Adaptive leadership requires that practitioners push the boundaries of current policies and systems to provide optimal services to children and families. This process includes self-reflection, strategic positioning, building relationships with advocates, inspiring service providers and policymakers, and creating a shared vision. This article…

With an average annual salary of just over $16,000, the work of early childhood education professionals is grossly undervalued and leads to high turnover rates. And yet, the quality and consistency of the care they provide to infants and young children has a lasting impact on their brain development and social-emotional well-being. This article…

The Minnesota Longitudinal Study of Risk and Adaptation, a 45-year study of children born into poverty, offers a number of lessons for practitioners. Among these are the potency of early relationship experiences for predicting developmental outcomes and the fate of early experience following developmental change. This article describes the…

Infant and early childhood mental health interventions and treatment take place in many different settings including clinics serving adults and children, primary care centers, pediatric clinics, private practice offices, homes, early intervention offices, and child care centers. In addition, the types of evaluations and services offered in these…

Building professional relationships and collaboration are key components to providing effective quality services to infants, toddlers and families involved in the child welfare system. However, it seems many programs and systems continue to work independently of each other, perhaps to the detriment of our most vulnerable children and families.…

Uruguay is making great progress in improving the lives of its youngest children. A national longitudinal early childhood-focused household survey has been, and will continue to be, an important tool for identifying concerns and targeting interventions. In a study of the home environment, the authors found that children from lower income…

Decades of research and clinical observations have demonstrated the harmful effects of parent-child separation on children's short- and long-term well-being (Society for Research in Child Development, 2018). Young children may be separated from their parents due to a variety of circumstances. This article provides recommendations for the…

Children of incarcerated parents may face an increased risk for developmental and behavioral problems. Early care and education can play a positive role in addressing these risks and providing positive support. However, these children are largely hidden when it comes to formal early care and education policy and program initiatives. This article…

Academic researchers in the infant and early childhood mental health field seek to understand the factors in early childhood that promote lifelong learning, health, and well-being. The inclusion of diverse and underrepresented populations, however, remains a challenge in rigorous research design. This article explores the challenges in addressing…

Severe and chronic stress in early childhood has enormous physical and mental health costs across an individual's lifespan. Unfortunately, exposure to early life adversity is common, and costs accrue to individuals and society. This article highlights several promising approaches to buffer children from the negative health consequences associated…

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 introduces the revised and updated "DC:0-5™: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood." The authors describe the past and current efforts to create a developmentally based classification system for very young children. DC:0-3, published in 1994 by ZERO TO THREE,…

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…

Media use by young children, even those 2 years old and younger, continues to increase. Many parents and professionals believe media, including digital devices, enhances cognitive and overall development. However, there is a misconception about what promotes healthy minds and bodies. Brain development, the foundation for all abilities, including…

This article describes the development and implementation of an integrated early childhood mental health and caregiver support program that uses a transdisciplinary approach to engage families and systems, maximize service efficiency, and ultimately create a next generation of safer families. A case example illustrates a family's journey through…