Three-and-a-half-year-old Dylan was tiny, feisty and freckled with tousled blond hair. His mom brought him to the pediatric clinic because he had tried to smother his 2-week-old sister. She didn’t know what to do with him, and frankly neither did we. It was 5 p.m. and the clinic was closing.
Jeanne Smart has worked for Los Angeles County for more than 25 years, beginning in public health nursing field services and now in the development of supportive programs for children with special needs. She currently directs the perinatal nurse home visiting programs within Los Angeles County’s Department of Public Health. She has successfully integrated county programs with community‐based programs that strengthen and empower families to meet the special needs of high‐risk infants and children. Ms.