---
title: My Child Isn't Talking Yet - What Now?
description: Are you concerned that your child hasn't started talking? Here are the next steps you should take.
image: https://blog.chsc.org/hubfs/SLP%20assessment.jpg
---

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- CHSC Services & Programs 
    - Speech-Language & Literacy 
          - [Services for Adults](https://www.chsc.org/speech-language/speech-language-services-for-adults/)
          - [Services for Children](https://www.chsc.org/speech-language/speech-language-literacy-services-for-children/)
          - [Contract Services](https://www.chsc.org/speech-language/community-contract-services-speech-language-literacy/)
          - [Project ELLA](https://www.chsc.org/speech-language/project-ella/)
    - Hearing Services 
          - [Hearing Evaluations and Testing](https://www.chsc.org/hearing-services/hearing-evaluations-and-testing/)
          - [Hearing Aids & Other Hearing Services](https://www.chsc.org/hearing-services/hearing-aids-other-hearing-services/)
          - [Early Intervention Service](https://www.chsc.org/hearing-services/early-intervention-service/)
    - Language Interpreting 
          - [Language Interpreting Options](https://www.chsc.org/language-interpreting-services/american-sign-language-interpreting-services/)
          - [American Sign Language Interpreting](https://www.chsc.org/language-interpreting-services/american-sign-language-interpreting/)
          - [Spoken Language Interpreting](https://www.chsc.org/language-interpreting-services/spoken-language-interpreting/)
          - [Book an American Sign Language Interpreter](https://www.chsc.org/language-interpreting-services/book-an-american-sign-language-interpreter/)
- Community Center for the Deaf & Hard of Hearing 
    - [Welcome to CCDHH](https://www.chsc.org/community-services/welcome-to-ccdhh/)
    - [Vocational Rehabilitation Services](https://www.chsc.org/community-services/vocational-rehabilitation-services/)
    - [Support Services and Advocacy](https://www.chsc.org/community-services/support-services-and-advocacy/)
    - [Ohio Clinician Mental Health Training](https://www.chsc.org/community-services/ohio-clinician-mental-health-training/)
    - [American Sign Language (ASL) Classes](https://www.chsc.org/community-services/american-sign-language-asl-classes/)
- Locations 
    - [University Circle](https://www.chsc.org/contact/main-center-university-circle-location)
    - [Broadview Heights](https://www.chsc.org/contact/broadview-heights-location)
    - [Lyndhurst](https://www.chsc.org/contact/lyndhurst-location)
    - [Westlake](https://www.chsc.org/contact/westlake-location)
    - [Community Center for the Deaf & Hard of Hearing](https://www.chsc.org/contact/community-center-for-the-deaf-hard-of-hearing)
- Giving Back 
    - [Ways to Give](https://www.chsc.org/giving/ways-to-give/)
    - [Corporate Philanthropy](https://www.chsc.org/giving/ways-to-give/corporate-philanthropy/)
    - [Fundraising & Events](https://www.chsc.org/giving/ways-to-give/fundraising-events/)
- About Us 
    - [About CHSC](https://www.chsc.org/about/about-chsc/)
    - [Board of Directors](https://www.chsc.org/about/board-of-directors/)
    - [Leadership](https://www.chsc.org/about/leadership/)
    - [CHSC Staff](https://www.chsc.org/about/chsc-staff/)
    - [Join the CHSC Team](https://www.chsc.org/about/careers/)
    - [New Partners of CHSC](https://www.chsc.org/about/new-partners-of-chsc/)
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    - [Our History](https://www.chsc.org/about/our-history/)
- [Ask CHSC](https://www.chsc.org/ask-chsc/)

# Communication Matters

# My Child Isn't Talking Yet - What Now?

[Akilah Porter, Marketing Coordinator](https://blog.chsc.org/blog/author/akilah-porter-marketing-coordinator) | Posted on  June 21, 2019

![SLP assessment](https://blog.chsc.org/hs-fs/hubfs/SLP%20assessment.jpg?width=300&name=SLP%20assessment.jpg)Early in infancy, you will see signs that indicate that your child is hearing, listening, and understanding what is going on around him/her. Your child is learning language long before he/she produces that first word.

