Speech Red Flags

Speech and Language Red Flags for Referral

  • Decreased eye contact during interactions
  • Decreased/absent response to sounds and voices
  • Is not babbling by 9 months
  • Does not/can not imitate sounds or simple words by 12 months
  • Does not imitate simple gestures/actions by 12 months
  • Does not point to/identify familiar objects by 15 months
  • Demonstrates any “loss” of language/words
  • Does not use 25 words consistently by 18 months
  • Does not/can not imitate words regularly by 18 months
  • Continues to use more gestures than words at 18 months
  • Less than 100 words by 24 months
  • No combinations of words into 2- and 3-word phrases by 24 months
  • Not able to follow directions by 24 months
  • Family members understand less than 50% at 24 months
  • Is not consistently combining words into short sentences by 30 months
  • Family members understand less than 85% at 36 months
  • Unfamiliar listeners have difficulty understanding child at 42+ months
  • Difficulty engaging with peers in pretend/imaginative play at 3-4 years
  • Does not develop more complex grammatical concepts between 3-5 years