# Permanence AbilityScore 100–200 — next steps

Canonical: https://pinnacleblooms.org/ask/my-child-s-permanence-abilityscore-is-100-200-what-are-the-next-steps
Publisher: Pinnacle Blooms Network / Bharath Healthcare Laboratories Private Limited

A Permanence AbilityScore in the 100–200 band is an early signal about one cognitive skill — the understanding that people and objects exist when out of sight — not a diagnosis. The clearest next step is a clinician-led developmental assessment so the score is read in the full context of your child's age and overall development, with everyday play supporting permanence at home. AbilityScore® is part of Pinnacle’s developmental assessment. Diagnosis, where needed, requires an appropriately qualified healthcare professional.

*A score is not a verdict — it's a starting point, a way to see your child clearly so the right support can begin.*

## In short
A Permanence AbilityScore in the 100–200 band is one early signal about how your child is developing this particular cognitive skill — the understanding that people and objects still exist even when they're out of sight. It is **not a diagnosis** and not a label. The most useful next step is a proper, clinician-led developmental check so this number is understood in the full context of your child's age, history and other abilities — and so a clear, gentle plan can be shaped around them.

## Understanding the score
Object and person permanence is a foundational cognitive milestone — it underpins memory, attention, early play (like peek-a-boo and searching for a hidden toy) and the secure feeling that a parent who leaves will return. A single band on its own tells us *where to look more closely*, not *what is wrong*. Many things shape an early score: your child's exact age in months, their mood and alertness on the day, how familiar the setting was, and how this skill sits alongside their communication, motor and social development. That is exactly why one number is never read in isolation.

## What to do next
- **Don't panic, and don't wait-and-watch alone.** A score in this band is best clarified, not ignored — a structured clinical review gives you certainty either way.
- **Book a clinician-led developmental assessment** so the score is interpreted properly and any plan is built around your child's whole profile, not a single ability.
- **Keep nurturing permanence at home** through everyday play — peek-a-boo, hiding a favourite toy under a cloth, naming people who have stepped away ("Papa will come back").
- **Note what you see day to day** — does your child search for dropped or hidden objects, react when you leave the room, recognise familiar faces? These observations help the clinician enormously.

## The Pinnacle way
AbilityScore® is part of Pinnacle’s developmental assessment. Diagnosis, where needed, requires an appropriately qualified healthcare professional — never from an app, an online form or a number alone. Backed by 2.5 billion+ data points and 25 million+ therapy sessions across 70+ centres, our clinicians turn that score into a clear, warm plan for your child. Understand [how the AbilityScore® is measured](/ask/what-is-the-abilityscore-and-how-is-it-calculated), explore how [cognitive and developmental therapy](/cognitive-therapy) builds these foundational skills, and begin your journey from our [home page](/).

## Trusted sources
American Academy of Pediatrics (HealthyChildren.org) guidance on cognitive milestones and developmental monitoring; CDC developmental milestone resources; WHO healthy-development guidance on early learning and play.

**Next step —** Let's turn this number into clarity and a plan — [book a developmental assessment with a Pinnacle clinician](/cognitive-therapy).

## Sources
- AAP HealthyChildren.org — cognitive milestones & developmental monitoring: https://www.healthychildren.org
- CDC — developmental milestones: https://www.cdc.gov/child-development
- WHO — early childhood development and play: https://www.who.int

## Connected topics and perspectives
- Abilities: https://pinnacleblooms.org/ask/abilities
- Parent: https://pinnacleblooms.org/ask/lens/stakeholder/parent
- Cognitive: https://pinnacleblooms.org/ask/lens/domain/cognitive
- Support: https://pinnacleblooms.org/ask/lens/intent/support
- Measure: https://pinnacleblooms.org/ask/lens/lifecycle/measure
- Book Assessment: https://pinnacleblooms.org/ask/lens/route/book-assessment
- As 100 200: https://pinnacleblooms.org/ask/lens/score_band/as_100_200
- Early Clarity: https://pinnacleblooms.org/ask/lens/empowerment/early_clarity

## Related question paths

### Understand the subject
- What is Permanence in child development?: https://pinnacleblooms.org/ask/what-is-permanence-in-child-development
- What Permanence Represents Developmentally and When Delay Is Significant: https://pinnacleblooms.org/ask/what-does-permanence-represent-developmentally-and-when-is-a-delay-in-it-clinically-significant
- Permanence and the ICF functioning domain: https://pinnacleblooms.org/ask/which-icf-functioning-domain-does-permanence-map-to-in-early-childhood

