► Birth to Five Resource Guide
Preschool (3–5 years) Readiness & Education:

Speech/language and developmental screenings

At the HEED Coalition and The Basics Southcoast/RI, we believe that speech, language, and developmental screenings are vital to supporting children’s early growth and ensuring timely access to the resources they need. Early identification of developmental or communication challenges allows families and professionals to intervene proactively, laying the groundwork for lifelong learning and well-being.

Screenings help caregivers and providers observe and assess milestones in areas such as speech, language, motor skills, social-emotional development, and cognitive abilities. They are tools for awareness and guidance not a diagnosis but they can highlight strengths and areas where additional support may be beneficial. Early attention to these areas can make a profound difference in a child’s confidence, communication, and developmental trajectory.

The resources in this section of the Birth to Five Resource Guide are offered to provide guidance, information, and practical ways to access screenings for young children. Our hope is that these tools empower families to be proactive, informed, and engaged in supporting their child’s growth.

These materials are informational in nature and are not intended to replace evaluation, diagnosis, or individualized guidance from a physician, speech-language pathologist, early intervention specialist, or other licensed clinical provider. Any concerns about a child’s development, speech, or language should always be discussed with a qualified professional.

Early detection is strategic, not reactive. We hope these resources serve as a steady guide as you monitor, support, and advocate for your child’s growth from birth to five.

Educational Resources

Frequently Asked Questions

When should my child get developmental and autism screenings?

AAP recommends standardized developmental screening at 9, 18, and 30 months and autism screening at 18 and 24 months, or whenever there is a concern. More info

What is the difference between developmental surveillance and screening?

Surveillance is ongoing observation at every visit; screening uses validated tools at specific ages or when there are concerns.

How do I know if my toddler’s speech is delayed?

Red flags include not using single words by 15–18 months or two-word phrases by age 2, or loss of skills.

What happens if a screening shows a concern?

Your pediatrician may order more detailed evaluations, recommend Early Intervention, or refer to specialists (SLP, audiology, developmental pediatrics).

How does newborn hearing screening relate to speech and language?

Early identification of hearing loss allows timely hearing and speech services, which are crucial for normal language development.

Can using AAC (pictures, devices) delay my child’s speech?

No. Research shows AAC supports, not harms, speech and language development.

How are my mental health and stress screened and why does it matter?

ACOG and AAP recommend screening for perinatal depression and anxiety; caregiver mental health strongly affects child development and interaction.

Is it okay to “wait and see” if my child catches up?

It’s safer to “act early.” AAP and CDC stress that early intervention is much more effective than waiting.

Will developmental screening hurt my child or require blood tests?

No. Screenings are questionnaires, observations, and play-based tasks—not shots or blood tests.

What if my child passes the screening but I still feel worried?

Your concerns matter. AAP encourages repeating or expanding screening and referring based on parent concern alone.

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Important Notice

The Birth to Five Resource Guide is provided for general informational and educational purposes only. By using this site, you acknowledge that you are accessing these materials voluntarily and at your own discretion.

The information shared here is not intended to replace professional medical, clinical, legal, or therapeutic advice, diagnosis, or treatment. Always seek the guidance of your physician, pediatrician, or other qualified healthcare provider with any questions you may have regarding health, development, or medical conditions.

The HEED Coalition and The Basics Southcoast/RI make no representations or warranties regarding the completeness, accuracy, or applicability of the information provided and assume no liability for any decisions made or actions taken based on the use of this site.

Use of this site constitutes your acceptance of these terms.

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HEED is a collaborative network comprising diverse stakeholders committed to providing every child with the best start in life, ensuring they enter kindergarten prepared to achieve their maximum potential.
©2026 Coalition for Health Equity and Early Development
The Basics Southcoast/RI is an affiliate of The Basics Learning Network