Early Intervention (EI) for Children With Special Needs: Why Timing Matters
The first few years of a child’s life are a period of incredible growth and development. From the first smile to the first step, each milestone is a testament to the remarkable pace of early learning. For some children, however, this journey may include developmental delays or disabilities that require additional support. This is where early intervention comes in, a system of services and supports for infants and toddlers with developmental delays or disabilities. For parents, understanding the importance of early intervention and why timing matters is the first step toward ensuring their child has the best possible start in life.
Understanding Early Intervention
Early intervention is a term used to describe the services and supports that are available to babies and young children with developmental delays and disabilities and their families. The goal of early intervention is to lessen the effects of the disability or delay. Services are available for children from birth to three years of age. Early intervention services are authorized by Part C of the Individuals with Disabilities Education Act (IDEA).
While early intervention services are for children from birth to age three, preschool special education services are for children from ages three to five. The two systems are designed to work together to provide a seamless transition for children as they get older. To qualify for early intervention services, a child must have a developmental delay in one or more of the following areas:
- Cognitive development
- Physical development, including vision and hearing
- Communication development
- Social or emotional development
- Adaptive development
Recognizing Developmental Delays
One of the biggest challenges for parents is knowing when to be concerned about their child’s development. While every child develops at their own pace, there are certain milestones that most children reach by a certain age. If you have concerns about your child’s development, it is important to trust your instincts and talk to your child’s doctor. Some red flags to watch for include:
- Infants (0-12 months): Does not babble by 8 months, does not respond to their name by 12 months, does not point to objects by 12 months.
- Toddlers (1-2 years): Does not use two-word phrases by 24 months, does not follow simple instructions, does not imitate the actions of others.
- Young children (2-3 years): Has unclear speech, does not play with other children, has difficulty with toilet training.
The Science Behind Early Intervention
The first three years of life are a critical period for brain development. During this time, the brain is more “plastic” than at any other time in life, meaning it is more capable of changing and adapting. This is why early intervention is so effective. Research has shown that early intervention can have a significant impact on a child’s development, leading to better long-term outcomes in school and in life. Early intervention is also cost-effective, as it can reduce the need for more intensive and expensive services later on.
Accessing Early Intervention Services
If you have concerns about your child’s development, you can request a free evaluation from your state’s early intervention program. The evaluation will be conducted by a team of professionals who will assess your child’s skills and abilities in all areas of development. If your child is found eligible for services, the early intervention team will work with you to develop an Individualized Family Service Plan (IFSP).
The IFSP is a written plan that outlines the services and supports your child and family will receive. It is similar to an IEP, but it is focused on the family as a whole. Services that may be included in an IFSP include:
- Speech therapy
- Occupational therapy
- Physical therapy
- Developmental therapy
- Family training and counseling
Services can be provided in a variety of settings, including the child’s home, a childcare center, or a specialized clinic.
Transition from Early Intervention to Preschool
As your child approaches their third birthday, the early intervention team will begin to plan for their transition to preschool. This process typically begins when the child is around 2.5 years old. The team will work with you to determine if your child is eligible for preschool special education services. If they are, an IEP will be developed to outline the services and supports they will receive in preschool.
Early intervention can make a world of difference for children with developmental delays and disabilities. By taking action early, parents can help their child develop the skills they need to succeed in school and in life. If you have concerns about your child’s development, don’t wait. Talk to your child’s doctor and request a free evaluation from your state’s early intervention program.
Frequently Asked Questions (FAQ)
Is early intervention free?
Evaluations and assessments are free. Most states provide services at no cost to families, but some may charge a fee based on a sliding scale.
What if my pediatrician says to “wait and see”?
While it is true that children develop at their own pace, it is also true that early intervention is most effective when it is started early. If you have concerns, it is always best to get an evaluation.
Will early intervention label my child?
Early intervention is designed to provide support to children and families. It is not a label. The goal is to help children develop the skills they need to succeed.
Can I receive early intervention and private therapy at the same time?
Yes, you can receive both early intervention services and private therapy. The two can work together to provide a comprehensive program of support for your child.
What happens if my child no longer needs services?
If your child makes significant progress and no longer needs services, they can be exited from the early intervention program.
References
Parent Center Hub: Overview of Early Intervention
Centers for Disease Control and Prevention: Developmental Milestones
National Center for Biotechnology Information: The Journey to Early Identification and Intervention for Children with Developmental Disabilities
Early Intervention Foundation: What is early intervention?

