Primary Prevention Perspectives | Spring 2009

HEALTHY
Family Initiatives
Healthy Family Initiatives leads communities in developing solutions to eradicate child abuse and neglect.

HEALTHY
With A Baby At Home, On another couch, facing Alan and on how the moms and dads are putting
Young Couples Add Work Adriana across a coffee table, sit Emerson their lessons into practice every day.
To Their Homework Mejicana and Tahys Diaz. A bit less demon- Adriana confesses that distilling life into a
Alan Nava and Adriana Rojas snuggle on strative, they nonetheless look equally series of routines strikes her as boring, but
the couch. Holding hands, touching knees, committed. However, they are teenagers, she concedes the need for organization.

family initiatives
they look like a million other teenaged
couples. They might at any moment burst
out in “When You Look Me in the Eyes.”
Except that Alan and Adriana also have
eyes for Alan, their 3-month-old son.
Alan and Adriana have come to the
comfortable parlor on the second floor at
Lee High School to attend the HFI Young
Couples Group for student-parents. Each
meets with a group of other teen moms or
and introducing a child into a high-school
romance does not guarantee a future
together. In fact, it may make it less likely.
Statistics indicate that 80 percent of
unmarried teen couples are together
when their child is born and 15 to 20
percent remain in the relationship on
the baby’s first birthday. Doula Program
Director Marisa Pena Alfaro says that in
her experience, something less than 80
She and Alan discuss how they’re balanc-
ing the demands of child care, jobs and
homework, and describe a spat they had
when communication broke down.
Different techniques are discussed
to point out the discipline and organiza-
tion so needed as a working parent. One
technique used by program directors is
illustrating expectations through interest-
related examples, like sports. Parents

HEALTHY
dads as well. Those couples in which both percent remain committed to each other
partners are enrolled at Lee attend the at the birth, but that the 15-to-20 percent
couples group also. range rings true at one year.
HFI’s program directors guide the
young moms through their pregnancy
often have to visualize several outcomes
in advance much like a soccer or basket-
ball player does during a game.
The class is also guided to adjust expec-
tations when unforeseen circumstances

family initiatives
and childbirth classes, and the young
expectant dads break out into their own
D.A.D.’s program classes. They team up
again for the couples group. Here, the
lessons learned in the company of other
moms or dads — where questions flow
more freely — are examined in a context
in which the partners can interact and
explore personal approaches.
They have been given a worksheet
interfere as well as to set realistic goals
and prioritize. For example, Emerson says
he’s learning to budget his time: More
diapers means fewer video games.
One specific program model is never
enough; one size never fits all. There are
many forms fatherhood can take, which
an effective program must take into ac-
count. Needs for teen fathers differ from
those of their twenty-something coun-

HEALTHY
for homework that instructs them to
list “his core concerns” and “her core
concerns” followed by “Our general
agreement that meets BOTH our core
e
concerns.” Then comes a chart asking
terparts, or a divorced weekend dad, or a
step father.
The lessons appear to sink in — and a
record of success says they do. Healthy
families are intact families. And families

family initiatives
about th ool
s h a re a story it h s c h for more detail, with boxes for “who” “will remain together when the partners put
lan yw
a and A a famil
Adrian o f b a lancing do what” “when” “where” and “how.” in the practice to build and maintain
lties
difficu The program leaders guide their young healthy relationships. HFI
rk.
and wo
charges through examples of couples who
have preceded them, and elicit responses
Healthy Family Initiatives

