The University of Minnesota's Birth to Three Clinic has adopted a holistic approach to supporting children's needs within an attachment-focused, trauma-informed, and neurodevelopmental framework rooted in the DC:0-5™ classification framework. This clinical framework of infant and early childhood mental health (IECMH) assessment has been applied in…

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…

Racism, inequalities, and injustices continue to exist in American social structures, institutions, and systems of care. This article explores how the field of mental health is influenced by practices rooted in White supremacy culture and requires a paradigm shift toward a multidimensional view of risk, resilience, and protective factors. Becoming…

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…

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,…

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…

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,…

Infants and toddlers account for a disproportionate percentage of children diagnosed with cancer. These young children and their families benefit when infant and early childhood mental health is recognized as vital and integrated with medical treatment. Such interventions are beneficial for supporting families in coping when cancer is the only…

Maryland's Infant and Early Childhood Mental Health Consultation (IECMHC) program has pivoted to respond to the complex and changing needs of early childhood education providers and the families they serve during the COVID-19 pandemic. Consultants have innovatively adapted and increased outreach, support services, classroom and child observation,…

This article discusses why and how states are integrating "DC:0-5™: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood" (DC:0-5) into state policy and systems; provides state examples to highlight some of the strategies that states have used to allow, promote, or require the use of…

An exploration of equity and power in infant and early childhood mental health (IECMH) consultation and early childhood education (ECE) relationships requires the examination of diversity, anti-racist values, cross-disciplinary perspectives, and parallel process. Attaining the mission of the early childhood field to support the growth,…

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…

This article describes the impact on young children of sudden and extended separation from a primary attachment figure. It recommends clinical intervention when the child's development and family functioning are negatively affected by the severity of the child's symptoms, and it highlights key treatment modalities derived from Child-Parent…

The recent headlines about parent and child separation at the U.S. border has raised concern about the impact of such experiences on young children. In this article, the author provides the children's perspective of parental separation and loss and their experience of mourning during infancy and early childhood. Three vignettes illustrate how…