From isolated services to a dependable circle of care

Maternal and Infant Health

Use HOPE to strengthen connection, dignity, practical support, parent voice, and the conditions surrounding pregnancy, birth, infancy, and early parenthood.

Understand

Begin with the experience people are having.

A strengths-based maternal and infant health system does more than give families information. It makes supportive relationships easier to reach, environments safer and more stable, participation possible, and emotional support ordinary.

Growing HOPE treats the parent, infant, family, and surrounding community as connected. Material needs, culture, caregiving partners, transportation, work, housing, and trust all shape whether a positive experience is actually available.

Translate the framework

The four building blocks in this setting

01

Relationships

Create continuity with trusted people before, during, and after birth; include partners, kin, peers, doulas, home visitors, and community health workers as families choose.

02

Environments

Reduce practical barriers to safe housing, food, transportation, rest, health care, and welcoming public spaces without turning support into a test of parental worth.

03

Engagement

Invite parents into real choices about care, program design, schedules, outreach, and the community conditions they want strengthened.

04

Emotional growth

Make nonjudgmental check-ins, co-regulation, repair, and mental-health pathways part of ordinary care for every family.

Five-part learning presentation

Maternal and Infant Health in practice

Use the arrows, keyboard, or swipe to move through the five framing questions.

A multigenerational family prepares a snack together around a kitchen table.
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01 · Begin with dignity

A parent is a person, not a risk profile.

Start with the family's goals, relationships, culture, knowledge, and immediate realities. Screening without a trustworthy response pathway can deepen disconnection.

What would help this parent feel respected and less alone today?

Put it into practice

Five moves to begin

  1. Add a strengths-and-support question before a needs checklist.
  2. Create one named warm-handoff pathway and verify that the connection occurred.
  3. Include caregiving partners and chosen supporters when the parent wants them involved.
  4. Compensate parents for sustained advisory, design, and leadership work.
  5. Review forms, waiting rooms, messages, and follow-up practices for dignity and accessibility.

Learn and adapt

Questions worth tracking

  • Do families report feeling known, respected, and able to ask for help?
  • Which families are least likely to complete a referral, and what system condition contributes?
  • Are parent recommendations changing decisions, budgets, or practice?
  • What positive experiences are families already creating that services can protect?

Go deeper

Tools and next pathways

Explore Your HOPE

A private, non-scored reflection for noticing family strengths and supports.

Open resource

New mothers and birth parents

A shared-responsibility pathway for the early parenting season.

Open resource

Dads and caregiving partners

A direct invitation into the circle of care.

Open resource

Source trail

Read and attribute the foundation.

HOPE National Resource CenterThe Four Building Blocks of HOPEHOPE framework practice articleHRSA Maternal, Infant, and Early Childhood Home Visiting ProgramNIMH: Perinatal Depression

Implementation partnership

Bring this pathway into a real community or organization.

Kimberly Ladd supports coalitions and implementation partners in adapting HOPE with community voice, practical systems learning, and a clear source boundary.

Work with Kimberly