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Recognising and Addressing Developmental Delays in Children

Early childhood is a critical period for growth and development, laying the foundation for future health, learning and well-being. Developmental delays are relatively common. They occur in 10% to 15% of preschool children. Global developmental delays (which encompass several areas) are less common and affect between 1% and 3% of preschoolers.

Recognising and addressing developmental delays during these formative years can significantly impact a child’s overall development. Early identification and intervention are important to ensuring that children with developmental delays receive the support they need to reach their full potential. 

Understanding Developmental Milestones

To recognise developmental delays, it’s important to know about developmental milestones. These are key indicators of a child’s growth and progress in various areas, including motor skills, language development, cognitive abilities and social-emotional skills. Monitoring these milestones allows parents, caregivers and professionals to ensure that children are developing as expected and to identify any potential delays early on. 

Typical Developmental Milestones

Developmental milestones fall into several categories:

Motor Skills

Motor skills are divided into two categories: gross motor skills and fine motor skills. 

  • Gross Motor Skills: These involve large muscle movements such as crawling, walking and jumping.
  • Fine Motor Skills: These involve smaller movements, such as grasping objects, drawing and using utensils.

Language Development

Language development includes both receptive language (understanding) and expressive language (speaking). Key milestones involve babbling, forming words, constructing sentences and following directions.

Cognitive Abilities

Cognitive abilities are a child’s capacity to think, learn and solve problems. This includes skills like recognising shapes and colours, understanding cause and effect and developing memory and attention span.

Social-Emotional Skills

Social-emotional development involves interacting with others, forming relationships and managing emotions. Milestones in this area include smiling, playing with peers, showing empathy and expressing a range of emotions.

children-playing-outdoors

Importance of Monitoring Developmental Milestones

Monitoring a child’s progress against age-appropriate milestones is crucial for several reasons:

  • Early Detection of Delays: Identifying delays early allows for timely intervention, which can significantly improve outcomes.
  • Guidance for Parents and Caregivers: Understanding typical milestones helps parents and caregivers provide appropriate support and stimulation.
  • Professional Assessment: Regular monitoring can inform healthcare providers and educators, guiding assessments and interventions.

Common Developmental Milestones by Age

Here’s what you can expect from typical children by age:

Age Gross Motor Skills Fine Motor Skills Language Development Cognitive Abilities Social-Emotional Skills
0-3 months Lifting head while on tummy, moving arms and legs Lifting head while on tummy, moving arms and legs Cooing, recognising caregiver’s voice Following moving objects with eyes Smiling, responding to social interactions
4-6 months Rolling over, sitting with support Reaching for and grasping objects Babbling, laughing Exploring objects with hands and mouth Enjoying play, recognising familiar faces
7-12 months Sitting without support, crawling, pulling to stand Passing objects between hands, picking up small items Saying simple words like “mama” or “dada” Finding hidden objects, imitating gestures Showing stranger anxiety, waving by
1-2 years Walking independently, beginning to run Stacking blocks, scribbling Using 10-20 words, following simple instructions Sorting shapes and colours, playing simple pretend games Displaying temper tantrums, showing affection to familiar people
2-3 years Climbing furniture, kicking a ball Turning pages in a book, using a spoo Speaking in short sentences, naming objects Completing simple puzzles, understanding the concept of “two” Parallel play (playing near others but not directly with them), starting to share and take turns
3-4 years Pedalling a tricycle, catching a bal Drawing circles, using child-safe scissors Speaking in full sentences, understanding prepositions Counting to 10, recognising some letters Cooperative play, showing a wide range of emotions
4-5 years Hopping on one foot, balancing on one foo Drawing simple figures, dressing themselves Telling stories, using future tense Understanding the concept of time, problem-solving through play Preferring to play with peers, developing a sense of independence
6-8 years Riding a bicycle, playing organised sports Writing neatly, tying shoelaces Reading simple books, following complex instructions Logical thinking, understanding the rules of games Developing friendships, understanding others’ perspectives
9-12 years Refining sports skills, participating in physical activities Using tools and instruments effectively Engaging in detailed conversations, writing essays Abstract thinking, solving multi-step problems Managing emotions, forming stronger peer relationships

Understanding and monitoring developmental milestones is essential for ensuring that children are on track with their growth and development. By being aware of typical milestones and recognising signs of potential delays, parents, caregivers and professionals can provide the necessary support and interventions to help children reach their full potential. Regular check-ups and developmental screenings are crucial in this process, allowing for early detection and intervention when needed.

