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May 4th, 2012, 09:04 AM
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Linda
Join Date: Apr 2009
Location: Wisconsin
Posts: 3,009
Maybe you have some concerns about your child but aren't sure if your fears are warranted, or you know your child is behind in some area but aren't sure if you should act or wait it out, or maybe you have a feeling that something is not right with your child, but can't put your finger on it...

Red Flags
 That May Warrant An Early Intervention Referral
Gross Motor
If your child is...
Not rolling by 7 months of age
Not pushing up on straight arms, lifting his head and shoulders, by 8 months of age
Not sitting independently by 10 months of age
Not crawling ("commando" crawling--moving across the floor on his belly) by 10 months of age
Not creeping (on all fours, what is typically called "crawling") by 12 months of age
Not sitting upright in a child-sized chair by 12 months of age
Not pulling to stand by 12 months of age
Not standing alone by 14 months of age
Not walking by 18 months of age
Not jumping by 30 months of age
Not independent on stairs (up and down) by 30 months of age
...an early intervention/developmental therapy referral may be appropriate.


Here are some other gross motor "red flags":
"Walking" their hands up their bodies to achieve a standing position
Only walking on their toes, not the soles of their feet
Frequently falling/tripping, for no apparent reason
Still "toeing in" at two years of age
Unusual creeping patterns


Fine MotorIf your child is... 

Frequently in a fisted position with both hands after 6 months of age
Not bringing both hands to midline (center of body) by 10 months of age
Not banging objects together by 10 months of age
Not clapping their hands by 12 months of age
Not deliberately and immediately releasing objects by 12 months of age
Not able to tip and hold their bottle by themselves and keep it up, without lying down, by 12 months of age
Still using a fisted grasp to hold a crayon at 18 months of age
Not using a mature pincer grasp (thumb and index finger, pad to pad) by 18 months of age
Not imitating a drawing of a vertical line by 24 months of age
Not able to snip with scissors by 30 months
...an early childhood intervention/development therapy referral may be appropriate

Here are some other fine motor "red flags":
Using only one hand to complete tasks
Not being able to move/open one hand/arm
Drooling during small tasks that require intense concentration
Displaying uncoordinated or jerky movements when doing activities
Crayon strokes are either too heavy or too light to see


Cognition/Problem Solving
If your child is... 

Not imitating body action on a doll by 15 months of age (ie, kiss the baby, feed the baby)
Not able to match two sets of objects by item by 27 months of age (ie, blocks in one container and people in another)
Not able to imitate a model from memory by 27 months (ie, show me how you brush your teeth)
Not able to match two sets of objects by color by 31 months of age
Having difficulty problem solving during activities in comparison to his/her peers
Unaware of changes in his/her environment and routine
...an early intervention/developmental therapy referral may be appropriate


Sensory
If your child is... 

Very busy, always on the go, and has a very short attention to task
Often lethargic or low arousal (appears to be tired/slow to respond, all the time, even after a nap)
A picky eater
Not aware of when they get hurt (no crying, startle, or reaction to injury)
Afraid of swinging/movement activities; does not like to be picked up or be upside down
Showing difficulty learning new activities (motor planning)
Having a hard time calming themselves down appropriately
Appearing to be constantly moving around, even while sitting
Showing poor or no eye contact
Frequently jumping and/or purposely falling to the floor/crashing into things
Seeking opportunities to fall without regard to his/her safety or that of others
Constantly touching everything they see, including other children
Hypotonic (floppy body, like a wet noodle)
Having a difficult time with transitions between activity or location
Overly upset with change in routine
Hates bath time or grooming activities such as; tooth brushing, hair brushing, hair cuts, having nails cut, etc.
Afraid of/aversive to/avoids being messy, or touching different textures such as grass, sand, carpet, paint, playdoh, etc.
...an early childhood intervention/developmental therapy referral may be appropriate.


Self-Care
If your child is... 

Having difficulty biting or chewing food during mealtime
Needing a prolonged period of time to chew and/or swallow
Coughing/choking during or after eating on a regular basis
Demonstrating a change in vocal quality during/after eating (i.e. they sound gurgled or hoarse when speaking/making sounds)
Having significant difficulty transitioning between different food stages
Not feeding him/herself finger foods by 14 months of age
Not attempting to use a spoon by 15 months of age
Not picking up and drinking from a regular open cup by 15 months of age
Not able to pull off hat, socks or mittens on request by 15 months of age
Not attempting to wash own hands or face by 19 months
Not assisting with dressing tasks (excluding clothes fasteners) by 22 months
Not able to deliberately undo large buttons, snaps and shoelaces by 34 months
...an early intervention/developmental therapy and referral may be appropriate.


Social/Emotional/Play Skills
If your child is... 

Not smiling by 4 months
Not making eye contact during activities and interacting with peers and/or adults
Not performing for social attention by 12 months
Not imitating actions and movements by the age of 24 months
Not engaging in pretend play by the age of 24 months
Not demonstrating appropriate play with an object (i.e. instead of trying to put objects into a container, the child leaves the objects in the container and keeps flicking them with his fingers)
Fixating on objects that spin or turn (i.e. See 'n Say, toy cars, etc.); also children who are trying to spin things that are not normally spun
Having significant difficulty attending to tasks
Getting overly upset with change or transitions from activity to activity
...an early intervention program referral may be appropriate


Speech/Language
If your child has...
No babbling by 9 months
No first words by 15 months
No consistent words by 18 months
No word combinations by 24 months
Slowed or stagnant speech development
No interest in communicating
or
If you have problems understanding your child's speech at 24 months of age
If strangers having problems understanding your child's speech by 36 months of age.
......an early intervention program referral may be appropriate


Here are some other Speech & Language red flags:
Failure to respond normally, such as not responding when spoken to. This may include signs that the child does not hear well, such as not reacting to loud noises.
A sudden loss of speech and language skills. Loss of abilities at any age should be addressed immediately.
Voice is monotone, too loud or of poor quality
Pitch is too high or too low
Nasal voice
Using mostly vowels.
Not speaking clearly or well by age 3.

Red flags for other problems that may affect your child's speech or understanding of language:]
Excessive drooling.
Difficulty sucking, chewing, or swallowing.
Problems with control and coordination of lips, tongue, and jaw.
Stuttering that causes a child embarrassment, frustration, or difficulty with peers.
Poor memory skills by the time your child reaches kindergarten age (5 to 6 years). He or she may have difficulty learning colors, numbers, shapes, or the alphabet.

Possible visual problems may exist if your child... 

Does not make eye contact with others or holds objects closer than 3-4 inches from one or both eyes
Does not reach for an object close by

Possible hearing problems may exist if your child...
Does not respond to sounds or to the voices of familiar people
Does not attend to bells or other sound-producing objects
Does not respond appropriately to different levels of sound
Does not babble


For information about Early Intervention in the United States, check out the National Early Childhood Technical Assistance Center for the appropriate name, address, phone number and/or website for your state.

For further information if you believe your child is delayed in their development, visit the My Child Without Limits website, which includes information on signs, diagnosis process, and understanding of:
Autism
Cerebral Palsy
Developmental Delay
Down Syndrome
Epilepsy
Hearing Loss
Muscular Dystrophy
Rett Syndrome
Spina Bifida
Vision Loss


Thank you picklesmama & Lady Valkyrie for the information!!!!
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