President’s Letter
2009 HFI Board of Directors
The 111th Congress and the 81st Texas leg- them for school, work and life. It bases its
The Honorable Geert C. Visser, Ing.
Chairman islative sessions are in progress. With the current public policy agenda on the prem-
Consul of The Netherlands economic down- ise that “…investing in children and youth
President
turn, we should is investing in America. By making all of our
Global Marine Transport
all be wondering children— from birth to young adulthood
John F. Chirichigno how children are — a priority, we strengthen our country
Treasurer
Financial Advisor being affected by and secure everyone’s future.”
Assistant Vice President Investments our public policy A recent editorial in the Miami Herald
Wachovia Securities, LLC processes. The makes the point that, “While policymakers
Elaine S. Mcanelly, J.D. American Acad- on both sides of the political aisle debate
Secretary emy of Pediatrics a potential economic stimulus package
Vice President
Assistant General Counsel
notes that “It is that throws lifelines to major industries
JP Morgan Chase Bank, N.A. clear that the cur- and employs legions of citizens to build
rent situation is having a major impact on bridges, repair roads and develop alter-
Patrick J. Kiley
Past Chairman adults throughout the United States and native sources of energy, they also must
Principal abroad. The effect that it may have on chil- invest in programs and services that put
Kiley Advisors
dren and adolescents is less obvious, but people to work safeguarding, educating
Sheshe Taylor Evans, J.D. it is something that parents and pediatri- and developing our children and youth.
Legge, Farrow, Kimmitt, McGrath & Brown cians can address.” According to a January Investing in children provides short-term
MARJORIE FOWLER (2009) COUNTRY Family Finances survey, economic stimulus with lasting impact….”
Community Volunteer compiled by Rasmussen Reports, LLC and “…on average, a $1 investment in quality
Principal
based on a national telephone survey of early care and education provides between
Proclaim Public Relations
nearly 1,200 Americans who currently have $4 and $8 in reduced costs associated with
Ashley T. Harlan children at home, three in four Americans such social outcomes as lower rates of
Community Volunteer
admit the economic downturn is heaping grade retention, special education place-
W. Robert Houston, Ph.D. more stress on their family and one-third ment, adolescent pregnancy, drug use and
Executive Director and Professor
Institute of Urban Education
say it has sparked more arguments with criminal activity — at the high end this is a
College of Education their spouse or children. Children’s mental 17-percent return on investment.”
University of Houston health, chronic medical conditions, access In these tough times, let’s not pull the rug
Steve Moriarty to health and child care should all be of out from under our future. Let’s make sure
Assistant Director concern to our society. we let our legislators know that we value
Projects Business Unit
Voices for America’s Children, the our children, and that an ounce of preven-
Wilson-Mohr, Inc.
national advocacy group indicates that tion is the stimulus we really need. HFI
The Honorable Linda Motheral “Budgets are the single-best indicator of
Community Volunteer Marianne L. Ehrlich
Retired Family Law Judge, District 257 a government’s priorities. Large increases
President & CEO
or drastic cuts in funding for programs or
Susan Sample, J.D.
other services for kids are clear indicators of
Liaison, Junior League of Houston
what policymakers value. All states depend Poverty and financial stress. The two
ROSIE VALADEZ on federal funding to provide vital children leading causes of child abuse and neglect
MCSTAY, MPH
Director, Government & Community Relations services from education to child care to nu- are more widespread during a recession.
Texas Children's Hospital trition assistance, which means that budget No job, no health care. Uninsured parents
decisions made at the federal level can have are more likely to delay medical care for
Advisory Board of Directors
Rosanne Dickson a big impact on state and local programs.” their children, which can result in being
Community Volunteer Texas has already lived through one accused of medical neglect.
W. David Hanks recent cut in funding for activities that Reduced supervision. Financially unstable
HFI Campaign Chairman prevent poor child outcomes several ses- parents often have less time to watch
Retired, President & CEO their children, leading to more reports of
sions ago.
Riviana Foods, Inc.
The Children’s Leadership Council is a inadequate guardianship.
Patrick Leung, Ph.D. coalition of child advocates representing Government’s role. Fiscal woes often
Professor
36 leading national policy and advocacy result in cuts to child abuse prevention
Graduate School of Social Work
University of Houston organizations who are working to improve programs.1
1
the health, education and well-being of Some Attribute Child Abuse Spike To Recession,
Michelle V. Anderson Lyn, M.D.
children and youth in order to prepare by Michael Amon, michael.amon@newsday.com
Pediatric Emergency Medicine
Texas Children's Hospital

