Racism, inequalities, and injustices continue to exist in American social structures, institutions, and systems of care. This article explores how the field of mental health is influenced by practices rooted in White supremacy culture and requires a paradigm shift toward a multidimensional view of risk, resilience, and protective factors. Becoming…

The University of Colorado PROMISE Clinic is an integrated mental health program housed in the obstetrics/gynecology outpatient clinics. A team of medical and mental health professionals care for a racially, ethnically, and socioeconomically diverse patient population. They provide integrated mental health services from consultation through…

The opioid epidemic and related substance abuse reaches far and wide, with many newborns across the country left to endure the consequences. What follows is a unique, first-person account of a "Story From the Field" that highlights the experiences of one mother as she watched her adopted daughter suffer the effects of neonatal abstinence…

Primary care is an essential service for young children and one of the few settings where in-person care was provided during COVID-19 (recommended by the American Academy of Pediatrics, 2020). The HealthySteps (HS) model provides enhanced primary care to young children but required innovations to service delivery to adhere to public health orders…

This article describes one family's experience in the Young Mother's Clinic (YMC), a medical clinic providing multidisciplinary care to adolescent mothers and their children. The authors highlight the neurodevelopmental changes that occur in the later adolescent period and explore related clinical implications for professionals working with these…

Trauma early in life can significantly impair children's development, mental health, and learning, placing them at risk for poor mental and physical health problems throughout life. Young children experience trauma more often, and are more vulnerable to its harmful effects, than older children. Early childhood education (ECE) programs regularly…

Many hospitals and academic medical settings lag behind in promoting key initiatives focused on advancing maternal, infant, and early childhood mental health. Yet, systems are dynamic and change is possible. This article highlights Fellows' efforts to infuse maternal, infant, and early childhood mental health understanding and approaches into…

Infants and toddlers account for a disproportionate percentage of children diagnosed with cancer. These young children and their families benefit when infant and early childhood mental health is recognized as vital and integrated with medical treatment. Such interventions are beneficial for supporting families in coping when cancer is the only…

This article advocates for system-level change in prenatal health services. Specifically, the authors describe how they "discovered" the idea of father-inclusive prenatal health care (FIPH), which involves providing an array of services to help young expectant fathers prepare for the challenges of parenthood. Over the course of 25 years,…

Within the health care sector, researchers, clinicians, and payers increasingly recognize the importance of the social determinants of health for improving maternal and child health. This article focuses on existing and emerging approaches to screening families for unstable housing circumstances. The authors describe how housing stability…

The Tennessee First Five Training Institute (TFFTI) is a workforce development project to build infant and early childhood mental health (IECMH) capacity across Tennessee's community mental health agencies. TFFTI focused on foundational trainings in IECMH concepts, training in child-parent psychotherapy, dyadic, trauma treatment for children birth…

What key ingredients are needed to effectively promote the mental health and resilience of young children in American Indian and Alaska Native communities? What should non-indigenous allies know when working with Indigenous communities and partners to support young child wellness? What elements and contexts should be taken into consideration when…

Partnering With Parents, an infant mental health (IMH) intervention program at Starfish Family Services (SFS), is dedicated to improving social-emotional outcomes, supporting wellness, and strengthening relationships between infants and families. Families served by SFS experience a myriad of societal, community, and relational stressors that can…

This article will address immigration as a psychosocial event and will describe the different stages of the immigration process, when immigration becomes traumatic, and how each immigration stage can place vulnerable Latin American families at high risk for traumatic stress. It will explore pre-migration experiences and the factors bringing young…

Child- and family-serving programs in community-based settings wield tremendous power for improving the lives of infants and toddlers. In this article, three authors, from Ohio, Montana, and Sierra Leone, describe the principles of adaptive leadership and will share their real-world applications. Their stories explore critical questions for…