Communication is developed over time. This checklist outlines the ages that communication milestones are normally reached.
If you realize your child may need help, contact a Speech-Language Pathologist. Parents can refer their children themselves. For Children birth to 5 in Terrace contact Northern Health, Speech and Hearing at (250) 638-2233 or Child Development Centre at (250) 635-9388.
Check the yellow pages or contact the Canadian Association of Speech-Language Pathologists and Audiologists 1-800-259-8519 or www.caslpa.ca |
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| by 3 months |
- make noises (eg., coos, gurgles)
- turn towards a new sound
- jump at a loud noise
- be calmed when you speak in a
gentle voice
- smile at you
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When to call for help:
- Your baby does not react
to your voice or other sounds.
- Your baby does not smile or
make sounds when awake
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| by 6 months |
- watch your face when you talk
- cry in a different way when
hungry
- make noises to get attention
- make sounds back when
you talk
- smile at you and other
family members
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When to call for help:
- Your baby does not react
to your voice or other sounds.
- Your baby does not smile
or make sounds when awake.
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| by 12 months |
- understand their own name
- understand words like "bye-bye" or "up"
- say sounds like "ba ba, na na, ga ga"
- laugh and try to make sounds
like you do
- say their first word
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When to call for help:
- Your baby does not wave
back at you when
you say "bye bye" and wave.
- Your baby does not try to
show you things by
reaching, looking, or
pointing.
- Your baby does not use
a lot of sounds and/or
does not copy sounds
mouth movements
(eg. "rasberry") that you
make.
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| by 15 months |
- take turns making sounds
- say 2 or 3 words, but not
clearly
- understand "no" and shake
their head
- reach or point to something
they want while making a
sound
- understand simple questions
or directions like "where is
your nose?", "show me
your shoe".
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When to call for help:
- Your child does not try to say
words, make sounds or
gestures to tell you what he
or she wants.
- Your child does not follow
simple directions even
with assistance.
- Your child does not try to get
your attention by pointing
to things.
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| by 18 months |
- understand words and
point to parts of their bodies
like "nose, ear"
- look for things when asked
to, like "get your hat"
- make new gestures and/or
words like you do
- make gestures or ask for
"more" or "again"
- Says lots of words
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When to call for help:
- Your child does not make
sounds or gestures like you do.
- Your child started to use
words, but stopped.
- Your child uses less than
10 words.
- Your child is not playing with
toys for pretend purposes.
(eg. pretending to talk on
the phone).
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| by 21 months |
- point to a picture or sign, such
as when asked "Where's
McDonalds?"
- play with toys and pretend
to do thingslike feeding a
doll or going in a car
- say at least 20 or more words
- follow directions such as
"drink your juice" or "sit
down please"
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When to call for help:
- Your child only says less
than 20 words
- Your child does not
pretend with toys.
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| by 2 years child: |
- understand more than they
can say
- say two words together like "more milk"
- ask "what¹s that?" (may sound
like "wha dat" or "whatssat")
- pick one thing out from a
group of objects, such as
a cup.
- begin to follow longer
directions
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When to call for help:
- You have a hard time
understanding what your
child says.
- Your child uses fewer
than 50 words or does
not put two words
together.
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| by 3 years child: |
- use short sentences, like "me do it", "daddy going car"
- follow simple directions, like "put the teddy bear to bed"
- place something in the right
spot if you say to put it "in", "on" or "under"
- have a conversation with
family members or other
familiar people
- listen to stories and answer
simple questions
- begin to add endings to
words, such as running, toys
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When to call for help:
- Your child acts frustrated when
trying to talk.
- You have a hard time understanding what your child says.
- Your child does not string
together several words to
make sentences.
- Your child finds listening to
a 10 minute storybook
challenging
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| by 4 years child: |
- use sentences of 4 to 6 words
- give directions like "fix this for me"
- ask many questions like
what, where, why
- tell about things they have done
- talk to themselves and their toys
- tell a story or sing a song
- tell you when they are tired
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When to call for help:
- Your child repeats words but does not seem to understand.
- Your child stutters.
- Other people have a hard time understanding what your child says.
- Your child uses words in an unusual way
- Your child finds it difficult to talk about or re-tell past events.
- Your child is not interested in books
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| by 5 years child: |
- use sentences that sound
almost like an adult
- be able to say most speech
sounds correctly
- explain what familiar words mean
- use sentences to describe
objects and events
- explain how to solve a simple
problem
- follow related directions, like "get your crayons, make a
picture and put it on the fridge"
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When to call for help:
- Your child does not use
complete sentences.
- Your child does not like
talking to other children.
- Your child has trouble
following directions.
- Your child has not
begun to play with
sounds in words and
make rhymes.
- Your child cannot
repeat or sing songs
with rhyme or pattern.
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