There is a typical progression to language development. Initially, your child will turn to find sounds, follow with his/her eyes when something moves in their view, look at what you are looking at ([joint attention](https://blog.chsc.org/blog/how-to-build-joint-attention-skills-in-young-children-with-autism)). All of these skills are part of [language development](https://blog.chsc.org/blog/your-childs-speech-language-development-birth-to-5-years-). Later, your child will respond by pointing or may get your attention by touching you or vocalizing.

Soon, your child will be following directions, repeating things you say, naming objects (labeling), asking questions, saying "no" (protesting), etc. Gradually, your child will learn (often by example) social language skills (please, thank you, asking nicely, not interrupting, etc.).

Initially, children may gesture, point, or look at things they want. Later, these gestures are paired with vocalizations and then with verbalizations (actual words or word approximations). As your child becomes more verbal, the need for gestures and vocalization will fade. When a child does not develop words or the ability to produce words, behaviors such as gestures, vocalizations, grabbing, or other actions may persist. After a certain age, this is no longer appropriate or expected.

**Assessment of Language Abilities **The components of a [language assessment](https://www.chsc.org/speech-language/) will vary with the age of your child. Generally, the evaluation will include a parent interview, some degree of play to assess the child's cognitive and communicative development, standardized testing (when age-appropriate), a recording of the speech-language sample (for speech-sound production and linguistic features) and an oral-motor examination (assessing the shapes and movements of the mouth and face). Children are evaluated as young as 12-18 months of age. Since speech-language problems can impact [social](https://blog.chsc.org/blog/social-communication-skills-in-children) and academic abilities, early detection, and intervention are critical. Early intervention can help prevent difficulties with reading, writing, and interpersonal communication. When a child has a known disability, such as Down syndrome, an intervention can begin even earlier than 12 months.

If your child is very young, the evaluation may be based mainly on what you observe your child can do or not do. If your child is a toddler or preschooler, he/she can participate in some testing. Evaluations of preschool-aged and school-aged children may also include some assessment of [literacy skills](https://blog.chsc.org/blog/pre-literacy-skills-for-preschoolers) (reading and writing).

**Treatment of Language Disorders**Treatment is designed to provide your child with success in the communication of wants and needs. The treatment of language disorders begins with the abilities your child has and then builds on those. Through the assessment process, the Speech-Language Pathologist (SLP) will determine what skills your child has or has learned yet. Following the expected sequence of skill development, she will help you and your child master each of the next receptive or expressive skills.

Individual or group treatment may be recommended, depending on your child's needs. Individual therapy allows for a more intense focus on specific skills. Group treatment helps develop the [social](https://blog.chsc.org/blog/developing-social-skills-in-young-children) aspects of [communication](https://www.chsc.org/speech-language/#common-pediatric-communication-disorders). Also, children learn a great deal from each other in these group treatment settings. Groups are also beneficial to parents/caregivers as they provide a view of the range of abilities children demonstrate at different ages, and other parents/caregivers are available for discussion and support.

[![Request an Appointment](https://no-cache.hubspot.com/cta/default/3275645/5ccc2fdc-0e56-4d42-a632-a841e690d8d4.png)](https://cta-redirect.hubspot.com/cta/redirect/3275645/5ccc2fdc-0e56-4d42-a632-a841e690d8d4)

 Tags: [Speech](https://blog.chsc.org/blog/topic/speech), [Language](https://blog.chsc.org/blog/topic/language), [Communication](https://blog.chsc.org/blog/topic/communication), [Voice](https://blog.chsc.org/blog/topic/voice), [toddler](https://blog.chsc.org/blog/topic/toddler), [talking](https://blog.chsc.org/blog/topic/talking)

