I have to wonder if we had this checklist years ago would they have caught Roger earlier? Maybe, maybe not. I do know I had to fight to get the referral for Lucy to a developmental pediatrician when she still was not talking at age 4. Originally they thought maybe autism for her but decided to treat it as a speech delay because they were unsure, now they say she does not really show any signs of autism and it was probably just a speech delay. With the help of the schools and speech therapy we did get her talking and now she doesn't stop, you would never know by talking to her that she didn't talk at one point in time. She is proof of what a good team in the schools and early intervention can do.