### Recognise signs & concerns
- What does a delay in Permanence mean for my child?: https://pinnacleblooms.org/ask/what-does-a-delay-in-permanence-mean-for-my-child

### Understand assessment
- How is Permanence assessed in a toddler?: https://pinnacleblooms.org/ask/how-is-permanence-assessed
- How is Permanence scored on the AbilityScore?: https://pinnacleblooms.org/ask/how-is-permanence-scored-on-the-abilityscore
- Amber Zone for Permanence Explained: https://pinnacleblooms.org/ask/my-child-is-in-the-amber-zone-for-permanence-what-does-that-mean
- Green Zone for Permanence: What It Means: https://pinnacleblooms.org/ask/my-child-is-in-the-green-zone-for-permanence-what-does-that-mean
- My child is in the red zone for Permanence — what does that mean?: https://pinnacleblooms.org/ask/my-child-is-in-the-red-zone-for-permanence-what-does-that-mean
- What does an AbilityScore of 0–100 in Permanence mean for my child?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-0-100-in-permanence-mean-for-my-child
- What does an AbilityScore of 100–200 in Permanence mean for my child?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-100-200-in-permanence-mean-for-my-child
- What does an AbilityScore of 200–300 in Permanence mean for my child?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-200-300-in-permanence-mean-for-my-child
- What does an AbilityScore of 300–400 in Permanence mean for my child?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-300-400-in-permanence-mean-for-my-child
- What does an AbilityScore of 400–500 in Permanence mean for my child?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-400-500-in-permanence-mean-for-my-child
- What an AbilityScore of 500–600 in Permanence means for your child: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-500-600-in-permanence-mean-for-my-child
- What does an AbilityScore of 600–700 in Permanence mean for my child?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-600-700-in-permanence-mean-for-my-child

### Explore therapy & support
- Permanence AbilityScore 200–300 — What Are the Next Steps?: https://pinnacleblooms.org/ask/my-child-s-permanence-abilityscore-is-200-300-what-are-the-next-steps
- Permanence AbilityScore 300–400 — What Are the Next Steps?: https://pinnacleblooms.org/ask/my-child-s-permanence-abilityscore-is-300-400-what-are-the-next-steps
- Permanence AbilityScore 500–600 — Next Steps for Your Child: https://pinnacleblooms.org/ask/my-child-s-permanence-abilityscore-is-500-600-what-are-the-next-steps
- Permanence AbilityScore 600–700 — What Are the Next Steps?: https://pinnacleblooms.org/ask/my-child-s-permanence-abilityscore-is-600-700-what-are-the-next-steps
- Permanence AbilityScore 400–500: What Are the Next Steps?: https://pinnacleblooms.org/ask/my-child-s-permanence-abilityscore-is-400-500-what-are-the-next-steps
- Permanence AbilityScore 0–100: Next Steps for Parents: https://pinnacleblooms.org/ask/my-child-s-permanence-abilityscore-is-0-100-what-are-the-next-steps
- Amber Zone for Permanence — What to Do Next: https://pinnacleblooms.org/ask/my-child-is-in-the-amber-zone-for-permanence-what-should-we-do-next
- Green zone for Permanence — what should we do next?: https://pinnacleblooms.org/ask/my-child-is-in-the-green-zone-for-permanence-what-should-we-do-next
- Red Zone for Permanence — Your Next Step: https://pinnacleblooms.org/ask/my-child-is-in-the-red-zone-for-permanence-what-should-we-do-next
- Permanence AbilityScore 700–800 — What Are the Next Steps?: https://pinnacleblooms.org/ask/my-child-s-permanence-abilityscore-is-700-800-what-are-the-next-steps
- Permanence AbilityScore® 800–900 — Next Steps: https://pinnacleblooms.org/ask/my-child-s-permanence-abilityscore-is-800-900-what-are-the-next-steps
- Permanence AbilityScore 900–1000: Next Steps for Parents: https://pinnacleblooms.org/ask/my-child-s-permanence-abilityscore-is-900-1000-what-are-the-next-steps

### At home & in everyday life
- How can I support my child's Permanence?: https://pinnacleblooms.org/ask/how-can-i-support-my-child-s-permanence
- How can therapy improve my child's Permanence?: https://pinnacleblooms.org/ask/how-can-therapy-improve-my-child-s-permanence
- What simple daily activities help build a child's Permanence?: https://pinnacleblooms.org/ask/what-simple-daily-activities-help-build-a-child-s-permanence