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…

This 'teaching tip' shares the success of a service-learning opportunity created to work with university students in a meaningful way in the community. It describes a program called Fit 4 Tots that resulted in more toddlers, university students and community members benefiting from learning and movement experiences.

The prevalence of autism spectrum disorder (ASD) has risen significantly in the past two decades. Unfortunately, there is a shortage of mental health providers who have specialized training in delivering evidenced-based services to this population. Early intensive behavioral intervention (EIBI) is an evidenced-based treatment recommended for…

States need a policy and systems infrastructure that creates a robust continuum of mental health supports and services for infants, young children, and families. One critical element of this continuum is developmentally appropriate diagnosis. "DC:0-5[TM]: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and…

A must for home visiting programs, the updated second edition of the LSP is the most efficient, reliable way to evaluate a parent's life skills: the abilities, behaviors, and attitudes they need to achieve a healthy and satisfying family life. For use with at-risk, low-income pregnant and parenting individuals with children from birth to 5 years…

ZERO TO THREE and Los Angeles County Department of Mental Health (LACDMH) collaborated and contracted to provide official DC:0-5[TM] clinical training and foundational infant and early childhood mental health training to clinicians from Los Angeles (LA) County, California, over the course of 3 years. This article describes this unique, multiyear…

Based on case studies in three states (CO, RI, and TX), this brief examines promising strategies to address the developmental and mental health needs of infants and toddlers involved in Child Welfare (CW). Due to family adversities, trauma, maltreatment, and separation from primary caregivers, these infants and toddlers are at substantial risk of…

The COVID-19 pandemic has significantly changed the environment in which young children are developing. This article explores the question: How might this reduction in social interactions with peers impact the social development of the youngest children? Social skills rely on a foundation of cognitive and emotional skills that are prerequisites to…

The use of the multiaxial dimensions of the DC:0-5 classification system during the assessment process provides an organizing framework for understanding the impact of family relationships on a child's functioning. In this article, the authors describe an assessment with a high-conflict family and how contrasting the impact of parental conflict…

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…

In this article, the authors describe a 3-year initiative in New York state, led by the New York Center for Child Development (NYCCD), through which more than 2,500 mental health clinicians were trained in the DC:0-5. Funding was provided through the creative use of the Preschool Development, Birth to Five federally funded Block Grant, and…

DC:0-5™: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (ZERO TO THREE, 2016) emphasizes the centrality of relationships for young children's development and psychopathology. The authors share the story of a young child and his mother to illustrate the use of DC:0-5, with an emphasis on how…

This briefing paper explores Infant and Early Childhood Mental Health (IECMH) policies and practices that state early intervention (Part C) programs may consider implementing to meet the social-emotional and mental health needs of infants and toddlers in the context of relationships with their parents and other caregivers.

Building professional relationships and collaboration are key components to providing effective quality services to infants, toddlers and families involved in the child welfare system. However, it seems many programs and systems continue to work independently of each other, perhaps to the detriment of our most vulnerable children and families.…

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…