Promoting First Relationships in Pediatrics is designed to help providers and members of the multidisciplinary care team learn how to nurture and support the parent-child relationship during everyday clinic interactions with families and children.

Promoting First Relationships E-Learning Course

This course includes 30 videos of parent-child interactions to help participants see and feel the elements of responsive caregiving. Parent Handouts, Provider Tip Sheets and Promoting First Relationships (PFR) Connecting Strategy Sheets for Well Care Visits through age 2 are included.

The course is comprised of 9 Chapters:

  • Chapter 1: Introduction
  • Chapter 2: PFR Approach to Relationship-Focused Care
  • Chapter 3: Social Connectedness: The Importance of Children’s First Relationships
  • Chapter 4: Elements of a Healthy Relationship
    • Understanding Cues to Support Responsive Caregiving
    • Alleviation of Distress
    • Mutuality
  • Chapter 5: Feeding, Sleep and Development Viewed Through a Relational Lens
  • Chapter 6: Understanding Children’s Behavior as their Language of Distress
  • Chapter 7: Reframing Challenging Behavior: It’s All About Being Connected
  • Chapter 8: Challenging Behavior Cases
  • Chapter 9: Supporting Relationship-Centered Care in Primary Care


Keys is a research-based educational program for professionals that provides essential information on newborn and infant behavior.

Keys to Infant Caregiving E-Learning Course

In 1990, Dr. Kathryn Barnard and the team at NCAST Programs released the ground-breaking and award-winning Keys to Caregiving program.  The program is used worldwide, giving health care professionals the knowledge to empower parents in caring for their infants.

In our new e-learning Keys to Infant Caregiving individual learner course there is all new video footage, quicker paced content, and a greater range of ethnic and racially diverse families. As a bonus, some of the most valuable archival footage is included for additional learning. The new educational series provides readily accessible content for both professionals and other care providers.

Keys teaches professionals about infants and their captivating ability to interact and engage in relationships with their parents and caregivers and how that impacts the care they receive. There are 5 classes in this course.

The first three classes provide foundational information about infant state, infant behavior, and how even newborn babies communicate their feelings and needs non-verbally. The last two classes consolidate this information and provide practical skills on waking a baby up and how to calm them down, and ways to enhance the developing parent-child relationship during feeding time.  The companion Study Guide offers deeper background information and contains structured areas to reflect upon and implement the new content in your practice

Need a Free In-Service Idea?

  • Watch this free video with your team and discuss the use of the Eat/Sleep/Console strategy.

  • Listen for the impact that a strengths-based practice can have on the families you serve.

Compassion and Care

Supporting Women with Substance Use Disorders and their Newborns

Learn how to support women with substance use disorders—and their newborns. This FREE 45-minute video is narrated through a trauma-informed lens and supports the Eat, Sleep, Console model of care. Also, listen for the impact that a strengths-based practice can have on the families you serve.  This compelling and informative video follows two women—one in recovery, and the RN who cared for her at the hospital.

Parent-Child Relationship Programs, with Dr. Ira Kantrowitz-Gordon, developed this video to promote compassionate, quality care for mothers with Opioid Use Disorder (OUD) and their newborn infants with NOWS (Neonatal Opioid Withdrawal Syndrome). Data shows a significant national rise in OUD and babies with NOWS presenting at hospitals for labor and delivery. Dr. Kantrowitz-Gordon and Dr. Rizza Cea, both registered nurses, are the video instructors.