Here is some useful information such as developmental milestones, acronyms, links,
and mailing lists for parents on speech delays, developmental delays and special ed
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If you suspect your child may be
in one or more areas,
make an appointment with your pediatrician and ask for a referral for an
have a wait and see attitude - it is up to
you the parent to decide what you want and advocate for your child.
Don't underestimate the power of
a parent's "gut" instinct.
Insist that your doctor examine your child, get a second opinion if need be. As the parent its up to you to fight for your child's health and well being. It may seem like you are your own
conference calling service
with the amount of time you spend on the phone calling doctors but ensuring your child is on the right development path is well worth it.
Insurance may cover all or part of an evaluation
and or therapy (if needed). In the United States there is a program called Early
Intervention (EI) for children ages 0 to 3. You can also go through the school
system special education department for kids 3 and up. There is no cost to
you for these programs unlike going through some
If you do have a delayed child, it really helps
to watch for small
and be careful about comparing
them against other
Click Here to see Laura Dyer MCD
latest book Look Who's Talking
published in 2004. Here is my review from inside the front cover
"Laura's book is wonderful. It should be
included with the owner's manual as each child is born"
If your child is a toe-walker
CLICK HERE for an article on it. If you recently found out your child is delayed - read this essay CLICK HERE
SI problems can occur when one or more of the senses are under or over sensitive.
For example a child with over sensitive tactile senses may resist hair washing,
being touched or hugged, or eating many foods. One with under sensitive tactile
senses may crave being hugged or touched. One good book on the subject is
"The Out Of Sync Child"
by Carol Kranowitz available at amazon.com
You may also want to check out "Love Jean"
by Jean Ayres, Philip R. Erwin, and Zoe Mailloux
"Inspiration for Families Living With Dysfunction of Sensory Integration"
My name is Jeanne Buesser. I am parent of two special needs children with communication
impairments. I also am outreach coordinator for a world wide organization called
the Cherab Foundation which gives support to professionals and parents of children
with communication disorders. Cherab stands for Communcation Help Education Reseach
Apraxia Base. If you would like to start a support group in your area or you know
of resources, speech and language specialists, developmental pediatricians etc.
Please contact us
You can also
visit our websites at www.cherab.org
or you can also read The Late Talker book
, written by Marilyn Agin MD, Lisa
Geng, and Malcolm Nicholl St. Martin's Press. Also check out the website
Please pass this information on to anyone who could use it.
President Apraxia Network of Bergen County
(New Jersey, United States of America)
Awakens to touch but not to voice (occurs from birth)
Does not seem startled by loud sounds (occurs from birth)
Does not attempt to turn toward a sound made at eye level (occurs from three to four months of age)
Responds to comforting only when held (occurs from three to four months of age)
Shows little interest in babbling or imitating sounds (occurs from six months of age)
Does not respond to the sounds of speech, footsteps or noise-producing toys. This means that the infant does not stop activities to listen to speech from two months of age. The infant does not turn toward the sound of footsteps from four months of age.
Does not imitate speech or talk by age two or speech is very unclear
Does not follow simple directions
Ignores the ring of a telephone or doorbell
Seems startled to look up and see a person in the room
May pay attention to very loud noises, but does not respond to speech or listen on the telephone
Uses gestures rather than speech to express needs. These gestures include pointing, pulling and touching.
When first seeing the array of evaluation test scores with different units it
was confusing. We were given scores in standard score, percentile, and standard
deviations, also age equivalent or months delayed or percent delayed
which is not the same as percentile above.
Percentile goes from 1 to 100 percent but it's not like 90% is an A or 60%
meant you got 6 out of 10 right. It is a comparing it against other scores.
For example a score of 5% (5th percentile) means you did better than about
4% and worse than about 95%. Adding in the percentile you are in makes it
come to 100 (4 + 1 + 95 = 100). 50% would be considered average - about half the
kids did better and about half worse
Standard deviation maps to percentage. About 2/3 of the the kids will test
within plus or minus 1 standard deviation of the norm. About 1/6 will score
more than 1 standard deviation below the norm and about 1/6 will score more
than 1 standard deviation above the norm. About 1/50 kids score 2 standard
deviations below the norm and ditto above.
Standard scores also map to percentiles and standard deviations. IQ
tests are scored this way where 100 is average = 50% = 0 standard deviations.
To covert take the mean minus the standard score divided by the standard
deviation: 100 - 70 divided by 15 = 2.00 standard deviations below.
85 is 1 standard deviation below the norm which is about at the
16% mark and 115 is 1 standard deviation above the norm which is
about at the 84% mark. Everything in this range is considered
WNL (Within Normal Limits).
Some sub tests use a standard score of 10
with a standard deviation of 3 so a sub test score of 7 = 16% = 1 standard
deviation below the norm. Some scores may be given as a raw score so you
would need to convert to one of the other formats
If a kid who is 36 months old is said to be 9 months delayed than they
are (36 - 9 = 27) at an age equivalent of 27 months and that would be
a (36/9 = .25 = 25%) 25% delay. That also means that would be average or 50
percentile for a 27 month old. If your 36 month old score 50% on a given
test that would be at a 36 month level or 0 months delayed or 0% delayed.
You would have to look at the individual tests to go between standard score,
percentile, and standard deviation and age equivalent or months delayed or
The Delay in the below table is where it starts for example a moderate
delay is 1.50 - 1.99 standard deviations below the norm.