Despite the known dangers of pregnancy smoking, rates remain high, especially in the rural, Southern United States. Interventions are effective, but few have been developed and tested in regions with high rates of pregnancy smoking, a culture that normalizes smoking, and a hard-to-reach prenatal population. The goals were to describe a smoking…

In July of 1983, the state of Tennessee initiated The Healthy Children Initiative (HCI), a program designed to protect the health of Tennessee's children. Originally planned as a 4-year initiative, participating programs have been established on an ongoing basis. The first year's goal for Fiscal Year 83-84 was to make sure prenatal care was…

This paper discusses the characteristics of three community-based early childhood care and development support programs: the Community Mothers Program of Dublin, Ireland; the Maternal and Infant Health Outreach Workers Program of Tennessee; and the Mothers Inform Mothers Program of the Netherlands. The paper considers the general characteristics…

This paper describes the Tennessee Children's Plan, a program phased in between 1991 and 1993 that implemented a coordinated service system for children, youth, and families. A study involving children and youth (birth through 21 years) who were in the custody of the State of Tennessee investigated the effectiveness of coordinated service systems…