The Life Skills Progression (LSP) is an outcome measurement and intervention planning tool designed to be used by professionals with at-risk, low income pregnant women and parents with children 0 to 3 years of age. The LSP measures the behaviors, attitudes, and skills of parents and children on 43 scales in seven categories: relationships with family/friends; relationships with children; health; basic needs; education and employment; mental health and substance abuse; and infant/toddler development and temperament. Within the broader categories are specific scales, examples of which include relationship with spouse/boyfriend, safety, and breastfeeding. This comprehensive, easy-to-use tool is the first that allows home visitors to track a variety of family competencies. The LSP allows staff to identify the areas of greatest need for families and track their improvement and can be used to evaluate individual families or conduct research with large groups of families.