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Additional Information
What to Expect
New Programs
Speech Milestones
0-6 Months
- Repeats same sounds
- Frequently coos, gurgles and makes pleasure sounds
- Uses different cry to express different needs
- Smiles when spoken to
- Recognizes voices
- Localizes sound by turning head
- Listens to speech
- Uses phonemes /b/,/p/, and /m/ in babbling
- Uses sounds or gestures to indicate wants
7-12 Months
- Understands no and hot
- Responds to simple requests
- Understands and responds to own name
- Listens to and imitates some sounds
- Recognizes words for common items
- Babbles using long and short groups of sounds
- Uses song-like intonation pattern when babbling
- Uses large variety of sounds in babbling
- Imitates some adult speech sounds and intonation patterns
- Uses speech sounds rather than only crying to get attention
- Listens when spoken to
- Uses sound approximations
- Begins to change babbling to jargon
- Uses speech intentionally for the first time
- Uses nouns almost exclusively
- Has expressive vocabulary of 1 to 3 words
- Understands simple commands
13-18 Months
- Uses adult-like intonation patterns
- Uses echolalia and jargon
- Uses jargon to fill gaps in fluency
- Omits some initial consonants and almost all final consonants
- Produces mostly unintelligible speech
- Follows simple commands
- Receptively identifies 1 to 3 body parts
- Has expressive vocabulary of 3 to 20 or more words
- Combines gestures and vocalization
- Makes requests for more of desired items
19-24 Months
- Uses words more frequently than jargon
- Has expressive vocabulary of 50-100 words
- Has receptive vocabulary of 300 words
- Starts to combine nouns and verbs
- Begins to use pronouns
- Maintains unstable voice control
- Uses appropriate intonation for questions
- Is approximately 25-50% intelligible to strangers
- Answers "What's that?" questions
- Enjoys listening to stories
- Knows 5 body parts
- Accurately names a few familiar objects
2-3 Years
- Speech is 50-75% intelligible
- Understands "one" and "all"
- Verbalizes toilet needs
- Requests items by name
- Points to picture in book when named
- Identifies several body parts
- Follows simple commands and answers simple questions
- Enjoys listening to short stories, songs and rhymes
- Asks 1-2 word questions
- Uses 3-4 word phrases
- Uses some prepositions, articles, present progressive verbs, regular plurals, contractions, and irregular past tense forms
- Uses words that are general in context
- Continues use of echolalia when difficulties in speech are encountered
- Has receptive vocabulary of 500-900 words
- Has expressive vocabulary of 50-250 words
- Exhibits multiple grammatical errors
- Understands most things said to him or her
- Frequently exhibits repetitions
- Speaks with loud voice
- Increases range of pitch
- Uses vowels correctly
- Consistently uses initial consonants
- Frequently omits medial consonants
- Frequently omits or substitutes final consonants
- Uses approximately 27 phonemes
- Uses auxiliary "is" including contracted form
- Uses some regular past tense verbs, possessive morphemes, pronoun and imperatives
3-4 Years
- Understands object functions
- Understands difference in meanings
- Follows 2 and 3 step commands
- Asks and answers simple questions
- Frequently asks questions
- Produces simple verbal analogies
- Uses language to express emotion
- Uses 4 to 5 words in sentences
- Repeats 6-13 syllable sentences accurately
- Identifies objects by name
- Manipulates adults and peers
- Continues to use echolalia
- Uses up to 6 words in sentences
- Uses nouns and verbs
- Is conscious of past and future
- May repeat self often
- Increases speech rate
- Whispers
- Masters 50% consonants and blends
- Speech is 80% intelligible
- Sentence grammar improves
- Tells two events in chronological order
- Engages in long conversations
- Uses contractions
4-5 Year Olds
- Counts to 5
- Understands concept of numbers up to 3
- Continues understanding spatial concepts
- Recognizes 1-3 colors
- Has extensivereceptive vocabulary
- Counts to 10 by rote
- Listens to short simple stories
- Answers questions about functions
- Uses grammatically correct sentences
- Has extensive expressive vocabulary
- Uses sentences of 4-8 words
- Answers complex 2 part questions
- Asks for word definitions
- Speaks at rate of approximately 185 words per minute
- Reduces total number of repetitions
- Enjoys rhymes, rhythms, and nonsense syllables
- Significantly reduces number of persistent sound omissions and substitutions
- Frequently omits medial consonants
- Speech is usually intelligible to strangers
- Talks about experiences at school, at friends' homes, etc.
- Accurately relays long story
5-6 Years Old
- Names 6 basic colors and 3 basic shapes
- Follows instructions given to group
- Follows 3 part commands
- Answers verbally to "hi" and "how are you"
- Uses past tense and future tense appropriately
- Uses conjunctions
- Has receptive vocabulary
- Names opposites
- Sequentially names days of week
- Counts to 30 by rote
- Continues to drastically increase vocabulary
- Reverses sounds occasionally
- Exchanges information and asks questions
- Uses sentences with details
- Accurately relays a story
- Sings entire song and recites nursery rhymes
- Communicates easily with adults and other children
- Uses appropriate grammar in most cases
6-7 Years Old
- Names some letters, numbers and currencies
- Sequence numbers
- Understands left and right
- Uses increasingly more complex descriptions
- Engages in conversations
- Has receptive vocabulary of approximately 20,000 words
- Uses sentence length of approximately 6 words
- Understands most concepts of time
- Recites alphabet
- Counts to 100 by rote
- Uses most morphologic markers appropriately
- Uses passive voice appropriately
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"Early Intervention is critical to your child's success. If you have questions regarding your child's developmental milestones, a speech and language screening is recommended."
Susan Montgomery, Speech-Pathologist |
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