TOTS Early Intervention Program

To apply for services, please contact us.


Early intervention services are provided in settings where the child typically spends their day (for example, home, childcare, with other family members or other community settings).


Children learn and develop through the ongoing relationships with their parents and others in their life.


Early intervention services can help families find opportunities for learning within in their child’s daily routines such as playtime, mealtime, bedtime etc.


Service Coordination

Assisting families through the intake, evaluation and eligibility determination process and facilitating the IFSP process, service coordinators also provide information about, and make referrals to, other community resources, and coordinate and ensure the delivery of all services.


Special Instruction

The design of and consultation on developmentally appropriate activities that families and caregivers can include in the child’s typical day and may include activities within all developmental areas.



Transportation may be made available enabling families to get to any early intervention services that are provided at a location other than the family’s home.


Assistive Technology

Equipment, devices and/or products, including those acquired commercially, modified or customized, that increase the functional abilities of children with developmental delays (such as a communication device or seating chair)are available as needed.


Audiology, Speech, and Vision

Testing a child’s hearing and other auditory services (including referrals for hearing aids or specific training regarding amplification needs) are provided as needed.


Speech-Language therapy helps families and caregivers enhance the child’s understanding of language and develop communication skills, which may include speech, signs and gestures.



Nutrition services are provided by a dietitian/nutritionist who evaluates each child’s nutritional needs.


Occupational Therapy

We help children gain skills needed for play and daily living activities, designing and providing adaptive and assistive devices, as well as addressing the sensory motor and fine motor needs of the child.


Physical Therapy

We help families and caregivers enhance a child’s movement abilities (including crawling, standing, walking and balance) through therapeutic activities, appropriate positioning, and with adaptive and assistive devices that can be incorporated into the child’s typical day.


Psychological Services

Counseling, psychological and developmental testing and analysis, as well as interpretation of a child’s behavior are provided as required.


Respite Services

Respite services may be available through the Developmental Disabilities Supports Division (DDSD). Respite services provide a break for caregivers from childcare. Please ask your Service Coordinator for more information.


Medical, Health, and Nursing Services

Referrals to home visiting health services helpsa child benefit from other services, including clean and intermittent catheterization, tracheostomy care, tube feeding, changing dressings or ostomy collection bags, and consultation with service providers concerning special healthcare needs.


Referrals to medical services diagnostic or evaluation services by a licensed physician are used to determine a child’s medical status and how it may affect development.


Referrals to nursing services health assessments and nursing education prevents health problems and may improve functioning and administration of treatments.


Referrals to TOTS

Anyone can refer a child under the age of 3 to TOTS, if there is a concern regarding a developmental delay. Referrals to TOTS come from a variety of people and organizations, including but not limited to:

• Families

• Health Care Providers (family practice and pediatric offices; Newborn Intensive Care Units, WIC, Families First, Children’s Medical Services, etc.)

• Early Care and Education Programs (child care staff; Head Start etc.)

• Social Services (CYFD – Child Protective Services, family shelters, etc.)


To apply for services, please contact us.



Tresco’s Title VI Notice to the Public

Tresco, Inc operates its programs and services without regard to race, color, and national origin in accordance with Title VI of the 1964 Civil Rights Act.  To find out more about our nondiscrimination obligations, to file a complaint, or to request this information in another language, please contact us at Tresco, Inc Title VI Coordinator, PO Drawer 2469, Las Cruces, NM 88004 or 1-800-554-0936 or (575) 528-2200


Tresco, Inc. opera sus programas y servicios, sin distinción de raza, color y origen nacional, según el Título VI de la Ley de Derechos Civiles.  Para obtener más información sobre el programa de derechos civiles del Departamento de Transporte de Nuevo México o para obtener más información sobre los procedimientos para presentar una queja, llame al Tresco, Inc Title VI Coordinator, PO Drawer 2469, Las Cruces, NM 88004 or 1-800-554-0936 or (575) 528-2200