developmental delay

First Steps – Birth to Age 3


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First Steps is an early intervention program and serves children from birth to age three who have a developmental delay or a medical condition known to cause a delay. Bluegrass provides services for children who live in our 17-county service area. Staff provide screening and determine eligibility for services as well as coordinate services for families. Services are provided in the child’s natural environment either at home, daycare or in the community. Parents and caregivers have the opportunity to learn and continue activities to promote child development.

Child Evaluation Specialists

  • Review initial screenings to determine if a child has a potential delay and is appropriate for further evaluation.

  • Complete evaluations and assessments of children that are used along with other records to determine eligibility and plan a program of services.

Service Coordinators

  • Guide families through the First Steps program.

  • Coordinate developmental evaluations and gather other records used to determine eligibility.

  • Assist families to obtain on-going services for eligible children.

  • Assist families in locating other community resources for additional help for the family.

Service Professionals

  • Speech Therapist

  • Physical Therapist

  • Occupational Therapist

  • Developmental Interventionist

  • Behavior Interventionist

  • Nutritionist

  • Deaf and Hard of Hearing Teacher

  • Visually Impaired Teacher

  • Psychologist

  • Audiology

Developmental Concerns

  • One-year-old who is not crawling or cruising furniture

  • Two-year-old who does not have 50 words and not using two word phrases

  • Child who does not play with toys appropriately

  • Child suspected to be on the autism spectrum or has an autism spectrum disorder diagnosis

If you are concerned a child under the age of three is not meeting developmental milestones, you can make an online referral or call Bluegrass First Steps at 859.271.9448 or 1.800.454.2764. The Bluegrass First Steps office is located at 343 Waller Avenue, Suite 201 Lexington, KY 40504.


First Steps Handbook

First Steps Referral Form

First Steps Quick Reference Flier