 In order to provide continuity of care from the prenatal to pediatric primary care setting, participants receiving prenatal care at the RESPECT Clinic are recruited during their third trimester of pregnancy. After consent, the initial baseline data collection is scheduled and once the infants are born and pass the eligibility screening term birth and no major congenital abnormalities or developmental disabilities, mothers and their infants are randomized into the intervention RESPECT-Plus or control standard of care group. 