"Epigenetics" is the study of modifications to gene expression without an alteration to the DNA sequence. Currently there is limited translation of epigenetics to the counseling profession. The purpose of this article is to inform counseling practitioners and counselor educators about the potential role epigenetics plays in mental…

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 last decade has seen an exponential increase in the use of illicit and prescription opioids during pregnancy. Opioid dependency during pregnancy increases the risks of obstetric complications for mothers and potential dangers for newborns during infancy and later in life. The mother-child dyad faces specific hurdles when it comes to getting…

The author was wholly unprepared for what he encountered when he entered Fraiberg's Child Development Project at the University of Michigan in 1973, joining five others in a special 2-year training program in infant mental health. He sputtered in astonishment. He resisted the interpretations. But there was no turning back, once he was exposed (on…

When low-income women become parents for the first time, they often need support, education and encouragement to be the best parent they can be. They truly want to succeed. Desire, unfortunately, is not enough. These women are usually most open to health care assistance, parenting tools, and a therapeutic relationship with a community health…

In his testimony, Jon Baron, president of Coalition for Evidence-Based Policy, recommends reauthorization of the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) Program. He outlines three reasons that support his recommendation: (1) MIECHV represents an important, bipartisan departure from the usual approach to social…

Child maltreatment has been associated with a wide range of negative developmental outcomes for children and families as well as significant economic consequences. While efficacious intervention strategies have been demonstrated to reduce symptoms of trauma and to improve behavioral and emotional functioning, these models have not been widely…

This article describes the story of resilience of a mother who achieved multiple successes despite challenges that included child abuse and homelessness. The factors that contributed to her success included consistent support from a team of staff of the family Assertive Community Treatment (FACT) Program. This agency serves mothers from 18 to 25…

Pamela High, MS, MD, co-director of the Infant Behavior, Cry and Sleep Clinic at the Brown Center for the Study of Children at Risk, discusses the phenomena of infant crying and the impact it has on families. In most cases, infant crying will peak and resolve in the early months, but infant irritability can increase the risk of maternal…

Over the past decade, the National Advisory Committee on Rural Health and Human Services (hereinafter referred to as "the Committee") has examined a number of rural issues that touch upon the social determinants of health. The Committee's past work has focused on understanding how conditions and outcomes such as homelessness, childhood…

This article presents findings from a study that investigated child protection policies and practices, and focuses on data gathered in a child protection agency located in Quebec, Canada. This research project draws upon a qualitative case-study methodology, involving a documentary analysis of both national and local child protection policies, as…

In this paper, one 19-year-old married mother who was sexually abused when younger discusses the painful and important role reading has played in her life. By using narrative discourse analysis, I parse the young mother's spoken narrative and illuminate the emotions that cluster around her reading experiences. I discover that she has used reading…

Despite the wide range of expertise that has been brought to bear on reducing infant mortality across the nation, the first year of life remains a time of considerable risk for many babies. Although the U.S. spends more on health care than any other country, its infant mortality rate remains higher than that of most other industrialized nations.…

The power of new traumatic events to reignite memories and the distress of traumatic experiences earlier in life is well known to psychotherapists. When the recent trauma has been extreme, the task of assisting the patient to understand their response in the light of their earlier experience can be doubly challenging. This paper describes the…

To mark the 25th anniversary of the Convention on the Rights of the Child, this edition of "The State of the World's Children" calls for brave and fresh thinking to address age-old problems that still affect the world's most disadvantaged children. The report is inspired by the work of innovators around the world--who are pushing…