Achieving reproductive health and justice matters to family and child well-being. These two ideals are, however, often put at odds in public policies and discourse that shape the systems and programs that affect pregnant women and families. This article describes the Irving Harris Foundation's historic approach to investing in early childhood and reproductive justice in an integrated way, and it offers two case vignettes exploring how reproductive justice issues surface in clinical work with young families to begin a conversation about how bringing a reproductive justice lens to practice can make a difference in strengthening families with infants and toddlers. [Editor's note: Portions of this article are adapted from the online article "Irving Harris and the Foundation's Perspective on the Intersection of Infant and Early Childhood Mental Health and Reproductive Health and Justice" (Lauen, 2016) posted on the Irving Harris Foundation website.]