The prevalence of traumatic stress in the lives of families who are homeless is extraordinarily high. Often these families are headed by single mothers who have experienced ongoing trauma in the form of childhood abuse and neglect, domestic violence, and community violence, as well as the trauma associated with poverty and the loss of home,…

Creating reflective, relationship-based services and programs takes time, commitment, resources, and sustained effort. This article describes the experiences of two very different organizations: the Training and Staff Development Group for New York State's Healthy Families Program; and Southwest Human Development, a community-based agency serving…

This article describes how a rural community in Colorado developed the infrastructure to provide a family-centered, culturally competent array of early childhood mental health services that are integrated into existing community-based programs. The Early Childhood Health/Education Outreach (ECHO) and Family Center Early Childhood Council's…

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…

Healthy Families America is a national, voluntary, home visiting program model designed to help expectant and new parents get their children off to a safe and healthy start. Since 1992, it has been successfully replicated in over 440 communities in the U.S. and Canada. This article describes the program's reflective, relationship-based model and…

Since 1982, the Ounce of Prevention Fund's network of Parents Too Soon (PTS) programs for teen parents throughout Illinois has supported communities, programs, and families through a mix of mechanisms: funding, program development, extensive training and support, and public policy advocacy. This article describes a qualitative view of how…

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…

In 1999, the Board of Commissioners of Cuyahoga County, Ohio, joined with 21 philanthropic foundations and private funders, as well as nearly 80 community service agencies, to form a public-private partnership that would launch an early childhood initiative, Invest in Children, as a comprehensive system of care focused on improving the…