Clinical Practice Transformation Clinical Practice Transformation The medical home plays a critical role and must be integrated into a broader public health approach to toxic stress, both vertically and horizontally. See the Key Tips page for pointers on how to get started. Vertical IntegrationMeeting the needs of families/caregivers where they are (primary prevention, interventions, treatments).Horizontal IntegrationFacilitating communication and collaboration across sectors.Key TipsWhat pediatricians need to know regarding medical knowledge, patient care, and working with the community. Early Brain and Child Development Resources for FamiliesView resources to help educate families about the importance of early brain and child development. Advertising Disclaimer