Kenneth Spalding
Community Volunteer
Retired, Shell Oil Company

Abuse Cases Highlight
Need For Action
The case of Baby Grace in Galveston
grabbed the headlines, and little wonder.
In a four-hour videotaped statement,
the 2-year-old girl’s mother admitted to
whipping her with a belt and helping to
dunk her head repeatedly in a bathtub of
cold water. The three skull fractures that
resulted in death occurred, she said, when
the stepfather threw the child across the
room because she wasn’t minding.
April is Child Abuse Prevention Month. Make
a difference in a child’s life by supporting the
efforts of Healthy Family Initiatives.
Other Texas cases may seem less sensa-
tional but they are no less horrible for the
victims. In recent days:
>>A Tyler mother and her boyfriend
were charged with manslaughter
after the woman’s 9-month-old son
drowned when he was left unat-
tended in a bathtub.
>>In Dallas, the mother of a 9-year-old
diabetic who died as she lay beside a
bag of candy was accused of helping
cause her death by failing to help the
girl manage the disease, including
giving her high-glucose foods.
>>P rosecutors said an 8-year-old Gon-
zales girl who weighed 45 pounds
starved to death in the hands of her
adoptive parents when she could no
longer get enough food by stealing
from classmates and eating out
of trash cans. A medical examiner
testified that the girl could have
died from malnutrition, blunt force
trauma to the head or a combination
of the two.
>>A n Alvin man told Philadelphia police
he stomped his 3-month-old son to
death to stop him from crying.
>>A Brownsville woman whose new-
born daughter was found dead and
stuffed in a suitcase pleaded guilty
to a charge of injury to a child.
>>In Gainesville, the boyfriend of a wom-
an whose four children were burned
with sulfuric acid turned himself in at
the Cooke County Sheriff’s Office.
This partial list notably leaves out cases
of neglect that resulted in a child’s injury
or illness. As Child Abuse Prevention Month
arrives, we pause to reflect that while
we cannot make definitive judgments on
individual cases, much damage caused by
abuse and neglect is preventable. Most
instances of child abuse are not caused
by inherently violent or evil people, but by
parents who are unable to cope with their
temper in a time of crisis.
The best way to prevent child abuse and
neglect is to support families and provide
parents with the skills and resources they
need. Research demonstrates that inter-
vention before abuse ever occurs works
in measurable ways. Supporting families
to learn to find and access resources helps
them become more self-sufficient. Guiding
them in effective parenting and teaching
parents to understand child development
and then to adopt reasonable expectations
for children’s behavior produces long term
positive results.
The key is to address the needs of the
entire family unit. For example, while not
an exclusive condition for occurrence,
research has demonstrated that poverty is
directly related to child abuse and neglect.
Sixty percent of the nearly 29,000 children
in foster care in Texas in 2007 came from
families with annual earnings of $10,000 or
less. Intensive home visitation programs
not only improve parenting, but help
parents to establish and achieve personal
goals. In the Healthy Families Houston
program, families improved their economic
situation as well as their parenting skills,
moving over the course of our intensive,
www.hfihouston.org
long-term interactions with them from
annual incomes of about $13,000 to an aver-
age of $32,000 in annual income.
Education for parents matters. Almost
one-third of U.S. parents have a surpris-
ingly low-level knowledge of infant
development and unrealistic expectations
for their child’s physical, social and emo-
tional growth. “An astonishing number of
parents are unsure of what to anticipate
as their child develops,” said Dr. Heather
Paradis, a pediatric fellow at the Univer-
sity of Rochester Medical Center, which
conducted a study on parental knowledge.
“Some parents expect too much of babies
too soon and grow frustrated.”
Among the causes and risk factors for
parents are immaturity and unrealistic
expectations, unmet emotional needs,
the stresses of child care, economic crisis,
domestic violence, lack of parenting knowl-
edge, difficulty in relationships, depression
or other mental health problems and drug
or alcohol problems. Proven intervention
solutions are available. With the coming of
Child Abuse Prevention Month, isn’t it time
to redouble our efforts to create the re-
sources? Precious lives are at stake, as much
so in cases that don’t make headlines. HFI
Stop Child Abuse specialty
license plate now on sale
at www.texasonline.com.
A percentage of each plate
sale will go to the Texas
Council of Child Welfare
Boards and to the child
welfare board in the county
of sale.
3
Healthy Family Initiatives
Around HFI’s Board Table
Geert C. Visser, ing, president of Houston-
based Global Marine Transport Inc. , has
been elected chairman of the board of
directors of Healthy Family Initiatives.
Geert joined the board in January 2007.
The father of three boys, now grown,
Geert has long had an interest in chil-
dren’s issues.
“I feel a personal commitment to kids,
and to making positive change in our
community. I came to know HFI, and I
know it to be an organization that works
hard, is well run, and has tested outcome
programs with great impact on children’s
lives. Kids who otherwise likely don’t have
a safe environment and a foundation
that allows them to shine. At HFI we call
it Prevention — the power of prevention
and what it can do for families. I am proud
to be connected to it and now, to be its
chairman. I hope to further the mission by
Heartbeat Of A Healthy
Family Major Gifts
Campaign
Uncertain times, with grave national
and global economic concerns, have
prompted Healthy Family Initiatives to
considerable deliberation about our
Major Gifts Campaign.
In light of this deliberation, the HFI
board has decided to continue cultiva-
tion with sensitivity to the general
philanthropic environment.
When the economy is down, it is a
known fact that the rate of child abuse
and neglect often goes up. The additional
stresses, especially in vulnerable families,
become an insurmountable challenge.
The need for family support and preven-
tion programs becomes even greater.
The first good news is that during these
difficult times HFI can continue to make
It’s here! Visit HFI’s new website at www.hfihouston.org.
Past HFI Board Chairm
an Pat Kiley (right) wel
comes incoming Chairm
doing a good job leading and growing this
well respected board.”
At the January annual meeting, Geert
expressed his deep appreciation to Pat
Kiley, outgoing chairman, for his dedicated
service to HFI and wisdom of leadership
over the past three years.
a difference in the lives of children and their
families with your continued support.
The second good news is that to date,
our Heartbeat of a Healthy Family Major
Gifts Campaign has already raised almost
one-fourth of our goal to support awareness
about the challenges of abuse and neglect
through your pledges and gifts. We are expe-
riencing that people of generous hearts will
still want to invest in a worthy cause.
We know we cannot hesitate to ask
for your help, for the proceeds of our
campaign support proven and vital com-
ponents that will change the community’s
understanding about the value of preven-
tion, will facilitate broad dissemination of
early prevention programs and will help
focus efforts on improving child protec-
tive public policy.
And so we encourage you to please
consider making that gift or filling out
an Geert C. Visser (left).
A native of The Netherlands who has
lived in the Houston area 30 years, Visser
was appointed Consul of The Netherlands
for Texas, Oklahoma and Arkansas in 2003.
He is a member of the American Society of
Petroleum Engineers. He and his wife live
in The Woodlands. HFI
a pledge card, helping us move forward
toward our goal of $1 million.
The impact we can make together, the
success your gifts bring to the long term
life outcomes of a greater number of
families at risk lead us to feel confident in
extending our ask to you. Please remem-
ber us and help support this first cam-
paign — a campaign that will help protect
the children in our community. Your gift
lasts a lifetime for our children!
Thank you for your support of our
campaign. If you have questions, please
contact our development office at
713-270-8849 ext. 226. HFI

