SYDNEY SPEECH THERAPY

Speech Pathology or Tutoring?

What Parents of Bilingual Children Need to Know

Vocabulary & Concepts

Understanding words, phrases, and
concepts such as time, location and size (e.g., before, next to, behind, smaller)

Question Types

Understanding wh questions (e.g., who, what, where), inferencing questions, predicting questions & abstract language

Grammar & Sentences

Understanding grammatical structures (e.g., past tense, plurals, pronouns) and sentences

Following Directions

Understanding and recalling single and multi-step directions. These are used in conversation at home and school

Your child moves easily between English and your home language at the dinner table, makes friends quickly at school, and seems perfectly comfortable speaking English out loud. Yet school reports tell a different story: spelling is tricky, reading is draining, and multi-step instructions aren’t always being followed. This contrast is common among Australian students learning English as an additional language, and it raises an important question for families: is this typical second-language development, or a sign that more targeted support is needed?

The Gap Between "Sounding Fluent" and "School-Ready" Language

There are two kinds of language a child needs to pick up, when learning another language - and they don't grow at the same speed. The everyday, conversational kind of language, which is used at lunch and in the playground, is usually developed within one to three years of exposure to a new language. But the academic language needed for schoolwork, such as spelling, reading stories, and following a maths explanation, takes a lot longer. This can take up to five to seven years (Collier, 1987; Cummins, 1981). That's why a child can sound completely fluent chatting away, while quietly struggling to keep up in class. It's easy for that to look like a motivation problem or a content problem, when really there's a gap in vocabulary depth or sentence structure. Building language itself, rather than delivering academic content, is the focus of speech-language pathology training.

Language difference vs. language disorder

When an English learner is struggling at school, there are really two different things that could be going on. One is a language difference, which simply means your child is going through the normal process of picking up a second language, which doesn't need any specialised support. The other is a language disorder or language impairment, which is an underlying difficulty that would show up no matter which language your child was speaking.

A certified speech therapist is able to tell the difference between a language difference and a language disorder. Pieretti and Roseberry-McKibbin (2016) found that English learners often get referred for services they don't actually need, simply because normal language learning gets mistaken for a disorder. Kohnert (2010) found the opposite happens too: genuine impairments get missed because everyone assumes it's "just" the English still catching up. Getting this wrong either way has real consequences, from a child being unfairly labelled, to a child missing out on critical early support when they genuinely needed it. That's why standardised, cross-linguistic assessment and specialised clinical judgement by a speech therapist is important.

Language Disorder/
Impairment

  • Difficulties with instructions in both languages

  • Struggles to retell a simple story, even at home

  • Vocabulary/grammar behind in both languages

  • Frequent word-finding trouble in both languages

  • Unusual sound errors

  • Social communication difficulty in both languages

Language Difference

  • Word order replicates their home language

  • Home-language speech-sound accent patterns

  • Mixes languages mid-sentence

  • Smaller English vocabulary, but expected vocabulary in home language

Language Difference

  • Word order replicates their home language

  • Home-language speech-sound accent patterns

  • Mixes languages mid-sentence

  • Smaller English vocabulary, but expected vocabulary in home language

Language Disorder/
Impairment

  • Difficulties with instructions in both languages

  • Struggles to retell a simple story, even at home

  • Vocabulary/grammar behind in both languages

  • Frequent word-finding trouble in both languages

  • Unusual sound errors

  • Social communication difficulty in both languages

Speech Therapy vs. Tutoring

Tutoring is great for academic content, things like homework support, study skills, or going over what's been taught in class. But it tends to build on top of the language a child already has. Speech therapy works on something different: it strengthens the language itself, the vocabulary, the sentence structure, the ability to tell a story in order, the sound skills behind reading and spelling, and the social side of using language too.

And there's real evidence behind this kind of support:

  • Ebert and colleagues (2014) found that bilingual children with primary language impairment made real progress in both their home language and English after structured speech therapy.

  • Goldstein and Kohnert (2005) made the point that helping these kids well means looking at their whole language picture, not just their English.

