Integration and coordination across systems serving young children with disabilities or those at risk for a disability remain central concerns in our field. In this issue, Infant & Young Children (IYC) considers some of these problems by including articles on expulsions and suspensions of preschool children, the search for specialized services in childcare settings, and connections between child welfare and early intervention systems. Solutions to these problems require comprehensive efforts to form partnerships with various service streams and integrate them in meaningful ways to support families and children. Short of a thorough overhaul of our existing service streams, we must continue to engage in a gradual, thoughtful process of building a comprehensive system. Model projects have proven to be one important means of improving practice. In this issue, IYC presents one such model by a community-based program that represents a creative, well-integrated, theoretically grounded, and highly sophisticated set of practices.

IYC also provides updates for young children with sensory impairments. One article focuses on children who are deaf-blind, as these children continue to pose challenges for conducting appropriate evaluations. A team approach for early identification is emphasized. In a second article, family factors are discussed as a means for maximizing the benefits of cochlear implants for young deaf children.

Finally, IYC examines the potential role of high levels of maternal stress during pregnancy on children's health and development. As revealed in this article, much is known about the mechanisms mediating these effects.

Michael J. Guralnick, PhD

Editor, Infants & Young Children