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
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