Practical Steps to Integrate Baby Signs® in EI Sessions

Start early and keep it simple

Begin with high-frequency routine words (e.g., MORE, EAT, MILK, ALL DONE, HELP, HURT) that caregivers can practice daily.

Model consistently

Pair the sign with the spoken word every time. Repetition is key—especially during routine moments like meals, dressing, bath, and play.

Observe and individualize

Adapt sign choices and coaching strategies to:

• family culture and language preferences

• caregiver routines and priorities

• the child’s interests, motor abilities, and sensory needs

Engage the whole caregiving team

Encourage everyone in the child’s daily world—parents, siblings, grandparents, childcare providers—to use the same handful of starter signs.

Use visual supports when helpful

Reinforce signs with simple visuals: picture cards, books, laminated charts, or “routine cue” images posted in the home.

Celebrate all attempts

A child’s approximation counts. Reinforcing attempts increases motivation and communication initiation.

Embed in daily routines (not isolated practice)

The goal is functional carryover: signs used naturally during real life.