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…

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…

Pregnant women and young children who experience toxic stress are at risk for negative health outcomes. The "medical home" is seen as a place to address toxic stress by promoting healthy relationships, but Spanish-speaking Latino families face challenges accessing the medical home while simultaneously confronting unique stressors. This…

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…

When expectant mothers are exposed to traumatic events such as natural disasters, their children are at increased risk for developmental and behavioral problems. Many people believe that young children will not be impacted by the traumatic experiences that occur during and following disasters. Therefore, planning for the youngest children at the…

This article provides an overview of Building Connections, a national initiative in Canada to embed trauma-informed approaches into community-based projects, highlighting the components that indicate successful implementation. Building Connections uses a relationship-based approach (a) to support the readiness to engage in an intervention focused…

The American Academy of Pediatrics Council on Community Pediatrics Immigrant Health Special Interest Group consists of 300 members and works to advance pediatric practice and advocacy for diverse immigrant children. Members share practice tools and strategies, and they advocate for the health and well-being of all immigrant children in a number of…

Previous studies have supported a connection between adverse childhood experiences (ACEs) and negative outcomes in adulthood. Fewer studies have examined the connection between ACEs and parenting behaviors, however. The study described in this article examined the relationships among ACEs, reflective functioning, and negative parenting behaviors…

An estimated 15 million mothers with young children in the U.S. suffer from depression. Untreated maternal depression has serious consequences for the mother's long-term health and for her child's development and functioning. it can also be costly, driving up health care use, reducing employment, and creating the need for early childhood…

Not all mothers who struggle with drug addiction have difficulties parenting, but many of them do. Moreover, evidence-based parenting programs that have proven efficacious with other parent populations often fail with mothers who are fighting chronic substance addiction, perhaps because of the neurobiological changes in neural reward circuitry…

Becoming a mother in a foreign land can be challenging and demanding for immigrant women and their families, and also for the professionals who support these families. In addition to the typical demands associated with raising a newborn, mothers who are immigrants confront other issues that professionals must keep in mind: a unique understanding…

What does it say about American society that the birth of a child can put a family on a path to poverty that can take years--even decades--to escape? It says things are terribly out of whack-- that policies do not reflect true priorities as a nation, perhaps because the political system is in such disrepair. The national failure to adopt…

Including fathers is the next frontier for infant mental health. In this article, the authors describe the inclusion of fathers as equal partners in Child-Parent Psychotherapy (CPP), an evidence-based treatment for young children experiencing or at risk for mental health problems following exposure to violence and other adversities. The authors…

Maternal, Infant, and Early Childhood Home Visiting legislation permits states to fund "promising practices"--with the understanding that these models will have a rigorous evaluation component. This article describes an innovative, low cost paraprofessional home visiting model developed in Pennsylvania by the Maternity Care Coalition. In…

Advances in brain imaging methods and technology over the last 2 decades have opened an unprecedented window into the understanding of the structure and function of the human brain. In this article, the authors describe their investigation of the relationship between maternal support, observed during the preschool period, and the size of key brain…