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 Sunset Heights for short visits close to home. On the walk there, name the doors and windows you pass.
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. Borrow a book about houses and draw yours together.
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.
Sunset Heights families can get a free speech evaluation for their child, starting with one phone call or letter. Mundy Park and the nearby Main Library give you easy places to talk and read.
Children under 3 can get help through ECI, Texas’s Early Childhood Intervention program. Parents can call directly, and the first evaluation is free. Later therapy costs depend on your family’s size and income. From age 3, write to your public school district and ask for a speech and language evaluation. Look up your district by address on the Texas Education Agency website. The district must answer in writing within 15 school days. Mention every language your child hears at home. UTEP’s Speech, Language and Hearing Clinic sees children in English and Spanish.
Mundy Park is a neighborhood park in Sunset Heights. Walk there and talk about the houses you pass. Say “big door,” “red door” or “window.” Stop at one house and wait for your child to point at something. Then give it a name in one or two words. A short walk with a few new words is plenty.
The Main Library is on North Oregon Street, close to Sunset Heights. Look for picture books about houses or families. At home, draw your house together. Name each part as you add it: door, window, roof. Then hand your child the crayon and ask, “What’s next?” Give them time to point, scribble or say a word.
We last checked these details in October 2026.
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