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…

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…

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 defines the concept of Infant and Early Childhood Mental Health (IECMH) and describes how it provides the foundation for lifelong health and well-being. The authors provide policy recommendations that include the need to: (a) establish cross-agency leadership for IECMH, (b) ensure Medicaid payment for IECMH services, (c) invest in…

This article discusses why and how the "State of Babies Yearbook: 2019" was developed; identifies the indicators used to examine the well-being of the nation's infants and toddlers; and explains how the indicators align with the ZERO TO THREE policy framework areas of Good Health, Strong Families, and Positive Early Learning Experiences.…

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…

This article explores the many ways in which states can and are addressing racial equity in problem solving and policymaking. The authors explore national data that make the case for addressing bias and advancing equity in state policy; share strategies and best practices for engaging families and communities; and provide examples of policies that…

Professionals who work with families during the prenatal to 5 years range (p-5) can work with colleagues across various sectors of the field to coordinate and collaborate on behalf of young children and their families. This article explores the efforts of p-5 professionals throughout Los Angeles County to strengthen their capacity to engage in…

We know from science that how we think, learn, communicate, concentrate, problem-solve, and relate to others when we get to school and later in our lives depends in large part on the experiences we have and the skills we develop during the earliest days, months, and years. For this reason, ZERO TO THREE strongly urges states to emphasize the…

We know from science that how we think, learn, communicate, concentrate, problem-solve, and relate to others when we get to school and later in our lives depends in large part on the experiences we have and the skills we develop during the earliest days, months, and years. For this reason, ZERO TO THREE strongly urges states to emphasize the…

Because the earliest years of life are a period of incredible growth, they present an opportunity to shape strong and positive development. Good health, secure and stable families, and positive early learning environments are necessary to foster children's physical, intellectual, and social-emotional development during this significant period. Yet…

The issue of early childhood trauma is becoming more prominent in early childhood policy discussions, driven by a growing recognition of the potentially devastating impacts of trauma and violence on infants, toddlers, and families. This article provides facts about the impacts of trauma and other adverse early experiences on child health and…