Early Intervention for Des Moines, North Liberty & Beyond
WHAT IS EARLY INTERVENTION?
Early intervention focuses on helping young children in North Liberty and Des Moines develop essential communication skills during the most critical period of brain development. This specialized support addresses delays in speech, language, and social interaction, empowering children to build the skills they need to express themselves, understand others, and connect with the world around them.
How Should My Two-Year-Old Be Speaking And Communicating?
SPEECH SKILLS
Says all vowel sounds
Regularly uses p, b, and m sounds
LANGUAGE SKILLS
Can follow 2-step related commands
Understands the concepts of “one” and “all”
Names 1 color
Regularly uses 2-3 word phrases
Answers “yes/no” questions correctly
Gives directions and asks basic WH-questions (who, what, where)
Uses 200-300 words
PLAY/SOCIAL SKILLS
Engages in pretend play
Engages in parallel play (playing next to other kids)
Stacks and assembles toys and objects
Shares toys with other children
How Should My Three-Year-Old Be Speaking And Communicating?
SPEECH SKILLS
Says all vowel sounds
Regularly uses p, b, m, h, n, k, g, w, d, and t sounds
Speech is approximately 75% understandable
LANGUAGE SKILLS
Can follow 3-step commands
Understands size concepts (big, small)
Understands and names basic colors
Asks “why” questions
Understands basic spatial terms (in, on, under, etc.)
Uses words like “a,” “the,” and “am” in sentences
Uses regular past tense verbs (jumped, played, etc.)
PLAY/SOCIAL SKILLS
Plays cooperatively with other children
Pretends to be something or someone else
Takes turns during games
How Should My Four-Year-Old Be Speaking And Communicating?
SPEECH SKILLS
Says all vowel sounds
Regularly uses p, b, m, h, n, k, g, w, d, t, s, z, f, v, and y sounds
Regularly uses "sh", "ch", "juh" sounds
Speech is approximately 90% understandable
LANGUAGE SKILLS
Answers “when” and “how” questions
Understands basic shapes (circle, square, triangle)
Uses 4-5 word sentences regularly
Beginning to learn letter and number names
Can tell you about what happened in the past
Beginning to tell stories that have a plot
PLAY/SOCIAL SKILLS
Expresses empathy
Creates imaginary roles or props in play
Maintains conversational topics
How Can ETLC Help?
At Enrichment Therapy & Learning Center, we know young children learn best through play! With individualized strategies, parent coaching, and structured play-based activities, early intervention creates a strong foundation for lifelong communication success. By starting early, families can prevent further delays, improve outcomes, and help their child thrive.
We offer Early Intervention services in-person at our North Liberty and Des Moines offices, where your child can work one-on-one with our speech-language pathologists and learning specialists.
How Do I Get Started?

1. Schedule a consultation

2. Receive an individualized plan
3. Watch your child thrive
