Early Intervention Services
Infants and Toddlers Living in…

Perry, Jackson, Union, Alexander, Pulaski, Johnson, Massac, Pope and Hardin Counties

Developmental Milestones
Parent Interests
Enrollment Data
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Provider Interests
Local Interagency Council

    As someone who cares about children, you know that no two are exactly the same—

    Usually developmental differences are nothing to worry about, but sometimes they can signal a special need. If you are close to a child, you may be the first person to notice warning signs.

    The earlier a developmental delay or disability is identified, the better the chance that Early Intervention services can help a child reach his or her full potential.

    Warning Signs

    Three Months:
    • Does not smile in response to people
    • Does not follow moving objects with eyes
    • Does not grasp and hold objects
    • Does not coo
    • Poor suck/swallow
    • Dose not try to imitate your sounds by 4 months
    • Does not pay attention to new faces
    • Does not support some weight on feet when held

    Five Months:
    • Does not roll over in either direction
    • Seems impossible to comfort at night
    • Does not smile on own
    • Does not turn head to locate sounds
    • Hands still held in fisted position

    Seven Months:
    • Seems very stiff or very floppy
    • Doesn’t move both sides of body equally
    • Does not actively reach for objects
    • Does not bear weight on legs
    • Doesn’t roll in both directions
    • Does not try to attract attention through actions
    • Shows no interest in peek-a-boo by 8 months
    • Does not turn to look when parent says baby’s name
    • Does not babble

    Twelve Months:
    • Doesn’t respond to simple verbal requests
    • Doesn’t say single words like “mama” or “dada”
    • Not using gestures such as waving/shaking head
    • Doesn’t point to show you something interesting
    • Does not look when parent points out something
    • Does not crawl
    • Doesn’t search for toy dropped off high chair tray
    • Gets up frequently at night-most nights

    Eighteen Months:
    • Cannot walk or consistently walks on toes
    • Does not seem to know the function of common objects (brush, telephone, spoon, broom)
    • Doesn’t use several single words consistently
    • Often sits with legs out to sides in “w” position
    • Extreme difficulty in adjusting to new situations

    Twenty-four Months:
    • Doesn’t use two-word sentences
    • Does not follow simple instructions
    • Cannot push a wheeled toy
    • Does not imitate actions or words or sounds
    • Does not point to eyes, ears, mouth, nose
    • Does not seem to know what a book is for
    • Does not show interest in other children/surroundings

    Thirty Months:
    • Speech not understood by people outside of family
    • Unusually high or low activity level
    • Persistent drooling or constant open mouth posture
    • Little or no involvement in pretend play activities
    • Extreme difficulty separating from parent
    • Limited interest in toys

    Other Considerations:
    • Any loss or regression of skills at any time
    • Birth weight under 5 pounds or any perinatal infection
    • Use of respirator or blood transfusions at birth
    • Frequent ear infections
    • Family history of developmental concerns
    • Particularly small or large for age
    • Awkward or jerky movement patterns/toe walking
    • Not using both sides of body equally
    • Refuses to eat most foods or fussy about textures
    • Very sensitive/severe gag reflex
    • Repetitive behaviors- lining up toys, spinning, flapping
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