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Examines a constellation of economic, social, historical and cultural challenges to American Indian families that potentially compromise optimal early child development. Reviews opportunities for tribal grantees to assess needs and develop early childhood intervention strategies funded through the Affordable Health Care Act. Explores methods and theoretical approaches to early childhood development and intervention research in tribal contexts. Considers optimal systems of early childhood care in low resource settings. Examines unique aspects of tribal research and culture, emphasizing the importance of community-based and community-engaged approaches.