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…

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…

ZERO TO THREE and Los Angeles County Department of Mental Health (LACDMH) collaborated and contracted to provide official DC:0-5[TM] clinical training and foundational infant and early childhood mental health training to clinicians from Los Angeles (LA) County, California, over the course of 3 years. This article describes this unique, multiyear…

Trauma early in life can significantly impair children's development, mental health, and learning, placing them at risk for poor mental and physical health problems throughout life. Young children experience trauma more often, and are more vulnerable to its harmful effects, than older children. Early childhood education (ECE) programs regularly…

Many hospitals and academic medical settings lag behind in promoting key initiatives focused on advancing maternal, infant, and early childhood mental health. Yet, systems are dynamic and change is possible. This article highlights Fellows' efforts to infuse maternal, infant, and early childhood mental health understanding and approaches into…

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…

Developing a cultural formulation during a diagnostic assessment with a young child is the foundation for work with diverse families. It requires critical reflection on the part of the clinician about the socio-cultural, historical, and political influences and consequently aspects of privilege and oppression in their own lives and professional…

The impact of COVID-19 stressors on young children and families may differ based on pre-pandemic factors, including family race/ethnicity, financial stability, and pre-existing child developmental or social-emotional difficulties. The authors draw from their work with families with toddlers and preschool-aged children to explore experiences of the…

Early home visiting programs have provided a lifeline of support to American Indian and Alaska Native families hit hard by the COVID-19 pandemic. This article is about how three Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) grantees have approached the pandemic with agility, adaptability, and innovation. Home visitors…

Part C of the Individuals With Disabilities Education Act (IDEA) mandates the provision of early intervention (El) services to qualifying children under 36 months old. Socia/­ emotional development is one area that programs are obligated to provide assessment and intervention for and yet, most El programs do not have licensed mental health…

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…

As the infant and early childhood mental health (IECMH)-informed workforce adapted to the unexpected and challenging events brought on by COVID-19, associations for infant mental health (AIMHs), whose primary role is to support the workforce, stepped up and offered what very few organizations could during the onset of the pandemic: opportunities…

Early Learning Neighborhood Collaborative (ELNC) began as a year-long initiative to support early learning for very young children and families. The program has grown into a self-sustaining, nonprofit, place-based organization committed to improving the lives of children and families in the underresourced neighborhoods of Grand Rapids, MI.…

Primary care settings are optimal environments for providing comprehensive, family-centered care to young children and their families. Primary care clinics with integrated behavioral health clinicians (BHCs) are well-positioned to build trust and create access to care for marginalized and underserved populations. Refugees from around the world are…