Hill Country Community MHMR Center Serving the Greater TEXAS Hill Country
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Early Childhood Intervention

What is ECI?
ECI is a statewide program for families with children, birth to three, with disabilities and developmental delays. ECI supports families to help their children reach their potential through developmental services. Services are provided by a variety of local agencies and organizations across Texas. Hill Country provides ECI services for the following counties: Bandera, Blanco, Comal, Gillespie, Hays, Kendall, Kerr, Kimble, Kinney, Llano, Mason, Medina, Menard, Real, and Uvalde.

State and federally funded through the Individuals with Disabilities Education Act (IDEA, P.L. 108-446), ECI provides evaluations and assessments, at no cost to families, to determine eligibility and need for services. Families and professionals work as a team to plan appropriate services based on the unique needs of the child and family. ECI asks families who can afford to do so, to share in the cost of services. The amount a family pays for ECI services is determined using a sliding fee scale and is based on family size and income after allowable deductions. No child and family will be turned away because of an inability to pay.

ECI goes to families and focuses on working with the child and family in their natural environment, such as at home, grandma's, or a child care center. Essentially, it's where children live, learn and play.

Research shows that growth and development are most rapid in the early years of life. The earlier problems are identified, the greater the chance of eliminating them. Early intervention responds to the critical needs of children and families by:

  • promoting development and learning,
  • providing support to families,
  • coordinating services, and
  • decreasing the need for costly special programs.

ECI Services

ECI provides evaluations, at no cost to families, to determine eligibility and the need for services. Families and professionals work together as a team to plan appropriate services based on the unique strengths and needs of the child and family. Services are provided in the home and in community settings such as child care facilities, play groups and Mothers' Day Out programs.

Services can include:

  • Assistive Technology: Services & Devices
  • Audiology
  • Developmental Services
  • Early Identification, Screening & Assessment
  • Family Counseling
  • Family Education
  • Medical Services
    (diagnostic or evaluation services used to determine eligibility)
  • Nursing Services
  • Nutrition Services
  • Occupational Therapy
  • Physical Therapy
  • Psychological Services
  • Service Coordination
  • Social Work Services
  • Speech-Language Therapy
  • Vision Services

 

How much do services cost?

The following services are provided at no cost regardless of income:

  • Evaluation/assessment
  • Development of the Individual Family Service Plan (IFSP)
  • Service coordination
  • Translation and interpretation services, if needed
  • Services for children with auditory and visual impairments who are eligible for services from ECI and local school districts
  • Services for children in foster care or in conservatorship of the state

Families with children enrolled in Medicaid or CHIP, or whose income is below 200% of the Federal Poverty Level, do not pay for any ECI services. Other families pay a cost share determined by a sliding fee scale based on family size and net income after allowable deductions.

What if a child is age 3 or older?

Services are available for children and young adults with a disability, ages 3 through 21, through your local school district. A referral for assessment may be made by contacting the director of special education for your local school district. The telephone number can be found in the white pages of the phone book.

Determining Eligibility

Income is not a factor in determining eligibility. ECI determines eligibility for children under age 3 based on:

Developmental delay

Children who are delayed in one or more of the following areas of development:

  • Cognitive: difficulty with playing, learning and thinking
  • Motor: gross, fine and oral
  • Communication: limited understanding or responses in communicating with others
  • Social-emotional: attachment problems, limited parent/family interactions or behavior concerns
  • Self-help skills: feeding

Atypical development

Children who may perform within their appropriate age range on test instruments, but whose patterns of development are different from their peers.

  • Atypical sensory-motor development: muscle tone, reflex or postural reaction responses, oral-motor skills and sensory integration
  • Atypical language or cognition: state regulation, attention span, perseveration, information processing
  • Atypical emotional or social patterns: social responsiveness, affective development, attachment patterns, and self-targeted behaviors

Medically diagnosed condition

Children who have a medically diagnosed condition with a high probability of developmental delay are automatically eligible for ECI services. Children with auditory and/or vision concerns should be referred for eligibility determination.

For more information and resources, please visit the following link:
http://www.dars.state.tx.us/ecis/

or contact the DARS Division for Early Childhood Intervention Services through the DARS Inquiries Line:

Phone:  1-800-628-5115  TDD Line:  1-866-581-9328

An Affiliate of Texas Early Childhood Intervention

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ONE SCHREINER CENTER
819 Water Street, Suite 300
Kerrville, Texas 78028
Phone: (830) 792-3300
info@hillcountry.org