Children’s Therapy Toolkit

Our Children's Therapy Toolkit has lots of ideas and general advice that can be used to help support children’s development. When making contact with any of the Therapy teams you will be encouraged to have a go at trying some of these ideas in our toolkit before considering whether a referral is needed.

If you are concerned about the child’s speech and language development and are unsure whether a referral to see a Speech and Language Therapist is needed, please consult the appropriate section of the Speech and Language Referral Checklist. This gives details of typical development from 9 months to 7 years and will indicate when a referral may be necessary.

Observation Advice/Action

Supporting transition and general classroom advice

General early development advice

Unable to sit without causing a disturbance or
fiddling/difficulty maintaining concentration

Easily excitable/frustrated and has difficulties
calming down

Can’t maintain an upright sitting posture for more
than 10 minutes

Trips and falls/bumps into people and objects

Low energy levels/poor stamina/gives up easily

Difficulties using hands and fingers during activities, including: handwriting and pre-writing activities and development of pencil grip

Difficulty using scissors

Difficulty coordinating two hands together
for an activity

Struggles with sequencing movements and with
organising self and belongings

Difficulties with dressing and undressing and
doing fastenings

Difficulties using eating utensils

 

Difficulty learning to ride a bike

Speech sound concerns: your child may sound
immature, may be difficult to understand, may
be changing or missing sounds in words.

  • Complete the Articulation Screener and refer for Speech and Language Therapy if they are not yet using all of the sounds expected for their age (please attach the completed Articulation screener)
  • Consult Speech and Language Referral Checklist for your child’s age. This details some sound errors expected for their age
  • Guidance for teachers administering the Phonics Assessment for children with speech sound difficulties available from The Communication Trust

Child is showing features of stammering e.g. repeating parts of words several times, ‘stretching’ sounds in a word, having difficulty getting started with no sound coming out for a period of time.

Advice available from:

Bilingual child with delayed language development

Follow these links for information and advice on bilingual language development.

Only refer for speech and language assessment if your child is showing a delay in their first language.  A delay in English as a second or third language does not require assessment from speech and language therapy.

Not yet using many single words

  • Discuss your concerns with your Health Visitor
  • Try some of the activities from the Creating Opportunities for Communication advice sheet
  • Refer for speech and language assessment if your child is still only using a few single words by 2 ½ years

My child is still using a dummy

My child has back/neck pain

Advice available from:
The Association of Paediatric Chartered Physiotherapists

My child has knee pain

Advice available from:
The Association of Paediatric Chartered Physiotherapists

My child has heel pain

Severs Disease

I am worried about my child’s walking

Gait anomalies in young children

I am worried that my child has bendy, clicky or painful joints and/or falls over easily

My Child has Down syndrome

Advice available from:

The Association of Paediatric Chartered Physiotherapists

Physical Activity 
Screentime health impacts on Children and Families

 Launch event for new service that supports mums with mental health problems

Launch event for new service that supports mums with mental health problems

A new specialist community perinatal service is now available for women in north Cumbria.

NHS takes ‘baby friendly’ approach up a level whilst improving breastfeeding rates in Cumbria

NHS takes ‘baby friendly’ approach up a level whilst improving breastfeeding rates in Cumbria

NHS teams are celebrating Breastfeeding Celebration week in variety of ways to continue to raise awareness of breastfeeding.

Police, teenagers and YouTube sensation join forces to warn about ‘sexting’ dangers

Police, teenagers and YouTube sensation join forces to warn about ‘sexting’ dangers

Cumbria Police have teamed up Carlisle College to warn young people of the dangers of ‘sexting’.

Changes to public health services for children in Cumbria

Changes to public health services for children in Cumbria

The provision of public health services for children in Cumbria between the ages of 0-19 is changing from the 1st April 2017.

Specialist Breastfeeding Health Visitors have been nationally recognised for their work

From Our Children & Families Team Specialist Breastfeeding Health Visitors have been nationally recognised for their work

Specialist Breastfeeding Health Visitors for CPFT have been recognised by a leading international children's charity.

ChatHealth proves a success with young people in Cumbria

From Our Children & Families Team ChatHealth proves a success with young people in Cumbria

Young people accross the county are benfitting from texting their School Nurse for support

A Children’s Community Nurse has been nationally recognised

A Children’s Community Nurse has been nationally recognised

Andrew Kelly was shortlisted for his help with launching a new electronic patient information system

Trust supports children through eye gaze club

Trust supports children through eye gaze club

Children with speech, language and physical difficulties are being supported by therapists to help them communicate better using their eyes.

Using Disney as a therapy technique

Using Disney as a therapy technique

Disney characters used as a technique to help children express their feelings.

Weston’s Welcome

From Our Children & Families Team Weston’s Welcome

A ten year old from Allithwaite near Grange over Sands has won a competition to design the logo of the Children’s Services she uses

Police urge young people to ‘say something if they see something’

Police urge young people to ‘say something if they see something’

Cumbria Constabulary has launched a campaign urging young people in Cumbria to ‘say something if they see something’

Children’s team receive garden donations

From Our Community Health Team Children’s team receive garden donations

Staff from the Springboard Child Development Centre in Carlisle have received over £100 worth of gardening items

OFSTED inspection of children’s services published

OFSTED inspection of children’s services published

Cumbria Partnership NHS Foundation Trust responds to the report

Focus on: Richard Pape Lead fire officer for the Trust

Trust-wide News Focus on: Richard Pape Lead fire officer for the Trust

Since joining the Trust Richard has made a real difference to staff's fire awareness

Cumbria’s Headstart project

From Our Children & Families Team Cumbria’s Headstart project

A vision to ensure young people in Cumbria have access to all the support they need to promote their emotional wellbeing and mental health

Cumbria LSCB Online Procedures Manual Launch

From Our Children & Families Team Cumbria LSCB Online Procedures Manual Launch

Cumbria Local Safeguarding Children Board procedures update

Child Sexual Exploitation Awareness Day

Child Sexual Exploitation Awareness Day

CSE awareness day on Wednesday 18th March with Cumbria Constabulary

Health visitors give top tips to parents to improve the wellbeing of the baby and the family!

Health visitors give top tips to parents to improve the wellbeing of the baby and the family!

Sarah gives mum some guidance on how to relax and tips on how to get her baby to sleep for longer

Our health visitors give top tips to parents on wellbeing of their baby and the family

Our health visitors give top tips to parents on wellbeing of their baby and the family

Sarah Worsell gives mum some guidance on how to relax and tips on how to get her baby to sleep for longer periods.

Breast Cancer Survivor Joanne on cat walk stardom

Breast Cancer Survivor Joanne on cat walk stardom

'It was a great opportunity to show others that there is life after diagnosis and that you can still look amazing'

Partnership gets wheels turning for children

From Our Children & Families Team Partnership gets wheels turning for children

Children with additional physical needs given chance to ride bikes.

More support for children and families in Cumbria

From Our Children & Families Team More support for children and families in Cumbria

Support for children and families in Cumbria will be boosted in the next few years thanks to newly qualified health visitors.

Film shows highlights of Cumbria School Games

From Our Children & Families Team Film shows highlights of Cumbria School Games

The Cumbria School Games, run by Active Cumbria, uses the inspiration of the Olympic and Paralympic Games to involve more young people