The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program is part of The Patient Protection and Affordable Care Act and provides $1.5 billion over 5 years to states, territories, and tribes with the goal of delivering evidence-based home visiting services as part of a high-quality, comprehensive early childhood system that promotes…

This article summarizes an evaluation of the Safe Babies Court Teams Project. The study compared children in the Court Teams Project at the four initial sites (n = 298) with a nationally representative sample of young child welfare participants (n = 511) from the National Survey of Child and Adolescent Well-Being (NSCAW). The Court Teams Project…

The Center for State Foster Care and Adoption Data, operated by Chapin Hall at the University of Chicago, supports child welfare agencies in using longitudinal data to improve outcomes for children. For the purposes of this article, the authors analyzed data for 14 states from 2000 through 2008 to examine trends in foster care placement, length of…

Almost 200,000 infants and toddlers come into the child welfare system each year. They do so during the period of the most rapid brain development. Maltreatment can damage the architecture of the developing brain, with lifelong consequences for both baby and society. The child welfare system has not done well at addressing the developmental needs…

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…

Parents who love their children sometimes harm them. They harm them by physically or sexually abusing them and by failing to provide the nurturance that children have the right to expect. They neglect and abuse their children because they lack the necessary combination of knowledge, patience, empathy, and problem-solving capabilities. Intervening…

Evidence-based assessment tools provide a scientifically driven way of understanding the quality of communication and connection between a parent or caregiver and child. In this article, the authors describe how these tools can play an important role in the developmentally appropriate evaluation of parent-child attachment in the child welfare…

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…

This article focuses on the experience of "Desirae," a young mother who participated with her children in services at The Children's Ark, an attachment-based intervention for families in foster care. The story of Desirae and her children highlights both the sometimes paradoxical truths about families fractured by addiction, abuse, and neglect and…

The Early Childhood Action Network (ECAN) provides an example of successful state systems building in New Mexico. The far-reaching scope of ECAN's coalition and accomplishments identifies promising collaborative leadership practices that have relevance for early childhood leaders in other states. The author describes the accomplishments of ECAN's…

An understanding of the close link between federal policy and family homelessness is critical for ensuring that one day no child in the United States is homeless. This article discusses the nature of family homelessness, the national policy framework that exists to help vulnerable families, the homeless assistance system that federal policy has…

Researchers, advocates, and community agencies are beginning to question the impact of U.S. immigration enforcement strategies on very young children. In particular, immigration raids may suddenly and sometimes violently separate children from their parents, place them in unstable living environments, and create barriers to accessing needed…

The authors describe a survey of 284 dependency court judges which examined four areas of judicial practice: (a) the extent of the judges' knowledge of infant and toddler development, (b) court capacity to initiate and sustain systems change, (c) the use of judicial authority to initiate systems change, and (d) the barriers judges face in taking…

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…

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…