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We have described a process in which one state's public health leaders provided a large degree of flexibility at the community level to improve pediatric health care access for children in need. This "room-to-wiggle" allowed program providers to tailor their programs to the specific needs of their communities while remaining faithful to the statewide goals. Among the most promising outcomes of the coordinated efforts to forge public-private partnerships is the continuation of the relationships that developed in the process and the further collaborations they have spawned.

In this review, we have suggested a variety of ways that we as health care providers can adapt our practices to provide the support necessary to increase the competency of families in parenting and nurturing their young. There are a variety of modalities worthy of consideration as methods that make the lives of our children that much better. In our quest to prevent child maltreatment, we need an emphasis on supporting families so that they can effectively provide the love and nurturing that all children require.