Background: Accurate and meaningful assessment of language and communication skills to monitor child progress is the cornerstone to appropriate intervention for children with complex communication needs (CCN; Brady et al., 2016; Rowland et al., 2012). Despite this need, there is a lack of high quality and validated measurement of young children…

Background: Communication difficulties are common in cerebral palsy (CP) and are frequently associated with motor, intellectual and sensory impairments. Speech and language therapy research comprises single-case experimental design and small group studies, limiting evidence-based intervention and possibly exacerbating variation in practice. Aims:…

Many children born with severe and multiple disabilities have complex communication needs and may use no speech or only minimal speech to communicate. Meaningful assessment of their expressive skills to identify communication strengths along a developmental trajectory is an essential first step toward appropriate intervention. This article…