
First Steps/Kentucky Early Intervention System is a statewide early intervention system which 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 (ITP) established by Public Law 99-457 Part C. First Steps offers comprehensive services through coordination with a variety of community agencies and service disciplines. First Steps 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 experiences significant improvement in development and learning. Children with developmental delays or conditions likely to cause delays benefit greatly from First Steps during critical developmental years.
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 five skill areas: cognition, communication, physical, social and emotional or self-help.
- Automatic Entry- A child may be eligible if he or she receives a diagnosis of physical or mental condition with a high probability of resulting developmental delay, such as Down Syndrome.
How are First Steps services provided?
First Steps is available in all Kentucky counties. Services may be provided in the home, at child development or other designated centers or in a clinical setting, depending on the needs of the child and family and the availability of services in a given area.
How can I learn more about First Steps Services?
Anyone can refer a child for the First Steps services by calling 800-442-0087.
Referrals are directed to teams at the district Point of Entry offices that help children and families access needed services. Services are available to any child and family who meet developmental eligibility criteria, regardless of income. A family’s participation in First Steps is always optional.

Cumberland Valley District Health Department
Barbara Steele, RN
First Steps/KEIS Service Coordinator
1203 American Greeting Card Rd
Corbin, KY 40701
Phone: 606-523-0229 Fax: 606-528-9623