Researcher--community partnerships are a necessary but not sufficient facet of effective research and evaluation with community-based projects and in clinical settings. This article describes two approaches that we have integrated into a multiyear, multiphase research and evaluation initiative supporting the health and well-being of vulnerable…

The concept of "adaptive leadership" refers to principles that allow professionals and organizations to respond effectively in challenging circumstances. This article presents the personal reflections of a ZERO TO THREE Fellow on selected adaptive leadership principles in action. The author explains how adaptive leadership tools informed…

Evidence-based home visiting programs exist in over half of the counties in the United States. Because home visiting programs aim to improve the health, education, and life circumstances of pregnant mothers and their children, they are a critical piece of the early childhood landscape. However, the data collected about these programs are siloed,…

Reaching at-risk families with health and development information and connecting them to resources during pregnancy and throughout early infanthood remains a challenge for many health and early learning and development initiatives. This article showcases strategies used by Text4baby--a free mobile health program for pregnant women and mothers--to…

Many children, especially those from lower-income families, face considerable instability early in their lives. This may include changes in family structure, irregular family routines, frequent moves, fluctuating daycare arrangements, and noisy, crowded, or generally chaotic environments. Moreover, instability and chaos affect young children's…

Child- and family-serving programs in community-based settings wield tremendous power for improving the lives of infants and toddlers. In this article, three authors, from Ohio, Montana, and Sierra Leone, describe the principles of adaptive leadership and will share their real-world applications. Their stories explore critical questions for…

Stereotypical notions of who experiences homelessness frame how educational institutions approach policy and program development. This life history of a teacher challenges assumptions by providing an in-depth look at a mother's struggle to find stability.

As U.S. infant mortality remains relatively unchanged and maternal mortality is rising, it is increasingly clear that service providers need to address many of the modifiable risks that determine birth outcomes prior to pregnancy. Health professionals have promoted preconception care for decades as a way to improve women's and infant's health. Yet…

Too often in California, children (especially children of color, foster youth, and those growing up in poverty) lack the components critical for a healthy early life. For example, as few as 3% of families that might benefit from voluntary home visiting have access to home visiting programs, 32% of children entering foster care are under the age of…

This article describes an intense relationship between an infant mental health (IMH) specialist and a mother-daughter dyad. At intake, an 18-month-old little girl was diagnosed with failure to thrive and a chronic kidney condition, and she was at risk for protective service involvement and possible removal from the family home. The author…

Poverty-associated chronic stress is a serious threat not only to a mother's mental health but also to maternal functioning. Recent neuroimaging studies suggest that a mother's brain undergoes dynamic changes to support her transition to parenthood, including better emotion regulation and heightened sensitivity to infants. However, we propose that…

Home visiting (HV) programs serve women at high risk for developing postpartum depression because of factors such as poverty and low social support. Depression poses serious threats not only to mother-child attachment and healthy infant development but also to women's ability to engage with HV services and supports. The Mothers and Babies (MB)…

Depression in pregnant women and mothers of very young children is a pressing public health issue. Maternal depression is linked to a number of serious difficulties for mothers, their young children, and mother-child relationships. Unrecognized and untreated, it can lead to long-lasting impairment for both mothers and their children. However,…

Objectives: To describe the development of a collaborative partnership to improve birth outcomes in Harris County, Texas. Methods: State and city-level maternal and infant health data were re-analyzed and presented to stakeholders at the zip-code level to generate a renewed response to health issues in these populations, particularly infant…

Maternal depression, although prevalent in low-income women, is not an inevitable consequence of poverty. Nevertheless, depression is a double burden for impoverished women: compromising infant development and diminishing mothers' ability to benefit from or effectively use home visiting services. Without universal screening, depression is often…