In HFI’s Family...
Tamera Stark, Ph.D.,
Named Vice President,
Programs
Having long worked with children,
Dr. Tamera Stark says she has seen
children struggle once they reach school
age (5-years-old) because their parents didn’t
prepare them to be “school-ready” early on.
Helping First-Time Mothers
A Joy For Delores Hamilton
Who better to coordinate the Texas Nurse
Family Partnership program in Houston
than an experienced women’s health
nurse? Delores Hamilton, RN, BSN, begins
her job as project coordinator with her
eyes wide open.
“Some of the moms see this baby as
ruining their lives and some see it like
having a doll to play with,” she says. Still
others are angry and often the young
woman is living with a grandparent, a
sister or a boyfriend because the parents
“It can affect them throughout their
entire school career,” she says.
“This shows the importance of starting
at the beginning.”
As the new vice president-programs, Dr.
Stark will develop and administer HFI’s pro-
grams, including Building Strong Families,
Community Doula, Dads Make A Difference
and all HFI family support programs.
Dr. Stark was previously director
of community programs for Bastrop
Independent School District, where she
developed and administered an array
of programs for students and adults in
the district’s 16 campus and community
locations. She also provided oversight of
the Community Education, 21st Century
Community Learning Centers, STARS After
School, District Daycare, Pregnancy Re-
lated Services and Life Skills programs.
Dr. Stark holds certifications from the
Learning Resources Network, the Associa-
tion of Professionals in Business Manage-
have turned her out of their home.
Delores saw all the problems while
working in a hospital. Now she sees rea-
son for hope.
“The teen moms and young single moth-
ers coming into the hospital to have their
babies knew absolutely nothing,” she says.
“We had a lot of teaching to pack into the
two days they would be in the hospital!
When I learned about this program, I
thought, ‘Wow! A program that will teach
these young women beforehand!”
NFP nurses will work with a low-
income, first-time mother for two years,
beginning before birth. In addition to
teaching parenting skills, they will help
the young moms and dads with finding
resources. “It will be important for the
nurses to let the moms do the work and
not ‘fix’ a problem or do the work for
them,” Delores says. “The moms will feel
better about themselves, particularly
when the baby comes, “ Delores says. She
adds that the nurse home visitors will be
good role models for the girls.
“The nurses working with these teens
and young single mothers need lots of
skills and abilities. The goal is to build
www.hfihouston.org
ment and the Society for Human Resources
Management. She holds a BBA from the
University of Texas in Austin, an MA from
the University of South Dakota and an MA
I like the fact that HFI isn’t
just a service provider, but
is here to trail-blaze new
programming as well.
and PhD from Louisiana Baptist University.
She and her husband, Scott O’Beirne,
live in Sugar Land. HFI
trust and strong relationships with the
moms,” Delores explains. “They need to
have compassion and help these young
women believe they can do this.”
A mom herself and a grandmother of
a 2-year-old, Delores knows the ups and
downs of parenting. She also brings to HFI
a broad background of clinical, manage-
ment and educational skills.
Delores is responsible for general
oversight of the program and coordinating
with the national and state NFP program
leaders as well as with the consortium
partners, particularly the three service
providers: Baylor College of Medicine Teen
Clinics, Texas Children’s Health Plan and
The City of Houston Department of Health
and Human Services. Each of the service
providers has four nurses providing home
visitation services. Service providers began
seeing mothers in December 2008. The
Nurse Home Visitors and Nursing Supervi-
sors are registered professional nurses
with a minimum of a Baccalaureate degree
in nursing. HFI is the lead agency, serving as
fiscal agent and coordinating services. HFI
5
Healthy Family Initiatives

