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Supporting Early Social and Emotional Relationships Through a Public Health Parenting Program: The Legacy for Children™ Intervention

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Building Early Social and Emotional Relationships with Infants and Toddlers

Abstract

This chapter describes a group-based public health approach to prevent developmental delays associated with poverty by supporting positive parenting. Legacy for Children™ (Legacy) is designed to support sensitive, responsive mother–child relationships, build maternal self-efficacy, and foster peer networks of support among mothers living in poverty. Legacy groups start during pregnancy or infancy, and mothers in the group all have children within several months of the same age. Mothers can attend the group until their children are age 3 or 5 years, depending on the curriculum version. As the children age, the curriculum covers developmentally appropriate topics such as attachment, discipline, maternal self-care and stress reduction, reading and literacy, safety and nutrition, and promotion of child social skills. Randomized controlled trial (RCT) data from Legacy indicate intervention effects 3–6 years post-intervention for child socioemotional and cognitive outcomes. Legacy is currently being implemented in sites across the United States in a variety of infrastructures: child care, health care, and community-based organizations. Implementation has been supported by the Centers for Disease Control and Prevention (CDC) through training and technical assistance. Legacy has been adapted and translated for Spanish speakers; implementation and evaluation of Legacy for Spanish-speaking mothers is underway. Implementation, scalability, and next steps for the program are discussed as well as the importance of a developmental focus in programming.

The authors would like to acknowledge Drs. Judy Howard, Leila Beckwith, and Keith Scott for their key roles in writing and developing the Legacy for Children™ University of California, Los Angeles and University of Miami curricula.

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Authors and Affiliations

  1. National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA

    Lara R. Robinson, Sophie A. Hartwig, D. Camille Smith, Akilah H. Lee, Lauren W. Forbes & Ruth Perou

  2. Oak Ridge Institute for Science and Education, CDC Research Participation Programs, Oak Ridge, TN, USA

    Sophie A. Hartwig, Akilah H. Lee & Lauren W. Forbes

  3. Department of Psychology, University of Miami, Miami, FL, USA

    Lynne Katz

  4. Department of Pediatrics, University of California, Los Angeles, Los Angeles, CA, USA

    Dane Fitzmorris

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  1. Lara R. Robinson
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  7. Lynne Katz
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  8. Dane Fitzmorris
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Correspondence to Lara R. Robinson .

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Editors and Affiliations

  1. Department of Human Development and Family Science, Oklahoma State University, Tulsa, OK, USA

    Amanda Sheffield Morris

  2. Department of Human Development and Family Science, Oklahoma State University, Stillwater, OK, USA

    Amy C. Williamson

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Robinson, L.R. et al. (2018). Supporting Early Social and Emotional Relationships Through a Public Health Parenting Program: The Legacy for Children™ Intervention. In: Morris, A., Williamson, A. (eds) Building Early Social and Emotional Relationships with Infants and Toddlers. Springer, Cham. https://doi.org/10.1007/978-3-030-03110-7_8

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