## Comments

### Blog Categories

- [Communication (122)](https://blog.chsc.org/blog/topic/communication)
- [Speech (89)](https://blog.chsc.org/blog/topic/speech)
- [Language (74)](https://blog.chsc.org/blog/topic/language)
- [Hearing (54)](https://blog.chsc.org/blog/topic/hearing)
- [talking (47)](https://blog.chsc.org/blog/topic/talking)
- [Hearing Loss (43)](https://blog.chsc.org/blog/topic/hearing-loss)
- [Audiology (41)](https://blog.chsc.org/blog/topic/audiology)
- [Learning (34)](https://blog.chsc.org/blog/topic/learning)
- [Hard of Hearing (33)](https://blog.chsc.org/blog/topic/hard-of-hearing)
- [Hearing Aids (33)](https://blog.chsc.org/blog/topic/hearing-aids)
- [Support (33)](https://blog.chsc.org/blog/topic/support)
- [Voice (33)](https://blog.chsc.org/blog/topic/voice)
- [toddler (31)](https://blog.chsc.org/blog/topic/toddler)
- [Hearing Aid (28)](https://blog.chsc.org/blog/topic/hearing-aid)
- [Stroke (19)](https://blog.chsc.org/blog/topic/stroke)
- [Hearing Loss Prevention (17)](https://blog.chsc.org/blog/topic/hearing-loss-prevention)
- [Caregiving (16)](https://blog.chsc.org/blog/topic/caregiving)
- [literacy (16)](https://blog.chsc.org/blog/topic/literacy)
- [Brain Injury (15)](https://blog.chsc.org/blog/topic/brain-injury)
- [Deaf (15)](https://blog.chsc.org/blog/topic/deaf)
- [Speech therapy (15)](https://blog.chsc.org/blog/topic/speech-therapy)
- [reading (14)](https://blog.chsc.org/blog/topic/reading)
- [Stuttering (13)](https://blog.chsc.org/blog/topic/stuttering)
- [Teens (13)](https://blog.chsc.org/blog/topic/teens)
- ["ears" (11)](https://blog.chsc.org/blog/topic/ears)
- [Communication Access (11)](https://blog.chsc.org/blog/topic/communication-access)
- [Stroke recovery (11)](https://blog.chsc.org/blog/topic/stroke-recovery)
- [ASL (10)](https://blog.chsc.org/blog/topic/asl)
- [American Sign Language (10)](https://blog.chsc.org/blog/topic/american-sign-language)
- [Interpreting (7)](https://blog.chsc.org/blog/topic/interpreting)
- ["tinnitus" (6)](https://blog.chsc.org/blog/topic/tinnitus)
- [ASL Interpreter (6)](https://blog.chsc.org/blog/topic/asl-interpreter)
- [Wilson Reading Program (6)](https://blog.chsc.org/blog/topic/wilson-reading-program)
- [Aphasia (5)](https://blog.chsc.org/blog/topic/aphasia)
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see all