Recognising Signs of Developmental Delays

Identifying developmental delays early is crucial for providing intervention and support. Recognising the signs and red flags that may indicate a child is experiencing developmental delays involves observing various aspects of their development, including physical, cognitive, language and social-emotional skills. 

Common Signs and Red Flags of Developmental Delays

Developmental delays can manifest in various ways and the signs may vary depending on the area of development affected. Here are some common red flags to watch for:

Physical Indicators

If a child is not reaching milestones such as sitting, crawling or walking at expected ages, this may indicate a delay. For example, not sitting without support by nine months or not walking by 18 months can be red flags.

Difficulty with tasks that require precise movements, such as grasping objects, using utensils or drawing can also indicate delays. For example, a child who cannot stack blocks by 18 months or struggles to use a pincer grasp (thumb and forefinger) by 12 months may need evaluation.

Children with developmental delays might also have poor balance or coordination. They may frequently trip, fall or have trouble navigating stairs. Noticeable differences in muscle tone, such as being overly floppy (hypotonia) or overly stiff (hypertonia) can also be signs of developmental issues.

Cognitive and Language Delays

Difficulties with tasks that require problem-solving, such as fitting shapes into a sorter or completing age-appropriate puzzles, may indicate cognitive delays. A child who struggles to focus on tasks, follow simple instructions or remember familiar routines might also be experiencing cognitive delays.

In terms of language, difficulty understanding language, such as not responding to their name by 12 months or not following simple commands by 18 months, can be a sign of delays. Delays in producing speech, such as not babbling by 12 months, not saying single words by 16 months or not using two-word phrases by 24 months, are significant red flags. Challenges with speech clarity, where the child’s speech is difficult to understand by unfamiliar listeners beyond age three, can also indicate delays.

Social-Emotional Signs

Limited eye contact or not making eye contact at all can be an early sign of social-emotional delays or conditions such as autism spectrum disorder (ASD). Difficulty interacting with peers, showing a lack of interest in playing with others or not engaging in pretend play by age three can indicate social-emotional delays.

Other signs include a child who does not show a preference for caregivers or does not seek comfort from them when distressed may be experiencing attachment issues.

Delays in expressing a range of emotions, such as not smiling by three months or not showing fear in response to new situations by 12 months, can be concerning.

Frequent tantrums, difficulty calming down or extreme reactions to minor changes in routine may suggest difficulties with emotional regulation. 

Many of these signs point to conditions like autism spectrum disorder but there are other causes too.

Seeking Professional Evaluation and Support

When developmental delays are suspected, seeking professional evaluation and support is crucial. Early detection and intervention can significantly improve a child’s developmental trajectory, providing them with the best possible chance to reach their full potential. 

Professional evaluation helps to accurately diagnose developmental delays and underlying conditions. Early detection allows for timely intervention, which can mitigate the impact of delays on a child’s development. Accurate diagnosis also ensures that children receive appropriate and targeted interventions tailored to their specific needs.

Personalised Intervention Plans

Professional assessments provide a detailed understanding of a child’s strengths and challenges. This information is essential for developing personalised intervention plans that address the child’s unique needs. A tailored approach maximises the effectiveness of interventions and supports the child’s overall development.

Monitoring Progress

Regular professional evaluations help monitor a child’s progress and adjust intervention strategies as needed. Continuous monitoring ensures that interventions remain effective and responsive to the child’s evolving needs, leading to better outcomes over time.

Who to Contact for Assessment

Parents concerned about their child’s development should contact the health visiting service if the child is under five. For those already at nursery or school, the SENDCo is often a useful resource that can refer the child for assessments or interventions. You can also contact your GP.

