Early Childhood Intervention
Our Early Childhood Intervention program (ECI) serves children in Hidalgo and Cameron Counties from birth to 3 years of age who have physical disabilities and developmental delays. Developmental delays are defined as significant delays in language or speech, self-help skills, social or emotional skills, gross or fine motor skills and cognitive skills-walking, talking, eating, and playing.
Our dedicated team of professionals works collaboratively with families to provide individualized support and interventions tailored to each child's unique needs.
For more detailed information on the ECI program and services, please visit the ECI state office website at Texas Health and Human Services/Early Childhood Intervention Program.
Services
- ECI Development Screenings
- Evaluation & Assessment
- Specialized Health Services
- Family Support & Education
- Transition Planning
ECI Development Screenings
is a statewide program within the Texas Healthand Human Services Commission for families with children ages birth to 3, with developmental delays, disabilities or certain medical diagnoses that may impact development. ECI services support families as they learn how to help their children grow and learn. Region One ECI provides the following collection of services:
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Occupational Therapy (OT) - Therapists promote the function and engagement of infants and toddlers and their families in everyday routines such as Bath time (address positioning needs, ensure safety and promote sensory rich • experiences), Meal time (promote independence in self-feeding; improve ability to eat a variety of foods and textures)
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Sensory processing skills (effectively use information from all the senses including movement and internal body awareness), and Play time (increase social skills; advance motor coordination; develop problem-solving abilities).
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Speech Therapy (ST) - Speech-Language
Pathologists may be part of the early intervention • team. They help children develop cognitive
skills (thinking, learning, problem-solving), communication skills (gesturing, talking, listening, understanding, use of alternative or augmented communication devices), social–emotional skills (playing, understanding feelings, making friends), • and adaptive or self-help skills (eating, bathing,
and dressing).
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Physical Therapy (PT)- A Physical Therapist in ECI may work on meeting developmental milestones such as rolling, sitting, crawling, standing, and walking and to improve age-appropriate strength, balance, and coordination. A Physical Therapist may also work with the child to manage tight muscles/improve joint range of motion due to muscle restrictions, evaluate the need for orthotics (braces) or other supportive equipment. An evaluation for appropriate seating and mobility options may also be conducted by the PT, as well as assisting families with ordering any necessary adaptive equipment (braces or wheelchairs)
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Specialized Skills Training (SST) is a general developmental service provided by an EIS (Early Intervention Specialist). An EIS provides SST
as an ongoing or consultative service whenthe child would benefit from a comprehensive developmental service. EISs are specialists in early childhood cognition, motivation and how infants and toddlers learn, typical infant and toddler behavior and challenging behaviors (biting, tantrums, picky eating, sleep issues) and how developmental areas are interconnected.
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Case Management - A Case Manager is assigned to every child’s case and is responsible for organizing the enrolled child’s services and assisting with accessing community resources the family may need.
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Child Find – The Child Find Specialists attend community events to promote the services provided by the Region One ECI program to educate the community about the services and to increase referrals. The Specialists organize and facilitate ECI Advisory Committee Meetings, manage online LiveBinders to provide current information on a variety of topics. Additionally, Specialists receive referrals and collaborate services for children dually enrolled in Head Start and other programs and provide CEU training, schedule and facilitate developmental screening as well as work in partnership with daycare licensing to allow ECI staff into daycare settings to deliver ECI services.
- SNAP Ed – The Supplemental Nutrition Assistance Program provides nutrition education classes to the community teaching about topics such as appropriate portion control, healthy food options, maintaining an active lifestyle through exercise, and more. Support is provided to potentially eligible individuals of SNAP eligibility requirements and services. The program works collaboratively with Child Find staff to increase referrals to ECI. Efforts made including highlighting monthly progress in support of the SNAP-Ed program are managed and reported on the PEARS (Program Evaluation and Reporting System).
- Infant Massage – Region One ESC ECI Infant Massage classes are offered over a 5-week period to give parents/caregivers and babies time to learn and become comfortable with massage. Each week caregivers learn strokes for a new part of their child’s body. The Infant Massage Educator teaches a little at a time to ensure that parents are confident with every aspect of the class. Parents and caregivers learn massage strokes and touch relaxation; bonding techniques & ways to recognize the baby’s cues; how to ask permission & how doing so builds respect; how to choose the best oil for massage; how to identify the best time for massage & ways to work it into your daily routines. The classes may be individual with parent/caregiver, baby, and educator or with a small group. The educator will demonstrate massage strokes on a doll and the parent/ caregiver will massage their baby.
