SIGNS of delayed language skills development are often missed in preschool children, putting them at risk of long-term educational and mental health problems.
A study of 900 pre-schoolers has found half of those with communication issues are missing out on help from a professional.
The study by the Murdoch Childrens Research Institute in Melbourne found pre-schoolers were nine times more likely to get help if their parents were concerned.
But many parents may find it hard to believe warnings from teachers and other professionals. Many others seek help even though their child does not need it.
Professor Melissa Wake says children who have delays in the ability to make themselves understood or who have difficulties in understanding what is said to them are a major concern.
"There is a need for greater action. But it isn't always that obvious. Children with low language are not children with no language."
The researchers say it is easy not to notice a language delay or to not give it the attention it deserves.
"Children with low language skills are the ones we are really worried about. More so than some disorders like a lisp or problems with certain sounds, which usually go away on their own," says Prof Wake.
The researchers are also worried that seven per cent of children who do not need help are sent for unnecessary assistance.
They urge parents to have their child assessed if they have concerns or if they are alerted to possible issues.
"Our study provides evidence that communication problems are often silent disabilities, potentially under-recognised and under-prioritised," says researcher Dr Jemma Skeat.
"Clearly, getting the right children to appropriate services requires more than informing parents of a likely problem."
Children who miss out on early intervention are at risk of ongoing problems that affect school success, behaviour and even mental health, she says.
The study is published in the journal Child: Care, Health & Development.
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