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The information on this page has been contributed by:
Deanna Goldstein, MS, CCC-SLP, NY & NJ Certified Speech-Language Pathologist
nyspeechlanguage@hotmail.com

Speech Development and Baby Sign Language Speech Development and Baby Sign Language

Speech and language is the area of development which helps a child understand and interact with the world around him. The terms speech and language can be broken down into three areas: 

  1. A child’s receptive language is his understanding of language
  2. Expressive language is the way a child communicates with others
  3. Speech development are the sounds a child makes in order to be able to use language.  

As a baby grows there are many aspects of language that play a role in development. During the first year of life a child's receptive language (understanding) far exceeds his ability to express himself using words. Although, from the early moments in life a child interacts with others using aspects of expressive language including non verbal language, vocalizations and gestures to try to express his wants and needs. During these early months of life a child lacks the motor ability in his mouth to make the motions that facilitate the production of words. One way to give a baby the tools to communicate with the world around him is by using sign language. This will help the child to use gestures/sign to communicate when he lacks the immediate ability to produce words.

The use of sign language in babies has been found to enhance the future spoken language and reduce frustration. There a beginning signs that are keys to opening up the world of communication for a baby. These are signs that a parent can learn independently from books or websites and then teach to a his or her baby.  There are also videos  and classes which promote the teaching of sign language.  If a caregiver chooses to use sign, it is wonderful tool to introduce between birth and three months of age (although introduction later will still benefit the developing baby).  The production of sign by the child will usually begin between six and nine months.   

As a baby learns sign, he will be able to communicate his wants and needs before he can produce words. In addition, when a child is first producing words many sound alike. For example the child may use "ma" for both mom and more. The use of a sign along with the word will provide the communication partner with the child's actual meaning. In addition, when a child begins to produce longer words (i.e. elephant)  and combine words their speech may be unclear.  In this instance as well, sign will enhance the communication message and reduce frustration.  Overall, sign language is a wonderful tool to help facilitate and enhance communication. 

Speech Development Milestones Ages 0 - 3

Birth - 6 Months Milestones

  • Coos gurgles and makes pleasure sounds
  • Uses multiple cries and gestures to express emotions/needs/wants
  • Smiles
  • Becomes aware of familiar voices
  • Listens to speech
  • Responds to sound by turning head
  • Verbalizes p, b, and m

 7 - 12 Months Milestones

  •  Comprehends no
  •  Responds to own name
  •  Listens to and imitates certain sounds
  •  Responds to a few simple requests
  •  Looks at familiar items when names are spoken (ex. cup, juice)
  •  Uses a song like intonation pattern when babbling
  •  Uses a variety of sound combinations
  •  Imitates some adult speech sounds and voice patterns
  •  Listens when spoken to
  •  May use speech sounds to gain attention
  •  Uses speech intentionally (ex. always uses "ba" to refer to a blanket)
  •  Uses 1-3 words
  •  Understands simple commands

 13 - 18 Months Milestones

  •  Uses jargon (i.e. made up words) to fill gaps in fluency
  •  Produces mostly unintelligible speech
  •  Follows simple commands
  •  Can identify 1-3 body parts by pointing
  •  May use 3-20+ words but comprehends many more
  •  Uses gestures while vocalizing
  •  Increase in requesting

19 - 24 Months Milestones

  •  Increase word use
  •  Has an expressive vocabulary of 50-100 words
  •  Comprehends 300+ words
  •  Begins combining nouns and verbs
  •  May use some pronouns
  •  Uses appropriate intonation when questioning
  •  Increase in intelligibility
  •  Listens to stories
  •  Knows about 5 body parts
  •  Can name some familiar objects

2 - 3 Years Milestones

  •  Speech becomes increasingly intelligible (50%-75%)
  •  Verbalizes toilet needs
  •  Requests objects by name
  •  Can identify pictures in a book
  •  Can identify more body parts
  •  Follows simple commands
  •  Can answer simple questions
  •  Begins phrase and sentence structure (3-4 words)
  •  Expresses negations (i.e. "Me no go")
  •  Uses about 50-250+ words (vocabulary grows quickly)
  •  Comprehends 500-900+ words
  •  Still displays many grammatical errors
  •  May exhibit repetition in speech
  •  Uses vowels correctly
  •  Uses about 27 speech sounds
  •  Uses some prepositions, articles, regular past tense, pronouns, regular plurals, contractions, and present progressive verbs
     Frequently omits medial or final consonant
  •  Produces most initial consonants correctly
  •  Has rapid shifts in conversation topics
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