This article describes how the Visiting Moms Program in Chelsea, Massachusetts, has taken the paraprofessional model one step further to respond to the needs of refugee and immigrant new mothers, by employing paraprofessional home visitors who are also immigrants or refugees themselves from countries in Central America, South America, and Africa (e.g., Brazil, El Salvador, Sudan, Somalia, and Morocco). This home visiting intervention, located at the Massachusetts General Hospital Chelsea HealthCare Center, demonstrates how paraprofessionals who are also mothers and closely connected to their communities can work effectively with families with multiple risk factors, including trauma. With extensive training and close supervision by a senior clinician and program administrator, the resources of a well-coordinated community health team and outstanding health center, these multilingual/bicultural home visitors provide emotional support, client advocacy within the service system, and education on child development for low income, high-risk immigrant/refugee families.