Evaluation & Assessment
Our evaluation and assessment process is designed to provide a thorough understanding of each child's developmental strengths and areas of need, guiding the development of individualized intervention plans.
Our team of qualified professionals, including early childhood specialists, speech-language pathologists, occupational therapists, physical therapists, and developmental therapists, conducts evaluations and assessments in collaboration with families. The evaluation process typically includes:
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Initial Intake and Referral
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Families are referred to Region One ECI through various sources, including pediatricians, childcare providers, and community agencies. Upon referral, families undergo an initial intake process to gather information about the child's medical history, developmental concerns, and family priorities.
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Comprehensive Assessment
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Our team conducts a comprehensive assessment to evaluate various areas of development, including cognitive, communication, motor, adaptive, and social-emotional skills. The assessment may include standardized assessments, observations, and parent interviews to gather information about the child's development in different contexts.
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Individualized Evaluation Report
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Following the assessment, our team compiles a detailed evaluation report summarizing the child's developmental strengths and areas of need. The report also includes recommendations for early intervention services and strategies to support the child's development at home and in other environments.
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Family-Centered Planning
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We work collaboratively with families to develop an individualized plan of care tailored to the child's specific needs and family priorities. This plan may include recommendations for ongoing therapy services, support groups, parent education, and community resources.
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Ongoing Monitoring and Support
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Throughout the intervention process, our team provides ongoing monitoring and support to families to ensure that the child's developmental needs are met. We collaborate closely with families to track progress, make adjustments to the intervention plan as needed, and celebrate milestones achieved.
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Specialized Health Services
Our early intervention services are evidence-based and tailored to meet the unique needs of each child and family.
Some of the key early intervention services we provide include:
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Speech Therapy
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Our speech-language pathologists work with children who have communication delays or disorders, including difficulties with speech, language, and social communication skills. Through individualized therapy sessions, we help children improve their communication skills and reach their full potential.
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Occupational Therapy
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Our occupational therapists focus on helping children develop the skills they need to participate in daily activities, such as self-care, play, and school-related tasks. We address challenges related to fine motor skills, sensory processing, and visual-motor integration to promote independence and success.
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Physical Therapy
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Our physical therapists work with children who have motor delays or difficulties, including issues with gross motor skills, coordination, and balance. Through therapeutic exercises and activities, we help children build strength, improve mobility, and achieve developmental milestones.
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Family Support & Education
We recognize the vital role that families play in the development and well-being of children. That's why we offer comprehensive family support and education services to empower families and enhance their ability to support their child's development.
Our family support and education services include:
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Parent Education Workshops
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We offer a variety of workshops and training sessions designed to provide parents with valuable information and resources to support their child's development. Topics may include understanding developmental milestones, effective communication strategies, behavior management techniques, and accessing community resources.
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Individualized Family Support
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Our team of professionals works closely with families to provide individualized support and guidance tailored to their unique needs and priorities. Whether it's navigating the early intervention process, accessing services and resources, or addressing specific concerns, we are here to help every step of the way.
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Support Groups
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We facilitate support groups for families to connect with others who may be facing similar challenges or experiences. These groups provide a supportive environment where families can share information, resources, and emotional support, fostering a sense of community and solidarity.
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Advocacy Assistance
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We empower families to advocate for their child's needs within the early intervention system and beyond. We provide guidance on navigating the complex healthcare and educational systems, understanding rights and entitlements, and effectively communicating with service providers and other professionals.
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Transition Planning
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As children approach their third birthday and transition out of early intervention services, we assist families with transition planning to ensure a smooth transition to preschool or other appropriate services. We provide information, resources, and support to help families navigate this transition and access continued support for their child.
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Multilingual Support
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We offer services and resources in multiple languages to ensure accessibility and inclusivity for families from diverse cultural and linguistic backgrounds. Our team includes professionals who are fluent in English, Spanish, and other languages, providing support to families in their preferred language.
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Transition Planning
Our Transition Planning Services are designed to ensure that children transitioning out of early intervention services receive the necessary support to continue their developmental progress seamlessly.
Our Transition Planning Services include:
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Individualized Transition Planning
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We work collaboratively with families to develop individualized transition plans tailored to the unique needs and goals of each child. These plans outline the steps and supports needed to facilitate a smooth transition to preschool or other appropriate services.
