Version June 2024
| Concern by the parent, teacher, professional, or other caregiver about the child's speech or language |
| Slowed or stagnant speech and language development |
| Excessive drooling |
| Difficulty sucking, chewing, or swallowing |
| Difficulty coordinating movements of lips, tongue, and jaw |
| No babbling by 9 months |
| No first words by 15 months |
| No consistent words by 18 months |
| No word combinations by 24 months |
| Speech is difficult for caregivers to understand at 24 months |
| Speech is difficult for strangers to understand at 36 months |
| Dysfluencies (stutters) consist of more than tension-free whole-word repetitions |
| Child is frustrated by communication difficulty |
| Child is teased by peers for "talking funny" |
| Child avoids talking situations |
| Child acquires vocabulary and sentence structure but does not use language appropriately for communicative purposes |
| Language is unusual or confused, or ideas are not expressed clearly |
| Child cannot follow instructions without supplemental visual cues |
| Loss of milestones |
| Poor memory skills at 5 to 6 years |
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