Approach to Speech Delay

Normal MilestonesAge Receptive Expressive24-36 months Answers questionsFollows two-step commands36-48 months Understands much of what issaid48-60 months Understands much of what issaid, commensurate withcognitive levelUses three-word phrasesAsks “what” questions50% intelligibleAsks “why” questions75% intelligibleCreates well-formed sentencesTells stories100% intelligible6 years Pronounces most speech soundscorrectlyMay still have difficulty with “sh”,“th”, “s”, “z”, “r”, “l”7 years Pronounces speech soundscorrectly including consonantblends