Although some home visiting programs have proven effective with the families they serve, no program has yet demonstrated broader impact on an entire county or state population. This article describes the Durham Connects program, which aims to achieve broad county-level effects by coalescing community agencies to serve early-intervention goals…

Reflective practice and reflective supervision have been the focus of a collaboration among representatives from 14 state infant mental health associations working to enhance competence among infant-family professionals. In particular, this group has worked to examine the fundamental nature of reflective practice, to deepen their understanding of…

The Home Visiting Coalition represents more than 75 organizations working together to articulate the effectiveness of home visiting to a range of policymakers and stakeholders in the early childhood field. Despite varying program goals and service delivery strategies, the Coalition participants share a commitment to expanding access to…

Infants most vulnerable to trauma are often the least able to access interventions. Universal child-serving systems, such as primary pediatrics, early care and education, and the child welfare system, can offer a port of entry for millions of children annually for trauma-related supports and services. However, practitioners in these systems have…

This article identifies themes of continuity and change related to the well-being and development of infants and toddlers. The author describes several particularly striking changes over the last 25 years of research and practice in early childhood development. (1) The infant-family field has grown in many professions from a marginal area to a…

This article describes the Ounce of Prevention Fund's journey to institutionalize doula services in the state of Illinois. The Ounce's doulas help strengthen the new relationship between mother and child by working with the mother to help her better understand and anticipate the progression of the third trimester of pregnancy, the child-birthing…