Developmental coaching performed by pediatric providers is a first-line, universal relational health promotion intervention. Separate, dedicated, developmental coaching through telehealth complements well-child visits by creating a more relaxed platform. These sessions address parent developmental concerns, allowing space for parent reflection and…

The increase in the prevalence of smartphones and mobile devices has spurred changes in the caregiving environment of infants and young children, as phones and mobile devices are used at times during caregiving and in caregiving spaces. This use could create disruptions and cause distractions during parenting (termed technoference). This article…

This article is adapted from "Screen Sense: What the Research Says About the Impact of Media on Children Under 3 Years Old" (Barr, McClure, & Parlakian, 2018) and related resources, published online at zerotothree.org/screensense. The authors focus on two growing areas of research: how media use influences parent-child relationships…

DC:0-5™: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (ZERO TO THREE, 2016) emphasizes the centrality of relationships for young children's development and psychopathology. The authors share the story of a young child and his mother to illustrate the use of DC:0-5, with an emphasis on how…

The recent headlines about parent and child separation at the U.S. border has raised concern about the impact of such experiences on young children. In this article, the author provides the children's perspective of parental separation and loss and their experience of mourning during infancy and early childhood. Three vignettes illustrate how…

Adults need to recognize and understand the importance of the parent-child relationship in supporting infants and young children who are exposed to traumatic events. All children need the support, security, and safety that come with a consistent, emotionally available relationship. For young children who have a more limited understanding and…

This article describes the conceptual approach to, and practical aspects of, the Infant-Parent Program's (IPP) decade-long experience providing early childhood mental health consultation in homeless shelters serving infants, young children, and their families. Illustrated by case examples, the authors discuss the characteristics of the…

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…

This article is an excerpt from the forthcoming book, "Mental Health in the Early Years: Challenges and Pathways to Resilience', by Gail L. Ensher, David A. Clark, and Melissa M. Luke with contributing authors. This excerpt includes the value of a family systems and an ecological perspective; provides an overview of social--emotional…

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…

Infants who stay in emergency shelters with their families are most likely to demonstrate resilience despite homelessness if they experience positive, nurturing relationships with their parents. We discuss the strengths and challenges of infants experiencing family homelessness as well as intervention and research evaluation in those contexts.…

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…

Structural racism in the United States through federal and state legislation and public policies has systematically disadvantaged families of color leading to societal inequities and generations of families living in poverty. Further, racist ideas have led to the exclusion of families of color from systems of support that could prevent involvement…

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…

Infant and early childhood mental health (IECMH) practitioners working with infants and young children and their caregivers who are impacted by the trauma of separation, loss, and unpredictable reunification require access to reflective supervision/consultation (RS/C) to mitigate vicarious trauma and compassion fatigue, and to ensure thoughtful…