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,…

The TV show "Ted Lasso" provided a unique and insightful lens into the importance of developing trust and relationships between teachers and students. This article underscores the importance of developing relationships and attachment in classrooms, particularly with students of trauma and various mental health challenges. I explore…

Aim: Educational practitioners are increasingly aware of trauma experiences in students as a factor in child disturbance and schooling problems. This discussion paper aims to clarify definitions of trauma and differentiate them from other adverse childhood experiences (ACE), describe trauma impact in terms of clinical outcomes (PTSD, emotional and…

Infant attachment theory is now nearly seventy-years old. Despite debates that developed around the original theory relating to the role of the mother and the potential for emotional flexibility in the infant, its core thesis of the role of the 'Internal Working Model' in human mental health endures. Recent neurophysiological research reveals…

Objectives: Engaging people with profound intellectual and multiple disabilities (PIMD) in relation to issues of bereavement and loss is often seen as a complex therapeutic challenge. The author examines the barriers preventing them from engaging with the grieving process in supported ways. Methods: Through the lens of Worden's Tasks of Grief…

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…

Hearts and Minds on Babies (HMB) is an innovative, attachment-based training for Early Head Start (EHS) staff and parents, developed through a collaboration between university-based researchers and clinicians and community-based EHS educators. This article describes HMB, our collaboration, and lessons learned when infusing infant and early…

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…

Children who are adopted at an older age through foster care and those adopted from overseas orphanages are at high risk for behavioral and emotional distress. This important manual presents a structured, evidence-based protocol for providing mental health treatment to families adopting vulnerable children. Drawing on their extensive clinical…

The roles that pets play in the lives of college students have received little attention in the college counseling literature. This article will review four topics related to college students and pets that have implications for counselors: (a) the separation anxiety that students experience from not having their pets at college, (b) the…

Infants are born primed to develop attachment relationships. However, when infants are hospitalized in the neonatal intensive care unit at birth, the stress and trauma associated with the highly specialized medical environment can threaten the development of a nurturing and secure caregiving relationship. Infant mental health is an evidence-based…

Most of the time, infants start life with all of the bioneurological- sensory resources and social/emotional readiness to begin their journey toward learning how to relate to their closest family members and, eventually, people in their wider world. Attachment, bonding, security, and an emotional home with significant, consistent caregivers are…

This article presents an overview of the Healthy Steps for Young Children (Healthy Steps) program at Montefiore Medical Center, in the Bronx, NY. The authors review the theoretical underpinnings of this national program for the promotion of early childhood mental health. The Healthy Steps program at Montefiore is integrated into outpatient…

The social justice issue of human sex trafficking is a global form of oppression that places men, women and children at risk for sexual exploitation. Although a body of research exists on the topics of human trafficking, literature specific to the mental health implications for counselors working with this population is limited. Counselors should…

Child-parent psychotherapy (CPP) can strengthen the relationship and attachment between caregivers and children. Young children who have experienced multiple traumas, such as the destruction caused by a natural disaster and the sudden, traumatic loss of parents, depend on support of other caregivers for recovery and resilience. The case…