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| Speech/Language Developmental Milestones Has your child met these milestones??  Does your child need speech therapy? Use these basic guidelines to help determine if your child needs speech therapy...
18 Months
Has vocabulary of approximately 12-20 words
Vocabulary made up chiefly of nouns
Some echolalia (repeating a word or phrase over and over)
Most children will begin to combine words (such as: "all gone" or "want ball")
Is able to follow simple commands 24 Months Can name a number of objects common to his surroundings
Is able to use at least two prepositions, such as: in, on, under
Combines words into a short sentence-largely noun-verb combinations Approximately 2/3 of what child says should be intelligible
Vocabulary of approximately 150-300 words
Volume and pitch of voice not yet well-controlled
Can use two pronouns correctly: I, me, you, although me and I are often confused
Responds to such commands as "show me your eyes (nose, mouth, hair)" 36 Months Use pronouns I, you, me correctly
Is using some plurals and past tenses
Knows at least three prepositions, usually in, on, under
Handles three word sentences easily
Has about 900-1000 words
About 90% of what child says should be intelligible
Verbs begin to predominate
Understands most simple questions dealing with his environment and activities
Relates his experiences so that they can be followed with reason
Able to reason out such questions as "what must you do when you are sleepy, hungry, cool, or thirsty?"
Should be able to give his sex, name, age
48 Months Knows names of familiar animals
Can use at least four prepositions or can demonstrate his understanding of their meaning when given commands
Names common objects in picture books or magazines
Knows one or more colors 
Can repeat 4 digits when they are given slowly
Can usually repeat words of four syllables
Demonstrates understanding of over and under
Has most vowels and diphthongs and the consonants p, b, m, w, n well established
Often indulges in make-believe
Readily follows simple commands even thought the stimulus objects are not in sight
60 Months Can use many descriptive words spontaneously-both adjectives and adverbs
Knows common opposites: big-little, hard-soft, heave-light, etc
Has number concepts of 4 or more
Can count to ten
Speech should be completely intelligible, in spite of articulation problems
Should have all vowels and the consonants, m,p,b,h,w,k,g,t,d,n,ng,y (yellow)
Should be able to repeat sentences as long as nine words
Should be able to define common objects in terms of use (hat, shoe, chair)
Should be able to follow three commands given without interruptions
Should know his age
Should have simple time concepts: morning, afternoon, night, day, later, after, while
Tomorrow, yesterday, today
Should be using fairly long sentences and should use some compound and some complex sentences
Speech on the whole should be grammatically correct
6 Years In addition to the above consonants these should be mastered: f, v, sh, zh, th,1
Speech should be completely intelligible and socially useful
Should be able to tell one a rather connected story about a picture, seeing relationships between objects and happenings 7 Years Should have mastered the consonants s-z, r, voiceless th, ch, wh, and the soft g as in George
Should handle opposite analogies easily: girl-boy, man-woman, flies-swims, blunt-sharp short-long, sweet-sour, etc
Understands such terms as: alike, different, beginning, end, etc
Should be able to do simple reading and to write or print many words 8 Years Can relate rather involved accounts of events, many of which occurred at some time in the past
Complex and compound sentences should be used easily
Should be few lapses in grammatical constrictions-tense, pronouns, plurals
All speech sounds, including consonant blends should be established Should be reading with considerable ease and now writing simple compositions
Social amenities should be present in his speech in appropriate situations
Control of rate, pitch, and volume are generally well and appropriately established
Can carry on conversation at rather adult level
Follows fairly complex directions with little repetition
Has well developed time and number concepts If your child has not achieved these typical speech and language milestones, contact us for a consultation: http://www.childdevelopmentinfo.com/development/language_development.shtml
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