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Communication is an essential life skill. Here at Helen & Douglas House, speech is not always possible for many of the children we care for, so it is crucial for us to find alternative ways to engage and enable the children we support to express their feelings. Many of our clinical staff are trained in Makaton and often communicate with some of the children who come to the hospice using this unique language programme that uses signs, symbols and speech. They also use facial expression, eye contact and body language to give as much information as possible.

What is Makaton?

Makaton is a language programme that uses symbols, signs and speech to enable the children we care for to communicate. It is delivered face to face when a member of staff, trained in Makaton, communicates with a child during daily activities. It can also be delivered with picture communication tools called PECS (Picture Exchange Communication System), where children point using hands or eyes to highlight the item they want or choose. Some individuals prefer to use PECS to communicate, so Makaton symbols can be incorporated into this.

The complete Makaton Language Programme is made up of two vocabularies (taken from  Makaton.org):

– A Core Vocabulary of essential words or concepts presented in stages of increasing complexity. The Core Vocabulary is taught first and is the foundation of the programme.

– Then, a much larger, open-ended, topic-based resource vocabulary providing an enormous bank of further signs and symbols covering broader life experiences and used in association with the Core Vocabulary is learnt/taught or used as required.

Who uses Makaton?

Makaton is the UK’s leading language programme for adults and children with learning or communication difficulties. It is also used by everyone who shares their lives, for example, parents and other family members, friends and carers, and education and health professionals. In our case, we use it with children who come to the hospice, who may have physical or mental disabilities and/or limited movement. This language bridges the gap in communication and helps the children liaise with professionals, family, friends and carers. It is also often used at school and so, by using it, we help to provide continuity to young people’s language when they visit us.

ABC Finger spelling chart

  At the hospice, Makaton is used alongside spoken language during various activities, such as reading stories, and is mostly delivered by trained staff. One of our Play Team members, Chloe, is qualified to teach Makaton Levels 1 to 4 to other members of the team, helping to improve communication with the children and young people we support. 

The Level 1 training covers 140 key concepts from the core vocabulary, enabling staff to learn basic signs that are especially useful when interacting with many of the children who use our services.

This helps to develop a deeper understanding of how we communicate and represents how important language is to everyone at the hospice, especially for the children and families we care for. 

The aims of Makaton

Facts about Makaton

  • For basic communication
  • To aid understanding
  • To develop language skills
  • To facilitate social interaction
  • To help build relationships
  • To increase equal opportunities
  • There are 450 concepts within the core vocabulary
  • There are 11,000 concepts within the resource vocabulary
  • You should always use speech alongside signing
  • There are flexible teaching methods

How Makaton works 

Communication and talking do not always include speaking. When you watch someone talk they will not just say words, but also use hand movements, gestures, facial expressions, eye contact and body language. With Makaton, signs are used with speech in spoken word order. Using signs can help people who have no speech, or whose speech is unclear. 

Research has shown that signs and gestures are easier to learn than spoken words. For example, babies use gestures before they can speak, to tell us what they want – they might point at the biscuit tin or hold out their arms to be lifted up. Children and adults can use Makaton to let others know what they want, make choices, share information and understand more. This helps build and develop important communication and language skills and reduces isolation. 

Why we use Makaton 

Often, when a child cannot talk, or be understood, it can lead to behavioural issues such as frustration or becoming withdrawn. If this happens, they may communicate in ways that could become harmful to them or others. By using Makaton at the hospice, we are developing a way to communicate with all children and helping them express their feelings in a calm and manageable way. In turn, this can help improve their health and well-being. It is another part of the overall holistic care we can deliver at the hospice to make the most of their life, however short that life may be. And it is also a beneficial part of making memories together with their family. 

Some of the information found on this page has been adapted from information at  makaton.org. 

Why not try Makaton yourself?  It’s fun, interactive, and a great way to connect. Here, one of our volunteers, Alice, will show you a few signs she picked up during her Level 1 Makaton training. WATCH NOW 

Every donation you make enables us to continue to provide care to those who use our services.

 You can read more about other ways we communicate with children at the hospice, and how they interact with us if they are non-verbal, by reading our blog.