24 months

Does the child:

  • Follow two-step directions – “Go find your teddy bear and show it to Grandma”?
  • Use 100 or more words?
  • Make use at least two pronouns – “you”, “me”, “mine”?
  • Consistently combine two or more words in short phrases – “daddy hat”, “truck go down”?
  • Enjoy being with other children?
  • Offer toys to peers and imitates other children’s actions and words?
  • Talk in a way that people can understand his/her words 50 to 60 percent of the time?
  • Form words and sounds easily and effortlessly?
  • Hold books the right way up and turn pages?
  • “Read” to stuffed animals or toys?
  • Scribble with crayons?

Red Flags:

If the child presents with one or more of these red flags, this might indicate a developmental concern, not only a speech and/or language delay.  An immediate referral to the Ottawa Children’s Treatment Centre for a developmental assessment might be required.  Consult the “Where to refer” section on how to do this.

  • Limited shared interest in others
  • Lack of response to his/her name
  • Difficulty with gestures such as showing and pointing
  • Difficulty  following an adult’s point
  • Limited initiation of communication such as the ability to engage the adult, to comment, etc.
  • Limited production of sounds
  • Uses more gestures than words to communicate
  • Does not seem to comprehend when you talk to him/her
  • Has difficulty pointing to simple pictures and following simple directions
  • Repetitive  play or movement behaviours
  • Limited sequenced pretend play
  • Child does not appear to be reaching the appropriate milestones
  • Any loss of any social and/or language skills

 

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