Module 1, Handout 3

1 to 3 months

• Doesn’t seem to respond to loud noises

• Doesn’t follow moving objects with eyes by 2 to 3 months

• Doesn’t smile at the sound of your voice by 2 months

• Doesn’t grasp and hold objects by 3 months

• Doesn’t smile at people by 3 months

• Cannot support head well at 3 months

• Doesn’t reach for and grasp toys by 3 to 4 months

• Doesn’t bring objects to mouth by 4 months

• Doesn’t push down with legs when feet are placed on a firm surface by 4 months

• Has trouble moving one or both eyes in all directions

4 to 7 months

• Seems very stiff, tight muscles

• Seems very floppy, like a rag doll

• Head still flops back when body is pulled to sitting position (by 5months still exhibits head lag)

• Shows no affection for the person who cares for them

• Doesn’t seem to enjoy being around people

• One or both eyes consistently turn in or out

• Persistent tearing, eye drainage, or sensitivity to light

• Does not respond to sounds around them

• Has difficulty getting objects to mouth

• Does not turn head to locate sounds by 4 months

• Doesn’t roll over (stomach to back) by 6 months

• Cannot sit with help by 6 months (not by themselves)

• Does not laugh or make squealing sounds by 5 months

• Does not actively reach for objects by 6 months

• Does not follow objects with both eyes

• Does not bear some weight on legs by 5 months

8 to 12 months

• • Does not crawl

  • Drags one side of body while crawling (for over one month)

  • Cannot stand when supported

  • Does not search for objects that are hidden (10-12 mos.)

  • Says no single words (“mama” or “dada”)

  • Does not learn to use gestures such as waving or shaking head

  • Does not sit steadily by 10 months

  • Does not show interest in “peek-a-boo" or "patty cake” by 8 mos.

  • Does not babble by 8 mos. (“dada,” “baba,” “mama”)

12 to 24 months

• Cannot walk by 18 months

• Fails to develop a mature heel-toe walking pattern after several months of walking, or walks exclusively on toes

• Does not speak at least 15 words by 18 months

• Does not use two-word sentences by age 2

• By 15 months does not seem to know the function of common household objects (brush, telephone, bell, fork, spoon)

• Does not imitate actions or words by 24 mos.

24 to 36 months

• Frequent falling and difficulty with stairs

• Persistent drooling or very unclear speech

• Inability to build a tower of more than 4 blocks

• Difficulty manipulating small objects

• Inability to copy a circle by 3 years old

• Inability to communicate in short phrases

• No involvement in pretend play

• Failure to understand simple instructions

• Little interest in other children

• Extreme difficulty separating from primary caregiver

3 to 4 years

• Cannot jump in place

• Cannot ride a trike

• Cannot grasp a crayon between thumb and fingers

• Has difficulty scribbling

• Cannot copy a circle

• Cannot stack 4 blocks

• Still clings or cries when parents leave him

• Shows no interest in interactive games

• Ignores other children

• Doesn't respond to people outside the family

• Doesn't engage in fantasy play

• Resists dressing, sleeping, using the toilet

• Lashes out without any self-control when angry or upset

• Doesn't use sentences of more than three words

• Doesn't use "me" or "you" appropriately

4 to 5 years

• Exhibits extremely aggressive, fearful or timid behavior

• Is unable to separate from parents

• Is easily distracted and unable to concentrate on any single activity for more than 5 minutes

• Shows little interest in playing with other children

• Refuses to respond to people in general

• Rarely uses fantasy or imitation in play

• Seems unhappy or sad much of the time

• Avoids or seems aloof with other children and adults

• Doesn't express a wide range of emotions

• Has trouble eating, sleeping or using the toilet

• Can't differentiate between fantasy and reality

• Seems unusually passive

• Can't understand two-part commands and prepositions ("put the cup on the table"; "get the ball under the couch")

• Can't give his first and last name

• Doesn't use plurals or past tense

• Cannot build a tower of 6 to 8 blocks

• Seems uncomfortable holding a crayon

• Has trouble taking off clothing

• Can't brush teeth or wash and dry hands