

Introduction: Praise and reward

Most children enjoy social interaction. Give your child lots of praise and smiles to show that you are pleased.

She may enjoy other rewards too, like a favourite expression, song or activity. Praise will encourage your child to communicate.

Pre language skills for babies and young children
Encouraging Communication
Early Language: Developing understanding
Early Language: Using visual support

Children with Down’s syndrome are good visual (seeing) learners and often have poor auditory (hearing) learning skills.

Children with Down’s syndrome also take longer to process information. Visual support can help your child’s speech and language development. An added bonus of using visual information is that your child will be able to spend longer taking it in, because visual information lasts longer than auditory information. Visual supports can help your child’s understanding and also help your child to learn to communicate. There is no research to suggest that signing reduces spoken language.

Visual support can include:

  • Objects
  • Photographs
  • Pictures
  • Line drawings
  • Symbols
  • Written words
  • Gesture
  • Sign

Visual support varies in the level of understanding it requires. The easiest visual support for a child to understand is a real object because your child does not have to make a representational link. The ability to hold, feel and explore objects will help understanding. Photographs of real objects are the next level of visual support you can use. Photos are two dimensional, but give a real representation of what you are talking about. Pictures, line drawings and symbols are increasingly abstract, so it is best to use photos before you move on to line drawings and then symbols.

Gesture and sign are more momentary than objects and pictures, but they are essential in supporting your child’s language development. Gesture and sign have the added advantage that your hands are always with you throughout you and your child’s daily routine, so no extra equipment is required.


Makaton or Signalong communication systems are often used with children who have Down’s syndrome.

If you do not know how to use Makaton or Signalong, you can use natural gesture and lots of expression in your face and voice. This will also help your child to understand.

Visual supports for speech sounds

Children can also learn about speech sounds using ‘visual supports’. These include ‘Jolly Phonics’ pictures and gestures, ‘See and Learn’ speech resources, and ‘Cued Articulation’ by Jane Passy.

Written Words

Some children with Down’s syndrome can recognise written words from an early age, and will begin to learn to read.

When you use photographs, pictures, line drawings or symbols, you can write or type/print the written word underneath.

Further information

Jane Passy Cued Articulation

Jolly Learning


See and Learn


Special iApps


Early Language: Developing First Words
Early Language:'All about me' personalised books

There are many reasons why making personal books is a particularly good thing to do for children with Down’s syndrome. Sharing personal books is a fun way to engage with children. As most children understand more than they can say, using personal books can help them to communicate – they can use the book to tell people about themselves and the things they do. Sharing books can also help them learn to understand language and to practise saying words. Seeing words in print also introduces reading, which is an activity enjoyed by many people with Down’s syndrome.

Creating an ‘All about Me’ or Personalised Book can support:

  • Attention and listening
  • Vocabulary development
  • Initiating communication with others
  • Information sharing
  • Recognising written words

If your child is learning about single words, follow the instructions that follow.

You can create these on a computer, tablet and some phones. A useful app to create All About Me Personalised books is “Special Stories”.

If you don’t have access to these then printed photographs stuck onto pages with clearly, hand written words underneath are just as good.

If your child is learning about single words, make books that use single words, to practice vocabulary. It can be helpful for the vocabulary in your child’s book to overlap with the vocabulary you have chosen to target for teaching.

Early All About Me Personalised Books should include photographs of things that are important to your child, such as real life objects, toys, people, pets or animals in your child’s life. These first books designed to teach vocabulary should have a photograph and single written word on each page. Early books may only have four or six pages. As your child matures you can build up to having more photographs on each page.

As your child’s vocabulary understanding grows, you can make books that include action words as well as naming words, e.g. if your child enjoys kicking a football you could have a picture of him or her kicking a ball. To begin with you might just have the word “kicking” written under the photograph, but as your child’s language develops you could expand this into short sentences, such as “Tom is kicking the ball”.

Using All About Me/ Personalised Books

  1. Share your child’s personalised book, talk about the photographs. Say and sign the word. Point to the written words. Familiarise your child with the words in the book.
  2. See if your child can match the real object (e.g. favourite toy) to the photograph in the book. To do this have the page open with the picture of the object. Give your child two toys to choose from and see if he or she can match or point to the one in the book.
  3. See if your child can match a photograph to one in the book. To do this make a second, loose copy of each photograph. See if your child can match the loose photograph with the ones in the book.
  4. Make a second copy of the written word. Encourage your child to look at the word, then help match the word to the word in the book. Initially use words that look visually different, e.g. “dog” and “Mummy” or “ball” and “tractor”. Visually similar words can be words of a similar length or words that start or end with similar shaped letters. These are harder for your child to differentiate between.
  5. Take your child’s personalised book out and about. Encourage him or her to share it with other people, at playgroups and nursery or with family members. This will encourage your child to initiate communication, communicate independently of you and share information about what is important to her or him.
  6. When your children go to school, their personal book can be extended into a communication or conversation diary. This type of communication book is described in a separate resource [Coming soon].
Symbolic Sounds and Early Vocabulary
Early vocabulary pictures and words
Listening cards
Nursery rhymes

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