Early Help Makes a Difference!
Young children learn and develop differently. One baby might walk earlier than another, while another baby might talk first. Often these differences will even out.
Look at the checklist below inside for signs that your infant or toddler may need extra help. If you have concerns about your baby's development, the earlier you get help the better. Early help does make a difference!
Visit the New York State Department of Health's Early Help Makes a Difference webpage for more information and access the informational flyer
- Where can parents get help?
- What help is available?
- Who needs help early?
- How do I refer my child?
- Who do I call?
Checklist for Growing Children
Milestones at Age 2 months
- Calms down when spoken to or picked up
- Looks at your face
- Smiles when you talk to or smile at them
- Makes sounds other than crying
- Reacts to loud sounds
- Watches you as you move
- Looks at a toy for several seconds
- Holds head up when on tummy
- Moves both arms and both legs
- Opens and closes hands
Milestones at Age 4 months
- Chuckles (not yet a full laugh) when you try to make them laugh
- Looks at you, moves, or makes sounds to get or keep your attention
- Makes sounds like "oooo" and "aahh" (cooing)
- Turns head towards the sound of your voice
- Makes squealing noises
- If hungry, opens mouth when they see breast or bottle
- Looks at their hands with interest
- Rolls over from stomach to back
- Holds head steady without support when you are holding them
- Holds a toy when you put it in their hand
Milestones at Age 6 months
- Knows familiar people
- Likes to look at self in a mirror
- Turns toward the source of normal sound
- Blows "raspberries" (sticks tongue out and blows)
- Copies sounds you make
- Bangs small objects on a surface
- Reaches to grab a toy they want
- Closes lips to show they do not want more food
- Rolls over from back to stomach
- Sits up briefly without support
- Picks up small objects with whole hand
- Passes a toy from one hand to the other
Milestones at Age 9 months
- Shows several facial expressions, like happy, sad, angry, and surprised
- Reacts when you leave (looks, reaches for you, or cries)
- Looks when you call their name
- Looks around when hearing things like, "Where is your blanket?"
- Makes different sounds like "mamamama" and "bababababa"
- Looks for objects when dropped out of sight (like their spoon or toy)
- Plays Peek-a-Boo and Pat-a-cake
- Crawls on hands and knees
- Sits without support
- Transitions between sitting and standing
- Let's go of objects intentionally
- Uses fingers to "rake" food toward themselves
Milestones at Age 12 months
- Understands "no" (pauses briefly or stops when you say it)
- Waves bye-bye
- Follows directions with gestures, such as motioning and saying, "Give me (object)"
- Calls a parent "mama" or "dada" or another special name
- Puts something in a container, like a block in a cup
- Looks for things they see you hide, like a toy under a blanket
- Stands without support
- Walks, holds onto furniture (cruising)
- Picks up food and eats it
- Picks up small objects with pointer finger and thumb
Milestones at Age 15 months
- Copies other children while playing, like taking toys out of a container when another child does
- Drinks from a cup without a lid and may spill sometimes
- Shows you affection (hugs, cuddles, or kisses you)
- Points to ask for something or to get help
- Uses 3 words other than names
- Tries to use things the right way, like a phone, cup, or book
- Looks around when you say things like, "Where's your ball?" or "Where's your blanket?"
- Crawls up stairs
- Squats to pick up objects
- Uses fingers to feed themself some food
Milestones at Age 18 months
- Moves away from you, but looks to make sure you are close by
- Points to show you something interesting
- Helps you dress them, by pushing arm through sleeve or lifting their foot up
- Can identify 2 body parts
- Names at least 5 familiar objects
- Copies you doing chores, like sweeping with a broom
- Plays with toys in a simple way, like pushing a toy car
- Can throw a small ball while standing
- Walks up steps with 2 feet per step with their hand held
- Walks backwards
- Tries to use a spoon
- Scribbles
- Follows one-step directions without any gestures, like giving you the toy when you say "Give it to me"
Milestones at Age 24 months
- Notices when others are hurt or upset, like pausing or looking sad when someone is crying
- Looks at your face to see how to react in a new situation
- Plays alongside other children
- Says at least two words together, like "More milk."
- Tries to use switches, knobs, or buttons on a toy
- Plays with more than one toy at the same time, like putting toy food on a toy plate (combines toys in play)
- Runs
- Walks (not climbs) up a few stairs with or without help
- Kicks a ball
- Eats with a spoon
Milestones at Age 30 months
- Uses things to pretend, like feeding a block to a doll as if it were food
- Takes off some clothes by themself, like loose pants or an open jacket
- Names things in a book when you point and ask, "What is this?"
