An intensive, in-home clinical treatment program for families with children (birth to 5 years old inclusive) who are at risk for abuse and/or neglect, poor developmental outcomes, and removal from their home due to parental substance use. Team provides individual, couples and family therapy; promotes positive parent-child interaction for secure attachment; works to increase a parent’s awareness and understanding of child development; provides case management services, and conducts a weekly relapse prevention and parenting group.