A baby wearing a floral headband and pink top sits on a rug, looking at a colorful picture book being held open by an adult with tattoos on their arm.

Early Childhood Intervention-ECI

ECI is a program for families with children from birth to 36 months with developmental delays, disabilities or medical diagnoses that impact development.

Overview
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Early Childhood Intervention (ECI) is a statewide program within the Texas Health and Human Services Commission for families with children from birth to 36 months with developmental delays, disabilities or medical diagnoses that impact development. ECI services support families as they navigate how to help their children grow and learn.

When your child is referred to ECI, you’re not just signing up for services—you’re gaining a team. Learn what the process looks like, what kinds of therapies may be recommended, and how we work together with your family. Our short videos show you what to expect.

0-3

The first three years of life are critical—early experiences shape the brain’s foundation for learning, behavior, and health. High-quality early intervention can change a child’s path and create lasting benefits for children, families, and communities.
44 Years

Since the inception of the Texas Early Childhood Intervention (ECI) program in 1981, ESRC has proudly served as a trusted provider from day one—demonstrating over four decades of unwavering commitment to early childhood development and family support.
2,100

In 2025, Easter Seals ECI will support 2,100 children each month in Bexar County—providing vital early intervention during the most critical years of development.

Our ECI program offers a wide range of services tailored to each child and family's needs. Examples include: specialized skills training, physical therapy, occupational therapy, speech therapy, service coordination, and infant mental health services to prepare children for the “next step” as they approach their third birthday. Families and staff work as a team to develop Individualized Family Service Plans (IFSP) for children and their families, ensuring that each child receives the right supports at the right time.

Feeding Therapy

Making mealtimes safer, easier, and more enjoyable — from first bites to confident eating.
Infant Mental Health

Providing emotional support and practical strategies to help your family thrive through every stage of your child’s development.
Occupational Therapy

Developing the fine motor, self-help, and sensory skills your child needs for everyday independence.
Physical Therapy

Helping infants and young children gain strength, balance, and confidence to explore their world safely.
Pre-Enrollment

Your child’s ECI journey starts here.
Service Coordination

Service Coordination: Your Partner in Navigating Early Intervention
Specialized Skills Training

Boosting learning, play, and problem solving through fun, everyday activities.
Speech Therapy

Building communication skills so your child can connect and be understood.