The purpose of this study is to determine if children and mothers who participate in the First Born® Program (FBP) experience better outcomes than they would have in the absence of the program. The evaluation employs a randomized trial design to assess the effectiveness of the FBP in the Santa Fe County, NM, site. FBP is a home visitation program that uses clinically trained professionals to provide first-time parents with information, training, and access to resources designed to promote early childhood development. Services are free and may begin at any time during pregnancy or up to two months after the baby's birth and may continue until the child is three years old. In addition, a nurse postpartum home visit is offered to the parents of all participating newborns. The FBP model builds on other home visiting and prevention programs that have been shown to improve long-term outcomes of children and their families.

Inclusion Criteria:

• First-time parent
• Mother is currently pregnant or child is less than two months old
• Lives within Santa Fe County, New Mexico
• Parent accepts referral to First Born Program

Exclusion Criteria:

• Child is not first born
• First-born child is two months or older
• Parent resides outside Santa Fe County
• Parent has not been referred to First Born Program