Speech/Language Development
Speech/language development focuses on the inability to express and/or comprehend language at an age appropriate level. Children are unique individuals who develop language at their own rate. Some children will develop faster or slower than others. If a child does not seem to acquire the appropriate language skills within a few months of the average age, a speech/language evaluation may be warranted. Treatment enhances overall communication skills, both verbal and nonverbal, in areas such as vocabulary, grammar, comprehension and social skills.
Age-Appropriate Language Skills
Tips for Facilitating Speech/Language Development
| Average Age | Receptive Language | Expressive Language |
| 1-3 months | Quiets activity when approached by sound. Looks at speaker. | Begins to differentiate cries. Smiles. |
| 3-6 months | Turns head toward sound source. Begins to respond to words: “no-no”, mama, daddy.” | Babbling begins and becomes more complex each month.Laughs at play. |
| 6-9 months | Begins to respond with gestures to words such as “up, bye-bye, come.” Recognizes own name and some common objects. Begins to show interest in pictures. | Plays speech gesture games like Patty-Cake, Peek-a-boo. Uses gesture for “yes” and “no.” |
| 9-12 months | Will give toys or objects to others on verbal request. Follows simple commands (Put that down). Will make appropriate responses to some requests (“Say bye-bye”). | First words; “mama” and “dada”. Vocalizes in varied jargon. By one year says 3 consistent words. |
| 12-18 months | Understands more and more new words each week. Understands names of body parts. Comprehends most simple commands. | Says 20 consistent words. Begins to use words rather than gestures. There is a continual, gradual increase in expressive vocabulary. |
| 18-24 months | Follows action word commands: “run, walk”. Begins comprehending personal pronouns. Listens to the meaning of language, not just the intonation and single words. Answers “what, who, and where” questions by pointing. | Begins combining words into 2-3 word utterances. Refers to self by name. Personal pronouns “me” and “mine”emerge. |
| 24-36 months | Begins to identify objects by function. Develops understanding of prepositions; on, under, front. Understands possessives; boy’s coat, girl’s ball. Answers situational questions (“What do you wear when it rains?”) | Counts to 5. Begins to use “wh” questions. Most people can understand conversation. Regularly relates recent past. |
| 36-48 months | Understands past tense. Can follow a two part unrelated command. Knows most body parts. Can answer some “why”and “how” questions. Uses 4-5 word sentences. | Uses plural forms correctly. Can relate name and address along with age and gender. Uses past and present words. |
| 48-60 months | Can categorize objects. Knows how old he will be on next birthday. Understands comparative such as bigger and biggest. Can answer questions about past, present, and future. | Uses 5-6 word sentences. Completes 3 opposites (i.e., “A rabbit is fast, a turtle is ____.” Uses adjectives such as “tiny, large, smooth.” Grammar closely matches parents. |
Tips For Facilitating Speech/Language Development
- Create a Positive Climate For Communication
- Use your voice in interesting ways.
- Get down on your child’s level.
- Tune into your child’s interests.
- Let your child participate. Language is best learned while doing.
- Let your face and voice show your child you are interested.
- Turn off the television, and remove distractions.
Listen for Your Child’s Message
- Show your child you want to understand.
- Listen to your child’s tone of voice. Voices reflect feelings. Watch the face, body, and hands to help you understand your child’s message.
Make Your Talk Relevant
- Talk about the here and now.
- Talk about the obvious - what your child is doing, hearing, seeing, smelling, or tasting.
- Put your child’s feelings into words to let him know you understand his feelings.
Helping Your Child Understand Words
- Everything has a name. Use the name, rather than “baby talk.”
- Use short simple sentences. Avoid using single words; they do not give enough information.
- Tell, then show your child what you want him or her to do.
- Use repetition. Say it again and again. Give your child a chance to show that he or she understands.
- Talk slowly.
Give Your Child the Words He/She Needs and Wants
- Reward your child when he or she attempts to say a word.
- When your child uses a single word, repeat it an put it back into a sentence.
- When your child uses incomplete or incorrect language or speech, repeat the message correctly.
- Expand your child’s vocabulary by adding new words and explaining their meaning.
- Let your child hear new and more difficult sentence forms.
- When your child expresses an idea, repeat it and then expand his or her thoughts by adding new information.
- Ask questions that require more than “yes” or “no” answers.


