A coordinated, comprehensive approach to early intervention has the potential to promote optimal development and create a brighter future for young children at risk or with disabilities and their families living in poverty. This article outlines the relationship between Early Head Start (EHS) and early intervention (EI) in the areas of child find,…

For thousands of parents of children with delays or disabilities, early intervention (EI) is the start of a lifetime of personal advocacy--learning to speak up on behalf of their own child to obtain the supports and educational experiences that establish future success in school and in life. Facing severe cuts in budgets, narrowing of eligibility…

The Parent-Child Psychotherapy Program (PPP) is a multifamily group therapy intervention for parents and young children at high risk for intergenerational patterns of neglect, abuse, and disorganized attachment. A "developmental and experiential model" that incorporates principles of attachment theory, the PPP addresses parent and child needs…

Just as the early years of a child's development create the architecture for future brain growth, early implementation of federal Part C legislation laid the groundwork for a system of supports for families of infants and toddlers with disabilities. Some aspects of the current legislation provide a sturdy foundation for sound policies and…

Child abuse prevention programs have historically focused on individual and family dynamics rather than community-based or societal strategies to prevent child maltreatment. Recently, there has been a growing recognition of the importance of communitywide efforts to prevent child maltreatment before abuse or neglect occurs by offering a continuum…

Clinical conversations between health professionals and parents can be frustrating for both parties when the topic is childhood immunization. Parents bring to the table personal models of decision making and experiences of risk that may differ from those of their health care providers. They may also feel confused by an explosion of information…

Tooth decay and tooth loss was once the norm but public health interventions have led to major improvements for most people. Nevertheless, not all children have benefited. Dental disease in young children is unacceptably high. Tooth decay is preventable. Early childhood educators are often the first to notice the problem. Professional…

Hearing loss can too easily be misdiagnosed or overlooked by providers serving young children. Parents and professionals may observe a language delay--an "invisible" condition--while failing to identify the underlying cause. Otoacoustic emissions (OAE) hearing screening technology, used extensively with newborns, is becoming an essential tool,…

The early childhood provider, because of the consistent contact over time with infants, toddlers, and their families, is well positioned to observe the nuances of the early caregiving relationship; monitor early child behavior and development; identify deviances; and offer support, guidance, and intervention when families struggle. This…

The earliest years of life are critical to providing a foundation for good health. Providing adequate health care early can prevent many of the physical, social-emotional, and cognitive impairments that children could face in the future. The recent landmark health reform package signed into law includes important elements that positively affect…

Routine health care can spell the difference between a strong beginning and a fragile start. After much public and Congressional debate, President Obama signed into law landmark health care reform legislation. Although many provisions will not go into effect this year, several important changes could benefit children within a few months. The…

Recent large federal investments in services for pregnant women and young children will fuel the expansion of home visiting services across the U.S. The authors summarize the history of home visiting and describe trends toward evidence-based and national program models. Moving to an integrated system requires supports for implementation with…

As part of a comprehensive system of support for families with young children, home visiting programs help to ensure that families facing obstacles--such as those caused by stress, language barriers, geographic and social isolation, and poverty--receive the support they need to nurture their child's healthy development. Efforts to support home…

Home visiting is a service delivery strategy, but the content and focus of home visiting, as well as the characteristics of home visitors and the targeted outcomes, vary across program models. Understanding what is common, what is unique, and what the targets of change are for a range of models can support identification of key factors that make…

The Home Visiting Coalition represents more than 75 organizations working together to articulate the effectiveness of home visiting to a range of policymakers and stakeholders in the early childhood field. Despite varying program goals and service delivery strategies, the Coalition participants share a commitment to expanding access to…