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Assessment and Evaluation
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Our team conducts comprehensive assessments and evaluations to determine the child's current developmental status and identify any ongoing needs or areas of concern. This information guides the development of transition plans and ensures that appropriate supports are in place.
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Coordination with Community Resources
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We collaborate with community agencies, school districts, healthcare providers, and other service providers to coordinate services and supports for children transitioning out of early intervention. We help families navigate the transition process and connect them with appropriate resources and services in their community.
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Parent Education and Empowerment
- We provide information, resources, and training to empower parents to advocate for their child's needs during the transition process. We offer guidance on understanding rights and entitlements, navigating the educational system, and accessing appropriate services and supports.
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Continued Support
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Our team continues to provide support to families even after the transition out of early intervention services. We remain available to address any questions or concerns that may arise and provide guidance on accessing additional supports as needed.
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Monitoring and Follow-Up
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We monitor the child's progress following the transition to ensure that they are successfully accessing and benefiting from the services and supports identified in the transition plan. We provide ongoing support and follow-up to address any challenges or issues that may arise.
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Referral Process
ECI Starts Early
All children need support as they grow and learn, but some children need extra help. It is important to start early. For some families,
ECI services may begin soon after their baby is born.
Early intervention provides immediate and long-term benefits for children and families. If you are concerned about a child, do not wait, refer immediately.
First Steps:
Contact one of our ECI offices to make a referral for any child who you suspect is eligible for ECI services. Anyone can refer by providing the information on the ECI Referral Forms.
We do our best for a member of our evaluation team to contact you within 2 business days of making the referral.
Next Steps:
Our evaluation team will conduct a virtual administration of a comprehensive assessment and develop an Individualized Family Service Plan (IFSP within 45 days of referral).
The evaluation team will assign a Service Coordinator and service provider(s) to your family based on your child's assessment of needs.
Your initial services planned will be delivered within 28 days of signing your child's IFSP.
Your initial service providers will provide you with a schedule of planned services at the end of each month for the following month.
Eligibility
We provide evaluations, at no cost to families, to determine eligibility and the need for services. Income is not a factor in determining eligibility. Eligibility is determined by a team of at least two professionals from different disciplines. ECI determines eligibility for infants and toddlers living in Texas who are birth to 36 months of age based on:
Medically diagnosed condition
- A child who has a medically diagnosed condition that has a high probability of resulting in developmental delay qualifies for ECI. HHSC has a list of diagnoses that are medically qualifying. Medical records must be provided to confirm the diagnosis.
Auditory or visual impairment
- A child who has an auditory or visual impairment as defined by the Texas Education Agency (TEA) qualifies for ECI. This determination is made by a team led by certified staff from the local independent school district.
Developmental delay
- A child who has a developmental delay of at least 25% which affects functioning in one or more areas of development, including cognition, communication, gross or fine motor, social-emotional or adaptive/self-help qualifies for ECI. If the only delay is expressive language development, there must be a 33% to qualify.
A comprehensive evaluation is used to find out the nature and extent of the child’s abilities, delays or difficulties, and to determine whether a child is eligible for early intervention services. The team uses an evaluation instrument known as the Battelle Developmental Inventory (2nd edition; BDI-2) to gather information in each of the developmental areas noted above. The BDI-2 is a norm-referenced tool, which means it assesses functioning compared to developmental norms based on other infants and toddlers. As part of the evaluation, the team will observe the child, ask the child to do things and talk to the parent about the child’s abilities.
The comprehensive evaluation may also include information from other sources, such as reviews of a child’s medical and developmental history, and interviews with parents, other primary caregivers, and medical providers.
If found eligible according to any of the three criteria noted above, an assessment is then conducted. Assessment refers to procedures that are used throughout the time a child is in early intervention to:
- identify a child’s unique strengths and needs, and
- determine what services are necessary to meet those needs.
Under the Individuals with Disabilities Education Act (IDEA), evaluations and assessments are provided at no cost to parents.
If you child is older than the age of 3, he or she might be eligible for services from your local school district. The Texas Education Agency can provide you with information about special education services. A referral for assessment may be made by contacting the director of special education at your local school district.
Family Cost Share
The Family Cost Share system is designed so families with the ability to pay will share in the cost of services.
ECI staff will work with your family to determine your monthly maximum charge.
Fees are determined on a sliding fee scale based on family size and income. Provisions are in place to adjust income for unusual expenses so no child will be denied services because of a family's inability to pay.
Monthly Maximum Charge Sliding Scale (PDF)