Milestones: Navigating The Numbers

The national governing body of speech-language pathologists, the American Speech-Language-Hearing Association (ASHA), recently released an updated checklist of skills for children from birth to 5 years. This checklist includes milestones on various aspects of development (language, speech production, feeding and swallowing). A milestone is defined as “an action or event marking a significant change or stage in development.” In other words, a milestone is the age at which a particular skill should be acquired and mastered by a child. We wanted to combine this helpful information into blog posts with examples to make it easy for all to understand! 

By age 1, a child should be able to:

Receptive Language Skills (the comprehension of language):

  • Respond to simple words and phrases like “Go bye-bye” and “Look at Mommy.”

  • Reach for objects

    • Example: reaching for a Teddy Bear they would like to hold. 

  • Look at you when you call their name.

  • Stop for a moment when you say, “No.”

    • Example: They may be reaching for your coffee. You say, “no!” and the child should stop- for just a moment! 

  • Recognize the names of some people and objects.

    • Think family names, pet’s names, their favorite foods, familiar toys or characters they love.

Expressive Language Skills (ability to communicate wants, needs, thoughts and feelings):

  • Point, wave, and show or give objects.

  •  Say one or two words—like mama, dada, hi, and bye.

  • Push away unwanted objects.

    • Example: You present them peas on their highchair tray. They push away the peas, to indicate that they want something else. 

Speech Production Skills (Sound Production):

  • Try to copy sounds that you make.

  • Vocalize during play

    • Example: these can be single sounds, such as “ahhh!”, or a combination of sounds!

Social-Pragmatic Language Skills (Social-Skills):

  •  Imitate and initiate gestures for engaging in social interactions and playing games.

    • Example: blowing kisses or playing peek-a-boo.

  • Respond to facial expressions.

  • React to toys that make sounds.

    • Example: You activate a toy by pushing a button and it makes a sound. The child looks or moves toward the toy! 

Feeding Skills:

  • Hold a bottle or cup with both hands.

  • Hold a spoon during the meal and demonstrate self feeding with their fingers.

  • Begin chewing food on both sides of mouth (called “rotary chewing")

  • Take a small bite from a larger piece of food

    • Example: Taking a bite off of a halved banana 

  • Close lips during swallowing



If you have concerns in any of the areas above, it is time to contact a speech-language pathologist and set up a consultation! We offer free phone consultations to discuss your questions and concerns further. 

Be sure to check back for our next post all about 2 year olds!

For more information on the milestones check out:

https://www.owlstherapy.com/new-blog/milestones-vs-averages

https://www.asha.org/public/developmental-milestones/communication-milestones/

https://www.asha.org/public/developmental-milestones/feeding-and-swallowing-milestones-birth-to-1-year/

As always, if you need to consult the experts…don’t wait…evaluate! 

Contact us!