At the age of 4 years, Joseph came to the Orleans Parish Early Childhood Supports and Services program (ECSS) for mental health services because of serious aggression and anger. His history included physical abuse before age 2, long-term maintenance on an atypical antipsychotic medication, and other biological, psychological, and…

The authors remember the life of Katie Beckett, who was an outspoken advocate for disability rights and inspired the Katie Beckett Waiver Program, which allowed children to continue to be eligible for Medicaid and to have their health care needs provided in the home rather than being forced to be in a hospital or institution. Together, Katie and…

The Strengthening At Risk and Homeless Young Mothers and Children Initiative, funded by the Conrad N. Hilton Foundation, aims to improve the housing, health, and development of homeless and at-risk young families. This article describes the services provided in four program sites (Pomona, CA; Antelope Valley, CA; Minneapolis, MN; and Chicago, IL)…

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…

This case study illustrates the integration of infant mental health and early intervention approaches for a 17-year-old teen mother and her infant son living in group foster care. Mother and son were involved with the foster care system, prenatal and delivery services, infant mental health practice, child care, and early intervention. Like many…

In too many communities, child care, health care, and other family supports and services are rarely coordinated and are too frequently determined by where families live, their level of income, and their community connections. Policy initiatives at the local, state, and federal level influence how communities are able to develop more…

Children who suffer abuse or neglect, or have parents who suffer from mental health problems (especially maternal depression), substance abuse, or family violence, have as high a probability of experiencing developmental delays as do children with medical conditions that are automatically eligible for Part C services under the Individuals with…

Another Road to Safety (ARS) is a prevention and early intervention program of family support services for children who are at high risk for abuse and neglect in Alameda County, California, funded by Proposition 10 of the Children and Families Act of 1998. ARS is a collaboration between First 5 Alameda County's program Every Child Counts, the…

The Personal Responsibility and Work Reconciliation Act of 1996 reformed public assistance programs and reduced the safety net of supports for low-income families. Children living in low-income immigrant families face particular challenges in the current policy environment. In this article, the authors consider what these changes have meant for…

This article by the editors of this issue describes key elements of high-quality services for teen parents and their children. Programs for teen parents and their children can promote dual development by: a) acknowledging the role of multiple risk factors in the lives of the children of teen parents; b) integrating services from a variety of…

The number of children who are adopted from foreign orphanages is on the rise in the U.S. Children who are reared in orphanages face a host of challenges to their healthy development and to their ability to form close, satisfying attachments with their new parents. The authors describe a group intervention used by the Yale International …