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Language Development 0-3 Years
Milestones & Red Flags

Contact your pediatrician and find a local Speech-Language Pathologist if you have any concerns about your child's speech or language.

Language skills can be divided into the following two areas:

RECEPTIVE LANGUAGE

How well we understand what we hear and process.

EXPRESSIVE LANGUAGE

How well we express ourselves using sounds, gestures, words, sign language, etc.

  • Quiets or smiles when you talk.

  • Seems to recognize your voice.

  • Moves eyes in the direction of sounds.

  • Responds to changes in tone of voice (smiling with warm/happy tone, becoming scared with loud/angry tone, etc.)

  • Turns and looks in the direction of sounds.

  • Looks when you point.

  • Turns when their name is called.

  • Understands words for common objects and people (cup, car, juice, mommy)

  • Responds to familiar words and phrases (no, come here, want more?, etc.)

  • Plays simple social games (i.e. peek-a-boo)

  • Listens to songs and stories for a short time

  • Points to identify a few body parts.

  • Follows 1-step directions (i.e. 'roll the ball')

  • Responds to simple, familiar questions (i.e. 'who's that?', 'where's dad?', etc,)

  • Listens to simple stories, songs, and rhymes for 2 minutes.

  • Points to pictures in a books when named.

  • Understands opposites (i.e. go/stop, big/little, on/off, etc.)

  • Understands size differences.

  • Begins to understand time concepts (i.e. soon, later, wait, etc.)

  • Follows 2-step directions (i.e. 'get the spoon and put it on the table)

  • Understands new words quickly.

  • Makes cooing sounds.

  • Cries change for different needs (hunger, needing a diaper change, etc.)

  • Smiles at people

  • Coos and babbles when playing.

  • Babbles include early sounds 'ba', 'ma', 'pa'

  • Giggles and laughs

  • Babbles strings of sounds ('mamama', 'upupup', 'bubububu).

  • Uses sounds and gestures to get and keep attention.

  • Points to objects and shows them to others.

  • Uses gestures, like waving hi/bye, reaching up tp be picked up, shaking head 'no', etc.

  • Imitates different speech sounds.

  • Says 1 to 2 words (hi, dog, dada, mama, uh-oh) around first birthday, but sounds may not be clear.

  • By 18 months uses 50 words.

  • By 24 months uses 200 words.

  • Uses the sounds /p,b,m,h,w/ in words.

  • Starts to names pictures in books.

  • Asks simple questions (i.e. 'what's that?', 'who's that?', 'where is he?', etc.)

  • Puts 2 words together (i.e. 'more apple', 'no bed', etc.)

  • By 3 years uses 1,000 words.

  • Has a word for almost everything.

  • Uses present progressive verb+ing (i.e. drinking).

  • Uses prepositions (i.e. in, on, under).

  • Uses 2-3 word combinations to talk about things and ask for things.

  • People who know your child can understand them well.

  • Asks 'why?'

  • Begins to control others verbally rather than physically.

0-3 Months

4-6 Months

RED FLAGS @ 6 MONTHS

  • Does not laugh or squeal

  • Does not look toward new sounds

7-12 Months

RED FLAGS @ 9 MONTHS

  • Has limited or no babbling

  • Does not indicate when happy or upset

RED FLAGS @ 12 MONTHS

  • Does not point to objects

  • Does not use gestures (wave, shake head)

12-24 Months

RED FLAGS @ 15 MONTHS

  • Has not used first word

  • Does not respond to 'no' or 'bye bye'

RED FLAGS @ 18 MONTHS

  • Does not use 6-10 words consistently

  • Does not discriminate between sounds

RED FLAGS @ 20 MONTHS

  • Does not use at least 6 consonant sounds

  • Does not follow simple directions

RED FLAGS @ 24 MONTHS

  • Uses less than 50 words

  • Has limited interest in social interaction

24-36 Months

RED FLAGS @ 36 MONTHS

  • Strangers have trouble understanding

  • Does not use simple sentences

What Next?

Email: info@skyrockettherapy.org

Tel: 909-475-7002

Fax: 909-435-4540

Skyrocket Pediatric Therapy Foundation (Skyrocket) does not provide medical or legal advice or services. Skyrocket provides general information about developmental disabilities and developmental therapies as a service to the community. The information provided on our website is not a recommendation, referral or endorsement of any resource, therapeutic method, or service provider and does not replace the advice of medical, legal or educational professionals. Skyrocket has not validated and is not responsible for any information, events, or services provided by third parties. The views and opinions expressed in blogs on our website do not necessarily reflect the views of Skyrocket.

© 2024 by Skyrocket Pediatric Therapy Foundation

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