This article offers an introduction to the creation and implementation of a workforce development project for frontline providers serving mixed-status immigrant families in infant and early childhood programs. The project comprised specialized training and an innovative approach to reflective consultation to provide an in-depth exploration…

Behavioural, cognitive and emotional dysregulation related to parent borderline personality disorder (BPD) may have a major impact on parent-infant interactions. We investigated the ways in which infant social withdrawal and mother sensitivity may be associated to a BPD diagnosis in mothers. Two groups of clinic-referred mother-infant dyads were…

This article is a call to action to the infant mental profession to consider infant mental health (IMH) practice as care work that is often marginalized in contemporary American society. The author examines critical elements of care work that juxtapose competent IMH practice. Investigating the experiences of those performing IMH work is necessary…

Exposure to infant crying is a well-established predictor of mothers' mental health. However, this association may reflect many potential mechanisms. Capturing dynamic fluctuations in mothers' states simultaneously with caregiving experiences is necessary to identify the real-time processes influencing mental health. In this study, we leveraged…

The current study examines the association between the mother-caregiver relationship and the psychological well-being of 533 mothers who transitioned their children to a non-familial licensed childcare center. Maternal well-being, mother-caregiver relationship quality, and maternal parenting stress were assessed. Hierarchical linear regressions…

This article describes some of the remarkable accomplishments of the states that have participated in the Infant and Early Childhood Mental Health Financing Policy Project (IECMH-FPP). The purpose of the IECMH-FPP is to support states' advancement of IECMH assessment, diagnosis, and treatment policies that will contribute to the healthy…

Parents with young children receiving relationship-based home visiting and infant and early childhood mental health (IECMH) services want flexibility and hybrid approaches that combine in-person and remote services. This is the top finding from a national study of parents served by seven geographically and demographically diverse program sites…

Early relational health (ERH) is not a new field, but an enhanced focus on knowledge from infant and early childhood mental health (IECMH), neurodevelopment, and related fields. ERH brings attention to the centrality of safe, stable, and nurturing relationships and resilient communities as drivers for current and future health and well-being of…

The authors examine the relationships between home play and learning--measured by reading and teaching practices at home--among low-income families, including those with mental health issues. Based on a large database from the Family Map Inventory, a screening tool for home visiting programs, the authors' findings revealed that play-related…

The Reflective Interaction Observation Scale (RIOS™) was developed as a research tool to identify the extent to which a supervisory session demonstrates a reflective process grounded in infant and early childhood mental health (IECMH) principles and practice. It is aligned with the competencies of the Endorsement for Culturally Sensitive,…

This study examined the development of caregiver mind-mindedness--defined as the propensity to see one's child as an agent with an independent mind--across the first 1,000 days of life. At four timepoints (i.e., third trimester of pregnancy, 4, 14, and 24 months postpartum), 384 first-time mothers (M[subscript age] = 32.55, SD = 3.63 years) and…

Poor maternal mental health negatively impacts cognitive development from infancy to childhood, affecting both behavior and brain architecture. In a non-western context (Thimphu, Bhutan), we demonstrate that culturally-moderated factors such as family, community social support, and enrichment may buffer and scaffold the development of infant…

This mixed methods study aimed to better understand the training and supervision needs of those in infant and early childhood mental health (IECMH) leadership positions. The study used individual interviews and online surveys to explore the question "What does it mean to be a leader in IECMH and what unique challenges do they face?" 10…

Children from birth to 3 years old with complex medical needs often experience psychological issues, but there are limited services and supports to meet their needs. To bridge this gap, the authors created the Pediatric Birth to Three Clinic and Early Childhood Mental Health Program at the University of Minnesota. They describe the toxic stress…

Family-teacher relationships in early childhood education are recognized as both important and challenging. This qualitative case study used content analysis to examine the impact of infant mental health principles on preservice teachers' communication with the parent of a child in need of early intervention. Analysis of student work suggested…