Medically fragile infants, those born prematurely or with other complex medical or genetic problems, are at risk of long-term health and developmental problems. When a medically fragile infant comes home to a family with significant social problems such as domestic violence, mental illness, or substance abuse, the infant is at double jeopardy--at…

Family reunification is not always possible for children who have been removed from the care of their biological parents because of abuse or neglect. Concurrent planning puts into place a secondary plan for a permanent home should family reunification prove to be impossible. Working in four diverse communities around the country in an innovative…

This article describes The Hilton/Early Head Start Training Program, a public-private partnership between the Conrad N. Hilton Foundation and the Head Start Bureau, U.S. Department of Health and Human Services, Administration for Children and Families. The purpose of the training program was to develop skills and strategies for including infants…

Families In Recovery Staying Together (FIRST) is a team from Children's Hospital and Research Center at Oakland that has joined in collaboration with two local perinatal residential drug treatment programs to create early childhood mental health services at those sites. The authors highlight the collaboration strategies and challenges the partners…

The Zero Exposure Project is a public awareness campaign in Hillsborough County, Florida, designed to educate the public on the dangers of combining substance use with pregnancy. The authors describe the process of building the campaign from its original conception and share the challenges and successes of their collaborations with community…

Onunaku, Ahlers, and Gilkerson describe Illinois's effort to build infant mental health capacity within the Part C Early Intervention system and Wisconsin's effort to build capacity for infant and early childhood mental health services statewide across all systems that serve children. Because of multiple funding streams, families often experience…

Three professional development approaches have shown promise in raising the competency level of early childhood professionals in rural areas. Provider registry systems gather information that provides a foundation for further professional development initiatives and systemic development. Statewide professional development systems designed to serve…

Across the country, states are developing more unified and comprehensive education systems for young children. The authors of this article outline seven features that help connect various early education programs across a state. First, supportive governance ensures that all parts of an early care and education system complement, rather than…