Indiana’s First Steps through Bona Vista programs provide a system of early intervention for infants, toddlers, and preschoolers with special needs. Working together, a child’s parents, teachers, physicians, and therapists develop a road map for the services to be received.


Services are available to children with:

  • Speech and development delays
  • Vision and hearing impairments
  • Sensory integration problems
  • Autism
  • Chromosomal abnormalities or genetic disorders
  • Neurological disorders

The delays/disorders must be assessed by two professional disciplines (for example, a physician and a physical therapist) who will confirm the need for intervention to try to bring the child to the typical level of development.


Infants and toddlers considered “biologically at risk” of disability are also entitled to services. This includes:

  • Children with very low birth weight
  • Small for gestational age
  • Asphyxia
  • Complications before, during or following birth
  • Children whose mothers had limited prenatal care or prenatal substance abuse


Services available through the First Steps program include:

  • Developmental therapy
  • Information and referral
  • Special instruction
  • Occupational, physical and speech therapy
  • Social services
  • Health services
  • Family education and support
  • Home visits


First Steps is funded through existing services, local, state, and federal funding, Medicaid, and private insurance.

For more information about the Indiana First Steps through Bona Vista Programs, call 765-457-8273.