Thursday, February 12, 2009

Developmental Update

Howard Phillips Center

Things in GREEN are what he's able to do as of today, February 12, 2009. Just two short years after starting OT and speech and behavior therapies.

12 - 18 months of age - Receptive Language Skills

  • Understands simple one-step commands
  • Recognizes body parts when named
  • Understands names of common objects by bringing them from another place upon request
  • Identifies two or more familiar objects from a group of three to four objects by touching/pointing
  • Enjoys listening to rhymes and jingles
  • Begins to look more selectively at pictures to recognize them when named

Expressive Language

  • Attempts to get objects by pointing and vocalizing
  • Uses from three to 20 single words meaningfully
  • Imitates many new words
  • Uses words of more than one syllable
  • Answers questions such as "What's this?"
  • Asks for "more"
  • Uses two-word combinations as single words such as "gimme"
  • Communicates primarily through true words and gestures

18 - 24 months of age - Receptive Language Skills

  • Recognizes body parts and clothing articles in large pictures
  • Understands simple yes/no questions
  • Understands differences in personal pronouns (me, you)
  • Follows a series of two - three simple relations commands with the same object
  • Appears to listen to meaning of languarge, not merely words
  • Recognizes many common objects and pictures as they are named

Expressive Language

  • Replaces jargon with meaningful words
  • Imitates animal sounds and other environmental sounds in play
  • Refers to self by name (only in pictures and mirror, not if you ask him his name)
  • Uses "no" frequently
  • Uses "my" to declare ownership
  • Begins combining words to form two-word phrases
  • Asks questions by raising pitch of voice at end of word or phrase

2 - 3 years of age - Receptive Language Skills

  • Understands actions in pictures
  • Recognizes names of smaller body parts (chin, knee, elbow)
  • Understands functions of objects
  • Understands size concepts big and little
  • Understands quantity concepts one, more, all
  • Understands spatial concepts in, on, under
  • Becomes aware of a sequence and organization for daily routines
  • Understands question forms who, where, what doing
  • Understands genders (boy/girl)
  • Likes to listen to short stories

Expressive Language

  • Combines words to express: - Possession: "my coat"
    - Recurrence: "more juice"
    - Action: "go outside"
    - Location: "want up"
    - Negation: "no eat"
  • Usually uses two- to four-word phrases
  • Asks for help with personal needs
  • Uses I, me, mine, you
  • Can say first and last name when asked
  • Can repeat two numbers in sequence
  • Talks about an event that has just happened
  • Uses many commands ("go get it")
  • Uses here, there
  • Begins using "is" verb form
  • Speech is understood by others 70 - 80 percent of the time

3 - 4 years of age - Receptive Language Skills

  • Understands concepts hard/soft, rough/smooth
  • Understands spatial concepts front/back
  • Understands question forms, "What do you do when you're hungry? Sleepy?"
  • Follows two-step directions involving two different actions

Expressive Language

  • Asks many who, what, where, why questions
  • Uses four- to five-word sentences most of the time
  • Engages in detailed conversations
  • Uses language in imaginative play
  • Imitates whispering
  • Relates two events in correct sequential order
  • Completes simple verbal opposites
  • Uses verb forms is, am, are
  • Uses regular plural forms consistently ("blocks")
  • Uses possessives ("mommy's car")
  • Begins using "because" as an explanation

4 - 5 years of age - Receptive Language Skills

  • Follows series of three unrelated commands
  • Identifies two - three primary colors
  • Understands concepts heavy/light, loud/quiet, day/night
  • Understands directional concepts above/below, top/bottom
  • Understands variety of question forms (where, when, how)

Expressive Language

  • Combines four to eight words in sentences
  • Describes objects according to size, shape, color
  • Enjoys re-telling stories
  • Enjoys asking meaning of new words
  • Uses could and would verb forms
  • Uses if and so in forming complex sentences
  • Uses no and not" appropriately
  • Uses contracted negatives (can't, don't)
  • Regularly uses pronouns he, she, they and possessive pronouns his, her, our, their

5 years of age - Full Language Skills

  • Defines objects by their use and can tell what objects are made of
  • Knows spatial relations like on top, far, behind, and near
  • Has a sentence length of five to eight words
  • Has a vocabulary of about 2,000 words
  • Knows common opposites like big/little and hard/soft
  • Understands same and different
  • Identifies all primary colors
  • Counts ten objects
  • Knows his/her address
  • Identifies a penny, nickel and dime
  • Carries a plot in a story
  • Uses future, present, and past tense
  • Stays with one activity for 12 -13 minutes
  • Asks for information
  • Distinguishes left and right hand in him/herself, but not in others

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