Occupational Developmental

Occupational Developmental Checklist

Developmental milestone charts don’t always recognize every child’s unique journey. Your child may exhibit one or more signs of developmental delays listed below, but that does not necessarily mean they are off-track. However, occupational therapy could be a valuable tool to support your child’s continued growth & development.

Newborn – 2 Months

Enjoys tummy time and begins to establish head control

Moves head and neck freely

Does not show a preference for head position, tilt, or movements of extremities.

Has a strong grasp; Opens and closes hands

Brings hands mouth

Stretches out arms and hands open

Turns head to look at outstretched hand

3 – 5 Months

Uses both sides of body equally

Develops ability to roll

Pushes up onto elbows/forearms when on tummy

Establishes eye contact

Holds a toy when placed in hand

Reaches with arms to swat at toys

Brings hands to mouth consistently

6-9 Months

Sits supported or leaning on hands and moves to sitting independently

Demonstrates the ability to reach for and manipulate objects in midline

Plays using purposeful arm movements (Peek-A-Boo; So Big!)

Moves objects between hands

Index finger use to “poke”

Raking cereal with fingers to grasp

Purposeful release of objects into containers

10 – 12 Months

Able to maintain weight on arms with hands open and elbows extended

Uses both sides of body equally

Grasps small objects with thumb and 1 or 2 fingers

Imitates frequently used items (ex. brushing hair, using a toothbrush)

Uses hands together to manipulate toys (push, pull, squeeze and rotate)

Clapping when prompted

Imitates simple actions

2 – 3 Years

Plays beside other children

Pushes, winds, slides to activate toys

Can shift attention with some adult help

Screws/unscrews lids

Imitates shapes: vertical, horizontal lines, and circle

Begins to hold crayon with thumb and fingers

Stacks 6-8 block tower

Turns single pages in book

3-4 Years

Plays with other children

Engages in themed play

Will give full attention to specific activity

Can focus and refocus their attention by themselves.

Strings small beads

Snaps clothing, zips with assistance, begins to fasten large buttons

Holds pencil with thumb and fingers

Stack 9-10 block tower

Uses scissor to cut across a piece of paper

4 – 5 Years

Takes turns in play

Participates in imaginative play

Can focus attention on what is being said without stopping activity

Buttons clothes and completes zippers

Imitates shapes: diagonal lines, square, triangle.

Draws a 3 part person

Uses scissors to cut simple shapes

5 – 6 Years

Engages in well-organized, cooperative play

Demonstrates sustained attention

Shuts out unrelated information to concentrate on a specific activity

Plays with Legos, Tinker toys, or other building toys to form complex designs.

Has an established hand dominance

Connects dots with straight lines

Prints first name from memory

Writes letters and numbers

Draws an 6 part person

Uses scissors to cut complex shapes

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