This BMC pediatrics article was published in 2021 and reviewed the long term and short term outcomes of universal screening for language and speech delay in children <5 years old. The objective was to look at how effective this universal screening has been in order to provide recommendations on whether or not this screening should be done in the future. There has been a substantial amount of evidence supporting early intervention in children who come in with parents who have concerns about speech and language delay; however, the question this review is attempting to answer is if there is benefit in screening all children (less than 5 years old), regardless of if there have been specific concerns or not regarding language/speech. Answering this question is important because children with speech/language delay are at increased risk of learning and literacy disability and behavioral and psychosocial adjustment disorders. Therefore, catching any speech or language delays early, perhaps through a universal screening, may allow for early intervention which would give the child a higher chance at having better health, social, and academic outcomes. Some risk factors identified for language and speech delays included low level of parental education, family history, male gender, and perinatal complications. Unfortunately, there was insufficiency evidence to determine the accuracy of any screening instruments in the primary care setting. There was inadequate evidence regarding universal screening programs for language and speech delay improves any short or long term outcomes; well-designed trials using appropriate screening tools are needed for any evidence-based guidance.