Community Based Rehabilitative Services (CBRS) is developmental intervention uniquely designed to enhance cognitive, physical, behavioral, self-help, social-emotional, and language skills. This rehabilitative therapy for infants and toddlers is “play with a purpose.” CBRS is one service available to support children and families from birth to age three who have been determined eligible by the Children’s Developmental Services Agency (CDSA) for the North Carolina Infant Toddler Program. Visit the North Carolina Early Intervention website for more information on the CDSA in your area and the NC Infant Toddler program.

Is your child eligible for ITS CBRS Therapy?

A child and family may receive supports and services if the child is:

  • up to three years old and
  • has certain levels of developmental delay or an established condition.

A child with a developmental delay is not developing like other children his age.
The delay can be in one or more of the following areas:

  • thinking and learning
  • moving, seeing, hearing and health
  • understanding and using sounds, gestures and words
  • responding to and developing relationships
  • taking care of one’s self when doing things like feeding or dressing

A child with an established condition has a diagnosed health condition that will very likely cause a developmental delay. This includes:

  • genetic disorders, such as Down Syndrome or cystic fibrosis
  • congenital infections, such as HIV and rubella
  • central nervous system disorders, such as cerebral palsy and epilepsy
  • hearing loss
  • vision problems
  • autism

Use this checklist as one way to see whether your child is meeting developmental milestones during the first year. If you have questions or concerns about how your child sees, hears, moves, communicates, learns, plays or interacts with others, contact Therapy Playground and speak with one of our CBRS Therapist. Success in your child’s growth and development can benefit from EARLY action. The Earlier You Know, The Better They’ll Grow!

1 month

  • Lifts head when on tummy
  • Looks at faces
2 months

  • Makes sounds – coos and gurgles
  • Follows objects with eyes
3 months

  • Recognizes faces
  • Holds head steady and upright
4 months

  • Smiles, laughs
  • Rolls from back to side
5 months

  • Holds out arms to be held
  • Likes to play peek-a-boo
6 months

  • Copies sounds
  • Rolls over in both directions
7 months

  • Creeps
  • Uses hands to pat, touch, stroke
8 months

  • Crawls
  • Pulls self up to standing
9 months

  • Says “Ma-ma” or “Da-da”
  • Responds to own name
10 months

  • Waves bye-bye
  • Drinks from a cup when it’s held
11 months

  • “Walks” holding onto furniture
  • Picks up small objects
12 months

  • Uses simple gestures
  • Knows at least three words

*See the complete eligibility requirements here

How can CBRS help my child?

Rehabilitative therapists will work with you and your child to offer activities and helpful information tailored to the individual needs of each child and family.  Direct, play-based intervention and parent/caregiver education are provided through hands on learning activities that are fun and focused.  If you have questions about your child’s specific needs, contact Therapy Playground and speak with one of our CBRS supervisors for more information.


Where will my child receive CBRS Play Therapy?

Children and families will develop together in a variety of settings including: at home, in a childcare facility, at church, at grandma’s house, at the playground, etc.   Basically any natural settings and within a partnership that respects individual family needs, beliefs, cultures, and values.

CBRS Play Therapists:

Mayra Leonor Ruiz-Cruz, ITS
Infant-Toddler Specialist
CBRS Provider
Bilingual (Español) Therapist