How to make a student comprehend and be a part of the discussion(when the child's cognition level is not according to the age)?

Hello All,
I teach(science) middle school students and i constantly encounter a situation where one or two students are not able to keep pace with the class(not even the basics).
the student is just not able to follow the discussion.
the reasons that i could trace were some personal issues of the family.since the environment is such where the child is so stressed, the child's development is hampered.
So how can i help that child to atleast be a part of the discussion and be responsive.and how i can help in starting from the very basics(primary) provided the time we get is limited and there is no extra time for interacting with the child apart from the classroom.

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