Neuro
Language Milestone Red Flags
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Language Milestone Red Flags
See Also
Developmental Red Flags
Developmental Milestone
Red Flags
Immediate speech therapy evaluation indications
No babbling by 12 months
No pointing or gestures by 12 months
Does not use at least 3 words by 15 months
Does not say mama, dada or other names by 18 months
At least some speech not understandable by 24 months
Does not use at least 25 words by 24 months
No 2-word spontaneous phrases by 30 months (includes noun-verb phrases)
Does not use at least 200 words by 36 months
Does not ask by name for objects by 36 months
Repeats phrases in response to questions (
Echolalia
) at 36 months
Regression of skills at any age
Loss of language or babbling
Loss of social skills
Screening
Rule of Fours
Start with child's age in years divided by 4
The calculation represents the percentage of a child's speech understandable by a stranger
Age 1 year: Speech is 25% understable
Age 2 year: Speech is 50% understable
Age 3 year: Speech is 75% understable
Age 4 year: Speech is 100% understable
References
Schum (2007) Pediatr Clin North Am 54(3): 425-36 [PubMed]
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