### Authors

- [Cleveland Hearing & Speech Center (32)](https://blog.chsc.org/blog/author/cleveland-hearing-speech-center)
- [Bridgid M. Whitford Au.D, CCC-A (25)](https://blog.chsc.org/blog/author/bridgid-m-whitford-au-d-ccc-a)
- [Sharon Dundee (21)](https://blog.chsc.org/blog/author/sharon-dundee)
- [Michelle Foye, MA CCC-SLP (13)](https://blog.chsc.org/blog/author/michelle-foye-ma-ccc-slp)
- [Alicia Verhovitz, M.A., CCC-SLP (10)](https://blog.chsc.org/blog/author/alicia-verhovitz-m-a-ccc-slp)
- [Megan Ahlman, M.A. CCC-SLP (9)](https://blog.chsc.org/blog/author/megan-ahlman-m-a-ccc-slp)
- [Lauren Masuga, M.A., CCC-SLP (5)](https://blog.chsc.org/blog/author/lauren-masuga-m-a-ccc-slp)
- [Linda Lange, Assistant Director of Speech Language & Learning Services (4)](https://blog.chsc.org/blog/author/linda-lange-assistant-director-of-speech-language-learning-services)
- [Akilah Porter, Marketing Coordinator (4)](https://blog.chsc.org/blog/author/akilah-porter-marketing-coordinator)
- [Tracy Biller, M.A., CCC-SLP Speech-Language Pathologist; Adult Services Coordinator (4)](https://blog.chsc.org/blog/author/tracy-biller-m-a-ccc-slp-speech-language-pathologist-adult-services-coordinator)
- [Akilah Porter (3)](https://blog.chsc.org/blog/author/akilah-porter)
- [Rachel Lester, BS, Audiology Intern (3)](https://blog.chsc.org/blog/author/rachel-lester-bs-audiology-intern)
- [Rebecca Mental, Ph.D., CCC-SLP Director of Speech, Language, and Learning Services (3)](https://blog.chsc.org/blog/author/rebecca-mental-ph.d.-ccc-slp-director-of-speech-language-and-learning-services)
- [Jennell C. Vick, Ph.D., CCC-SLP (3)](https://blog.chsc.org/blog/author/jennell-c.-vick-ph.d.-ccc-slp)
- [Stephanie Vondra, M.A., CCC-SLP (2)](https://blog.chsc.org/blog/author/stephanie-vondra-m.a.-ccc-slp)
- [Michelle Foye, M.A., CCC-SLP, Director of Speech Language & Learning Services (2)](https://blog.chsc.org/blog/author/michelle-foye-m-a-ccc-slp-director-of-speech-language-learning-services)
- [Kacey Riga, M.A., CCC-SLP (2)](https://blog.chsc.org/blog/author/kacey-riga-m-a-ccc-slp)
- [Chana Feinstein, M.A., CCC-SLP (2)](https://blog.chsc.org/blog/author/chana-feinstein-m-a-ccc-slp)
- [Michelle Kurfiss M.A. CCC-SLP (2)](https://blog.chsc.org/blog/author/michelle-kurfiss-m-a-ccc-slp)
- [Casey Ring, CCDHH Learning Center Manager (1)](https://blog.chsc.org/blog/author/casey-ring-ccdhh-learning-center-manager)
- [Samantha Taylor (1)](https://blog.chsc.org/blog/author/samantha-taylor)
- [Dalit Burgess, Coordinator of School Services, Senior Speech-Language Pathologist (1)](https://blog.chsc.org/blog/author/dalit-burgess-coordinator-of-school-services-senior-speech-language-pathologist)
- [Rebecca Mental, Ph.D., MPH, CCC-SLP (1)](https://blog.chsc.org/blog/author/rebecca-mental-ph-d-mph-ccc-slp)
- [Jordan Brian, Sign Language Interpreter (1)](https://blog.chsc.org/blog/author/jordan-brian-sign-language-interpreter)
- [Dalit Burgess, M.S., CCC-SLP, Senior Speech-Language Pathologist; Coordinator of Professional and School Services (1)](https://blog.chsc.org/blog/author/dalit-burgess-m-s-ccc-slp-senior-speech-language-pathologist-coordinator-of-professional-and-school-services)
- [Maria O’Neil Ruddock, Psy.D. (1)](https://blog.chsc.org/blog/author/maria-oneil-ruddock-psy-d)
- [Jennell Vick, Ph.D., CCC-SLP (1)](https://blog.chsc.org/blog/author/jennell-vick-ph-d-ccc-slp)
- [Michelle Parker-Armstrong, Office Coordinator for CCDHH (1)](https://blog.chsc.org/blog/author/michelle-parker-armstrong-office-coordinator-for-ccdhh)
- [Jonathan Plessner, CCC-SLP (1)](https://blog.chsc.org/blog/author/jonathan-plessner-ccc-slp)
- [Elizabeth Divis, M.A. CCC-SLP (1)](https://blog.chsc.org/blog/author/elizabeth-divis-m-a-ccc-slp)
- [Sarita Cornwall, Support Services & Community Outreach Specialist (1)](https://blog.chsc.org/blog/author/sarita-cornwall-support-services-community-outreach-specialist)
- [Ruth Clark, MA., CCC-A (1)](https://blog.chsc.org/blog/author/ruth-clark-ma-ccc-a)
- [Carol Theil, CCC-SLP (1)](https://blog.chsc.org/blog/author/carol-theil-ccc-slp)
- [Jerry Hayes, PsyD and Maria O’Neil Ruddock, PsyD (1)](https://blog.chsc.org/blog/author/hayes-oneil)
- [Angela Gartner, Editor, NEO Parent Magazine (1)](https://blog.chsc.org/blog/author/angela-gartner-editor-neo-parent-magazine)
- [Reprinted with permission from the Annie E. Casey Foundation (1)](https://blog.chsc.org/blog/author/reprinted-with-permission-from-the-annie-e-casey-foundation)
- [Anne M. Calic MA CCC-SLP (1)](https://blog.chsc.org/blog/author/anne-m-calic-ma-ccc-slp)
- [Jessica Blakeman CCC-SLP, Speech-Language Pathologist, (1)](https://blog.chsc.org/blog/author/jessica-blakeman-ccc-slp-speech-language-pathologist)
- [Rebecca Mental, Ph.D., CCC-SLP, Director of Research and Jonathan Plessner, M.A., CCC-SLP, Speech-Language Pathologist (1)](https://blog.chsc.org/blog/author/rebecca-mental-ph-d-ccc-slp-director-of-research-and-jonathan-plessner-m-a-ccc-slp-speech-language-pathologist)
- [Debbie Dey (1)](https://blog.chsc.org/blog/author/debbie-dey)
- [Casey Ring, Learning Center Manager (1)](https://blog.chsc.org/blog/author/casey-ring-learning-center-manager)
- [Kellie Vaughan, M.A., CCC-SLP (1)](https://blog.chsc.org/blog/author/kellie-vaughan-m-a-ccc-slp)
- [Dr. Jennell C. Vick (1)](https://blog.chsc.org/blog/author/dr-jennell-c-vick)

