CREATING PATHWAYS THERAPY
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DEVELOPMENTAL MILESTONES
0 Months - 5 Years

Creating Pathways Pediatric Therapy strives to offer evidence-based therapy that we want your child to enjoy.  When following a child centered approach, Speech/language therapy can be fun!  Arming yourself with the most up-to-date information possible when deciding whether-or-not your child is in need of speech/language therapy is essential.  In conjunction with a formal speech/language evaluation, we recommend gaining information regarding your child's skills and needs from the American Speech-Language-Hearing Association (ASHA).

​SPEECH AND LANGUAGE MILESTONES are paramount when researching the signs and symptoms of speech/language disorders.  Follow the link below and learn more about WHEN your child should be gaining pertinent skills for speech and language development.  
http://www.asha.org/public/speech/development/chart/

​FINDING THE RIGHT PROFESSIONAL to work with your child is essential.  The American Speech-Language-Hearing Association recommends contacting an ASHA certified speech/language pathologist to focus on prevention, identification, assessment, treatment, and rehabilitation.  Creating Pathways Pediatric Therapy employs licensed therapists who hold their Certificate of Clinical Competence from ASHA.
0-6 months
  • Searches for speaker
  • Recognizes own name
  • Babbles
  • Vocalizes feelings through intonation
  • Frequently puts fingers, objects, clothing, pacifier into mouth for sucking and mouthing
  • Breastfeeding and/or bottle feeding
  • Starting soft, smooth solid foods
  • Cooing: vowel-like sounds
10-12 months
  • Clears food off spoon with upper lip (eats lumpy, mashed foods)
  • Feeding self with fingers
  • Babbles using different sounds (nama)
  • Takes turns vocalizing
  • Will imitate others’ vocalizations or gestures
  • Points/gestures and vocalizes
  • Participates in joint attention activities
24 months
  • Has at least 100 words in vocabulary
  • Frequently uses 2-word phrases
  • Uses some 3-word phrases
  • Is at least 25-50% intelligible to all listeners
  • Follows simple 2-step related commands (may still require gestural cues)
  • Drinks from an open cup and from straw without dribbling
  • Bites through a variety of food thicknesses
  • Demonstrates verbal turn-taking
36 months
  • Is 75% intelligible to all listeners
  • Converses in sentences
  • Has 1000 words in vocabulary
  • Follows prepositional commands (on, next to, under, etc.)
  • Follows simple 3- step related commands
  • Begins to use adjectives for color and size
  • Asks one-word “why” questions
  • Uses “what”, “where”, “how”, and “whose” when asking questions
  • Uses “in” and “on” when asked “where” questions
  • Beings to understand time concepts such as soon, later, wait
  • Chews and swallows majority of adult food
60 months
  • Uses a variety of sentences with 6 or more words
  • Has greater than 2000 words in vocabulary
  • Uses most speech sounds correctly
  • Is 90-100% intelligible
  • Answers “how are things the same or different”
  • Can carry a plot when telling a story
  • Understands time concepts (yesterday, today, first, then, next)
  • Asks question to get more information
  • Inventive spelling when writing
7-9 months
  • Self-feeds simple, finger foods
  • Babbles same sounds repeatedly (baba or mama)
  • Produces sounds which are similar to t,d,n,f,v,z,ch,j,th,sh and s
  • Makes sound while eating with food in mouth
  • Reaches for object and looks for caregiver’s reaction
  • Tolerates smooth, lumpy solids fed by spoon by 9 months
18 months
  • Uses 10-20 words including names
  • Combines 2 words (all done, Daddy bye-bye)
  • Names at least 5 common items
  • Responds to “yes/no” questions
  • Follows simple, one-step commands
  • Points to body parts on self when names
  • Retrieves objects from another room when asked
  • Understands at least 50 words
  • Asks for “more” and “what’s that?”
  • Drinks liquids from an open cup independently with limited spillage
  • Swallows with lip closure
  • Has precise up and down tongue movement
  • Eats table foods (includes easily chewed meats and cooked vegetables)
30 months
  • Has approximately 450 words in vocabulary
  • Gives own first name
  • Answers “where” questions
  • Uses present progressive -ing
  • Uses “no” or “not”
  • Consistently uses 3-4 word phrases/sentences
  • Identifies simple objects by function
  • Is 50-75% intelligible
  • Shares toys and understands simple locations (in, under, out, off)
  • Responds to greetings
  • Uses pronouns (my, me, mine, you)
40 months
  • Uses regular plural –s (socks, shoes)
  • Uses possessive –s (baby’s bottle)
48 months
  • Consistently uses 4-5 word sentences, with correct sentence structure
  • Is 80% intelligible
  • Verbally relates a personal experience/story
  • Asks many questions including “who?” and “why?”
  • Uses regular and irregular past tense verbs consistently and regular 3rd person
  • Uses most pronouns
  • Has 1500+ words in vocabulary
  • Follows simple multi-step directions without repetition
  • Uses contractions (can’t, don’t, I’ve)
  • Identifies colors​
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​Hours

Monday- Friday: 8am - 6pm 
​Sunday: CLOSED
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Albany Location

1117 Pacific Blvd. SE
Albany, OR 97321
Phone: (503) 926-4299
Fax: (503) 926- 9322

Salem Location

3871 Fairview Industrial Dr. SE, Ste 150
Salem, OR 97302
Phone: (503) 926-4299
Fax: (503) 926- 9322
​
salem@creatingpathwaystherapy.com

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  • Home
  • About
  • Services
    • OCCUPATIONAL THERAPY DEVELOPMENTAL MILESTONES
    • SPEECH / LANGUAGE DEVELOPMENTAL MILESTONES
    • RESOURCES
  • INSURANCE
  • Contact
  • Blog
  • EMPLOYMENT