Through the ABCD project Vermont integrated three home visiting programs into one --Healthy Babies, Kids, and Families. The paperwork associated with assessment, referral, and monitoring was streamlined (from seven forms to one); eligibility was expanded (from 12 months to five years); and services were added to include home visiting with case management, phone consultation, targeted educational materials that highlight child development, and group education for parents and care givers.

Vermont also trained physicians, public health providers, child care providers, and government officials in developmental issues using Touchpoints (a curriculum that emphasizes the building of supportive alliances between parents and professionals around key points in the development of young children). In doing so, Vermont changed the focus of its work with families to a developmental approach, rather than a risk-based one.