Children with complex congenital heart defects often show delays and deficits in cognitive, language, motor, and social-emotional functioning. As such, the American Academy of Pediatrics and the American Heart Associated recommend ongoing monitoring and support of development. In conjunction with the formal therapeutic supports frequently…

Based on case studies in three states (CO, RI, and TX), this brief examines promising strategies to address the developmental and mental health needs of infants and toddlers involved in Child Welfare (CW). Due to family adversities, trauma, maltreatment, and separation from primary caregivers, these infants and toddlers are at substantial risk of…

During the first year of life children are at the greatest risk for experiencing homelessness (Perlman & Fantuzzo, 2010). Unfortunately, data on the number of infants and toddlers experiencing homelessness are extremely limited, and any data available are inadequate for a variety of reasons. There is minimal information on how many young…

Early intervention (EI) providers--who deliver Part C services under the purview of the Individuals with Disabilities Education Act (IDEA) for children birth-3 years old with/at risk of disabilities--play an important role in promoting the development of young children and their caregivers. Enhancing caregiver capacity to meet the developmental…

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…

This article critically interrogates the model of language that underpins early years policy and pedagogy. Our arguments emerge from an ethnographic study involving 2-year-olds attending a day care centre that had begun to hold a substantial proportion of its sessions outdoors. The resultant shift in pedagogy coincided with changes in the…

Nutrition is vitally important both during pregnancy and during a child's early years. Inadequate nutrition during this critical period can harm children's health and developmental outcomes throughout childhood and into adulthood. Thus, write Diane Whitmore Schanzenbach and Betsy Thorn, it's particularly important that young children have adequate…

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…

This article describes an infant and early childhood mental health-informed therapeutic visitation program that offers clinical support, systems-level advocacy, and developmentally appropriate guidance to families navigating the child welfare and family court systems. The program offers treatment, permanency, and placement planning for infants,…

California continues to fall below national averages in identifying and serving infants, toddlers, and preschoolers with developmental disabilities. The transition between infant/toddler services, administered by the Department of Developmental Services, and preschool services for 3- to 5-year-olds, administered by the Department of Education, is…

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…

Many children, especially those from lower-income families, face considerable instability early in their lives. This may include changes in family structure, irregular family routines, frequent moves, fluctuating daycare arrangements, and noisy, crowded, or generally chaotic environments. Moreover, instability and chaos affect young children's…

Child- and family-serving programs in community-based settings wield tremendous power for improving the lives of infants and toddlers. In this article, three authors, from Ohio, Montana, and Sierra Leone, describe the principles of adaptive leadership and will share their real-world applications. Their stories explore critical questions for…

Nurturing care in early childhood requires responsive interactions and opportunities to learn; however, there are few large-scale programs in low- and middle-income countries that support parents' ability to provide responsive care and activities that help children learn. The Reach Up training program was developed to increase capacity of…

The COVID-19 crisis has made delivering early intervention services much more challenging and could exacerbate racial inequities in health and education. But we can only fix what we can measure--so it is vital that states collect and report better data. A survey of state coordinators of early intervention services in fall 2020 focused on Black and…