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…

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…

During pregnancy, low-income women are at high risk for depression and posttraumatic stress disorder (PTSD), but they are unlikely to receive mental health services. As a follow-up to Narayan et al. (2017), we provide a detailed picture of pregnant women's mental health service (MHS) need versus utilization. Results suggested that the majority of…

Adoption is a major intervention in a child's life, however internationally adopted (IA) children remain at risk for long-term neurodevelopmental and mental health issues due to the fact that most of them have a history of early adversity prior to their adoption. In the last 20 years, extensive research with this population has increased the…

Infant and early childhood mental health (IECMH) consultation has gained increasing attention over the years as an effective approach to supporting young children's social-emotional development (Brennan et al., 2008; Hepburn et al., 2013). The current syndemic (the aggregation of two or more concurrent epidemics that interact synergistically to…

This article describes an infant and early childhood mental health-informed therapeutic visitation program that offers clinical support, systems-level advocacy, and developmentally appropriate guidance to families navigating the child welfare and family court systems. The program offers treatment, permanency, and placement planning for infants,…

This article describes an intense relationship between an infant mental health (IMH) specialist and a mother-daughter dyad. At intake, an 18-month-old little girl was diagnosed with failure to thrive and a chronic kidney condition, and she was at risk for protective service involvement and possible removal from the family home. The author…

Part C of the Individuals With Disabilities Education Act (IDEA) mandates the provision of early intervention (El) services to qualifying children under 36 months old. Socia/­ emotional development is one area that programs are obligated to provide assessment and intervention for and yet, most El programs do not have licensed mental health…

This article will address immigration as a psychosocial event and will describe the different stages of the immigration process, when immigration becomes traumatic, and how each immigration stage can place vulnerable Latin American families at high risk for traumatic stress. It will explore pre-migration experiences and the factors bringing young…

The Baby Leadership Learning Collaborative (Baby LLC) initiative is a leadership group committed to bridging relationships across service sectors to promote infant-early childhood mental health and to break the multigenerational cycle of risk often associated with early adversity and trauma. Baby LLC has guided an early relational health focus…

Child- and family-serving programs in community-based settings wield tremendous power for improving the lives of infants and toddlers. In this article, three authors, from Ohio, Montana, and Sierra Leone, describe the principles of adaptive leadership and will share their real-world applications. Their stories explore critical questions for…

Achieving reproductive health and justice matters to family and child well-being. These two ideals are, however, often put at odds in public policies and discourse that shape the systems and programs that affect pregnant women and families. This article describes the Irving Harris Foundation's historic approach to investing in early childhood and…

Early Learning Neighborhood Collaborative (ELNC) began as a year-long initiative to support early learning for very young children and families. The program has grown into a self-sustaining, nonprofit, place-based organization committed to improving the lives of children and families in the underresourced neighborhoods of Grand Rapids, MI.…

Collaboration between university researchers and community agencies offers the opportunity to pilot innovative, evidence-informed interventions. Partnerships of this nature also present unique ethical dilemmas to community agencies, particularly regarding research and agency policies, navigating privacy protections, adequate and consistent…

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