A Home Visitor's Guide to Supporting Families at Risk
Tackling the Tough Stuff, Second Edition
Early Childhood

Now more than ever, today’s at-risk families need home visitors who can address their complex challenges with skill and sensitivity. This timely second edition will help home visitors manage even the toughest situations they encounter on the job—and support and empower vulnerable families of children birth to 3.

Paperback
Coming Soon!$39.95
Qty:
STOCK NUMBER ISBN
57877 978-1-68125-787-7
COPYRIGHT PAGES
2025 248
AVAILABILITY
Not Yet Published

Now more than ever, today’s at-risk families need home visitors who can address their complex challenges with skill and sensitivity. This timely second edition will help home visitors manage even the toughest situations they encounter on the job—and support and empower vulnerable families of children birth to 3.

The authors present their highly effective PAUSE framework (Perceive, Ask, Understand, Strategize, and Evaluate), a blend of relationship-based practice, reflective skills, and recommended strategies for supporting at-risk families. Readers will learn how to develop positive partnerships with parents and caregivers, address specific challenges in skillful and culturally sensitive ways, and give families the tools and knowledge they need to generate their own solutions. Vignettes, sample dialogues, and fillable PDF forms help home visitors translate evidence-based strategies into everyday action.

WHAT’S NEW

  • Coverage of contemporary topics such as virtual home visiting, reflective supervision, and diversity, equity, inclusion, and justice (DEIJ)
  • Expanded content on setting boundaries and avoiding professional burnout
  • Updated research on child-based issues like self-regulation, aggression, and separation anxiety, as well as parent issues like substance abuse, domestic violence, and mental illness
  • Updates to reflect the ongoing impact of COVID-19 on families and children
  • More on the PAUSE framework’s compatibility with home visiting programs such as Parents as Teachers, Early Head Start, and Healthy Families America
  • New downloadable, fillable PDFs for easier use

About the Downloads

About the Authors

Foreword Katherine Rosenblum

Acknowledgements

Dedication

Getting Started

 

Chapter 1 Connecting and Keeping Connected: Relationships Matter

Chapter 2 Looking Inside: Reflective Practice and Relationships for Learning

Chapter 3 PAUSE—A Problem-Solving Framework: Blending Relationship and

Reflective Skills

Appendix 3A PAUSE Worksheet

Appendix 3B Provider Reflection Worksheet

Chapter 4 What’s Going on in There? Understanding Causes of Behavior

Appendix 4A Exploring Challenging Behaviors—Pulling it Together Worksheet

Chapter 5 Calm Down! Early Regulation: Sleeping, Eating, and Soothing

Appendix 5A Tips for Calming Your Baby

Chapter 6 Stop That! Biting, Hitting, Throwing, and Meltdowns

Appendix 6A Tips for Challenging Behaviors

Chapter 7 Why Won’t You Listen? Cooperating and Following Directions

Appendix 7A Practice Reframing Commands

Chapter 8 Don’t Be Such a Baby: Fears and Separation Issues

Chapter 9 What Else Might This Be? Family Challenges

Appendix 9A Practice Discussing Difficult Topics

Chapter 10 You Can’t Do This Alone: Boundaries, Self-Care, and Supervision

Appendix 10A Reflection on Work–Life Balance

 

Last Reflection

Reflective Supervision and Consultation (RSC): What Is It, Why Do I Need It, And How

Can I Use It Most Effectively?

Form 1: Reflective Supervision and Consultation (RSC) Preparation Worksheet

 

References

Index

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