When should we consider speech production onset delayed?

[Philip Dale]

Based on MCDI norms, something like 10% of children acquiring English are not talking at 16 months, so this is not yet out of the normal range. However, as the child approaches 20-24 months it would be important to monitor progress (or lack of it). A speech-language pathologist could help administer and interpret the CDI:Words & Gestures, which obtains information on gestural production and vocabulary comprehension, which would provide a more comprehensive picture. If at a later time some kind of intervention is being considered, you might look at the chapters on intervention in our book "Late Talkers: Language Development, Interventions, and Outcomes," Rescorla and Dale, eds, published by Brooks.
Philip Dale


-----Original Message-----
From: info-childes at googlegroups.com [mailto:info-childes at googlegroups.com] On Behalf Of Fatima Badry
Sent: Friday, September 12, 2014 9:04 AM
To: info-childes at googlegroups.com
Subject: When should we consider speech production onset delayed?

A 16 months and 2 weeks child has not yet produced her first words   Although she seems to have  age appropriate cognitive and social development. She is very interactive and communicates all her intentions by grabbing adults' hands and direct them to do what she wants, she makes sounds (mostly vowel combinations with hardly any consonants)  with appropriate intonations. She also follows melodies by singing, using something like lalala with appropriate tunes. Her mother has been interacting with her since birth in English and so have other family members.  Her dad is interacting with her in Arabic.  
She is also late in standing and walking. 
If we rule out delayed cognitive development and autism givien her very social behavior, what could explain the delay in speech production? Are the delayed speech and walking related? Could it be some motor skill issue eventhough she has great coordination and can navigate youtube on phones to get to her favorite nursery rhymes with amazing dexterity! 
Her mother wants to know if she  can she do to help her start speaking?
All insights are much appreciated.
Fatima
Sent from my iPad

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