Early care and education workers are increasingly recognizing their role in helping children who have experienced trauma, including extended parental separations due to incarceration. These children may have emotional reactions and behaviors that are particularly challenging in group settings. Moreover, early care and education professionals…

Infants, toddlers, and young children have unique needs when separated from their primary caregivers because of child abuse and neglect. Parents of these children often have their own histories of abuse and neglect and can benefit from assessments and interventions that bear in mind the effect caregiving histories have on present parenting. This…

Strategic workforce training of organizations that provide services to families of young children with special needs can help strengthen families and prevent child maltreatment, but few curriculua are available for this purpose. One professional development curriculum, "Preventing Child Abuse and Neglect: Parent-Provider Partnerships in Child…

Treatment of very young children in foster care involves the complex dynamics of a child's trauma history, multiple relationships, and caregivers' and providers' feelings about working with the child welfare system. Through the story of a toddler removed from his parents and placed in foster care, the authors illustrate a model of combined group…

This article describes how a Tulane early childhood mental health clinic provided trauma-informed care for a young, severely maltreated child victim of human trafficking. Effective treatment included two evidence-based therapies and psychiatric care over a span of 2 years. Therapists made decisions about intervention in response to fluctuations in…

Project DULCE (Developmental understanding and legal Collaboration for everyone) integrated the Strengthening families approach to building family protective factors into routine health care visits for infants in a primary health care setting. The core collaborators--Boston medical Center pediatric primary care, the medical-legal partnership |…

In this article, the authors tell the story of one family's journey toward healing using the Child First home visiting and Circle of Security Parenting interventions. Parents with complex trauma histories frequently float through services for years looking for guidance to help them address their struggles. Often, these services do not offer…

Federal directives require that any child less than 3 years old with a substantiated case of abuse be referred to the early intervention (EI) system. This article details the need and presents a vision for a trauma-informed EI system. The authors describe two exemplary program models which implement this vision and recommend steps which the field…

Child maltreatment affects millions of children each year. health care providers are increasingly called upon to address such psychosocial problems facing many families. In this article, the authors describe a practical approach to further enhance pediatric primary care and make it more responsive to the needs of children and families. The Safe…

The national Quality Improvement Center on early Childhood (QIC-eC) funded four research and demonstration projects that tested child maltreatment prevention approaches. The projects were guided by several key perspectives: the importance of increasing protective factors in addition to decreasing risk factors in child maltreatment prevention…

The U.S. Department of Health and Human Services reports that close to 1 million children a year are identified as victims of maltreatment. The National Clearinghouse of Child Abuse and Neglect estimates that between 3 and 10 million children a year witness the abuse of a parent or caregiver. In recent years, therapists, educators, and…