► Birth to Five Resource Guide
Preconception Health & Wellness:

Social Determinants, Systems & Access

At HEED, we recognize that health is shaped not only by individual choices but by the conditions in which people live, work, and raise their families. For mothers in recovery from substance use, access to stable housing, reliable transportation, healthcare, education, and economic opportunity plays a critical role in both recovery and readiness for pregnancy.

Social determinants of health directly influence a mother’s ability to engage in care, maintain stability, and build a healthy future for herself and her children. When basic needs are unmet or systems are difficult to navigate, these barriers can create additional stress and disrupt access to essential services.

Through our work across the SouthCoast and Rhode Island, we see that mothers are often navigating multiple systems at once, including healthcare, behavioral health, recovery services, housing, and social supports. When these systems are fragmented, it places an additional burden on families. When they are aligned and accessible, they create pathways to stability, healing, and opportunity.

This section of the Birth to Five Resource Guide connects mothers to resources and services that address social needs and improve access across systems. This includes supports related to housing, food security, healthcare access, childcare, transportation, and economic stability.

Grounded in the science of early development and The Basics, we understand that reducing stress and increasing stability in a caregiver’s environment are critical to early brain development. By addressing social determinants and improving access to systems, we are creating the conditions for healthier pregnancies, stronger families, and more equitable outcomes for children.

Because every child deserves a strong start.

Educational Resources

Frequently Asked Questions

What are “social determinants of health”?

Conditions like housing, food, income, transportation, and safety that shape health outcomes.

Why do OB/GYNs and pediatricians ask about housing or food?

Because unmet needs raise risks for complications and affect child development.

Will I get in trouble if I answer screening questions honestly?

The goal is to connect you to support; you can ask how information is used and who sees it.

What’s the fastest way to find local help?

Call 211 for connections to food, housing, childcare, and more.

Can WIC help beyond food?

Yes—WIC often includes nutrition counseling, breastfeeding support, and referrals.

What if I don’t have transportation to appointments?

Ask your clinic about telehealth, bus vouchers, or medical transportation options.

How does racism show up in healthcare access?

Through bias, unequal treatment, and system barriers that contribute to disparities.

What is “respectful maternity care”?

Care that is dignity-centered, bias-aware, and responsive to patient needs and rights.

What if my child has special health needs and we need extra support?

Ask about care coordination and community resources for non-medical needs (food/housing/stress supports).

Resources Near Me

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Feedback

We welcome your feedback. If you have suggestions, resources, or updates to share, please email us at Bto5Guide@heedcoalition.org. Your input helps us keep this guide relevant, responsive, and community-informed.

Important Notice

The Birth to Five Resource Guide is provided for general informational and educational purposes only. By using this site, you acknowledge that you are accessing these materials voluntarily and at your own discretion.

The information shared here is not intended to replace professional medical, clinical, legal, or therapeutic advice, diagnosis, or treatment. Always seek the guidance of your physician, pediatrician, or other qualified healthcare provider with any questions you may have regarding health, development, or medical conditions.

The HEED Coalition and The Basics Southcoast/RI make no representations or warranties regarding the completeness, accuracy, or applicability of the information provided and assume no liability for any decisions made or actions taken based on the use of this site.

Use of this site constitutes your acceptance of these terms.

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HEED is a collaborative network comprising diverse stakeholders committed to providing every child with the best start in life, ensuring they enter kindergarten prepared to achieve their maximum potential.
©2026 Coalition for Health Equity and Early Development
The Basics Southcoast/RI is an affiliate of The Basics Learning Network