“…Tribal cultural frameworks that examine the relationship between embedded cultural elements and early childhood development, along with family health and wellness outcomes, are not well described in the home-visiting literature, presenting a critical gap in our understanding of how to best support American Indian and Alaska Native (AI/AN) families. Culturally grounded homevisitation programs offer an opportunity to meet AI/AN communities' need to restore cultural strengths, many of which are embedded within family and extended family care practices (Eni & Rowe, 2011;Evans-Campbell, 2008;Harmon, 2003;Pessah, 2014;Steinman, 2012;Treglia, 2013). Through resilience and survival, AI/AN people, families, communities, and cultures have overcome centuries of colonial and federal policies intended to erode and eliminate AI/AN cultures, populations, and traditional environments (Cloud Ramirez & Hammack, 2014;Goodkind, Hess, Gorman, & Parker, 2012;Wexler, 2014); we posit that AI/AN survival is due in part to a reliance on the cultural strengths inherent in AI/AN cultures.…”