The Importance of Tracking Developmental Milestones

Children playing; developmental milestones

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Why track developmental milestones?

Every child grows and develops at their own pace. As a parent, it can be tough to remember not to compare your child to the children of relatives and friends. One child may begin speaking early on, while another may take longer. It is important to remember that developmental milestones are achieved within a range of months. If your child develops a skill at the late end of a range, it is in no way a predictor of their intelligence, talents or future successes. 

The differences among children with regard to development—even when they’re all within the normal range—can seem drastic. This is why developmental milestones are an important metric for tracking your child’s progress and determining whether intervention is needed. Identifying and treating delays early in the process will help set your child on the right path and avoid larger issues down the road.

There are a several major speech and language milestones to look out for as your child develops. However, if you have concerns about your child’s speech and language development, reaching out to a professional early is always better than the ‘wait and see’ approach.

The brain of a preschool age has incredible potential for change.  It is malleable in ways that older brains are not. In particular, the speech and language centers of the brain grow and change rapidly in the preschool and early elementary-school years.

As speech-language pathologists, we know that the earlier we can start treatment for children who need services, the faster and more effective that treatment will be.

 

developmental milestones

Signs Your Child May Benefit from a Speech and Language Evaluation

You may wish to consider scheduling a speech and language evaluation for your child if any of the following apply:

Preschool Years

  1. Your child does not seem to enjoy social interaction.
  2. Your child rarely initiates speech but instead echoes or repeats words during communication.
  3. Your child has difficulty following simple directions.
  4. Your child’s answer to simple questions are either “off topic” or do not seem to make sense.

Elementary School Years

  1. Your child has difficulty understanding spoken language.
  2. Many or most listeners have difficulty understanding your child.
  3. Your child pronounces words incorrectly.
  4. Your child has difficulty understanding jokes or sarcasm.
  5. Your child does not enjoy play or social interaction more generally.
  6. Your child has difficulty telling or retelling a story.
Everything You Need to Know About Language and Literacy in 8- to 10-Year-Olds

Speech Sound Acquisition

Listed below are the speech sounds and typical age ranges of acquisition. If you child does not acquire the specified sound by the end of the given age range, you may wish to consider a speech evaluation for your child.

Age range
Speech sounds
Birth to 3 years
M, N, P, B, H, W, T, D, and all vowels
2 to 3 ½ years
K, G, -ing, F, and Y
3 to 4 years
S and Z
3 to 4 ½ years
L, L-blends, and S-blends
3 ½ to 5 years
Sh, Ch, and J
3 to 5 years
R, R-blends, V, and Th

Developmental Milestones

For your reference, here is a list of general developmental milestones from birth to elementary school:

Birth to 6 months:

  1. Smiles and recognizes your voice
  2. Babbles and uses a variety of sounds
  3. Laughs
  4. Follows sounds with their eyes

6 to 12 months:

  1. Has one to two words by first birthday
  2. Imitates speech sounds
  3. Responds to requests
  4. Enjoys social games like peek-a-boo and pat-a-cake

1 to 2 years:

  1. Uses many different sounds in their words
  2. Can point to a picture in a book when asked
  3. Begins to combine words (i.e. more cookie)
  4. Has 200+ words by age 2

3 to 4 years:

  1. Answers simple who, what, where, when, and why questions
  2. Can tell simple stories
  3. Speech is understandable by most listeners
  4. Asks questions and asks for clarification if they don’t understand the answer

4 to 5 years:

  1. Enjoys pretend play
  2. Answers more complex how and why questions with logical answers
  3. Tells stories and stays on topic
  4. Can take turns in conversation

Elementary school:

  1. Understands jokes and sarcasm
  2. Sounds out new words and hears subtle differences among sounds
  3. Can follow more complex directions
  4. Can describe what others may be thinking or feeling

Additional Resources

Here are some of our favorite articles and websites on the topics of developmental milestones, early intervention, and speech and language development generally:

  1. From Birth, Engage Your Child with Talk by Jane Brody, New York Times, 2009
  2. Diane Bahr’s books and articles are fantastic resources on the prevention of developmental delays as well as practical everyday tips: net
  3. The American Speech Language Hearing Association: org
  4. Early Identification of Speech, Language and Hearing Issues
  5. Please also check out our TherapyWorks Blog

If you are ever concerned about your child’s developmental milestones, please set up a free phone consultation with a member of our professional team. We would be happy to speak with you to discuss your concerns.

COVID-19 Protocol

We hope you and your family are continuing to stay safe and healthy! We have outlined our protocols for in-person sessions during COVID-19. As you know, the health and safety of our clients and therapists remain our highest priority. As always, please reach out with any questions or concerns. Thank you for your cooperation and understanding as we work together through these unprecedented times.


Hand Washing:
Upon arrival at your home, your therapist will wash their hands with soap and water and/or use hand sanitizer. We ask that you and your child also wash your hands and/or use hand sanitizer upon your therapist’s arrival.
 
Facemasks:
We are asking our therapists to wear masks upon entering your home and throughout your child’s session. That said, we understand that some children have adverse reactions to seeing adults in masks and will leave it up to you and your therapist to decide your comfort level while still taking safety precautions.
 
We ask that parents and caregivers also follow the guidelines and wear masks when sitting in on sessions. We will not enforce that policy, but we do kindly ask for compliance.
 
As for your child, we realize that masks may not be appropriate for every child so we will not enforce the rule that children over the age of 2 should wear a mask.  However, if your therapist insists that your child wear a mask, then that will be a requirement directly between the two of you. We respect our therapists’ individual comfort levels with safety precautions and ask that you respect them as well.

 

Protocol Acknowledgment and Health Certification:

Before your child’s first in-person session, we are asking clients to submit an acknowledgment of these protocols and a health certification, which you can find here. Thank you again for your cooperation and for helping all of us stay healthy!