[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-420018-105":59,"doc-detail-420018-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","speech-language-therapy-referral-red-flags","Speech Language Therapy Referral - Red Flags","","Red Flags For Speech Language Therapy Referral lists age-based and behavior-based signs that indicate when a child should be referred to a Speech Language Pathologist. It specifies what a child should NOT miss across key milestones, including babbling, gestures, response to name, word use, sentence formation, comprehension percentages, and following directions. It also summarizes earlier developmental warning patterns, highlights any regression at any age, and outlines risk factors such as family history, chronic ear conditions, limited interaction, motor weakness, and limited language exposure, with clear guidance on urgent referral for stuttering or swallowing difficulty.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/speech-language-therapy-referral-red-flags/420018/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/speech-language-therapy-referral-red-flags/420018.png","ImageObject",300,407,{"name":92,"@type":93},"Kyle","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-03","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"When should a child be referred to a Speech Language Pathologist?","Question",{"text":113,"@type":114},"Refer if the child does not demonstrate expected speech, language, or social skills at the listed ages and milestones, or if any regression occurs at any age. Immediate referral is also advised for stuttering or swallowing difficulty.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What are the key developmental areas covered by the red flags?",{"text":118,"@type":114},"The red flags cover babbling/cooing, gestures, response to name, imitation, word and sentence use, comprehension levels, answering questions, understanding objects by name, and following one-, two-, and three-step directions.",{"name":120,"@type":111,"acceptedAnswer":121},"What risk factors increase concern for speech and language disorders?",{"text":122,"@type":114},"Risk factors include family history of speech and language disorder, medical history of chronic otitis media with effusion, limited or poor parental interactions, motor disorders or muscle weakness, and limited exposure to environmental language stimuli.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},420018,1791126942,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":24,"preview_page_count":4},3985741905716,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Red Flags For Speech Language Therapy Referral  \nRefer to a Speech Language Pathologist if the child DOES NOT:  \n12 months  \n18 months  \n24 months  \n36 months  \n48 months  \n60 months  \n© North Carolina Speech, Hearing & Language Association, 2013  \n• Babble or coo during play  \n• Point or use gestures (wave bye, shake head yes/no)  \n• Consistently respond to name  \n• Imitate gestures or actions  \n• Use 15 or more words  \n• Imitate words consistently  \n• Wave or say “bye bye”  \n• Respond to simple directions (Come here, Give me the shoe)  \n• Understand names of common objects  \n• Point to at least one body part  \n• Use at least 50 words  \n• Put two words together (“More juice”“No cookie”)  \n• Respond to simple questions (“Where’s the ball?”)  \n• Point to objects upon command consistently  \n• Point to at least 3 body parts  \n• 50% of what is said is understood  \n• Combines three to four words to make simple sentence  \n• Answers yes/no questions consistently  \n• Answers simple who, what, where questions  \n• Follows two step directions consistently  \n• 75% of what is said is understood  \n• Produce 5-6 word sentences  \n• Tells story with beginning, middle and end  \n• Follows three step directions consistently  \n• 90% of what is said is understood  \n• Use complete sentences that are grammatically correct and that give lots of detail  \n• Answer how and why questions or questions about pastor future events  \n• No sound production errors  \n Review of RED FLAGS for Developing Speech and Language:  \n• Little sound play or babbling as infant  \n• No babbling, pointing, or gesturing by 12 months  \n• Poor verbal imitation skills by 12 months  \n• No response to name by 15 months  \n• No single words by 16 months  \n• No response to directions or questions by 24 months  \n• No spontaneous 2 word phrases by 27 months  \n• Missed “language explosion” by 30 months  \n• No eye contact or response to sounds  \n• Limited number of consonant sounds or vowel distortions by 24 months: low intelligibility for toddler (24-36 months)  \n• Small vocabulary for age: not much variety  \n• ANY REGRESSION IN SPEECH, LANGUAGE, OR SOCIAL SKILLS AT ANY AGE  \nRisk Factors:  \n• Family history of speech and language disorder  \n• Medical history of chronic otitis media with effusion  \n• Limited or poor parental interactions  \n• Motor disorders/muscle weakness  \n• Limited exposure to environmental language stimulus  \nCriteria that DO NOT increase risk:  \n• Two languages spoken in the home.  \n• Birth order  \n•Gender (well, he’s a boy………)  \n ALWAYS REFER A CHILD WHO STUTTERS OR EXPERIENCES SWALLOWING DIFFICULTY!  \nReferences:  \nHow Does Your Child Hear and Talk? American Speech-Language-Hearing Association, [http://www.asha.org/public/speech/development/chart.htm](http://www.asha.org/public/speech/development/chart.htm)  \nLanguage Development in Children, Child Development Institute,  \n[http://childdevelopmentinfo.com/child-development/language_development/](http://childdevelopmentinfo.com/child-development/language_development/)  \n© North Carolina Speech, Hearing & Language Association, 2013","cbCaidy4fRsuH6nw","https://ap.wps.com/l/cbCaidy4fRsuH6nw","pdf",341874,"English","# Red Flags for referral by milestone\n## Age-based “DO NOT” criteria\n## Review of red flags in developing speech and language\n## Risk factors and criteria that do not increase risk\n## Immediate referral guidance\n## References","[{\"question\":\"When should a child be referred to a Speech Language Pathologist?\",\"answer\":\"Refer if the child does not demonstrate expected speech, language, or social skills at the listed ages and milestones, or if any regression occurs at any age. Immediate referral is also advised for stuttering or swallowing difficulty.\"},{\"question\":\"What are the key developmental areas covered by the red flags?\",\"answer\":\"The red flags cover babbling/cooing, gestures, response to name, imitation, word and sentence use, comprehension levels, answering questions, understanding objects by name, and following one-, two-, and three-step directions.\"},{\"question\":\"What risk factors increase concern for speech and language disorders?\",\"answer\":\"Risk factors include family history of speech and language disorder, medical history of chronic otitis media with effusion, limited or poor parental interactions, motor disorders or muscle weakness, and limited exposure to environmental language stimuli.\"}]","Speech Language Therapy Referral - Red Flags | PDF",1790619165]