Abstract

Project DULCE (Developmental understanding and legal Collaboration for everyone) integrated the Strengthening families approach to building family protective factors into routine health care visits for infants in a primary health care setting. The core collaborators--Boston medical Center pediatric primary care, the medical-legal partnership | Boston, and healthy Steps--contributed to the DULCE collaborative care model, which emphasized concrete supports and improving parent knowledge of child development and parenting. The intervention was delivered on a universal basis and demonstrated an efficient, cost- effective way to reach families at risk because of economic hardship, making the approach suitable for widespread replication.