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developement milestones for children  

Parents often ask, "How do I know if my child's speech and language skills are normal for his age group?" Below is a timetable outlining normal speech and language development.

NORMAL SPEECH & LANGUAGE DEVELOPMENT

An individual child may not follow this timetable exactly, however, it may be used as a general guide in helping to identify speech and language problems at an early age.

Age
Ability to Understand
Expressive Language
3-6 months
seeks sound source; smiles in response to speech, recognizes bottle
babbling begins; vocalize pleasure; displeasure
7-9 months
responds to "no"; responds to gestures; pat-a-cake, bye-bye
/m, n, t, d, b, p, z/ babbling; multiple syllables (maybe "mamma", "dada"), imitates speech sounds
10-12 months
begins to relate object and name; follows simple commands regarding body action; responds to own name consistently
may acquire 1st true word; (10-18 months); sentence-like intonations (jargon) begin; uses all sounds in vocal play
1-1.5 years
simple 1-step commands; recognizes some body parts, objects
3-20 single words; jargon; gestures
1.5- 2 years
200-300 words; simple yes/no questions
uses 20-60 recognizable words; 2-word combinations ("daddy car", "more milk"); 65% intelligible by 2 years
2-3 years
800-900 words; why, what, where questions; listens to short stories
uses 200-500 words; 3-4 words sentences ("daddy drive car", "I want to play"); grammar emerging; 70-80%intelligible
3-4 years
1200-1500 words; understands comparisons (big, little); responds to 2-part commands
uses 800-1500 words; 4-5 words sentences; question asking stage
4-5 years
2500 words; answers complex questions; some color/number concepts
uses 1500-2000 words; very intelligible in connected speech; 4-8 words sentences (grammar refined); tells long stories

Since good hearing is essential to speech development, parents of children with frequent occurrences of otitis media (ear infections) should pay close attention to the development of their child's speech and language skills.
The days of "Wait and see if he grows out of it," are quickly disappearing. If you are concerned with the adequacy of your child's speech and language development, make this the time to seek the help of a qualified professional.


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