Below are some general guidelines for developmental expectations in communication. If your child is delayed, a speech and language evaluation may be indicated.

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At 9 months, does your child:

• Attend to a speaker and pictures.
• Recognize the names of family members.
• Produce several different syllables.
• Vocalize to get attention.

At 12 months, does your child:

• Understand simple questions.
• Participate in speech routine games (e.g., peekaboo, pat-a-cake).
• Use 1-2 words.

At 18 months, does your child:

• Have at least ten words.
• Use simple gestures (waves, claps, points).
• Make sustained eye contact and engage your attention.
• Persist in communication attempts to get you to do something.
• Understand a variety of simple words/commands without a gesture.

At 24 months, does your child:

• Use at least fifty words.
• Use several consonant sounds, including: p, b, m, t, d, n, h.
• Use several two word combinations (daddy car; more cookie).
• Use mostly words to communicate.
• Follow a variety of directions.

At 36 months, does your child:

• Engage in conversation.
• Use language in imaginative ways.
• Ask questions.
• Usually speak clearly.
• Use more consonant sounds: k, g, f, t, d, n, m, b, p, h.
• Respond appropriately to yes/no and wh- questions.
• Use early-developing grammatical markers (plural “s”, “-ing”, etc.)

At 48 months, does your child:

• Carry on conversations with adult-like grammar.
• Use pronouns: I, me, s/he, you appropriately.
• Ask and answer questions (e.g., who?, how?, how many? why?)
• Engage in complex pretend verbal play.
• Use more consonant sounds: p, d, m, w, h, n, t, b, k, g, f, v, y.

At 60 months, does your child:

• Participate in long, detailed conversations.
• Talk about past, future, and imaginative events.
• Retell stories or events.
• Follow 2-step directions involving basic concepts.
• Correctly produce speech sounds: p, d, m, w, h, n, t, b, k, g, f, v, y, s, z, j, th, sh, ch, l.