| • | Children who have not acquired a 50 word expressive vocabulary |
| • | Language learning difficulties (slow development of vocabulary,
concepts, and grammar) |
| • | Poor articulation |
| • | Speech is not easily understood by unfamiliar listeners |
| • | Stuttering that persists longer than 3 to 6 months or is particularly severe or is a parental concern |
| • | Difficulty following spoken directions or understanding |
| • | Possible signs of autism |