Re: June Infants & Toddlers
posted at 6/5/2013 10:37 PM EDT
tc, it will probably take 3 to 6 months to get a hearing test done by an audiologist who specialized in children (seriously, don't use an audiologist who doesn't do kids, as that won't work for such a young child). Hate to say it, but there is always a wait for those specialists, so make the appt now. You can always cancel the appt if he starts speaking and you're not concerned when it's a week or so away, but in 6 months if he's still not speaking you'll want to have his hearing checked, and then you'll have to start the 3-6 month wait!
Children at 15 months usually do have some words, but not always, but by 18-19 months I'd say they typically have 10-20 words. Within a few months after that they are stringing words together "wait, Mama" "where cookie? "want up" etc and by 21/2 years many children are using sentences although not 100% grammatically yet. And by 3 years old children are nearly there with their grammar, they'll have a few inconsistencies yet which are very cute.
Now, that's an overview from a director of a childcare center of children from newborn to 36 months of age, I'm not a speech and language pathologist - I know they have a much more specific order of things, at what age and stage they come, the concept of consonants vs. vowels, nouns vs. verbs, etc. There are obviously huge ranges within this, just as some children walk at 10 months (omigod!) and others don't walk until 16 months. But if a child still isn't walking at 17 months I'm very concerned, but I probably would have seen motor skill concerns earlier than that.
I will admit, I'm from the school of let's see if there is a problem because it's much easier to help a child earlier than later, and there are fewer long term delays if you can correct something earlier than later.
So a child who isn't speaking on target at 2 years old can be brought along to 'target' faster, and isn't as far behind, as a child who is only intervened at 4 years old. However, you'll never know if a child who had help at 2 years old would have progressed as far if you did nothing. Still, I'm from the more aggressive than less aggressive school of thought.
And if a child is tested and they are within the range, then that's fine - you know and can relax!
Has he had lots of ear infections? Does he have chronic fluid in his ears, or even just a lot of the time? That can affect hearing quite a bit and delay his language, but once that gets solved, children often start speaking. We had a child who had tubes at 14 months of age and now, at 21 months, he's finally speaking and babbling - later than most of the children, and they are still going to keep the audiology appt (booked 5 months ago) just to check and make sure his hearing is up to par, but it seems that he catching up - it's just for months he didn't hear all that well, and it's hard to model speech if you can't hear the ins and outs of it. Hearing speech is different than being able to "hear" - that chlid didn't look like a child who couldn't hear, as he reacted when you called his name, heard and danced to music - it's just that he didn't all the speech tones properly, which is what a hearing problem is. Unless you are deaf, you hear sound, it's just not necessarily distinct.