Home visiting connects expectant parents, new caregivers, and their young children with a support person, called a home visitor. The home visitor meets regularly with the family, develops a relationship with them, and supports them to achieve their goals and meet their needs. To reach the thousands of additional families who could benefit from…

At the start of the COVID-19 pandemic, home visiting programs were faced with an unprecedented challenge: How do you deliver home visiting services without visiting homes? One home visiting model--Child First--quickly pivoted to telehealth, offering caregivers the option to receive services virtually. Child First has since resumed delivering…

This article discusses why and how states are integrating "DC:0-5™: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood" (DC:0-5) into state policy and systems; provides state examples to highlight some of the strategies that states have used to allow, promote, or require the use of…

The autism spectrum disorder phenotype varies by social and communication ability and co-occurring developmental, behavioral, and medical conditions. Etiology is also diverse, with myriad potential genetic origins and environmental risk factors. Examining the influence of parental broader autism phenotype--a set of sub-clinical characteristics of…

A $2.37 billion increase in the Child Care and Development Block Grant (CCDBG) provides an opportunity to address the mental health needs of young children in child care. While the CCDBG increase is the largest ever, states must navigate many legitimate and competing claims for these funds, particularly those set aside to improve quality. One…

The start of kindergarten signifies the beginning of elementary school and everything that may come with it: a new building, new teachers, new expectations, and a different routine and culture. These new students transition into kindergarten from different settings, bringing with them a variety of assets and experiences. From a holistic…

Joint attention, or the shared focus of attention between objects or events and a social partner, is a crucial milestone in the development of social communication and a notable area of deficit in children with autism spectrum disorder. While valid parent-report screening measures of social communication are available, the majority of these…

Maternal immune activity has been linked to children with autism spectrum disorder (ASD). We examined maternal occupational exposure to asthma-causing agents during pregnancy in relation to ASD risk. Our sample included 463 ASD cases and 710 general population controls from the Study to Explore Early Development whose mothers reported at least one…

The Early Learning Challenge (ELC) program awarded more than $1 billion in four-year grants to 20 States to implement comprehensive and cohesive high-quality early learning systems that support young children with high needs and their families. A key lever in making these improvements was the enhancement of States' Quality Rating and Improvement…

Care Quality Rating and Improvement Systems (QRISs) have advanced and matured, a number of states and localities have undertaken evaluations to validate the systems. Such efforts stem from the desire to ensure that the system is designed and operating in the ways envisioned when the system was established. Given that a central component in a QRIS…

This report outlines the national and state environmental context for the SECCS Initiative in supporting MCH strategic planning in early childhood systems building. This strategic context has implications for roles, relationships, and activities within a planning process and ultimately an implementation process. It summarizes the opportunities and…