Two Countries, 5,000 Miles and approaches and United Way represen- across cultures and that we can improve
And A Cup Of Coffee tatives shared insight about how it has our own approaches by learning how
A simple cup of coffee brought two developed and is tracking human services other countries find solutions to such
women together from countries 5,000 program outcomes. challenges was an eye-opening experi-
miles apart, but it was the challenges that The ladies also met with the local con- ence. Through further exchanges, this
they faced in their two cities that reunited sortium group working with HFI to plan budding international relationship will
them in Houston months later. and implement the state funded Nurse likely become even more fruitful. All from
Over a three day sojourn this past sum- Family Partnership program pilot. As a cup of coffee. HFI
mer, Healthy Family Initiatives hosted a well as being implemented in the United
delegation of four Birmingham, England, States, this program is in a second phase
health services representatives to share of expansion in Great Britain, offering on-
knowledge about best practices in home going opportunities to compare outcome
visitation, pregnancy and prenatal educa- data and study the process and progress
tion and prevention of child abuse and in the two different health care systems.
neglect, and to gain better understanding After the Houston visit, HFI arranged a
about how our two countries’ very differ- visit in Birmingham for the Texas Health
ent health and human services systems and Human Services Commission NFP con-
are responding to very similar human tract administrator to see firsthand how
needs and challenges. the NFP program is being rolled out.
The exchange originated through a Gaining greater understanding that
chance meeting in Palo Alto, CA of our problems confronted by families
president and CEO, Marianne Ehrlich, at are very similar
the Stanford Social Innovations confer-
ence, with Vicki Fitzgerald, Gateway
Community Interest Co. chief execu-
tive. Over coffee, the two realized
the extraordinary similarities of their
work and determined to expand their
dialogue through a visit to Houston.
Together during the exchange visit
in Houston, we looked at our health
care systems, demographics, work force
issues, infant mortality, family struc-
tures and cultural and ethnic issues in
serving high risk populations. Our British
colleagues shared their own programs
and approaches to strengthening families
and were introduced to the HFI Building
Strong Families program model and staff,
our doula and fathering programs, and to K
up of U
h a gro cAnelly
members of our board of directors. fam ilies wit in e M
g Ela
assistin , left to right), enior
s about w st Co. s
HFI arranged a series of collaborative allenge were (back ro ity Intere
sa n d ch
es m m un m dlea
of idea FI offic way Co , progra of
visits, including The Children’s Defense an e xchange athering at H -S mith, Gate g P art nership ire , d irector
tt h
rch estrate
d
n tatives. G rs; Ja ne Pigo h and Wellbein onna Darbys
Fund and with members of the current HF I o repre se mb e lt t; D tiv e .
service ard me am Hea residen o. chief execu
health , HFI bo irmingh Ehrlich, HFI p
American Leadership Forum class to learn te ve M oriarty
W illia mson, B ria nn e nity Interest C
and S Annett
e ) Ma Commu
er and nt row ateway
about its Cradle to Prison Pipeline project. manag nd (fro erald, G
t M ort ality, a i Fitzg
n ick
Houston Area Women’s Center members for Infa ervices and V
nS
discussed violence prevention programs Childre

