WIC Developmental
Monitoring Project
— IMPACT — (Learn the Signs. Act Early.)

Learn the Signs. Act Early. (LTSAE) is an evidence-informed program developed by the Centers for Disease Control and Prevention (CDC) that aims to increase parent-engaged developmental monitoring of all children’s development and early action on possible concerns.


During this project, state WIC offices will be replicating the LTSAE’s WIC Developmental Milestone Checklist Program into their WIC Clinics statewide. This project will equip WIC staff with tools and resources to help identify earlier and address the developmental concerns of the one in six children in the U.S. with a developmental disability.

Upcoming Webinars

  • September 21, 2020
  • October 19, 2020
  • November 16, 2020
  • December 21, 2020

States Participating in the Learn the Signs. Act Early. Program

ASPHN has recruited 3 state WIC programs to implement and assess this Missouri-tested model in their own WIC clinics statewide. The states will receive seed funding and assistance for a two-year period to integrate “Learn the Signs. Act Early.” into a few WIC clinics in the state and develop a plan and strategy to implement statewide.



Arkansas WIC plans to incorporate the Missouri model of the “Learn the Signs. Act Early.” (LTSAE) program as a pilot project into the following Local Health Units: Bradley County, Faulkner County and North Little Rock with the intention of incorporating the program statewide.



To implement the “Learn the Signs. Act Early.” developmental monitoring program at all local WIC programs in Massachusetts, after an initial pilot phase with seven local programs.



To develop, pilot, evaluate a Nevada WIC model for the Learn the Signs-Act Early (LTSAE) Developmental Monitoring Program.

Technical Assistance Level

In addition to the 3 funded states, ASPHN is pleased to provide technical assistance to the teams in Georgia, Iowa, Maine, New Hampshire, New Jersey and the Virgin Islands.

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