Practitioners gathered around a table during a community learning session.

Sharing tools shaped by culture, connection, and practice.

Resources for clinicians, early interventionists, home visitors, and community practitioners working in early relational health. Materials on this page emerge from collaboration with practitioners, researchers, and communities. As projects evolve, new tools will be added and adapted across languages, regions, and professional settings.

Training & Programs

A clinician demonstrates an NBO observation while caregivers look on.

NBO™ Spanish Training

The Newborn Behavioral Observations (NBO™) system is a relationship-focused tool that helps parents understand and respond to their newborn’s unique behaviors, strengthening early parent-infant connections. It consists of 18 structured observations and is designed for use from birth through the first three months of life.

Quetzalli Zephyr Social Impact offers professionals access to an officially affiliated NBO™ program. Clinicians, early interventionists, and home visitors can learn how to observe newborn behavior and provide culturally sensitive guidance to families.

In our practice, the NBO™ has been applied to support Spanish-speaking families in diverse community settings, helping caregivers feel confident in understanding their baby’s cues and fostering relational health from the very beginning.

Learn more about NBO™ certification →

The first Spanish cohort

In 2024, practitioners from Únete Neopediátrica in Oaxaca de Juárez joined Dr. Kevin Nugent and Dr. Lise Johnson at Boston Children's Hospital for the inaugural NBO™ training in Spanish. These images document the moments when observation became practice—and when a relationship-focused tool began its journey into new communities.

First NBO training conducted in Spanish - healthcare providers learning newborn behavioral assessment techniques. Spanish NBO training, newborn assessment training, healthcare provider education
Harvard Medical School and Boston Children's Hospital NBO training partnership - bringing Brazelton Institute methods to Spanish-speaking communities. Harvard Medical School, Boston Children's Hospital, Brazelton Institute, international partnership.
Healthcare professionals practicing newborn behavioral observations during NBO certification training. NBO certification, healthcare training, newborn care professionals
Participants taking notes during NBO training - learning evidence-based strategies for newborn assessment and family support. evidence-based newborn care, family support strategies, professional development.
NBO trainers demonstrating newborn observation techniques with infant during hands-on training session. NBO demonstration, newborn care training, hands-on clinical training
Clinical trainer teaching newborn behavioral cues and reflexes during NBO professional development workshop. newborn behavioral cues, infant reflexes, clinical training workshop
NBO training participants collaborating in small group - learning to support parent-infant relationships from birth. parent-infant relationship training, early intervention training, collaborative learning

Publications

Pieces written from practice. Reflections on the questions that surface when clinical work meets community, culture, and institutional life.

Infant Mental Health Consulting in a Social Justice Context

An article by our founder, Jessica Boyatt, published in Perspectives in Infant Mental Health, the quarterly journal of the World Association for Infant Mental Health (WAIMH). [Issue Vol. 34 No. 1, April 2026, page 13].

A woman holding a baby close to her chest, with her face nuzzling the baby's forehead, in a tender moment.

A reflection on infant mental health consultation in contexts that do not share its vocabulary. The article looks at how concepts central to our field, attachment, regulation, relational health, can be made legible inside courtrooms, legal proceedings, and cross cultural conversations, without losing the precision that gives them meaning.

Drawing on a case in which our founder, Jessica Boyatt, was asked to evaluate the psychological consequences of an infant's separation from her Indigenous mother, the piece examines the work of translation in its widest sense. Between languages. Between disciplines. Between institutional logic and lived experience.

Written with the consent of the family at its center, the article is offered as a contribution to a longer conversation about practice, presence, and what consultation in these settings asks of us.

Read the full article →

Knowledge that grows through collaboration.

Each resource is part of an ongoing exchange — shaped by shared learning, cultural context, and care.

As new tools take form, we invite you to stay connected and explore what emerges next.

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