Friday, April 1, 2011

Speech and Language Milestones

I probably get 20 to 30 phone calls a week to due to concerns around speech and language development. The following is guideline for when children acquire language skills.

http://www.reachmilestones.com/spmilestones.html

Speech and Language Milestones

BIRTH - 6 MONTHS

  • Indicates pleasure (coos) and displeasure sounds (crying, fussing)
  • Smiles when spoken to
  • Recognizes familiar voices
  • Turns head toward sounds and voices
  • Watches your face as you speak

6 MONTHS - 1 YEAR

  • Babbles
  • Understands single words
  • Follows simple commands with gestures
  • Responds to own name
  • Imitates speech sounds and simple intonation patterns
  • Listens when spoken to
  • By 1 year, uses 2-3 words to label objects or people
  • Understands "no"
  • Attempts to communicate through gestures or actions

1 - 2 YEARS

  • Uses jargon or unintelligible speech with adult-like intonation
  • Produces 8-10 words, mostly nouns, though sometimes omits initial consonants and almost all final consonants in words
  • Understands and follows simple commands without gestures
  • Combines gestures with vocalizations
  • Approximates words in imitation
  • Points to body parts
  • Understands actions words
  • Enjoys being read to
  • Points to pictures, objects, and family members
  • Requests familiar foods by name
  • Makes environmental and animal sounds

2-3 YEARS

  • Can produce 40+ words by 2 years
  • Requests items by name
  • Answers simple questions
  • Uses question inflection
  • Begins to use pronouns
  • Understands spatial concepts
  • Begins to use plural endings
  • Says full name
  • Typically uses most initial sound consonants, however, may omit medial consonants and omit/substitute final consonants
  • By age 3, speech is 50% - 75% intelligible to strangers

3-4 YEARS

  • Understands the function of objects
  • Groups common objects (sorts)
  • Identifies colors
  • Understands opposites
  • Follows 2 - 3 step directions
  • Has fun with language. Understands absurdities and simple jokes.
  • Asks and answers simple who, what, where, and why questions
  • Begins to ideate and express thoughts and emotions
  • Able to repeat sentences
  • Expressive language contains mostly nouns and verbs
  • Becoming conscious of the future and past
  • Has a receptive vocabulary of 1,200 to 2,000 words and an expressive vocabulary of 800 to 1,500
  • Speech rate begins to increase
  • Uses the verbs is, are, and am in sentences
  • Can use "ing" endings
  • Engages in topic maintenance
  • Speech is approximately 80% intelligible to strangers

4 - 5 YEARS

  • Attends to short stories
  • Understands quantity, time, spatial concepts
  • Uses 4 to 8 words in sentences
  • Understands complex questions
  • Asks for detailed answers to questions
  • Can explain "how to" related to familiar activities
  • Asks and answers "why" questions
  • Defines objects
  • Able to identify objects within categories
  • Uses a variety of grammatical and morphological structures (i.e. irregular plurals, possessive and reflexive pronouns; future tense, and comparatives)
  • Produces consonants with 80% - 90% accuracy
  • Speech is typically intelligible to strangers

5 - 6 YEARS

  • Follows 3-4 step directives
  • Engages in conversations
  • Asks "how" questions
  • Describes objects, people and places
  • Understands rhyming
  • Uses grammatical structures such as conjunctions, and the past and future tenses consistently
  • Reverses sounds occasionally
  • Tells creative and imaginative stories

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