18-24 Months

SOCIAL/EMOTIONAL

COGNITIVE

PLAY

LANGUAGE COMPREHENSION

LANGUAGE PRODUCTION

SELF-AWARENESS

  • Has a strong sense of self importance
  • Insists on doing things independently
  • Overuses the word "no"
  • Often does the opposite of what is asked
  • Defends self and possessions
  • Shows a wide variety of emotions
  • Expresses affection
  • Laughs at self initiated discrepant behavior
  • Uses "me" and "you"
  • Explores environment energetically
  • Identifies four body parts
  • Demonstrates sensitivity to criticism

SELF CONTROL

  • Tries to control others (e.g. orders, resists)
  • Resists with tantrums
  • Has difficulty with transitions
  • Can delay needs for only a few minutes
  • Follows simple directions related to daily routine
  • Handles separation from familiar person

INTERPERSONAL RELATIONSHIPS

  • Alternates between clinging to and independence from familiar adults
  • Identifies photos of self and familiar people
  • Likes to please others
  • Has genuine interest in the mother and baby relationship
  • Understands what belongs to others
  • Performs for others
  • Enjoys sharing books with adults
  • Tries to comfort others in distress

SOCIAL PLAY

  • Plays near other children but not with them
  • Enjoys solitary play
  • Carries or hugs dolls
  • Smiles and makes eye contact with other children
  • Enjoys rough house play
  • Enjoys songs and attempts to sing
  • Switches roles in simple games

ADAPTIVE BEHAVIOR

  • Gives up bottle
  • Holds cup with one hand and sets down after drinking
  • Uses spoon with little spilling
  • Distinguishes between food and non-food
  • Removes simple garments
  • Puts on hat
  • Inconsistently indicates toileting needs

PROBLEM SOLVING

  • Uses trial and error strategizing in problem solving
  • Uses a tool to obtain a desired object (e.g. pushes up a chair to climb)
  • Becomes aware of having a goal
  • Smiles upon attaining mastery
  • Demonstrates awareness of adult standards (e.g. aware of broken toy)

CAUSALITY

  • Uses others as human means (e.g. directs adult's hand)
  • Gives directives to adults
  • Approximates reactivation of objects
  • Infers a cause, given its effect (e.g. seeks source of a rolled ball)
  • Begins to anticipate the outcome of an action

CLASSIFICATION

  • Clusters similar objects
  • Selects objects misplaced in an array
  • Matches shape configuations

OBJECT PERMANANCE

  • Directly secures object hidden through a series of invisible displacements, deducing where it is

MEMORY

  • Keeps goal in mind while shifting locations
  • Uses environmental cues to anticipate future events
  • Observes ongoing activities and recreates them later
  • Avoids dangerous objects
  • Expresses expectancy of an event
  • Increases memory for location

IMITATION

  • Varies own imitation creatively from modeled behavior
  • Demonstrates deferred imitation
  • Infers when a modeled act is too difficult and responds with refusal

ROLES

  • Attributes to a replica the ability to act (e.g. lets doll see itself in a mirror)
  • Begins simple role playing
  • Includes self and partners in the same action (e.g. feeds self, mom, and doll)
  • Demonstrates awareness of another's point of view

ACTIONS

  • Combines two toys in pretend play (e.g. put a doll on a char)
  • Uses same scheme applied to several objects (e.g. stirs in a cup and stirs in a pitcher)
  • Uses two related actions carried out in sequence

OBJECTS

  • Pretends with realistic objects
  • Uses own body representationally (e.g. hops like a bunny)

SPATIAL

  • Orients personal accessories generally (e.g. puts sunglasses toward nose, but below ears)
  • Fits multiple items into a container
  • Manipulates object to move it through a small opening
  • Constructs in a vertical plane
  • Aligns several objects
  • Approximates nesting
  • Matches objects with relational parts (e.g. completes a three piece puzzre)
  • Places chairs around a doll table

SENSORY

  • Enjoys finger painting, modeling clay, water play, and sand play

AUDITORY PROCESSING

  • Dances/sings to music
  • Makes simple choice without a visual cue

VOCABULARY/CONCEPTS

  • Identifies four body parts on self
  • Identifies four clothing pieces
  • Identifies five pictures of simple objects
  • Identifies photo of self or familiar people
  • Identifies household objects
  • Understands routine descriptors (e.g., mine, me, you)
  • Understands a few common category titles (eg. food, clothes)

COMMANDS

  • Picks up toys upon request
  • Continues to follow two commands with one object (e.g. pick up the baby and put it on the chair)

QUESTIONS

  • Answers where questions
  • Answers what questions
  • Answers yes/no questions

VOCALIZATION/PHONOLOGY

  • Eliminates use of jargon
  • Attempts to hum and sing
  • Masters syllableness (e.g. puppy)
  • Masters prevocalic consonants (e.g. ball)
  • Produces velar /k,g/ deviations some of the time