Who’ll be Involved

Developmental specialists, including paediatricians, child psychologists and neurodevelopmental specialists, have specialised training in assessing and diagnosing developmental delays and disorders. They conduct comprehensive evaluations and develop detailed intervention plans tailored to the child’s needs.

Child-psychology-exam

Early Intervention Programmes

Early intervention programmes provide a range of services to support children with developmental delays and their families. Intervention will typically include assessments by a team of professionals, including speech therapists, occupational therapists and psychologists. Unfortunately, waiting lists for services are long, which means it’s better to get on the list at the first signs of any delays.

Benefits of Early Intervention Services

There are several possible interventions depending on the area or areas of need. These include:

Speech Therapy

This focuses on improving communication skills, including speech production, language comprehension and expressive language. Speech therapists work with children to develop their ability to understand and use language effectively. Benefits of speech therapy include:

  • Improved Communication: Enhancing a child’s ability to express their needs, thoughts and feelings.
  • Better Social Interaction: Supporting the development of social communication skills, such as taking turns in conversation and understanding social cues.
  • Enhanced Learning: Facilitating better language skills, which are critical for academic success and learning.

Occupational Therapy

Occupational therapy helps children develop the skills needed for daily living and academic success. Occupational therapists address fine motor skills, sensory processing, self-care skills and adaptive behaviours. Benefits of occupational therapy include:

  • Improved Fine Motor Skills: Enhancing a child’s ability to perform tasks that require precise movements, such as writing, cutting and using utensils.
  • Better Sensory Processing: Helping children manage sensory sensitivities and improve their ability to participate in daily activities.
  • Increased Independence: Supporting the development of self-care skills, such as dressing, feeding and grooming.

Behavioural Interventions

Behavioural interventions aim to modify challenging behaviours and promote positive behaviours through structured strategies and reinforcement. Applied Behaviour Analysis (ABA) is a common approach used in behavioural interventions. This is very popular in the US but comes under heavy criticism from many autistic individuals who’ve experienced this in the UK. As such, careful consideration needs to be taken before deciding on this intervention. 

The benefits of behavioural interventions include:

  • Reduced Challenging Behaviours: Addressing behaviours that interfere with learning and social interactions, such as aggression, self-injury or tantrums.
  • Improved Social Skills: Teaching appropriate social behaviours, such as sharing, taking turns and following rules.
  • Enhanced Learning and Development: Promoting positive behaviours that support academic and developmental progress.

Supporting Children’s Development at Home and School

Creating a supportive environment both at home and in educational settings is essential for fostering children’s growth and development. 

Practical Tips and Strategies for Supporting Development

At home, parents can support their children’s development by:

  • Establishing Routines: Consistent daily routines provide a sense of security and predictability, helping children feel more confident and secure.
  • Encouraging Play: Play is a crucial aspect of development. Provide a variety of toys and activities that promote different types of play, such as imaginative play, constructive play and physical play.
  • Reading Together: Reading with children enhances language development, cognitive skills and imagination. Choose age-appropriate books and engage in interactive reading by asking questions and encouraging children to predict what will happen next.
  • Fostering Independence: Encourage children to perform age-appropriate tasks independently, such as dressing themselves, feeding and tidying up their toys. This promotes self-confidence and critical thinking skills.
  • Modelling Positive Behaviour: Children learn by observing adults. Model positive social behaviours, such as sharing, empathy and communication skills.
  • Creating a Positive Learning Environment: Designate a quiet, organised space for learning activities and homework. Ensure it is free from distractions and equipped with necessary supplies.

Schools can support children by:

  • Differentiating Instruction: Tailor teaching methods to accommodate different learning styles and abilities. Use a variety of instructional strategies, such as visual aids, hands-on activities and auditory instructions.
  • Encouraging Collaborative Learning: Encourage group work and cooperative learning activities to promote social skills and peer interactions.
  • Conducting Regular Assessments: Regular assessments will monitor progress and identify areas that need additional support. Use assessment results to inform instruction and intervention plans.
  • Using Positive Reinforcement: Use positive reinforcement to encourage desired behaviours and academic achievements. Praise, rewards and recognition can motivate children to continue making progress.
  • Involving Parents: Engage parents in their child’s education by providing regular updates, involving them in school activities and encouraging them to support learning at home.
  • Ensuring They Undertake Professional Development: Educators should engage in ongoing professional development to stay informed about the latest research and best practices in child development and education.

