Grief does not spare infants and young children. Attachment disruption through the loss of a primary caregiver is devastating to a young child's foundational experience of safety without the developmental capacity to understand any aspect of their loved one's absence. In this case story, the authors explore the diagnosis of complicated grief in…

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,…

Children develop within the context of caregiver--child relationships, each presenting with their own unique strengths, areas of growth, and compatibility of fit. Instead of the traditional viewpoint that child symptoms are generalizable across contexts and would emerge across relationships, the DC:0--5™: Diagnostic Classification of Mental Health…

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,…

Young children in the child welfare system are inherently vulnerable to disruptions in early attachment, and abrupt changes of placement can function as trauma triggers. In this article, the authors present a case from a Child-Parent Psychotherapy (CPP) Learning Collaborative which exemplifies the potential trauma of placement changes, and how CPP…

The authors wrote this article in the context of the ongoing wars, losses, battles, violence, conflicts, hunger, and unprecedented humanitarian crises in the Arab world and in the context of the discrimination, hatred, and separations faced by many refugee families who are seeking to find a safer life for themselves and their children. Drawing on…

Military deployments can necessitate prolonged family separations. The strain of separation is particularly acute for very young children and their parents. Reunions bring joy as well as challenges. The authors draw from their work with military families with young children to explore experiences of separating and reconnecting and the supports…

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…

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 from birth to 3 years old with complex medical needs often experience psychological issues, but there are limited services and supports to meet their needs. To bridge this gap, the authors created the Pediatric Birth to Three Clinic and Early Childhood Mental Health Program at the University of Minnesota. They describe the toxic stress…

In prison, jails, and detention centers, the United States incarcerates more people than any other country, and most of these individuals are parents. As a result, early care and intervention professionals are likely to encounter infants and young children affected by parental incarceration. This article will review the scope of the problem, the…

New developments in the treatment of mothers and infants affected by opioid addiction point to the promising effects of interventions that adopt a developmental perspective, occur concurrently with addiction treatment, and target the parent-infant relationship as early as possible. In this article, the authors provide general guidelines for…

This article describes the Circle of Security-Classroom (COS-C) approach to applying attachment theory in preschool settings. Early childhood is an incubator for a wide range of development including the underpinnings of school readiness. Secure teacher-child relationships support this process. However, most preschool staff members lack guidance…

Hearts and Minds on Babies (HMB) is an innovative, attachment-based training for Early Head Start (EHS) staff and parents, developed through a collaboration between university-based researchers and clinicians and community-based EHS educators. This article describes HMB, our collaboration, and lessons learned when infusing infant and early…

Partnering With Parents, an infant mental health (IMH) intervention program at Starfish Family Services (SFS), is dedicated to improving social-emotional outcomes, supporting wellness, and strengthening relationships between infants and families. Families served by SFS experience a myriad of societal, community, and relational stressors that can…