The use of developmental milestone checklists is an excellent opportunity to highlight significant behaviors and the ages at which the majority of children display the behaviors. The checklists are intended to help parents know what to expect as their young children grow and when it is appropriate to refer their child to an expert for a screening…

There is great opportunity in pediatric primary care to lay the foundation for lifelong health and well-being during the critical period from infancy to early childhood. However, many of these opportunities are missed, particularly for the most vulnerable children. The challenges to equitable, universal developmental and behavioral screening in…

This article discusses how increasing diversity within a community requires health care professionals to reassess the developmental assessment tools being used, or at the least, what implications one can derive from resultant identification of delays. The author describes a culture clash between her training and developmental expectations as a…

A secret sauce for family and community engagement emerged as a result of a technical assistance project that supported Early Head Start-Child Care Partnership grantees in California. Power-sharing, communication, creativity, and continuous recommitment to families were key ingredients of that sauce. When these were present, programs were able to…

Increasing numbers of young children are now routinely screened for developmental delays during well-child visits in primary care settings which support early identification of developmental delays. Unfortunately, research indicates that there is often a gap between the number of children who receive an abnormal screen and the number who…

This article describes the Building Early Links for Learning (BELL) initiative in Philadelphia, PA. BELL looks to promote resilience in young children staying in emergency housing for homeless families. The goal is to make the settings more responsive and supportive to children's developmental needs as they adapt to experiences of homelessness and…

With an average annual salary of just over $16,000, the work of early childhood education professionals is grossly undervalued and leads to high turnover rates. And yet, the quality and consistency of the care they provide to infants and young children has a lasting impact on their brain development and social-emotional well-being. This article…

Infant and early childhood mental health interventions and treatment take place in many different settings including clinics serving adults and children, primary care centers, pediatric clinics, private practice offices, homes, early intervention offices, and child care centers. In addition, the types of evaluations and services offered in these…

Children of incarcerated parents may face an increased risk for developmental and behavioral problems. Early care and education can play a positive role in addressing these risks and providing positive support. However, these children are largely hidden when it comes to formal early care and education policy and program initiatives. This article…

This article describes the development and implementation of an integrated early childhood mental health and caregiver support program that uses a transdisciplinary approach to engage families and systems, maximize service efficiency, and ultimately create a next generation of safer families. A case example illustrates a family's journey through…

As the field of infant and early childhood mental health (IECMH) continues to grow and professionals realize the value of reflective supervision/consultation (RS/C), the need for equitable access to quality RS/C expands. One way that providers of RS/C have increased access to RS/C is through virtual technology. The growth of virtual RS/C requires…

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

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…

Early Discovery is a program that supports mildly delayed young children who did not qualify for Part B/C services. Our goals were to: (1) provide high-quality services; (2) educate and empower parents/caregivers; (3) link families to community resources; and (4) reduce the need for special education. Services included speech-language,…

This article describes the ongoing impact of one Early Head Start grantee's participation in a statewide initiative to connect the state's network of residential substance abuse treatment programs for women and their children with their local Early Head Start program. The initiative was designed to enhance child development and parenting supports…