The Importance of a Nurturing and Stimulating Environment

Whether at home or school, a nurturing and stimulating environment is vital for encouraging exploration, play and learning. Such an environment should provide:

  • Emotional Support: A loving and supportive atmosphere where children feel safe to express their feelings and take risks.
  • Physical Space: Areas that are safe and inviting for play, exploration and learning, with age-appropriate toys and materials.
  • Opportunities for Exploration: A variety of activities and experiences that allow children to explore their interests and develop new skills.
  • Responsive Interactions: Engaging with children in meaningful conversations, listening to their ideas and responding to their needs and interests.

Activities and Interventions to Support Specific Areas of Need

Language Enrichment Activities

Good tools are stories, songs, rhymes and conversations. Encourage children to tell stories about their day or make up new stories. This enhances narrative skills and expressive language. Singing songs and nursery rhymes helps with phonemic awareness, vocabulary and memory.

Finally, setting aside dedicated time each day to talk with the child about various topics, encouraging them to ask questions and express their thoughts.

Sensory-Motor Exercises

For motor and sensory needs, things like sensory bins, obstacle courses and finger painting are useful. 

Examples of these activities include:

  • Create bins filled with different textures (e.g., rice, beans, sand) and let children explore with their hands. This can improve sensory processing and fine motor skills.
  • Set up indoor or outdoor obstacle courses that require children to crawl, jump and balance. This promotes gross motor skills and coordination.
  • Engage in finger painting activities to help develop fine motor skills and hand-eye coordination while providing a sensory experience.

Cognitive Development Activities

Puzzle games, memory games and science experiments are all excellent ways to develop children’s cognitive abilities. Provide age-appropriate puzzles so that children are challenged to think critically and solve problems. Memory matching games are also great for skills like attention and recall while simple science experiments foster curiosity and scientific thinking.

Social-Emotional Development Activities

For their social and emotional development, children should be engaged in role-playing games that require them to act out different scenarios, teaching empathy and social skills. 

For those who struggle with recognising emotions, cards with different facial expressions can help them identify and discuss their emotions. 

Finally, group activities that encourage cooperation, sharing and teamwork, such as building a project together or playing team sports, are excellent for social development.

Little-children-playing-shops

Conclusion

Recognising and addressing developmental delays in children is critical for ensuring their optimal growth and success. Early identification and intervention can make a profound difference in a child’s developmental trajectory, helping them overcome challenges and achieve their full potential. 

Key Takeaways:

Understand Developmental Milestones: Knowing typical developmental milestones in motor skills, language development, cognitive abilities and social-emotional skills is essential for monitoring children’s progress. Recognising when a child may be falling behind these milestones can prompt timely intervention.

Recognise Signs of Developmental Delays: Identifying physical, cognitive, language and social-emotional red flags early can lead to quicker support and better outcomes. Being aware of these signs enables parents, educators and healthcare professionals to take proactive steps in addressing potential delays.

Seek Professional Evaluation and Support: Consulting paediatricians, developmental specialists and early intervention programmes is crucial when developmental delays are suspected. Professional evaluations provide accurate diagnoses and personalised intervention plans, while early intervention services like speech therapy, occupational therapy and behavioural interventions offer significant benefits in addressing developmental needs.

Support Development at Home and School: Creating nurturing and stimulating environments at home and in educational settings is vital for children’s growth. Practical strategies, such as establishing routines, encouraging play, fostering independence and providing targeted activities can support children’s development in various domains.

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About the author

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Louise Woffindin

Louise is a writer and translator from Sheffield. Before turning to writing, she worked as a secondary school language teacher. Outside of work, she is a keen runner and also enjoys reading and walking her dog Chaos.