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Child First is an innovative, evidence-based, two-generation, home visiting intervention that decreases the incidence of serious emotional disturbance, developmental and learning problems, and abuse and neglect among high-risk, very young children and their families. Child First has been designated by Health and Human Services (HHS) as one of the 13 evidence-based home visiting models eligible for federal funding under the Maternal, Infant, and Early Childhood Home Visiting Initiative (MIECHV). Child First uses a team approach that combines (1) Child-Parent Psychotherapy, a psychotherapeutic, attachment-based, trauma-informed, dyadic intervention with (2) care coordination, providing wrap-around services and supports for the whole family. Most families have experienced multiple challenges, including poverty, violence, depression, substance use, and homelessness. Child First is currently in a period of rapid growth, now in 15 sites across Connecticut and soon to replicate nationally. The Child First Central Program Office (CPO) oversees and supports the Child First Network of agencies that are authorized to implement the Child First model.