Approach to Speech Delay

Indications for ReferralAgeAny ageFindingLack of response to soundLack of interest in interaction with peopleLoss of previous milestones4 months Lack of drive to communicate6-9 months Poor sound localization12 months No verbal routinesFailure to use mama, dada15-18 months No single wordsPoor understanding of language24 months Vocabulary less than 50 words or no two-word phrasesLess than 50% intelligible to strangers36 months Rote memorization or repetition onlyLess than 75% intelligible to strangers48 months Inability to participate in conversationStuttering