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Health and Physical Development
Older Toddlers (18 to 36 months)

Components and Developmental Indicators

kids-snacks OT HPD comp 1

COMPONENT 1:
Physical Health & Growth

Developmental Indicators

HPD Goal-1: Children develop healthy eating habits.
 
 
1

green check

Occasionally able to make nutritious choices with support.

2

green check

Feed themselves using utensils and hands.

 
3

green check

Accept or refuse food depending on their appetite and personal preference (make food choices at a meal, leave unwanted food on plate, ask for seconds of favorite food).

4

green check

Notice and talk about food preferences, textures, temperatures, and tastes (crunchy crackers, warm soup, sweet apples).

HPD Goal-2: Children engage in active physical play indoors and outdoors.
 
 
1

green check

Show satisfaction with new active skills and strength (ask others to watch them. “I’m big and strong!”)

2

green check

With guidance and support, transition from active to quiet activities.

3

green check

Develop strength and stamina by spending moderate periods of time playing vigorously.

HPD Goal-3: Children develop healthy sleeping habits.
 
 
1

green check

Use language about sleep (“Time for bed,” after clearing lunch things; give sign for sleep).

2

green check

With guidance, participate in sleep routines (wash hands after lunch, get comfort item, listen to calming songs and/or stories, lie down on bed or mat).

3

green check

Fall asleep on their own.

 
4

green check

Sleep well, waking rested and ready for daily activities.

 
 
hula-hoop-OT HPD comp 2

COMPONENT 2:
Motor Development

Developmental Indicators

HPD Goal-4: Children engage in play and movement to develop the large muscle control and abilities needed to explore and move in their environment.
 
 
1

green check

Coordinate movements for a purpose (kick, jump, step, pedal, push away).

2

green check

Move through the world with a variety of movements and with increasing independence and control (run, jump, pedal).

3

green check

Use familiar objects that encourage large motor movements (riding toys, crawl tubes, large ball in basket, slide).

4

green check

Perform actions smoothly with balance, strength, coordination (dance, bend over to pick up a toy, reach up high on a shelf, walk up and down steps).

HPD Goal-5: Children engage in play and experiences to develop muscle control and hand-eye coordination to manipulate objects and work with tools.
toddler-getting-vaccination- OT HPD comp 3

COMPONENT 3:
Self-Care, Safety and Well Being

 
 
1

green check

Use hands and eyes together with a moderate degree of control (complete puzzles, thread beads with large holes, use shape sorters, put on mittens, painting at easel).

2

green check

Plan and use more complex refined hand movements (stack a few small blocks, draw, look for a favorite page in a book, practice self-care routines).

3

green check

Use tools that require finger and hand control (large paintbrush, measuring cups, switches, shovel, rolling pin).

Developmental Indicators

HPD Goal-6: Children develop personal hygiene and self-care skills. 
 
 
1

green check

Initiate self-care routines and complete with guidance (put on some clothes, undress, throw away paper towel, begin to show interest in toileting).

2

green check

Help with snack routines.

 
HPD Goal-7: Children use safe behaviors and personal safety practices with support from adults.
 
 
1

green check

With guidance, remember cause and effect experiences and apply their experiences to future situations (avoid touching cold railing, walk slowly down steep hill where fall happened).

2

green check

Increase self-control over their impulses (remind self not to touch something, wait for adult vs. running ahead).

 
3

green check

Cooperate with adults in unsafe situation, such as being cautious with unknown dog and taking adult’s hand to cross street.