This paper presents a model to guide speech-language pathologists (SLPs) to effectively respond to social determinants of health and protective factors that shape early communication development for Australian children. Aligned with contemporary early years policy frameworks, we discuss the SLP’s role in strategically strengthening the protective factors that enable language development across three ecological levels: child and family, community, and systems and society. By embracing this scope of practice, SLPs move beyond traditional service boundaries to partner with families, mobilise community resources, and advocate for systemic change that addresses health inequities. Developed with input from practicing SLPs working across diverse contexts, this work demonstrates both the necessity and feasibility of place-based innovation in speech-language pathology. It serves as a practical resource and catalyst for ongoing professional dialogue, inviting SLPs to consider how they can create meaningful, equitable impact on early communication development by addressing the social determinants that matter most.
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Melvin et al. (2026) studied this question.
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