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Cy-Fair Speech, LLC

Cy-Fair Speech, LLCCy-Fair Speech, LLCCy-Fair Speech, LLC

Everyone Deserves A Voice

Everyone Deserves A VoiceEveryone Deserves A VoiceEveryone Deserves A Voice

Helpful Resources, Links, and Milestones

American Speech-Language Hearing Association

ASHA

Texas Speech Hearing Association

TSHA

Sequential Oral Sensory Feeding Approach

SOS Approach to Feeding

Apraxia

Apraxia

Autism Speaks

Autism Speaks

Speech Developmental Milestones

0-3 Months

7-12 Months

0-3 Months

  • Reacts to loud sounds
  • Recognizes your voice
  • Coos
  • Smiles when he or she sees you
  • Develops different cries to meet varying needs
  • Produces vowel like sounds
  • Makes pleasure sound 

4-6 Months

7-12 Months

0-3 Months

  • Follows sounds with eyes.
  • Laughs
  • Notices toys that make sounds and music
  • Produces a few back sound consonants (g or k)
  • Recognizes changes in tone of your voice
  • Babbles using more vowel sounds and more consonants (p,b or m)
  • Begins to copy sounds while babbling
  • Smiles when he or she sees you
  • Develops different cries to meet varying needs
  • Yells, squeals and growls with some pitch changes

7-12 Months

7-12 Months

  • Makes repetitive long and short sounds (dada, tata, bibi)
  • Produces consistent pitch changes with meaning
  • Turns and looks in the direction of sounds
  • Listens more attentively
  • Understands common words like momma, dadda, cup, and juice.
  • Responds to commands or questions (Come here, Want more?, W ant up?)
  • Knows a couple of words and exclamations (oo

  • Makes repetitive long and short sounds (dada, tata, bibi)
  • Produces consistent pitch changes with meaning
  • Turns and looks in the direction of sounds
  • Listens more attentively
  • Understands common words like momma, dadda, cup, and juice.
  • Responds to commands or questions (Come here, Want more?, W ant up?)
  • Knows a couple of words and exclamations (ooh, ahh, hi, baba, mamma, dadda, dog)
  • Communicates with hand gestures (waves, lifts arms to be picked up).
  • Develops different cries to meet varying needs
  • Yells, squeals, growls and gurgles with some pitch changes
  • Begins non-repetitive babbling (Ba-ga-de, go-do-da-di)

1-2 Years

  • First words (10-15 months)
  • Uses holophrastic speech (A single word expresses a complex idea – “Ball” means “I want the ball” or “Where is the ball?”)
  • Uses phases (uh-oh, all gone, no no, bye-bye)
  • Uses many consonant sounds at beginning of words
  • Knows a few body parts
  • Follows simple commands or questions (Roll the ball, walk to me, where’s your

  • First words (10-15 months)
  • Uses holophrastic speech (A single word expresses a complex idea – “Ball” means “I want the ball” or “Where is the ball?”)
  • Uses phases (uh-oh, all gone, no no, bye-bye)
  • Uses many consonant sounds at beginning of words
  • Knows a few body parts
  • Follows simple commands or questions (Roll the ball, walk to me, where’s your nose?)
  • Enjoys hearing simple songs, stories and rhymes
  • Can point to pictures in a book when asked (Where's the ball?)
  • Adds new words constantly
  • Uses one- or two-word sentences (Where dada? Go bye, bye, want up, no cookie, no juice)
  • Begins non-repetitive babbling (ba-ga-de, go-do-da-di)
  • Knows a couple of words and exclamations (ooh, ahh, hi, baba, mamma, dadda, dog)

2-3 Years

  • Answers simple questions (Who?, What?, Where? and Why?)
  • Talks about daily activities
  • Uses sentences with four or more words
  • Speaks easily without having to repeat syllables or words
  • Follows simple commands or questions (roll the ball, walk to me, where’s your nose?)
  • Enjoys hearing simple songs, stories and rhymes
  • Can point to pictures in a book

  • Answers simple questions (Who?, What?, Where? and Why?)
  • Talks about daily activities
  • Uses sentences with four or more words
  • Speaks easily without having to repeat syllables or words
  • Follows simple commands or questions (roll the ball, walk to me, where’s your nose?)
  • Enjoys hearing simple songs, stories and rhymes
  • Can point to pictures in a book when asked (where's the ball?)
  • Adds new words constantly
  • Uses one- or two-word sentences (Where dada? Go bye, bye, want up, no cookie, no juice)
  • Begins non-repetitive babbling begins (Ba-ga-de, go-do-da-di)
  • Knows a couple of words and exclamations (Ooh, Ahh, hi, baba, mamma, dadda, dog)

4-10 Years

  • (4 years old) Can say the following sounds correctly (b,d,f,g,h,k,m,n,p,t,y)
  • (4 years old) Might still make errors with (l,r,s and th)
  • (4 years old) Can be understood by family members and non-family
  • (4 years old) Most phonological processes should stop
  • (5 years old) All phonological processes should stop
  • (6 years old) Correctly produces the f

