SPEECH AND LANGUAGE DEVELOPMENT CONCERNS
What is normal?
The following behaviors may indicate a possible speech, language or listening problem. You should be concerned if your child:
24 to 36 months
Avoids eye contact
Has difficulty singing songs or imitating parts of simple nursery rhymes
Doesn't put short two or three word-phrases together
Has difficulty sitting and attending to a book or movie for more than a few minutes
Is very difficult to understand when talking (Mom may understand but others do not)
Preschool Age (3 to 5 years)
Speaks differently from other children of the same age; is difficult to understand (between the ages of 4 and 5 children should be using most sounds correctly. (It is still normal to have mispronunciations on r, th, l, v, sh, ch and j)
Has difficulty maintaining eye contact when listening or speaking
Is disinterested or detached from other children of the same age when playing
Makes noises or uses gestures to express needs instead of using words and sentences
Has difficulty comprehending or following conversations (or simple oral directions) watches what others are doing or needs to see gestures before attempting to follow a direction
Speaks in short phrases instead of complete sentences most of the time
Leaves out words such as "is" or "the" (e.g., "Bobby not going in car.")
Leaves off endings which show "how many" or "possession" e.g., "two car outside", "Sara bike nice."
Speech, Language and Listening Milestones
Below are some general speech and language developmental milestones. Every child is unique and may not do everything yet!
4 to 5 Years of Age
Comprehends 2,500 to 2,800 words
Speaks clearly most of the time
Makes up stories
Listens and attends to stories, conversation and movies
Plays dramatically and chats a lot
Follows 3-step directions
Uses 1,500 to 2,000 words
Describes pictures with complete sentences
Uses "he", "she", "I", "you" and "they" correctly
Explains events that took place in the past with accurate detail
For more information contact the Special Services Department at 586.510.2050.