Health and Development (ITP)

By understanding what to expect along the way, the parent /guardian and professionals can prepare ahead with identification of milestones and “red flags” in the child’s growth and development.
Recommended Visits to Doctor
  • Well-child checkups and immunizations: 12 months, 15 months, 18 months, 2 years, 3 years, and 4 years
  • Early identification of problems – slow growth or inappropriate weight for height, maltreatment, delays, vision, hearing, language, acute and chronic diseases

Health Issues

  • See previous transition points for  Hospital to Home   is this what Brenda means?
  • Crawling and walking – safety and cleanliness issues
  • Injury prevention – car seats, water heat, playing near water or heat sources, limit sun time, smoke-free environment, smoke alarms, pan handles turned toward back of stove
  • All poisons up out of reach – know Poison Control phone numbers
  • Lead poisoning – old paint, industrial dust – blood test if risk factors
  • Inhalation – plastic bags, small objects can be deadly
  • TV, computer and game screen time limits
  • Sleep routines
  • Toilet training and learning to care for personal hygiene
  • Advantages and disadvantages of pets as related to allergies, responsibility, etc.


  • Growth slows; may become a picky eater with phrases of “favorites”
  • Offer nutritious foods; 3 meals per day plus healthy snacks; limit fats, sugar, salt
  • Growing independence in eating
  • Check for iron-deficiency anemia

Oral Health

  • Learning to brush teeth
  • Seeing dentist and receiving fluoride applications
  • Safety for teeth – know what to do in case of tooth  injury


  • Play using real  objects, age appropriate toys, interact with other children, and adults
  • Play is a child’s work
  • Needs opportunities to explore the world safely
  • Language develops with practice – talk with children, ask and answer questions
  • Encourage imagination, make-believe and dress-up play
  • Should be able to express clear communication of needs and preferences
  • Should be learning to understand, identify and express feelings of joy, anger, sadness, and frustration
  • Learning to meet people and make friends
  • Learning how to handle conflicts
  • Attention span lengthens

Family Relationships

  • Adults are responsive to child
  • Adults set clear boundaries with limits and consequences
  • Adults provide meaningful praise for accomplishments
  • Adults are appropriate role models for developing children in  daily living

Community Interactions

  • Awareness and access to community resources for education, housing/ financial assistance, and social networking
  • Safe and healthy kids within safe and healthy communities

Mental Health and Social Competence

  • Self-help skills improving:  Feeding, washing/cleanliness, toileting
  • Attempting self-regulation: during distress, frustration – able to self-comfort or self-discipline
  • Child is learning to follow directions and accept limits thro0ugh  cooperative play