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First Steps

First Steps is Missouri’s Early Intervention system for infants and toddlers, birth to age 3, who have delayed development or diagnosed conditions that are associated with developmental disabilities.

Families play an integral role in their child’s development. The First Steps system provides families the tools they need to help their child be successful.

News & Updates

NEW!  System Point of Entry (SPOE) Regions Map

NEW!  System Point of Entry (SPOE) Regions Area Directors Map


NEW!   Provider Update on Mileage - June 2009


NEW!  DMH and DESE Interagency Agreement - June 2009


Provider Update on Teams - April 2009


System Point of Entry (SPOE) Announcement 


First Steps Annual Report

NEW! State Performance Plan/Annual Performance Report

Both the SPP and APR are now posted on the website.


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