What is the Early Intervention Program for Infants and Toddlers with Disabilities?

Learn about Early Intervention services for infants and toddlers, eligibility criteria, benefits, and how to access support for developmental delays.
Published on
August 5, 2024
Presented by Givers
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Every child develops at their own pace, but certain milestones mark healthy progress. Early Intervention (EI) services provide a valuable resource if caregivers have concerns about their child's development. This program offers free or low-cost support to young children with developmental delays or disabilities.

What is the Early Intervention Program for Infants and Toddlers with Disabilities?

The Early Intervention Program for Infants and Toddlers with Disabilities is a federal program in the United States designed to provide support and services to children from birth to age three with developmental delays or disabilities.

Administered under the Individuals with Disabilities Education Act (IDEA), this program helps enhance the development of infants and toddlers by offering a range of services, such as speech therapy, physical therapy, and family counseling.

Services are tailored to each child's needs and are typically provided in natural environments like the child's home or community settings. The goal is to support the child and the family in fostering development and addressing any challenges early on.

Identifying developmental delays

Early Intervention addresses many developmental delays:

  • Speech and language: Difficulty understanding or using spoken language, limited vocabulary, or challenges with expressing needs.
  • Physical development: Delayed milestones like rolling over, sitting, walking, or difficulty using fine motor skills.
  • Social-emotional development: Hesitation to interact with others, difficulty expressing emotions, or challenges with social cues.
  • Cognitive development: Difficulty problem-solving, limited attention span, or delays in learning new skills.
  • Self-help skills: Difficulty eating, dressing, or using the toilet.

Eligibility for Early Intervention services

Eligibility for Early Intervention services is determined by each state, but generally, infants and toddlers from birth to age three may qualify if they exhibit developmental delays or have a diagnosed physical or mental condition likely to result in developmental delays.

To be eligible, a child typically must:

  1. Have a developmental delay: This can be in one or more areas, such as cognitive, physical, communication, social or emotional, or adaptive development. The specific criteria for what constitutes a developmental delay can vary by state.
  2. Have a diagnosed physical or mental condition: Conditions that automatically qualify include Down syndrome, cerebral palsy, hearing impairments, and other disabilities that have a high probability of resulting in developmental delays.
  3. At-risk of developmental delays: Some states also provide services to children at risk of developmental delays due to environmental, biological, or other factors, though this can vary widely by state.

If you have concerns about your child's development, initiate the evaluation process by contacting your state's Early Intervention program. Many hospitals and pediatricians can connect family caregivers with the appropriate resources.

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The evaluation process

If you, your child's doctor, or another caregiver have concerns about your child's development, contact your state's early intervention program to explore potential services. You do not require a referral from a doctor.

  • If your child is under age 3, call your state or territory's early intervention program and request that your child be evaluated to determine eligibility for early intervention services.
  • If your child is age 3 or older, click here.

The evaluation process is designed to be as comfortable and stress-free as possible for caregivers. What can you expect?

  • Service coordinator: You'll be assigned a dedicated service coordinator. They will be your point of contact throughout the process, explaining stages and answering questions.
  • Screening and evaluation: The evaluation team includes developmental specialists, speech therapists, and occupational therapists. They observe your child at play, ask them to perform simple tasks, and gather information to determine strengths and weaknesses.
  • Exceptions for diagnosed conditions: A formal evaluation might not be necessary if your child has a diagnosed condition that impacts development.

Find your state's early intervention contact here:

Assessment tools and methods

The statewide program provides development evaluations for children with disabilities from birth to age 3. The evaluation team uses special tools to assess infants' development, which may include standardized assessments designed to identify delays, observation of children at play, hearing and vision screenings, and questionnaires.

These services are available to children under age 3 and are often covered by health insurance. The program also offers resource materials and services for infants in a community setting.

Related article: Early and Periodic Screening, Diagnostic, and Treatment >>

Developing an Individualized Family Service Plan (IFSP)

Family caregivers with toddlers with disabilities may be eligible for intervention services provided by the school district. If the child qualifies, an Individualized Family Service Plan (IFSP) will be developed. The plan may include speech therapy, occupational therapy, physical therapy, nursing services, and nutrition services. It will also specify who will provide the services and how often.

Intervention services are offered at no cost to families, and additional resources and support are accessed through the child care center and other adaptive development programs to integrate services into the child's daily routines.

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How to apply for Early Intervention Services

The EI process is meant to help caregivers through the process. What steps do you need to take?

  1. Identify your state's Early Intervention Program: Every state has its own Early Intervention program with dedicated contact information.
  2. Initiate contact: Once you have the contact information, call the Early Intervention program or reach out through their website (if available).
  3. Connect with a service coordinator: The program will assign you a service coordinator, guide, answer questions, and support you.
  4. Schedule an evaluation: Discuss scheduling an evaluation with your service coordinator at a clinic, daycare, or home.
  5. Prepare for the evaluation: Your service coordinator will explain what to expect during the evaluation and answer any questions you may have.
  6. Wait for results: After the evaluation, the team will analyze your child's eligibility for Early Intervention services. This process may take a few weeks.
  7. Develop an IFSP: If your child qualifies, your service coordinator will work with you and other professionals to develop an Individualized Family Service Plan (IFSP).
  8. Begin services: Once the IFSP is finalized, your child can begin receiving Early Intervention services. These services can be provided at your home, a therapy center, or a childcare facility.

Funding for Early Intervention services

Funding for Early Intervention services primarily comes from federal, state, and local sources. The federal government provides funding through Part C of the Individuals with Disabilities Education Act (IDEA), specifically designated for infants and toddlers with disabilities.

States are responsible for administering the program and often contribute additional funds to support these services. Funding may also come from Medicaid, private insurance, and other state-specific sources or grants. Some states charge families a sliding-scale fee based on income, while others provide services at no cost to families.

Find more resources at:

A note from Givers

Early Intervention programs can empower families with the tools and resources to support their child's growth. Whether through speech therapy, physical therapy, or other specialized services, Early Intervention can improve outcomes for children. We encourage families to take advantage of these resources and connect with their state's program to explore available support options.

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