To understand the broader societal context for supporting the healthy development and well-being of infants and toddlers, the following excerpt from the "State of Babies Yearbook: 2022 Executive Summary" presents key findings on the status of America's families with young children. As of August 2022, the reconciliation bill proposed in…

In the spring of 2020, the emerging COVID-19 pandemic prompted states across the country to mandate that most early childhood education programs close, leaving families with young children scrambling to adapt to full-time caregiving and leaving educators uncertain of their economic and professional future. For many communities, this hardship was…

Aggressive immigration enforcement hurts the very youngest children. Refugee and U.S.-born children of undocumented immigrants experience many childhood adversities, compromising their development and health. Refugee children flee traumatizing violence in their home countries, face grueling migrations, and are harmed further by being held in…

Infant and early childhood mental health (IECMH) consultation has gained increasing attention over the years as an effective approach to supporting young children's social-emotional development (Brennan et al., 2008; Hepburn et al., 2013). The current syndemic (the aggregation of two or more concurrent epidemics that interact synergistically to…

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…

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…

This article discusses why and how the "State of Babies Yearbook: 2019" was developed; identifies the indicators used to examine the well-being of the nation's infants and toddlers; and explains how the indicators align with the ZERO TO THREE policy framework areas of Good Health, Strong Families, and Positive Early Learning Experiences.…

The Baby Leadership Learning Collaborative (Baby LLC) initiative is a leadership group committed to bridging relationships across service sectors to promote infant-early childhood mental health and to break the multigenerational cycle of risk often associated with early adversity and trauma. Baby LLC has guided an early relational health focus…

Pediatric health care practices are ideal settings within which to provide vital screenings, support, and parent education to families of infants and toddlers. HealthySteps (HS) uses an integrated, relationship-based approach to deliver a range of services and supports such as anticipatory guidance, developmental and behavioral screenings,…

There have been revolutionary advances in the last decade in researcher's understanding of the genesis of life course health from the critical formative experiences before birth. Even more striking are the factors in a mother's developmental and nutritional history and experience that shape her health, a healthy pregnancy and delivery, and the…

Pediatricians have been challenged to rethink the schedule, content, and structure of well-child care. There is growing recognition of the need to include a focus on promoting healthy social and emotional development in the context of the parent-child relationship to minimize exposure to toxic stress and reduce the later burden of adult disease.…

Pediatric health care represents an innovative platform for implementation of low-cost, population-wide, preventive interventions to improve school readiness. This article describes the Video Interaction Project, a targeted intervention in the pediatric primary care setting designed to enhance parenting skills and boost school readiness. The…