The purpose of this project is to support Early Head Start (EHS) administrators and staff in meeting the mental health and communication needs of maltreated infants/toddlers and their families. Project CALM CARE (Caregiving Affects Long-term Mental Health: Creating a Responsive Environment) aims to facilitate EHS administrators and staff in meeting the needs of children and families by providing them with information regarding: (1) caregiver tactile and vocal/verbal behaviors in response to infant engagement/disengagement cues, (2) childrearing frameworks of the families they serve, and (3) the framework of EHS organizational culture and its influence on the services provided. Participants will include EHS administrators and staff, as well as children and families who have participated in EHS for at least 6 months. A qualitative ethnographic approach will be utilized to gather data detailing the variables involved with children, parents, families, and their effectiveness of communication with EHS staff. Focus group interviews with five EHS administrators and 10-12 EHS family educators will be conducted to discuss agency philosophy, activities, objectives, and goals in providing services to maltreated infants/toddlers and their families. In addition, artifact reviews will be conducted, and observations of 10 EHS children interacting with their caregivers will be videotaped, transcribed, and coded using the Computerized Language Analysis Program (CLAN), thus allowing the researcher to document types and frequencies of infant cues and caregiver physical and verbal interactions. Relevant domains and themes in the EHS and parent interviews will be identified using Spradley's development research sequence, and an organizational culture framework will be used to construct a description of EHS culture.