Any child with a language delay it is important to assess the reason for delay
Hearing deficits needs to be ruled out as early as 6 months of age in a child who may not turn towards a sound source. Ideally a universal hearing screen in recommended at birth.If clinical judgement has any doubt about hearing level a repeat detailed BERA test should be done even if a hearing test is normal at birth.
Any child with language delay should be evaluated for both receptive and expressive language development and whether non verbal gestures like eye contact, joint attention, and interactive play are there or not.
Many a times we see lack of stimulation or excessive screen exposure leading to language delay in children. Such cases will benefit from modification of home environment and simple steps for language stimulation which parents can be taught.
Merely referring to a Speech therapist a child with language delay will not suffice unless the reason is ascertained. Development assessment in all domains is must.