Routine health care can spell the difference between a strong beginning and a fragile start. After much public and Congressional debate, President Obama signed into law landmark health care reform legislation. Although many provisions will not go into effect this year, several important changes could benefit children within a few months. The…

The earliest years of life are critical to providing a foundation for good health. Providing adequate health care early can prevent many of the physical, social-emotional, and cognitive impairments that children could face in the future. The recent landmark health reform package signed into law includes important elements that positively affect…

ZERO TO THREE's executive director and members of the board offer their thoughts on working to support the healthy development of infants, toddlers, and their families over the past 30 years, and where we need to go as we look to the future.

Clinical conversations between health professionals and parents can be frustrating for both parties when the topic is childhood immunization. Parents bring to the table personal models of decision making and experiences of risk that may differ from those of their health care providers. They may also feel confused by an explosion of information…

The early childhood provider, because of the consistent contact over time with infants, toddlers, and their families, is well positioned to observe the nuances of the early caregiving relationship; monitor early child behavior and development; identify deviances; and offer support, guidance, and intervention when families struggle. This…

The authors describe a survey of 284 dependency court judges which examined four areas of judicial practice: (a) the extent of the judges' knowledge of infant and toddler development, (b) court capacity to initiate and sustain systems change, (c) the use of judicial authority to initiate systems change, and (d) the barriers judges face in taking…

As part of a comprehensive system of support for families with young children, home visiting programs help to ensure that families facing obstacles--such as those caused by stress, language barriers, geographic and social isolation, and poverty--receive the support they need to nurture their child's healthy development. Efforts to support home…

Research suggests what many parents and early care and education staff already know: Significant numbers of young children are struggling with social, emotional, and behavioral challenges that negatively impact their functioning as family members, friends, and learners. This article explores how caregivers can foster developmental mastery and…

Infants most vulnerable to trauma are often the least able to access interventions. Universal child-serving systems, such as primary pediatrics, early care and education, and the child welfare system, can offer a port of entry for millions of children annually for trauma-related supports and services. However, practitioners in these systems have…

Gastroesophageal reflux is a common medical problem affecting about 5% of otherwise healthy children. It is extremely common among children with special needs and affects more than half of children with cerebral palsy, Down syndrome, premature birth, and several other common conditions. The disease is becoming more widely recognized, but children…

Young children growing up in poverty face chronic risk factors, including abuse and neglect, severe maternal depression, parental substance abuse, harsh parenting, and family and community violence as well as greater exposure to physical risks, including substandard housing, lack of access to resources, and environmental toxins. The authors offer…

An extensive literature documents that a lower level of acculturation is associated with better health outcomes among U.S. immigrants, despite the many hardships these families face. It is likely that cultural practices and strong family networks contribute to this phenomenon, which has been termed the "healthy immigrant effect". This article…

This article explores the growing problem of childhood obesity and suggests guidelines for professionals to recommend to parents. Research has shown that an overweight child at 3 years is nearly eight times as likely to become an overweight young adult as is a typically developing 3-year-old. More of America's children are becoming overweight, and…

This article describes how a rural community in Colorado developed the infrastructure to provide a family-centered, culturally competent array of early childhood mental health services that are integrated into existing community-based programs. The Early Childhood Health/Education Outreach (ECHO) and Family Center Early Childhood Council's…

This article by the editors of this issue describes key elements of high-quality services for teen parents and their children. Programs for teen parents and their children can promote dual development by: a) acknowledging the role of multiple risk factors in the lives of the children of teen parents; b) integrating services from a variety of…