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 Virginia Home Visiting Consortium (HVC) is a collaboration of public and private organizations which work to improve the effectiveness and efficiency of home visiting services throughout the state. The HVC identified service needs and gaps and has focused on increasing the interagency state and local partnerships so that resources are…

The Strengthening At Risk and Homeless Young Mothers and Children Initiative, funded by the Conrad N. Hilton Foundation, aims to improve the housing, health, and development of homeless and at-risk young families. This article describes the services provided in four program sites (Pomona, CA; Antelope Valley, CA; Minneapolis, MN; and Chicago, IL)…

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…

After birth, newborns and their caregivers are seen routinely and frequently in pediatric primary care settings. The close succession of visits in the first few months of life puts pediatric primary care professionals in a unique position to enhance infant mental health by developing strong relationships with caregivers, supporting babies and…

The juvenile court system has undergone tremendous changes over the past century, but much still needs to change in order to fully meet the complex needs of very young children. This article examines the challenges that the juvenile court system faces in preserving and supporting continuity of children's care in physically safe and…

This article describes the replication efforts of five programs funded by the Pritzker Early Childhood Foundation and determines what methods are key to replication success. Before replication can take place, the lead agency must have substantial evidence of its effectiveness and know its core elements. It must also think carefully about how its…

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 by the editors of this issue describes key elements of high-quality services for teen parents and their children. Programs for teen parents and their children can promote dual development by: a) acknowledging the role of multiple risk factors in the lives of the children of teen parents; b) integrating services from a variety of…

Another Road to Safety (ARS) is a prevention and early intervention program of family support services for children who are at high risk for abuse and neglect in Alameda County, California, funded by Proposition 10 of the Children and Families Act of 1998. ARS is a collaboration between First 5 Alameda County's program Every Child Counts, the…

The authors that a collaborative approach between parents and professionals is the best way to care for a young child with asthma. They use Ed Wagner's transdisciplinary 1998 Chronic Care Model as their preferred method for collaboration. More than 5 million children in the U.S. are currently affected by asthma, and a growing body of evidence…

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…

In too many communities, child care, health care, and other family supports and services are rarely coordinated and are too frequently determined by where families live, their level of income, and their community connections. Policy initiatives at the local, state, and federal level influence how communities are able to develop more…