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Speech Therapy From Home: Simple Telepractice Ideas Using Enhanced Milieu Teaching (EMT-DS)

Speech therapy doesn’t have to happen only in a clinic. A new 2024 pilot study shows that with a little coaching, parents can use simple strategies like waiting, expanding words, and adding signs right at home to boost their toddler’s communication. Known as Enhanced Milieu Teaching for Down Syndrome (EMT-DS), this hybrid approach—done partly online and partly in person—proved effective for helping toddlers use more words, gestures, and meaningful communication. In this post, we’ll break down what EMT-DS looks like, how you can set up for success, and easy “language bursts” to try during your daily routines.

Communication in Down Syndrome

Practical Tips

Babbling & first sounds in Down Syndrome

Babbling may sound like playful chatter, but for babies with Down syndrome, those first “ba” and “da-da” sounds are powerful steps toward language. This blog explores why early vocal play matters, how to encourage it through simple daily interactions, and when to seek extra support. With every coo, squeal, and babble, your baby is building the foundation for future speech—and deepening their connection with you.

Communication in Down Syndrome

How Babies Understand Before They Speak

Before babies say their first words, they’re already busy learning how language works. This post explains how receptive language develops, why it’s so important for children with Down syndrome, and simple everyday strategies parents can use to help their baby understand, connect, and communicate long before speech begins.

Down Syndrome Research

Practical Tips

Parent-Led Social Communication: What the ASCEND Trial Is Teaching Us

Discover how the 2024 ASCEND trial shows that simple, parent-led strategies like shared attention during mealtimes, play, and book time can spark your child’s early communication. Learn how everyday moments become powerful building blocks for language growth in children with Down syndrome.

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Small Steps Online is a free program from The September Institute, a registered nonprofit foundation supporting children with Down syndrome through early intervention, resources, and community.

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