Reading SOS: My child is learning English. How can we tell if she needs help with speech issues?

Dr. Elsa Cárdenas-Hagan suggests that you have your child screened in English and Spanish to determine if the issue is related to language or to mastering speech sounds. Next, Dr. Cárdenas-Hagan describes the milestones for learning speech sounds, beginning at age one. By the end of first grade, your child should know all of the speech sounds, no matter what the language.