HealthySteps (HS) is an evidence-based integrated model designed to provide enhanced primary care services to young children and families. This article describes the strategies HS specialists use, adapt, and innovate while maintaining fidelity to the model to meet the unique needs of diverse settings, circumstances, and communities. The authors…

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…

Early identification of developmental delays and disabilities (DDs) is a key component of well-child visits. Recommendations for assessing children's development during these visits continue to evolve. For almost a century, developmental milestones have been used to identify children with atypical development. More recently, the American Academy…

This article addresses considerations around investing in early childhood efforts across the globe. The authors describe diverse early childhood approaches with a specific focus on strategies to fund and sustain this work. They also discuss the leadership efforts necessary to advocate for funding early childhood services and reflect on challenges…

Consultation in infant mental health is a relationship-based approach to building reflective capacity in professionals who work with young children. Consultants support various professionals such as child care and medical providers with meeting the social, emotional, and developmental needs of infants and children. This article describes a…

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…

To understand the broader societal context for supporting the healthy development and well-being of infants and toddlers, the following excerpt from the "State of Babies Yearbook: 2022 Executive Summary" presents key findings on the status of America's families with young children. As of August 2022, the reconciliation bill proposed in…

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…

In the spring of 2020, the emerging COVID-19 pandemic prompted states across the country to mandate that most early childhood education programs close, leaving families with young children scrambling to adapt to full-time caregiving and leaving educators uncertain of their economic and professional future. For many communities, this hardship was…

Aggressive immigration enforcement hurts the very youngest children. Refugee and U.S.-born children of undocumented immigrants experience many childhood adversities, compromising their development and health. Refugee children flee traumatizing violence in their home countries, face grueling migrations, and are harmed further by being held in…

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…

Adaptive leadership requires that practitioners push the boundaries of current policies and systems to provide optimal services to children and families. This process includes self-reflection, strategic positioning, building relationships with advocates, inspiring service providers and policymakers, and creating a shared vision. This article…

Pediatric complex care clinics offer an optimal environment for integrated behavioral health services for infants and young children with medical complexity (CMC). Integrated behavioral health providers are well positioned to provide accessible care and promote development and well-being for this population with unique psychosocial needs and…

All children need access to equitable opportunities for developmental screening. The COVID-19 pandemic has resulted in gaps in well-child visits, and greater inequities in overall health. Young children who show signs of a delay or disability need effective screening practices so that prevention and/or early intervention can begin as soon as…