  • (4 years old) Can say the following sounds correctly (b,d,f,g,h,k,m,n,p,t,y)
  • (4 years old) Might still make errors with (l,r,s and th)
  • (4 years old) Can be understood by family members and non-family
  • (4 years old) Most phonological processes should stop
  • (5 years old) All phonological processes should stop
  • (6 years old) Correctly produces the following sounds (l,j,v,ch,sh)
  • (6 years old) Errors can still occur commonly for sounds like (s,r,z,th) but should be decreasing
  • (7 years old) 100% understandable
  • (8 years old) Errors can still occur commonly for sounds like (s,r,z,th) but should be decreasing
  • (9 and 10 years old) Says all sounds now including (s,r,z and th)
  • (9 and 10 years old) Might have some trouble with difficult words like (Aluminum, whistle, adjective, scissors, spaghetti)
  • (10 and 11 years old) There should be no speech problems by this age with the exception of the r sound which can be a lingering issue

Feeding Milestones

0-5 Months

10-12 Months

0-5 Months

  • Should swallow liquids but will push most solid objects from mouth due to the following reflexes:
    • Rooting reflex – baby should be able to seek out and grasp breast or bottle nipple
    • Suck and swallow reflex – baby should begin suckling or sucking movements when lips are touched and his or her tongue should be moving liquid to back of the mout

  • Should swallow liquids but will push most solid objects from mouth due to the following reflexes:
    • Rooting reflex – baby should be able to seek out and grasp breast or bottle nipple
    • Suck and swallow reflex – baby should begin suckling or sucking movements when lips are touched and his or her tongue should be moving liquid to back of the mouth for swallowing
    • Tongue thrust reflex – Baby’s tongue will move out of the mouth to allow feeding from a breast or bottle, but this will inhibit taking in food from spoon or cup
    • Gag reflex – Baby will quickly move an object, like a spoon or solid food, forward out of back of mouth
  • Baby should have a diet that consists of breast milk and / or infant formula with iron
  • Baby can close lips to seal mouth

4-6 Months

10-12 Months

0-5 Months

  • Gag reflexes should diminish
  • Tongue thrust and rooting reflexes should subside
  • Should be able to take food into the mouth from a spoon.
  • Should be able to move his or her tongue up and down
  • Should be able to sit up with your help
  • Should start using his or her lips to draw in food off of a spoon
  • Should swallow semi-solid food like infant cereal, 

  • Gag reflexes should diminish
  • Tongue thrust and rooting reflexes should subside
  • Should be able to take food into the mouth from a spoon.
  • Should be able to move his or her tongue up and down
  • Should be able to sit up with your help
  • Should start using his or her lips to draw in food off of a spoon
  • Should swallow semi-solid food like infant cereal, strained fruit and strained vegetables
  • Should start up and down munching.
  • Should open his or her mouth when you hold up a spoon
  • May drink from a cup with help, but expect some spilling

5-9 Months

10-12 Months

10-12 Months

  • Your baby will be able to control the position of food in the mouth to position food between jaws for chewing
  • Your baby will be able to munch food
  • Your baby will begin to eat mashed food
  • Your baby will be able to eat from a spoon very easily
  • Your baby will begin to eat food with his or her hands

10-12 Months

10-12 Months

10-12 Months

  • Should be able to move food from side to side in mouth
  • Should begin to curve lips around the rim of a cup
  • Should begin to chew in a circular manner
  • Should be able to eat finely chopped food
  • Should be able to eat small pieces of soft food
  • Will start to use a spoon but will often opt to self feed with his or her hands
  • Should be able to drink from

  • Should be able to move food from side to side in mouth
  • Should begin to curve lips around the rim of a cup
  • Should begin to chew in a circular manner
  • Should be able to eat finely chopped food
  • Should be able to eat small pieces of soft food
  • Will start to use a spoon but will often opt to self feed with his or her hands
  • Should be able to drink from a cup with little spilling
  • Diet will consist of diced soft fruit or vegetables, strained meat or poultry, cottage cheese, yogurt, soft cheese, soft bread and crackers, breast milk, iron-fortified formula or fruit juice

12-18 Months

12-18 Months

12-18 Months

  • Should be able to use a spoon proficiently
  • Should be able to feed him or herself quietly
  • Should be able to bite through harder foods if teeth are present
  • You can introduce whole milk and eggs into the diet

18-24 Months

12-18 Months

12-18 Months

  • Should be able to chew and eat most foods, but you should still cut up food into small non-circular pieces that pose a choking hazard, like hot dogs
  • Should be able to eat with mouth closed
  • Should be able to drink from a cup proficiently without spilling too often

2-3 Years

12-18 Months

2-3 Years

  • Should be able to enjoy almost all foods
  • Should be able to help you cook and clean up too


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