There is great opportunity in pediatric primary care to lay the foundation for lifelong health and well-being during the critical period from infancy to early childhood. However, many of these opportunities are missed, particularly for the most vulnerable children. The challenges to equitable, universal developmental and behavioral screening in…

Pregnant women and young children who experience toxic stress are at risk for negative health outcomes. The "medical home" is seen as a place to address toxic stress by promoting healthy relationships, but Spanish-speaking Latino families face challenges accessing the medical home while simultaneously confronting unique stressors. This…

This article provides an overview of Building Connections, a national initiative in Canada to embed trauma-informed approaches into community-based projects, highlighting the components that indicate successful implementation. Building Connections uses a relationship-based approach (a) to support the readiness to engage in an intervention focused…

What does it say about American society that the birth of a child can put a family on a path to poverty that can take years--even decades--to escape? It says things are terribly out of whack-- that policies do not reflect true priorities as a nation, perhaps because the political system is in such disrepair. The national failure to adopt…

Maternal, Infant, and Early Childhood Home Visiting legislation permits states to fund "promising practices"--with the understanding that these models will have a rigorous evaluation component. This article describes an innovative, low cost paraprofessional home visiting model developed in Pennsylvania by the Maternity Care Coalition. In…

The fetal programming and developmental origins of disease models suggest that experiences that occur before birth can have consequences for physical and mental health that persist across the lifespan. Development is more rapid during the prenatal period as compared to any other stage of life. This introductory article considers evidence that…

Depression in pregnant women and mothers of very young children is a pressing public health issue. Maternal depression is linked to a number of serious difficulties for mothers, their young children, and mother-child relationships. Unrecognized and untreated, it can lead to long-lasting impairment for both mothers and their children. However,…

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…

Between 1995 and 2004, Early Head Start (EHS) grew from 68 to more than 700 programs nationwide, serving more than 62,000 children and securing the program's reputation as a beacon of hope for the nation's low-income families with infants and toddlers. According to a comprehensive 5-year national evaluation of EHS, children who participated in…