- Says two or more words together, with one action word, like "Doggie run"
- Shows they know at least one color, like pointing to a red crayon when you ask, "Which one is red?"
- Shows simple problem-solving skills, like standing on a small stool to reach something
- Follows two-step instructions like "Put the toy down and close the door."
- Runs well without falling
- Walks up steps using one foot, then the other
- Uses hands to twist things, like turning doorknobs or unscrewing lids
- Eats food with a fork
- Grasps a crayon with thumb and fingers instead of fist
- Says about 50 words
If your child is having trouble doing some of these things, talking with someone may help put your mind at ease. Early support can make a big difference.
Where Can Parents Get Help?
The New York State Early Intervention Program is provided locally through every county and New York City. Each local program is managed by an Early Intervention Official (EI0), who is responsible for making sure eligible children and their families receive Early Intervention services.
If you have concerns about your child's development, contact the Early Intervention Program in the county where your child lives. The local program will help you make a referral and guide you through the next steps.
Find your county's Early Intervention Program:
What Help is Available?
The New York State Early Intervention Program (EIP) provides services to eligible infants and toddlers under three years of age who have developmental delays or disabilities.
If your child is found eligible, your Individualized Family Service Plan (IFSP) team will work with you to decide which services best meet your child's and family's needs. Every child is different, so not every child will receive the same services.
Early Intervention services are provided at no cost to families and may include:
- assistive technology,
- audiology,
- family training and support,
- health services,
- nursing,
- nutrition,
- occupational therapy,
- physical therapy,
- psychological services,
- respite services,
- service coordination,
- sign language and cued language services,
- social work,
- special instruction,
- speech-language pathology,
- transportation,
- vision services, and
- other services based on your child's individual needs.
Learn more about Early Intervention services:
https://www.health.ny.gov/community/infants_children/early_intervention/
Who Needs Help Early?
Any child under three years of age who may not be developing like other children due to a developmental delay, or a disability may need help.
A developmental delay means a child is behind in some area of development, such as growth, learning, thinking, or communicating.
A disability means that a child has a diagnosed physical or mental condition that affects their development.
New York State EIP services can be provided at home, at childcare, or anywhere your child spends their day. This will help you and your family:
- Support and promote your child's growth
- Include your child in family and community activities
Look at the "Checklist for Growing Children" for signs that your baby or toddler may need extra help. If you have concerns about your baby's development, the earlier you get help the better!
https://www.health.ny.gov/community/infants_children/early_intervention/early_help.htm
How Do I Refer My Child?
The first step is to make a referral to the Early Intervention Program in the county where your child lives. A referral can be made by a parent, healthcare provider, childcare provider, social worker, or anyone else who has concerns about a child's development.
Once your referral is received, the Early Intervention Official (EIO) will assign an Initial Service Coordinator (ISC) to work with your family. Your Service Coordinator will explain the Early Intervention Program, answer your questions, help you choose an approved evaluation team, and coordinate your child's multidisciplinary evaluation to determine whether your child is eligible for services.
Who Do I Call?
- For the phone number of your county's program, call the New York State "Growing Up Healthy" 24-hour Hotline at 1-800-522-5006
- In New York City, call 311
- If you are calling the New York City Early Intervention Program from outside New York City, call 212-639-9675
- You can call the New York Parent and Kin Connection Helpline 1-800-345-KIDS (1-800-345-5437), Monday through Friday, 9:00 a.m.- 5:00 p.m., about this and other child-related services.
- Or visit the New York State Department of Health Web page at www.health.ny.gov/community/infants_children/early_intervention/
You know your child best. If something doesn't seem quite right, talk with your child's healthcare provider or contact your local county Early Intervention Program, or call:
- For the phone number of your county's program, call the New York State "Growing Up Healthy" 24-hour Hotline at 1-800-522-5006
- In New York City, call 311
- If you are calling the New York City Early Intervention Program from outside New York City, call 212-639-9675
- You can call the New York Parent and Kin Connection Helpline 1-800-345-KIDS (1-800-345-5437), Monday through Friday, 9:00 a.m.- 5:00 p.m., about this and other child-related services.
- Or visit the New York State Department of Health Web page at www.health.ny.gov/community/infants_children/early_intervention/



