I disagree about having one parent speak only English to the child. There is very little research out there to support the claim that this helps a child learn the culture's dominant language. There is a whole lot of research (and clinical experience) indicating that it's REALLY important for a kid to get maximum exposure in their family's primary language so the child can develop a strong language foundation. The English part will come through exposure to it in school and the community. If the parents are on board with augmenting speech with signs and pictures, go for it! Conduct therapy in English, obviously, but model strategies that parents can implement at home in their language.
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