24 Months

Does your 2-year old…

  • follow two-step directions – “Go find your teddy bear and show it to Grandma”?
  • use 100 or more words?
  • 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 their 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?


If your child does not do one or several of the above, we can help!

Complete the First Words Communication Checkup or contact Ottawa Public Health at 613-580-6744 or 613-PARENTS for more information.

Renfrew county families may call our Intake Office at 613-732-7007, ext. 5905 or 1-888-421-2222.



Also, look out for any of these red flags:

  • A limited shared interest in others
  • Lack of response to their name
  • Difficulty with gestures such as showing and pointing
  • Difficulty following an adult’s point
  • Does not initiate communication
  • Limited production of sounds
  • Uses more gestures than words to communicate
  • Doesn’t seem to understand when you talk to them
  • Finds it hard to point to simple pictures or follow simple directions
  • Repetitive play or movement behaviours
  • Any loss of any social and/or language skills


If you have noticed any of these red flags, your child may be dealing with a developmental issue as well as a language delay and will need more support.  An immediate referral to the Children’s Treatment Centre (CTC) for a developmental assessment might be required. Contact the CHEO Access Team at 613-737-2757.


Here are a few quick strategies to help your 2-year old learn to communicate:

  • Expand on what your child says by repeating the message back and adding words to complete the thought or add a new idea.
  • Involve your child in helping out around the house.  Toddlers love simple household tasks:  wiping the table, sorting the laundry, tidying up the toys.
  • Leave books out for your child to look at, both on their own and with you.
  • Sing songs about everyday routines:  handwashing, tooth brushing, tidying up.
  • Play with your toddler in lots of different ways by using puzzles, blocks, sand and play dough.  Visit toy lending libraries and garage sales for ideas.
  • Go to playgroups, drop-ins or the park so that your child can play with other children.
  • Check out our “Strategies” and “Learning Tools” sections for other strategies and resources!