Parents Page

When to be Concerned:

By 12 Months

  • Does not use a variety of vowel & consonant sounds during vocalization
  • Does not babble strings of consonant-vowel sounds
  • No turn-taking/sound imitation
  • Does not request items by using a gesture + sound
  • Does not follow simple, familiar directions with gesture cues (pointing)
  • No word attempts
  • Does not finish recommended feeding amounts within 20 minutes or has excessive reflux
  • Does not transition to pureed or textured foods
  • Does not show recommended weight gain

By 18 Months

  • Less than a 10-word vocabulary
  • Does not follow most familiar directions
  • Does not maintain eye contact during interactions
  • Does not consistently initiate verbal interactions
  • Does not include most of the following sounds in word attempts (b, p, m, n, t, d, k, g)
  • Does not show an interest in looking at books

By 2 Years

  • Less than a 50-word vocabulary
  • No 2-word combinations
  • Does not follow 2-step or unfamiliar directions
  • Does not include the above sounds plus (n, w) in words
  • Does not show an interest in book reading
  • Does not tolerate chewy foods
  • Continues to drool after teething ceases

By 3 Years

  • Does not use simple, complete 3-4 word sentences
  • Does not relay simple personal events using sentences
  • Does not follow most unfamiliar and multi-step directions
  • Does not appropriately answer most simple questions
  • Does not include (f, v, y, ng) in words
  • Continues to repeat the first sounds of words (b-b-b-ball)
  • Does not pretend to read books

By 4 Years

  • Does not relay events or maintain conversation using complex sentences
  • Does not include (s, z, sh, ch, j, l, r, th) in words
  • Does not sound play with rhyming

By 5-6 Years

  • Does not recognize letters or letter sounds
  • Does not break down words into sounds (bat starts with a /b/ sound)
  • Does not sound out simple words (cat, big)
  • Does not meet grade expectations for reading or spelling
Parents Page

Our Services

  • Comprehensive assessments
  • Individual treatment plans
  • Free Speech and Language Screenings
  • One on one therapy sessions
  • Family education
  • Feeding/swallowing intervention
  • Developmental language intervention
  • Cognitive development
  • Oral sensory-motor function
  • Phonologic development
  • Augmentative/pre-augmentative

More information for parents