It’s here! Visit HFI’s new website at www.hfihouston.org.

 www.hfihouston.org

Doula Program Expands other young mothers, helping them to away as the United Kingdom.
Due To Popular Demand develop and maintain a healthy lifestyle “Karla was so supportive for my husband
Beatriz was 14 years old, married and three during pregnancy and after. and me,” Beatriz said. “She stayed with me
months pregnant when she left her family The program fills an essential need for during all my labor. Karla taught me the way
and moved to her husband’s home in Hous- education and support of low-income ex- to breastfeed my little Merlina. That’s why I
ton. Her husband-to-be had come to her pectant mothers. In Harris County in 2004, could breastfeed her for one year.
village in Guerrero, Mexico, after they met 18 percent of pregnant women received “Having Karla was just like having my
over the phone. Two weeks later they were either late prenatal care (after the first tri- own mom.” HFI
married. Right away, she was pregnant. mester) or none at all. Eight percent of all
As soon as she arrived in Houston, her births in the county were low birthweight,
sister-in-law mentioned the childbirth making these babies 25 times more likely
education classes offered by HFI’s Com- than healthy babies to die before their
munity Doula Program at the Magnolia first birthday.
Multi-Service Center clinic in Houston’s At the Magnolia Center, a heavily His- You can help prepare
East End. panic area, 19 percent of children are born
our mothers-to-be by
to teen mothers; 60 percent do not have a
donating layette items
high school diploma.
The doula program works. In 2008, for our monthly baby
96.8 percent of the mothers carried their showers. For more
pregnancy full term, compared to 87.5 information, or to make
percent nationally; 80 percent had natural a donation, please
births compared to 68.9 percent nationally;
contact Marisa
97 percent of mothers had healthy weight
Pena-Alfaro at
infants, compared to 92 percent nationally,
and 81 percent breastfed their children for 713-270-8849 x234 or
at least six months compared to 13 percent at mpena@hfimail.org
nationally. The demand for these services
is increasing — HFI added a program at the
Spring Branch Family Development Center
in Houston in February 2009 to the existing
locations at Lee High School, LBJ Teen Clinic
aro,
ena-Alf
tor, M arisa P ue s to and the Magnolia Center, and provided
Direc chniq
rogram mfort te l
Doula P irthing and co e High Schoo advisory services to organizations as far
sb t Le
explain moms a
nt teen
expecta

Beatriz completed the course of eight National Doula Estimated cost

sessions but attended an additional 10 class- (%) Program (%) savings per birth
es because, she says, “I learned so much ($)
about pregnancy and found out that all the
myths people had told me weren’t true. “ Full-term pregnancy 87.5 96.8 N/A
Although the word “doula” — literally,
“servant” — is an old one, the concept Healthy weight infant 92 97 41,985
is relatively new. In the greater Houston
area, Marisa Pena-Alfaro is one of only 14 Cesarean section 31.1 20 8,000
women certified as doulas through DONA
International, the oldest and largest doula Breastfed 6+ months 13 81 810
association. At HFI, she and Karla Tapia
*National statistics from National Center for Health Statistics, March of Dimes,
work with at-risk pregnant teens and American Academy of Pediatrics and CDC

7
 HEALTHY BABIES
HFI’s doula program for low-income
mothers outperforms national averages
in the births of healthy, full-term babies
by natural childbirth. Demand for the
program is growing. Read one young
mother‘s experience on page seven and
learn how you can help.

HEALTHY FAMILY INITIATIVES

STAFF LEADERSHIP
MARIANNE L. EHRLICH
President & CEO
ELISABETH RUEB FEERICK
Senior Vice President
Ellison “Rick” Dyson, CPA
Vice President Finance & Administration
TAMERA L. STARK, Ph.D.
Vice President Program Operations

Primary Prevention Perspectives is published by Healthy Family Initiatives.

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Please help us strengthen families and prevent child abuse this year.