ECI (Early Childhood Intervention)
ECI is Texas’s early intervention program for babies and toddlers up to 36 months. You can call ECI yourself, without a doctor’s referral.
Is your child talking less than other kids their age?
In El Paso, you can get a free speech evaluation. ECI helps if your child is under 3, and your public school district helps from age 3. Below you’ll find who to call, what happens next and simple ways to practice at home while you wait.

If something on this list worries you, you don’t need to wait and see. You can ask for a free evaluation right away.
An evaluation is a check of how your child talks and understands words. It usually happens through play, often with a speech therapist.
ECI is Texas’s early intervention program for babies and toddlers up to 36 months. You can call ECI yourself, without a doctor’s referral.
Your public school district evaluates children from age 3 for free, even before they start school. El Paso has several school districts, so look yours up by home address first.
UTEP’s university clinic at 1101 N. Campbell Street sees children and adults in English and Spanish. Call to ask about fees and wait times.
These services are run independently of Speech Blubs.
Watch and respond together.Getting an appointment can take time. Speech Blubs gives you short activities to do together: your child watches other kids say words and make sounds, then tries too.
Pick a topic your child loves, like animals or snacks.
Watch together and pause. Give your child time to look, point or say a word.
Use the word later, at snack time or in a book.
If your child sees a therapist, ask which activities fit.
The app content is available in English, German, Spanish, French, Italian, Portuguese, Czech, Swedish, Polish, Hebrew, Hungarian, Lithuanian and Romanian. You can switch the language in the app menu. Read the language FAQ.
Use a walk, a book, or a snack as a reason to talk together. Follow what interests your child.

A neighborhood park in Kern Place for short visits close to home. Play peekaboo behind a tree and wait for your child to say “boo.”
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

El Paso’s downtown library at 501 North Oregon Street, with a children’s department. Read in the language you speak most at home.
Choose a picture your child likes and talk about it together. Connect it to a toy at home.

Offer two familiar toys or foods and name each one. Give your child time to respond. Follow a look, gesture, sound, or word.
Opening hours change, so check the website before you go.
Short answers about free help, costs and the app.
The evaluation is free: through ECI under age 3, or through your public school district from age 3. School speech services are free if your child qualifies. ECI therapy costs depend on family size and income, and no family is turned away because they can’t pay. Find free help.
Texas Medicaid covers speech therapy for children when it’s medically necessary. Private plans differ, so call the number on your insurance card and ask about pediatric speech therapy. Find free help.
Not for ECI or the school district: you can contact them yourself. The school district must answer a written request for an evaluation in writing within 15 school days. Texas Medicaid and many insurance plans need a referral from your child’s doctor. Find free help.
Many 2-year-olds put two words together, like “more milk.” If your child doesn’t yet, it’s a good time to ask ECI for a free evaluation. You don’t need to wait and see. Find free help.
No. It gives you short activities to practice together at home. A speech therapist evaluates your child and plans the therapy. See how the app works.
Speech Blubs is available in English and Spanish, plus 11 more languages. You can switch the language in the app menu. See how the app works.
Speech Blubs is a subscription. You’ll see the current price and any trial in the quiz before you pay. Choose your child’s age.

Start with the quiz to learn about the app for your child.
Kern Place families can ask for a free speech evaluation through ECI or their school district. Madeline Park and the Main Library downtown are good places to keep talking together.
If your child is under 3, call ECI, Texas’s program for babies and toddlers. You don’t need a doctor’s referral, and the evaluation is free. From age 3, your public school district evaluates for free. Your district depends on your home address, so look it up on the Texas Education Agency website. Then send a short written request to its special education office. UTEP’s Speech, Language and Hearing Clinic sees children in English and Spanish. Call 915-747-7250 to ask about fees and wait times. Tell each service which languages your child hears at home.
Madeline Park is a neighborhood gathering place in Kern Place. Go at a quiet time and play peekaboo behind a tree. Ask “Where am I?” Then pop out and say “Here.” After a few rounds, wait before you pop out. Your child may say “boo” or “there” before you do. A giggle or a look counts as a turn too.
The Main Library is at 501 North Oregon Street and has a children’s department. Pick picture books in English, Spanish or both. Read in the language you speak most at home. Name what your child points at, then pause and give them time to try the word. Reading the same book again and again is fine. Children often join in once they know the words.
We last checked these details in October 2026.
Find help