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…

Telephone interviews were conducted with parents of 1,601 children to investigate the utility of a statewide (Ohio), first-step screening procedure called Developmental Profile II. With developmental delay specified as the outcome variable, six independent variables representing environmental and biological determinants were identified.…