Partnering With Parents, an infant mental health (IMH) intervention program at Starfish Family Services (SFS), is dedicated to improving social-emotional outcomes, supporting wellness, and strengthening relationships between infants and families. Families served by SFS experience a myriad of societal, community, and relational stressors that can impact the caregiver's capacity to meet a child's developmental needs and the IMH home visitor's capacity to support growth. The authors share vignettes* to elucidate the daily challenges that arise when implementing relationship-based work within systemic barriers, safety concerns, and interpersonal challenges. Their reflective supervisor also reflects on how to best support her team as they work together to consider and strengthen all relationships involved in IMH intervention.