In the Before Times, I bet you could get doctors like Freedman and the many health professionals reposting his thread to agree that this CDC change is bad. Poorly-executed, at minimum.
What’s more, speech experts DO encourage Early Intervention at age 2 for severe speech delays, and I saw how EI changed my daughter’s life.
Most state EI programs end at age 3. Are we really all ready to cheer the CDC for elevating the 30 month milestone?
It feels anti-child.
Early Intervention is one of the most important principles and programs in all of children’s wellness.
If there were no Mask Wars, wouldn’t we likely agree that pushing back the timing of evaluations of children is a bad thing on its own merits?
That dissonance btwn ASHA/states & CDC/AAP is confusing?
That if CDC’s really worried about the 30 month milestone, they should be broadcasting need for urgent screening on website?
Watching doctors de-center the impact on vulnerable children to dunk on Vinay is disturbing.
And please don’t let anyone tell you that there is a whole pile of evidence supporting the speech milestone, and that’s why they are all going to the wall for it.
It’s a tribal reaction I don’t fully understand, not a reflection of weight of evidence.
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I've been digging into claims that @CDCgov recently lowered its bar for children's speech development.
CDC did change milestones. Today, it's out of line with @ASHAWeb & NY State.
Importantly, these other orgs haven't changed any guidance during the pandemic.
Let's unpack.
Now, I'm not a speech pathologist, nor do I play one on Twitter. But literacy advocates & Speech & Language Pathologists share common advocacy terrain, so I Know People.
I had many conversations today with SLP friends. The universal refrain:
The American Speech-Language-Hearing Association (@ASHAWeb) is clear that "saying fewer than 50 words" when a child is two years old is a sign of a "language problem."
Increasing use of high-quality curriculum is a longtime goal of many states. In fact, 13 states participate in @CCSSO's High-Quality Instructional Materials and Professional Development (IMPD) network, squarely focused on this goal.
As we near 2 yr anniversary of US COVID restrictions, borne most heavily by children…
Docs speaking out for normalcy for kids find their home locations & kids’ details posted online by anonymous trolls.
In viciously personal threads that get amplified by PH Twitter giants.
I’m not going to give one more eyeball to the thread by linking to it. Good for Twitter for removing the doxxing Tweets and at least Gonsalves came to his senses.
But this is what passes for discourse in America. For advocating for approaches already successful in Europe.
I will, however, amplify these replies to Gonsalves,
The main reason kids don’t get enough work with books at their grade level:
These curricula put kids into leveled reading groups, in which they do their literacy lessons with books at that level.
When you go into classrooms, you find kids in low, medium, and high groups.
It’s treated like a smart, even scientific approach.
But there is zero evidence that it works, and compelling evidence that challenging all kids with books at their grade level develops reading skills more effectively. More info summarized here:
Did you know that San Francisco declined to reopen schools in Fall, 2020 even though local COVID positivity was less than 1%… even as other districts opened at similar (in NYC) and higher (in sun belt) rates?
Did you know that SF schools remained closed until Spring, 2021… as most schools across the US reopened? (Reminder: 60% of US schools had opened by mid-October ‘20.)
And that SF parents protested the closures at the time?