Developmental Milestones

• Can use the toilet on their own.
• May need reminders to wash hands and flush the toilet.
• Dress themselves
• Able to fasten large buttons without help
• Pull up a zipper after it is fastened

Ideas for Learning and Growth

• This is a good time to talk to your child about safe touch. No one should touch “private parts” except doctors or nurses during an exam or parents when they are trying to keep the child clean.
• Your child might start to “talk back” in order to feel independent and test what happens. Limit the attention you give to the negative words. Find alternative activities for her to do that allow her to take the lead and be independent. Make a point of noticing good behavior. “You stayed calm when I told you it’s bedtime.”
• Create a spot in your home for your child to go to when he’s upset. Stay nearby so your child knows he is safe and can come to you for help calming as needed.
• Talk about and label your child’s and your own feelings. Read books and talk about the feelings characters have and why they have them.

Concerns

• You know your child best. Don’t wait. If your child is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early.
• Talk with your child’s doctor, share your concerns, and ask about a developmental screening.

If you or the doctor are still concerned:

1. Ask for a referral to a specialist who can evaluate your child more; and
2. Call your local Missouri public elementary school in which your family resides and ask for a free evaluation to find out if your child can get services to help.