Singapore is a young island nation with a diverse population. Its support for young children at risk has its roots in the 1950s, but early childhood intervention (ECI) programs for young children with disabilities emerged only in the 1980s. ECI programs have proliferated in the subsequent years, offering an increasing range of service delivery models. The current provision of ECI services for young children in Singapore with identified disabilities and those at risk is described and evaluated using the Developmental Systems Approach to Early Intervention of M. J. Guralnick (2005) as an analytical framework. The impact and recommendations of recent developments in the field such as the Enabling Masterplan for the Disability Sector 2012–2016 is also discussed. Finally, future directions for the provision of ECI services in Singapore is considered.