Child-Adult Relationship Enhancement in Primary Care (PriCARE) / Criando Niños Con CARIÑO (CARIÑO)

Inclusion Criteria: * Caregiver is age 18 years or older * Caregiver is English or Spanish Speaking * Caregiver is legal guardian of child subject * Caregiver provides informed consent * Caregiver is available to attend scheduled times of PriCARE/CARIÑO groups * Caregiver has cellular phone with text messaging capacity * Caregiver has appropriate technological tools and access to participate in virtual intervention * Child is between 18 months and 6 years old * Child receives care at participating primary care center * Child has Medicaid/Children's Health Insurance Program (CHIP)/no insurance * Child lives in North Carolina or Philadelphia Exclusion Criteria: * Caregiver or another caregiver in the household has previously participated in PriCARE/CARIÑO * Child has a cognitive functioning below 2-year-old level, as determined by the screening questions and/or the referring clinician * Child has a diagnosis of autism * Child is receiving individual behavioral health treatment or medication for a behavioral health problem