This article offers an introduction to the creation and implementation of a workforce development project for frontline providers serving mixed-status immigrant families in infant and early childhood programs. The project comprised specialized training and an innovative approach to reflective consultation to provide an in-depth exploration…

This article is a call to action to the infant mental profession to consider infant mental health (IMH) practice as care work that is often marginalized in contemporary American society. The author examines critical elements of care work that juxtapose competent IMH practice. Investigating the experiences of those performing IMH work is necessary…

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…

Parents with young children receiving relationship-based home visiting and infant and early childhood mental health (IECMH) services want flexibility and hybrid approaches that combine in-person and remote services. This is the top finding from a national study of parents served by seven geographically and demographically diverse program sites…

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…

The Reflective Interaction Observation Scale (RIOS™) was developed as a research tool to identify the extent to which a supervisory session demonstrates a reflective process grounded in infant and early childhood mental health (IECMH) principles and practice. It is aligned with the competencies of the Endorsement for Culturally Sensitive,…

This mixed methods study aimed to better understand the training and supervision needs of those in infant and early childhood mental health (IECMH) leadership positions. The study used individual interviews and online surveys to explore the question "What does it mean to be a leader in IECMH and what unique challenges do they face?" 10…

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…

The University of Colorado PROMISE Clinic is an integrated mental health program housed in the obstetrics/gynecology outpatient clinics. A team of medical and mental health professionals care for a racially, ethnically, and socioeconomically diverse patient population. They provide integrated mental health services from consultation through…

This article focuses on the fundamental role that early childhood educators (ECEs) play in the lives of infants and very young children and their families--underscoring the power of early interactions and relationships between infant--toddler and preschool educators and the children in their programs. The authors explore the ECEs' unique roles,…

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…

Partnering With Parents, an infant mental health (IMH) intervention program at Starfish Family Services (SFS), is dedicated to improving social-emotional outcomes, supporting wellness, and strengthening relationships between infants and families. Families served by SFS experience a myriad of societal, community, and relational stressors that can…

The opioid epidemic and related substance abuse reaches far and wide, with many newborns across the country left to endure the consequences. What follows is a unique, first-person account of a "Story From the Field" that highlights the experiences of one mother as she watched her adopted daughter suffer the effects of neonatal abstinence…

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…

Reflective supervision/consultation (RSC) is a relationship-based form of professional development for the infant and early childhood mental health (IECMH) workforce. A critical context for effective RSC is the quality of the reflective alliance between supervisor and supervisee. Their "way of being" together is inclusive of safe,…