First Steps is a statewide early intervention system that provides services to children with developmental disabilities from birth to age 3 and their families. First Steps is Kentucky's response to the federal Infant-Toddler Program. First Steps offers comprehensive services through a variety of community agencies and service disciplines and is administered by the Department for Public Health in the Cabinet for Health and Family Services.
Why Provide Services?
Typically, children who participate in early intervention experience significant improvement in development and learning. Children with developmental delays or conditions likely to cause delays benefit greatly from First Step services during critical developmental years.
Services and support also benefit families by reducing stress.
Early intervention services can decrease the need for costly special education programs later in life by providing appropriate services that address problems early in the child's development.
Who Does First Steps Serve?
First Steps serves children from birth to age 3 and their families. Child eligibility for the program is determined two ways:
- By developmental delay - A child may be eligible for services if an evaluation shows that a child is not developing typically in at least one of the following skill areas: communication, cognition, physical, social and emotional or self-help.
- Established Risk Concern - A child may be eligible if he or she receives a diagnosis of physical or mental condition with high probability of resulting developmental delay such as Down Syndrome.
Where are First Steps services provided?
Services may be provided in the home, at child care centers or child care home. Services also may be provided in community settings such as libraries, grocery stores or parks.
Concerned about a child's development?
Anyone can refer a child for First Steps services by calling (877) 417-8377 or (877) 41STEPS.
First Steps is available in all Kentucky counties. Services are available to any child and family who meet developmental eligibility criteria, regardless of income. A family's participation in First Steps services is always voluntary. Referrals are directed to teams at the district Local Point of Entry offices that help children and families access needed services.
How to Contact First Steps
First Steps is a program of the Cabinet for Health and Family Services. This interdisciplinary program brings together resources from the fields of education, health and social services to meet the special needs of children and their families.
Regular hours are 8 a.m. to 4:30 p.m. Eastern time Monday through Friday
First Steps State Lead Agency address:
First Steps Program
Department for Public Health
275 E. Main St., HS2W-C
Frankfort, KY 40621
(502) 564-3756, Option 3
(877) 417-8377 (or, 1-877-41STEPS)
Fax: (502) 564-8003
Contact us by email: