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Measuring progress in moments, not milestones

After twenty years as a speech-language therapist in childhood intervention, I have learnt many lessons. The one that has stayed with me most strongly is this: always believe in the potential of every child.

Over the years, I have had the privilege of walking alongside many families. This is not a path any parent imagines for their child, particularly when the journey includes complex communication challenges. For many families, accepting support from a team is not easy. There is often grief, uncertainty and the quiet weight of adjusting expectations for the road ahead. Some of the children I have worked with needed only brief intervention before confidently moving forward. Other journeys unfold very differently. Progress does not always arrive in dramatic leaps; more often, it comes quietly.

For parents and support teams, the emotional reality of slower progress can be heavy. It can bring frustration, sadness when comparing a child to peers and real fears about the future. For those of us supporting families professionally, self-doubt can begin to creep in and goals may start to feel overwhelming. In these moments, it is vital to remember that slow progress can feel invisible, but it is rarely insignificant.

For many children, progress may look like a new attempt at a sound, a smoother move from one activity to the next, using a strategy without being prompted, calming down more quickly after becoming upset, or joining in for a little longer. Very often, progress is measured in moments, not just milestones.

Many of the children we work with are managing a great deal at once: heavy sensory input, the effort of planning and coordinating their movements, the strain of processing language and the constant work of managing their emotions. These children are often not plateauing. They are working at the very edge of their capacity.

Parents and professionals supporting a child’s growth need to keep the long race in mind. That begins with realistic goals, grounded in a clear, measurable picture of where the child is starting from. Everyone involved also needs to be on the same page, so that progress is supported consistently and recognised in ways that make a real difference to the child’s daily life.

Pacing also matters. Keeping therapy demands manageable and deliberately celebrating small gains helps sustain both the child and the adults around them. Those adults need support too, and protecting hope within the team is essential. Hope, in this sense, is informed, realistic and shared: a sustained belief in the child’s capacity to grow and develop. Just as no marathon runner succeeds without well-placed support stations, a child’s team needs that same shared understanding.

To sustain hope over time, it helps to make progress visible. Progress charts, video comparisons, reflections from parents and caregivers, teacher observations and trends in therapy records all help us see what daily life can easily miss.

When we learn to notice small gains, we begin to appreciate just how far a child has truly travelled. My favourite reminder, and one I return to often, is simple: forward is still forward, no matter the pace.

Content by www.bellavista.org.za

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Sairah Rich

This article was written by the Head of the Speech and Language Department at Bellavista School.

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