Red flags early identification guide for children

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This is based on material from the The State of Queensland, Red flags early identification guide (for children aged birth to five years). 2nd edn. South Brisbane, Qld: Child Development Program, Queensland Health, 2016. Available at www.childrens.health.qld.gov.au/wp-content/uploads/PDF/red-flags-a3.pdf [Accessed 2 December 2019]. © Developed by the Child Development Program in conjunction with Brisbane North Primary Health Network. Updated: July 2016.

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What age group is the child closet to?

Answer options for 0b520b20-98df-4024-b25d-2986f6b96e77

• 6 months
• 9 months
• 12 months
• 18 months
• 2 years
• 3 years
• 4 years
• 5 years

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• Answers: 8 options

Red flags

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Social Emotional

Answer options for 9c717263-341e-416f-aad8-7aec7d2167c9

• Does not smile or interact with people

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• Answers: 1 option

Social Emotional

Answer options for c10acb25-fdc3-401e-b0aa-d85b2921e5bb

• Not sharing enjoyment with others using eye contact or facial expression

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• linkId: c10acb25-fdc3-401e-b0aa-d85b2921e5bb
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• Answers: 1 option

Social Emotional

Answer options for b6bb38f6-8084-4c89-a0f2-9d77aacab61d

• Does not notice someone new
• Does not pay early turn taking games (eg peekaboo, rolling a ball)

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• Answers: 2 options

Social Emotional

Answer options for c0ad8dc5-4672-4b21-b30d-6dcc7a00109a

• Lacks interest in playing and interacting with others

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• Answers: 1 option

Social Emotional

Answer options for fc0977e1-fd83-4d0b-a57a-e94c7fd41fdb

• When playing with toys tends to bang, drop, or throw them rather than use them for their purpose (eg Cuddle doll, build blocks)

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• Answers: 1 option

Social Emotional

Answer options for 70f7b96f-eaae-490b-8522-1214c1b1aede

• No interest in pretend play or interacting with other children
• Difficulty noticing and understanding feelings in themselves and others (eg happy, sad)

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• Answers: 2 options

Social Emotional

Answer options for 03ff1391-f48d-4b99-894c-159f4d09eb33

• Unwilling or unable to play cooperatively

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• Answers: 1 option

Social Emotional

Answer options for ee5f0a61-a8a1-473e-addf-ca5b1eaad7d3

• Play is different than their friends

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• Answers: 1 option

Communication

Answer options for 2b23128e-1622-4880-abd6-c9cd429b48e3

• Not starting to babble (eg aahh, oohh)

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• Answers: 1 option

Communication

Answer options for dfb86be5-b6ff-400e-b7d6-68701df086da

• Not using gestures (eg pointing, showing, waving)
• Not using two part babble (eg bubu, dada)

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• Answers: 2 options

Communication

Answer options for 4d802a6d-c89e-4460-8091-874f855be4ad

• No babbled phrases that sound like talking
• No response to familiar words (eg bottle, daddy)

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• Answers: 2 options

Communication

Answer options for b8e1a699-ed65-491f-9865-8ab855bb2d33

• No clear words
• Cannot understand short requests (eg 'Where is the ball?')

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• Answers: 2 options

Communication

Answer options for 6c3637ed-4afd-45be-a15c-9d5e7d8e78e8

• Not learning new words
• Not putting words together (eg 'push car')

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• Answers: 2 options

Communication

Answer options for 25d67a2f-8bbe-4f79-9488-1682d2ce49fa

• Speech is difficult for familiar people to understand
• Not using simple sentences (eg big car go)

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• Answers: 2 options

Communication

Answer options for f00b5ae1-cc33-44f9-bd9b-f9b6c93cc005

• Speech difficult to understand
• Not able to follow directions with two steps (eg 'Put your bag away and then go play')

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• Answers: 2 options

Communication

Answer options for 3e06438a-ee7d-4880-83aa-68d2ade997ce

• Difficulty telling a parent what is wrong
• Not able to answer questions in a simple conversation (eg What's your name? Who is your family?)