  • And more recently, Risueno, Gray, and Romeo (2024) found that a structured storytelling-based intervention, run by qualified speech pathologists, led to genuine gains for Spanish-English bilingual children with developmental language disorder.

So, Tutor or Speech Therapist?

Speech Therapist

As a general rule, if a child struggles with understanding or producing language itself, following directions, retelling a story, constructing sentences, reading comprehension that doesn't improve with practice, speech therapy may be beneficial.

Tutor

Generally, if a child understands material once it's explained but needs help with homework, remembering information and/or study skills, tutoring may be better suited.

Speech Therapist

As a general rule, if a child struggles with understanding or producing language itself, following directions, retelling a story, constructing sentences, reading comprehension that doesn't improve with practice, speech therapy may be beneficial.

Tutor

Generally, if a child understands material once it's explained but needs help with homework, remembering information and/or study skills, tutoring may be better suited.

Frequently Asked Questions

Vocabulary & Concepts

Understanding words, phrases, and
concepts such as time, location and size (e.g., before, next to, behind, smaller)

Question Types

Understanding wh questions (e.g., who, what, where), inferencing questions, predicting questions & abstract language

Grammar & Sentences

Understanding grammatical structures (e.g., past tense, plurals, pronouns) and sentences

Following Directions

Understanding and recalling single and multi-step directions. These are used in conversation at home and school

Where to next?

If you suspect your child's struggles go beyond typical second-language adjustment, you can:

  • Ask your child’s teacher or learning support team for their thoughts

  • Speak to your GP or paediatrician about your concerns

  • Get in contact with us today, for a complimentary chat about your child’s development

References

Collier, V. P. (1987). Age and rate of acquisition of second language for academic purposes. TESOL Quarterly, 21(4), 617–641.

Cummins, J. (1981). The role of primary language development in promoting educational success for language minority students. In Schooling and Language Minority Students: A Theoretical Framework (pp. 3–49). California State Department of Education.

Ebert, K. D., Kohnert, K., Pham, G., Disher, J. R., & Payesteh, B. (2014). Three treatments for bilingual children with primary language impairment: Examining cross-linguistic and cross-domain effects. Journal of Speech, Language, and Hearing Research, 57(1), 172–186.

Goldstein, B., & Kohnert, K. (2005). Speech, language, and hearing in developing bilingual children: Current findings and future directions. Language, Speech, and Hearing Services in Schools, 36(3), 264–267.

Gutiérrez-Clellen, V. F. (1999). Language choice in intervention with bilingual children. American Journal of Speech-Language Pathology, 8(4), 291–302.

Kohnert, K. (2010). Bilingual children with primary language impairment: Issues, evidence and implications for clinical actions. Journal of Communication Disorders, 43(6), 456–473.

McLeod, S., Verdon, S., & International Expert Panel on Multilingual Children's Speech. (2017). Tutorial: Speech assessment for multilingual children who do not speak the same language(s) as the speech-language pathologist. American Journal of Speech-Language Pathology, 26(3), 691–708.

Pieretti, R. A., & Roseberry-McKibbin, C. (2016). Assessment and intervention for English language learners with primary language impairment: Research-based best practices. Communication Disorders Quarterly, 37(2), 117–128.

Risueno, R. J., Gray, S., & Romeo, S. (2024). The efficacy of Story Champs for improving oral language in third-grade Spanish-English bilingual students with developmental language disorder. Language, Speech, and Hearing Services in Schools, 55(3), 938–958.

Written by Alisha Seeto, certified practising Speech Pathologist

Vocabulary & Concepts

Understanding words, phrases, and
concepts such as time, location and size (e.g., before, next to, behind, smaller)

Question Types

Understanding wh questions (e.g., who, what, where), inferencing questions, predicting questions & abstract language

Grammar & Sentences

Understanding grammatical structures (e.g., past tense, plurals, pronouns) and sentences

Following Directions

Understanding and recalling single and multi-step directions. These are used in conversation at home and school

Not sure where to start?

If you have concerns about your child’s language development, we’re here to help!