In-home therapy image In-home therapy image

Early Intervention

Our Home and Community-based Early Intervention Program
works in conjunction with Tennessee Early Intervention System (TEIS).
This service is only available to residents of the greater Chattanooga, TN area.

Tennessee Expands Early Intervention Services to Age Five.

Learn more here.


Home & Community-based Early Intervention (HCBEI), is a service provided to families with children ages birth to five years with special needs and eligible for services through Tennessee’s Early Intervention System (TEIS).

This early intervention is provided in the home or in other community settings and is based on collaborative consultation with “caregivers,” including families, child care providers, and others that spend significant time with children.

Siskin Children’s Institute works with TEIS to provide home visiting services to approximately 400 families in the Southeast TEIS District counties of Bledsoe, Bradley, Grundy, Hamilton, Marion, Meigs, McMinn, Polk, Rhea and Sequatchie.

Our goal is to support the entire family, not only the child with special needs. Therefore, program goals include supporting and strengthening the family’s quality of life, increasing caregivers’ sense of competence, and improving family satisfaction with daily routines. Ultimately, improvements in these areas should lead to the child’s growth in three areas: engagement, independence, and social relationships.

Early Intervention

Early Intervention coaches from our Home and Community-based Early Intervention team visit the family, not just the child, to build the family’s ability to have the most impact on the child’s learning and development. Because the process is a collaborative consultation with all involved, families help set the agenda for the visit. Below is a list of supports provided by our in-home therapy team.

Emotional Support

Home visitors are positive, responsive, oriented to the whole family (not just the target child), friendly, and sensitive.

  • Material Support
    Home visitors ensure families have information about basic needs like housing, clothes, food, diapers, and more. We can also provide information regarding access to specialized equipment the child may need to participate in everyday activities.
  • Informational Support
    Home visitors give families information about child development, the child’s disability, community resources and services, and guidance about what to do with the child.
  • Behavioral Consultation Around Child Goals
    Home visitors work with adult family members, usually parents, to figure out how best to help a child be engaged (participate), to be independent, and to have successful social relationships (through communication and getting along with others). They use research-based adult-learning principles to work with the parents.

Referral Process

All referrals to the Siskin home visiting therapy services come from the Southeast Tennessee Early Intervention System District Office. If you think a child can benefit from early intervention, you should contact the TEIS district office and they will determine whether the child is eligible for services.

If a child is eligible, TEIS will work with the family to create Individualized Family Service Plan (IFSP). An IFSP provides the framework for early intervention, including home and community visits. The plan typically includes strengths, needs, outcomes/goals and services to be provided. If TEIS includes home visiting services by Siskin Children’s Institute in the IFSP, the TEIS district office will contact the program coordinator at the Institute, who will assign a developmental therapist to the family.

The frequency and intensity of home visiting services is decided at IFSP meetings with the TEIS service coordinator. Often, this means weekly home visits, and it also may include meetings with parents, other child care providers, and service coordinators.

For more information regarding the referral process please contact the following:
Southeast Tennessee TEIS
1501 Riverside Drive, Suite 230
Chattanooga, TN 37406

An online referral to TEIS can be made here.

*Siskin Children’s Institute home visiting therapy services program seeks to affirm the dignity and worth of every person. It is, therefore, the policy of the Institute to practice and ensure the fair and equitable treatment of all constituents with respect to race, religion, ethnicity, national origin, political belief, socio-economic status, age, gender, sexual orientation, or disability. The Institute promotes the full realization of this policy through all organizational practices including admission and participation in programs and services.

Our Approach


Siskin Children’s Institute uses the Family Guided Routines Based Intervention (FGRBI) model. Learn more about FGRBI here.

Our model strongly supports caregiver-delivered interventions versus strictly professional-delivered interventions. In the professional-delivered approach, children receive one or two hours of service a week from the professional, and that’s where the intervention ends. The caregiver-delivered approach is based on the fact that very young children do not learn in lessons or sessions. Instead, they learn throughout every day. Therefore, if professionals teach parents or caregivers how to work with their child, the child can receive significant daily intervention throughout the day.

Our Approach Flyer


Does home visiting only happen at home?

Although the family’s home is a common location for visits, meetings can take place at child care centers, with therapists, and other community locations. Early interventionists want to work with all adults who care for the child with developmental delays. This includes parents, child care staff, therapists, and others care givers.

Is there a curriculum for home visiting?

There is no curriculum beyond the Individualized Family Support Plan (IFSP) and the child’s routines. Home visitors use their knowledge of (a) child development, (b) behavioral principles and (c) incidental teaching to make specific suggestions to families. Intervention, which is what the family does with the child (i.e., parenting!), happens throughout daily life at home and in the community. Intervention also occurs with other caregivers at locations such as child care centers, therapy visits, and so on.

How often do home visits occur?

Home visits usually occur weekly. When families have 6 to 12 outcomes/goals, weekly support often is warranted. The frequency and intensity of services is decided at IFSP meetings with the TEIS service coordinator.

This project is funded under a Grant Contract with the State of Tennessee.