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• Answers: 2 options

Cognition, fine motor and self care

Answer options for 49d172b4-bc2f-46cd-95a8-2f3ecba8e852

• Not reaching for and holding (grasping) toys
• Hands frequently clenched
• Does not explore objects with hand and mouth
• Does not bring hands together at midline

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• Answers: 4 options

Cognition, fine motor and self care

Answer options for 785ec313-7b25-4d0d-9421-382981286cbc

• Does not hold objects
• Does not 'give' objects on request
• Cannot move toy from one hand to another

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• Answers: 3 options

Cognition, fine motor and self care

Answer options for 2c2b263e-41a5-4dae-94e1-814f5bfca20a

• Does not feed self finger foods or hold own bottle/cup
• Unable to pick up small items using index finger and thumb

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• Answers: 2 options

Cognition, fine motor and self care

Answer options for d6d7d675-0fee-466d-85e8-5dae46adac40

• Does not scribble with a crayon
• Does not attempt to stack blocks after demonstration

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• Answers: 2 options

Cognition, fine motor and self care

Answer options for c48e4138-0952-49a7-9c77-14b3e6d1dad3

• Does not attempt to feed self using a spoon and/or help with dressing

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• Answers: 1 option

Cognition, fine motor and self care

Answer options for 433e768c-8458-476a-8330-3f59a4aa94b4

• Does not attempt everyday care skills (such as feeding or dressing)
• Difficulty in manipulating small objects (eg threading beads)

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• Answers: 2 options

Cognition, fine motor and self care

Answer options for 06d96181-2b2d-48de-b80f-bd5ccb2fb3c1

• Not toilet trained by day
• Not able to draw lines and circles

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• Answers: 2 options

Cognition, fine motor and self care

Answer options for e08345d3-a919-4bf0-8775-5df84a173832

• Concerns from teacher about school readiness
• Not independently able to complete everyday routines such as feeding and dressing
• Cannot draw simple pictures (eg stick person)

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• Answers: 3 options

Gross motor

Answer options for 7f3861fd-b9f0-489d-8a39-5fdd18eeaf0e

• Not holding head and shoulders up with good control when lying on tummy
• Not holding head with good control in supported sitting

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• Answers: 2 options

Gross motor

Answer options for 68809920-fbf4-48e5-89f7-c0b49a8b8f78

• Not rolling
• Not sitting independently/ without support
• Not moving (eg creeping, crawling)
• Not taking weight on legs when held in standing

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• Answers: 4 options

Gross motor

Answer options for 5cf7c9bc-b3ec-43ac-8de8-65078f57a82b

• No form of independent mobility (eg crawling, commando crawling, bottom shuffle)
• Not pulling to stand independently and holding on for support

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• Answers: 2 options

Gross motor

Answer options for a1137862-767c-49fb-883b-92bee7588edc

• Not standing independently
• Not attempting to walk without support

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• Answers: 2 options

Gross motor

Answer options for dd83d558-6a7f-4b94-b677-7c2b31ccc52f

• Not able to walk independently
• Not able to walk up and down stairs holding on

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• Answers: 2 options

Gross motor

Answer options for 5ea4460c-a4c5-4025-bf85-64884a66458f

• Not able to walk up and down stairs independently
• Not able to run or jump

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• Answers: 2 options

Gross motor

Answer options for 75b597b4-3b38-4efd-aeb2-ab1551d83c3c

• Not able to walk, run, climb, jump and uses stairs confidently
• Cannot catch, throw or kick a ball

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• Answers: 2 options

Gross motor

Answer options for f23ac52c-2064-4032-b283-6ce09fc306fa

• Not able to walk, run, climb, jump and use stairs confidently
• Not able to hop five times on one leg and stand on one leg for five seconds

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• Answers: 2 options

Red flags at any age

Answer options for 758d4109-363a-48c9-95f3-8a8d8b1b32ec

• Strong parental concerns
• Significant loss of skills
• Lack of response to sound or visual stimuli
• Poor interaction with adults or other children
• Lack of, or limited eye contact
• Differences between right and left sides of body in strength, movement or tone
• Marked low tone (floppy) or high tone (stiff and tense) and significantly impacting on development and functional motor skills

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• Answers: 7 options

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