INTENTION/DISCOURSE

  • Uses words and less gestures to interact with others
  • Begins to engage in dialogue
  • Begins to relate recent experiences
  • Displays listening to other's language
  • Continues to request information and to answer questions
  • Begins to acknowledge using "okay"

SEMANTICS

  • Produces ten to fifteen words by eighteen months
  • Produces 50-200 words by twenty-four months
  • Continues to overgeneralize terms
  • Produces semantic functions such as:
    action (e.g. up, down)
    descriptors (e.g. good, bad, hot)
    existence (e.g. ball)
    location (e.g. in,on)
    non-existence and disappearance (e.g. all gone)
    possession (e.g. mine)
    recurrence (e.g. more)

SYNTAX

  • Has Mean Length of Utterance (M.L.U.) of 1.2 - 1.3 by twenty-one months
  • Has Mean Length of Utterance (M.L.U.) of 1.6 by twenty-four months
  • Produces two word phrases by twenty-four months with some three word phrases
  • Uses some pronouns (e.g. mine, your)
  • Begins to use present progressives (e.g.ing)

18-24 Months

ORAL-MOTOR/FEEDING

GROSS MOTOR

FINE MOTOR

VISION/HEARING

HEALTH/PHYSICAL GROWTH

ORAL-MOTOR/FEEDING

  • Refines feeding and drinking skills
  • Has minimal loss of food and saliva in chewing
  • Begins to use tongue to clean lips

GROSS MOTOR

  • Squats to play and returns to standing
  • Runs with stiff knees P
  • ulls toy
  • Stands on one foot momentarily
  • Kicks ball but may display poor accuracy
  • Carries large object with two hands
  • Runs, but falls frequently
  • Walks with heel-toe gait
  • Walks upstairs holding rail with two feet per step

PREHENNSION

  • Continues to exhibit mature prehension patterns
  • Turns knob with little or no resistance
  • Builds tower of five to six blocks
  • Turns pages singly
  • Places two shapes in a form board using trial and error
  • Pulls apart resistive materials (e.g. pop beads)
  • Rolls, pounds and squeezes malleable substances (e.g. play-doh)
  • Turns knob with resistance (e.g. may open doors)
  • Completes three part form board
  • Imitates vertical stroke within 20 degrees of vertical

IN HAND MANIPULATION SKILLS

  • Utilizes: finger to palm translation (e.g. picks up coin, moves it into palm of hand)
  • Utilizes: palm to finger translation (e.g. able to move a com from palm out to finger)
  • Utilizes: simple rotation (e.g. picks up pencil or pen turning 90 degress in one hand)

VISUAL DISCRIMINATION

  • Identifies familiar objects
  • Names pictures
  • Recognizes self and others in photos
  • Matches objects with relational parts
  • completes three piece puzzle
  • Shows interest in animal pictures
  • Matches identical objects
  • Matches objects to pictures
  • Imitates simple actions
  • Looks selectively at pictures
  • Points to pictures
  • Correctly orients pictures and objects

VISUAL MOTOR INTEGRATION

  • Scribbles back and forth
  • Imitates vertical strokes
  • Makes circular scribbles
  • Stays within limits of paper

EYE/HAND COORDINATION

  • Builds five to six cube tower
  • Builds six cube tower

HEARING

  • Maintains attention to other's speech for longer periods of time for the purpose of following directions, identifying objects and answering questions
  • Enjoys music and tries to dance or sing along

18 MONTHS

Weight:
    Girls - 19-3/4 - 28-1/4 lbs
    Boys - 21-1/4 - 29-1/2 lbs
Length:
    Girls - 30 - 34 in
    Boys - 30-1/2 - 34-3/4 in
Head Circumference:
    Girls - 45.0 - 49.1 cm
    Boys - 46.3 - 50.6 cm
Nutrition:
  • Becomes a picky, fussy eater with strong food preferences
  • Requires less milk intake 24-32 ounces daily (excess milk intake may limit intake of solid foods)
Health:
  • Gains four to six lbs from twelve to twenty-four months
  • Grows four to five inches from twelve to twenty-four months
  • Increases head circumference by approximately 2.5 cm from twelve to twenty-four months
  • Has approximately twelve teeth

24 MONTHS

Weight:
    Girls - 21-3/4 - 31 lbs
    Boys - 23-1/4- 32-1/2 lbs
Length:
    Girls - 32 - 36-1/4 in
    Boys - 32-1/2 - 37 in
Head Circumference:
    Girls - 46.1 - 50.1 cm
    Boys - 47.3 - 51.4 cm
Nutrition:
  • Eats three meals and two to three healthy snacks per day
  • Drinks between 16-32 ounces of milk per day
Health:
  • Has approximately sixteen primary teeth
  • Estimated adult height is approximately double that at age two
  • Has completed immunization basic series per recommended guidelines

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Family Enrichment Program
ECHO Joint Agreement
Park Forest, IL