see all

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##### Menu

- [Audiology](http://www.chsc.org/audiology)
- [Hearing Aids](http://www.chsc.org/hearing-aids)
- [Speech & Language](http://www.chsc.org/speech-language)
- [ASL Interpreting](http://www.chsc.org/american-sign-language-interpreting-services)
- [Community Center (CCDHH)](http://www.chsc.org/community-center-for-the-deaf-hard-of-hearing)
- [Resources](http://www.chsc.org/resources)
- [About](http://www.chsc.org/about/about-chsc)
- [Giving](http://www.chsc.org/giving)
- [Events](http://www.chsc.org/ways-to-give/fundraising-events)
- [Contact](http://www.chsc.org/contact)
- [Schedule an Appointment](http://www.chsc.org/contact)
- [Donate](https://transactions.chsc.org/CampaignForm/CHSC/Cleveland+Hearing+and+Speech+Center)

![CARF](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/carf-logo.png)

##### Accreditations and Affiliations

- [Commission on Accreditation of Rehabilitation Facilities](http://carf.org)
- [Certified Medicare and Medicaid Provider](https://www.cms.gov/)
- [National Association of Speech and Hearing Centers](http://www.nashc.net/)
- [Registry of Interpreters for the Deaf](http://www.rid.org/)
- [Case Western Reserve University](https://case.edu/)
- [United Way of Greater Cleveland](https://www.unitedwaycleveland.org/)

##### Contact Information

11635 Euclid Ave.  
 Cleveland, OH 44106  
 Voice: (216) 231-8787  
 Appt: (216) 325-7570  
 Fax: (216) 231-7141  
[info@chsc.org](mailto:info@chsc.org)

![CARF](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/carf-logo.png)

- [Corporate Information](http://www.chsc.org/corporate-information)
- [HIPAA](http://www.chsc.org/hipaa-cleveland-hearing-speech-center)
- [Privacy Policy](http://www.chsc.org/privacy-policy)
- [Terms & Conditions](http://www.chsc.org/terms-and-conditions)
- 501c3 Non-Profit

© 2017 Cleveland Hearing & Speech Center. All rights reserved.