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Just curious, what were the indicators are at age 2?

@stargal: If you are concerned I would pursue an eval. Even if they tell you it is too soon and they want to wait to evaluate him you will have the peace of mind and a plan in place!

My LO has been receiving speech therapy since birth for feeding issues. Once his feeding issues resolved around ten or eleven months we started working on speech stuff.

We had him evaluated at 19 months, he started therapy at about 20 months, and it was a really positive experience for us. Never hurts to be evaluated, and they might take it now seriously because of your other LO!

N started after his second birthday. E started just short of his second birthday. I love E's speech therapist! I want to switch N to same therapist.

@rattles: I would love more information as well. DS is now 18 months and has maybe 2-3 words plus some sounds. I just don't see how therapy could hurt at this point.

@stargal: Sorry I somehow missed your reply the other day. We were working on signs since we anticipated a possible speech delay due to other medical stuff going on. It was play based and still is at 20 months. It shouldn't be hard for me to remember but I honestly don't remember what else we did!

@stargal: @T.H.O.U.: I am an early intervention speech therapist and I typically begin recommending speech at 18 months. It will depend on the guidelines of your state. I'm in CA & this is how it works where I am: parent refers to regional center, with any concern of any development. Regional enter then contracts out with a vendor (in my case I work for a county office of education infant development team) and we do a full assessment, with typically the speech therapist and an infant teacher (OT & PT may be involved if needed). In CA to qualify the child needs to be 33% delayed in one or more areas (cognition, speech, social/emotional, fine/gross motor). Services are free of charge unless you make over $94,000/year, then regional center charges a small yearly fee. This will vary greatly by state, some states charge insurance.
On my assessment tool these are the milestones I'm looking for at 18 months:
*says 15 meaningful words
*talks rather than use gestures
*imitates words heard in conversation
*asks "what's that"
*asks for more
*names 5-7 objects consistently
*identifies 6 body parts
*completes simple requests

Of course there is a range and some kids just really are late talkers, but of course I'm a bit biased and think early intervention is the way to go!

Sorry for such a long post, hope it was a little helpful!

@MommySLP: Thanks for all the info. I'll be watching my LO to see where she is at 18 months also, and its nice to have a guideline.

@MommySLP: wow good info! At my sons 18 month appointment they asked:

Can he say 5 works
Stack 3 blocks
Name 3 body parts

I wonder if they ask the bare minimum expected or something?

I would try. The earlier the better!

T was in EI at 12 months for a significant gross motor delay. Now at 2 he's almost caught up, but now they're wanting to swap our DI sessions for speech therapy sessions. He isn't using clear words a lot, but it seems like his receptive is on par. He'll ask "What's this?" (uss-ees lol) a lot but when we tell him what it is and prompt him to repeat it he just ignores us and keeps asking.

We have his IFSP at the end of the month and we'll learn exactly what the plan is.