What to know
- Children reach developmental milestones in how they play, learn, speak, act, and move; monitoring development is important.
- Developmental disabilities are common.
- Early intervention helps children improve their abilities and learn new skills.
- CDC's Learn the Signs. Act Early. program helps families and providers celebrate developmental progress, know what to expect next, and learn what to do if they have questions or concerns.

CDC Supports Early Childhood Development
The Learn the Signs. Act Early. (LTSAE) program aims to improve early identification of developmental delays and disabilities, including autism, by facilitating family-engaged developmental monitoring and promoting developmental screening so children and their families can get the services and support they need at the earliest age possible.
LTSAE provides free, family-friendly, high-quality, and research-based resources to engage families and providers in monitoring children's developmental milestones from ages 2 months through 5 years. These resources can help families learn the signs of child development and encourage them to act early and get help for their child when they have questions or concerns.
LTSAE encourages families to monitor and celebrate milestones, share progress with their child’s doctor at every well-visit and with other care providers, and act early on any concerns. CDC’s milestone checklists include milestones most children (75% or more) are expected to reach by a given age.1 This is intended to avoid a “wait and see” approach; any missed milestone or concern should prompt discussion or action.
Early Development is Critical
The early months and years of a child’s life form the foundation for future health, development, and learning. Young children learn best through nurturing relationships with their families and primary caregivers. When developmental concerns are identified early, and children and families receive early intervention or other needed services, children have better outcomes.2
Developmental disabilities are common
Developmental disabilities are common and often not identified before school age.
- 1 in 6 children (3-17 years of age) have a developmental disability.3
- 1 in 31 (8-year-olds) are estimated to have autism.4
- Developmental disabilities are even more common among children from low-income households, with 1 in 5 children experiencing a developmental disability.3
Developmental monitoring is important
Children reach milestones in how they play, learn, speak, act, and move. Developmental monitoring looks at how a child grows and changes over time and whether they are meeting developmental milestones for their age. Families and providers who work with them can use a simple checklist, like those available in CDC's Milestone Tracker app to see how a child is developing. If a child is not meeting a milestone or if there are any other concerns, families should talk with their child's healthcare provider and ask about developmental screening.
Developmental monitoring complements screening to improve early identification
Ongoing developmental monitoring and developmental screening together help families, health care providers, schools, and communities identify children with developmental delays or disabilities as early as possible.
- 1. Zubler JM, Wiggins LD, Macias MM, et al. Evidence-Informed Milestones for Developmental Surveillance Tools. Pediatrics. 2022 Mar 1;149(3):e2021052138. doi: 10.1542/peds.2021-052138. PMID: 35132439; PMCID: PMC9680195.
- 2. Barger B, Rice C, Wolf R, Roach A. Better together: Developmental screening and monitoring best identify children who need early intervention. Disabil Health J. 2018 Jul;11(3):420-426. doi: 10.1016/j.dhjo.2018.01.002. Epub 2018 Feb 2. PMID: 29459217; PMCID: PMC6005750.
- 3. Zablotsky B, Black LI, Maenner MJ, et al. Prevalence and Trends of Developmental Disabilities among Children in the United States: 2009-2017. Pediatrics. 2019 Oct;144(4):e20190811. doi: 10.1542/peds.2019-0811. PMID: 31558576; PMCID: PMC7076808.
- 4. Shaw KA, Williams S, Patrick ME, et al. Prevalence and Early Identification of Autism Spectrum Disorder Among Children Aged 4 and 8 Years — Autism and Developmental Disabilities Monitoring Network, 16 Sites, United States, 2022. MMWR Surveill Summ 2025;74(No. SS-2):1–22. DOI: http://dx.doi.org/10.15585/mmwr.ss7402a1