Participates in serve-and-return exchanges with caregiver

social.attachment.serve_and_return

socialrelational2mo–2.5y
Measured by 3 instruments· Cross-instrument confidence:

What this is

Infant produces a signal (gaze, vocalization, gesture), waits for caregiver response, and extends the exchange. The foundational neural architecture of language and social cognition (Harvard CDC).

Who measures this

InstrumentApproachAge rangeMapping confidenceRef
M-CHAT-R/F
Modified Checklist for Autism in Toddlers, Revised, with Follow-Up
Parent screening report
Subscale: Autism risk indicators
16mo–2.5y
q11
M-CHAT-R/F
Modified Checklist for Autism in Toddlers, Revised, with Follow-Up
Parent screening report
Subscale: Autism risk indicators
16mo–2.5y
q17
Bayley-4
Bayley Scales of Infant and Toddler Development, Fourth Edition
Clinician observation (developmental)
Subscale: Social-Emotional
1mo–3.5y
social_emotional.serve_and_return

“Approach” describes how the instrument assesses this construct, not the specific items. We never reproduce proprietary test items.

Age coverage

M-CHAT-R/F16mo–2.5yM-CHAT-R/F16mo–2.5yBayley-41mo–3.5y012243648months
Consensus window: 16mo–2.5y (all 3 instruments overlap).

Our voice baseline item

Baseline: developmental_24mo_en_gbAge: 2yLocale: en-GBTone: mixed

When {child_name} wants your attention — looking at you for praise or calling out 'look!' — does {he_she} wait for your response and then carry on the back-and-forth?

Follow-up: Does a little exchange usually run for several turns, or fizzle out quickly?

Not yet
No clear back-and-forth yet
Emerging
One or two turns before {he_she} moves on
Developing
Three or four turns of give-and-take
Secure
Sustained exchanges — eye contact, gestures, or words — across many turns

Back-and-forth moments build more of the brain than almost anything else you can do at this age.

Connected skill view

The same canonical item shows up on the curriculum page with prerequisites, activities, and full developmental context.

View as curriculum skill

Instruments referenced