Act Early Texas!

Act Early Texas! is a new initiative that will create an online developmental screening tool. Parents and childcare providers will have the opportunity to conduct developmental screenings on their children at no charge on the website. Act Early Texas! will host the research-proven screenings, the Ages and Stages Questionnaire (ASQ) and the revised Modified Checklist for Autism in Toddlers (M-CHAT-R). The website will also host information from the CDC’s "Learn the Signs, Act Early." campaign to increase awareness around developmental screening. The web portal will be available in English, Spanish, and Vietnamese. Act Early Texas! will also feature a free online training module for childcare providers on child development, the importance of screenings, and how to talk with parents about screenings. The ultimate long-term vision of Act Early Texas! is universal developmental screening in Texas. Act Early Texas! is funded by Health Resources and Services Administration (HRSA) division of Maternal and Child Health (MCH).

Project Purpose

  • Provide create a framework for universal developmental screening in Texas
  • Teach early childcare professionals and parents the importance of early, routine developmental screening and to empower them to conduct developmental screenings with their children
  • Increase the number of developmental screens conducted in the state of Texas
  • Decrease rates of attrition between failed screen and successful referral

Project Procedures

  • Convene focus groups to explore approaches for non-financial incentives for Act Early Texas! participation and to develop the web portal training curriculum
  • To build capacity by conducting outreach to the Texas Association of Family Physicians and representatives within from the Stage 1 and Stage 2 project sites
  • Develop the web portal
  • Launch the web portal in Stage 1 and Stage 2 project sites
  • Evaluate the project
  • Perform sustainability activities including exploring potential expansion into the existing Texas School Ready Project


Early childcare providers, parents of young children, and ultimately Texas primary care providers


Stage 1: Cameron, Willacy, and Hidalgo counties of the Rio Grande Valley

Stage 2: Cherokee, Gregg, and Dallas counties