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When do I need to make a referral to a Speech Therapist?
Speech and Language Developmental Milestones
turns head toward sound soothes with cuddling and by calm, gentle voices enjoys being held and tickled chuckles, coos, cries, gurgles, grunts and says "ah" moves body in response to voice strong cheek and tongue muscles
laughs with play reaches for toys grabs objects/toys watches your face with interest
babbles more than two sounds Red Flag-does not look at the person speaking to them does not notice or startle to sounds
looks for a hidden toy says "mama" "baba" or "dada" understands bye bye, give me and their own name Red Flag-does not produce repetitive syllables like "mama"
says one or two words enjoys being read to laughs sings with radio or television Red Flag-does not maintain eye contact or attention to speaker does not look at familiar people when named does not understand simple questions
understand questions like where is your nose? nods for "yes" and shakes for "no" says 20 words knows the names of things plays with other children Red Flag-does not use at least 20 words
puts two or three words together says at least 50 words recognizes familiar pictures and books engages in pretend play says "mine" follows simple directions asks "what is" "where is" questions Red Flag-does not use at least 50 words does not identify body parts does not understand commands (actions) without gestures
speaks in at least three-word sentences uses at least 200 words, usually too many to count responds to other feelings answers simple questions "what is your name?" "Which one do we eat with?" Follows directions like "put your doll under the table" Red Flag-does not use at least 200 words cannot be understood by caregiver/family cannot produce vowel sounds and consonants such as p, b, m and w in words becomes frustrated when asked to repeat
follows two-step related directions tells first and last name reasons "what do you do when you are hungry?" can tell a short story gives directions asks "WH" (who, what, when, where, why) questions can answer questions about a story uses 3-5 word sentences Red Flag-cannot be understood by unfamiliar listeners cannot pronounce t,d,k,g,f becomes frustrated when asked to repeat does not understand comparisons does not make inferences cannot use short grammatically correct sentences |
When do I need to make a referral to an Occupational Therapist?
Fine Motor Developmental Milestones
turns head from side to side kicks feet moves hands, brings hands to mouth pushes up head and chest when on tummy moves body actively in response to voice Red Flag-does not watch moving objects
rolls from stomach to back has good head control reaches for a toy grasps objects/toys
moves objects from hand to hand sits but may need some support grasps objects with thumb and finger Red Flag-does not roll over
throws toys or objects pulls self up, stands while holding on feeds self finger foods such as cereal Red Flag-unable to sit without support
pulls self up and stands presses buttons on phone, toys, etc. Red Flag-unable to stand alone
walks without support stacks at least three blocks Red Flag-Unable to walk without help
walks well runs a little scribbles with a crayon or pencil prefers to feed self squats to pick up toys Red Flag-does not squat or bend to pick up toys/objects
kicks a large ball can jump in place Red Flag-unable to do any of the above tasks
feeds self walks up steps completes 3-4 piece puzzle independently Red Flag-Shows no interest in potty training |
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Developmental Milestones
603 East Call Street ◊ Starke, FL 32091 ◊ 904-964-8900 ◊ 904-964-5309
