The Virginia Home Visiting Consortium (HVC) is a collaboration of public and private organizations which work to improve the effectiveness and efficiency of home visiting services throughout the state. The HVC identified service needs and gaps and has focused on increasing the interagency state and local partnerships so that resources are…

The Pew Home Visiting Campaign was launched in 2009 by the Pew Center on the States to guide state policymakers toward smart investments in quality, voluntary home-based programs for new and expectant families. In light of the federal development and pressing needs of states, the campaign will assist states in several ways, including policy…

Relationship-based infant mental health home visiting services for infants, toddlers, and their families intensify the connection between the personal and professional. To promote the therapeutic relationship and maximize the effectiveness of the intervention, home visitors must exercise good judgment, in the field and in the moment, to set and…

The evidence of the benefits of home visiting has revealed varying results and little is known about the elements that make programs of value to the families at highest risk for dysfunction. The variability in the effects of home visiting programs is linked to many factors, including program content and goals, the family and community context, the…

The author interviewed parents who had participated in infant mental health (IMH) home visiting programs in community mental health agencies in Detroit, Michigan, as part of a larger qualitative study exploring parents' and practitioners' perceptions of IMH practice. Parents were asked to describe what they remembered about the practitioner and…

Infants most vulnerable to trauma are often the least able to access interventions. Universal child-serving systems, such as primary pediatrics, early care and education, and the child welfare system, can offer a port of entry for millions of children annually for trauma-related supports and services. However, practitioners in these systems have…

Parental distress and trauma affects the entire family, including the youngest children. Families OverComing Under Stress (FOCUS) is a targeted prevention program for high-risk families that aims to enhance family cohesion, support the parent-child relationship, and build emotional regulation, communication, and problem-solving skills across the…

This article is excerpted and reprinted by permission of the publisher, Wiley-Blackwell, from the book "Nurturing Children and Families: Building on the Legacy of T. Berry Brazelton", edited by Barry M. Lester and Joshua D. Sparrow. In the first excerpt, Alicia F. Lieberman and William W. Harris explore the impact of violence and describe a…

Military families are currently facing the longest period of combat in the history of the nation, along with the attendant challenges of prolonged or repeated deployment. With the return of 36,000-plus service members wounded in action, including nearly 11,000 requiring medical evacuation and those with additional "invisible injuries," there are…

This article draws on interviews with women who experienced the death of their mothers during early childhood to explore the grieving process of a child for a lost parent. The author describes the women's recollections of how the loss was talked about, or not, in their families and how this impacted the women's mourning and coping. Most women who…

Responses to traumatic stress during the earliest years of life can change quickly and can be difficult to identify because of the young child's rapid rate of development. The symptoms of traumatic stress will depend on the child's developmental level and individual coping styles, as well as the quality and nature of the child's most important…

This article integrates ideas about mindsight, developed by Daniel Siegel, with those of reflective supervision in the zero-to-three field. The authors explore how the flow of energy and information in the context of nurturing relationships through reflective supervision supports the capacity to develop mindsight. Mindsight is the ability to have…

The authors describe the challenges to nurturing reflective practices in a neonatal intensive care unit (NICU)--an environment in which life and death hang in fragile balance and where the need to defend against unbearable realities is natural, even an adaptive response. Working as consultants to this acute setting, the authors describe how they…

Reflective practice and reflective supervision have been the focus of a collaboration among representatives from 14 state infant mental health associations working to enhance competence among infant-family professionals. In particular, this group has worked to examine the fundamental nature of reflective practice, to deepen their understanding of…

The professional preparation of allied health professionals typically focuses on the acquisition of knowledge in a particular area of expertise with less consideration of training on social-emotional development and on how to engage parents in the clinical process, parent-child relationships, or principles of mental health. The authors explore how…