Consultation in infant mental health is a relationship-based approach to building reflective capacity in professionals who work with young children. Consultants support various professionals such as child care and medical providers with meeting the social, emotional, and developmental needs of infants and children. This article describes a…

This article describes one family's experience in the Young Mother's Clinic (YMC), a medical clinic providing multidisciplinary care to adolescent mothers and their children. The authors highlight the neurodevelopmental changes that occur in the later adolescent period and explore related clinical implications for professionals working with these…

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…

The concept of "adaptive leadership" refers to principles that allow professionals and organizations to respond effectively in challenging circumstances. This article presents the personal reflections of a ZERO TO THREE Fellow on selected adaptive leadership principles in action. The author explains how adaptive leadership tools informed…

Since the 1980s, El Salvador has survived a 12-year civil war, two major earthquakes, devastating hurricanes, a massive drought, a famine, and now the current levels of violence related to gang presence across the country. Nearly everyone has had personal experience with at least one but more likely multiple traumatic experiences during their…

Collaboration between university researchers and community agencies offers the opportunity to pilot innovative, evidence-informed interventions. Partnerships of this nature also present unique ethical dilemmas to community agencies, particularly regarding research and agency policies, navigating privacy protections, adequate and consistent…

This article describes some of the extraordinary accomplishments of the second cohort of states to participate in the Infant and Early Childhood Mental Health Financing Policy Project (IECMH-FPP). The purpose of the IECMHFPP is to support states' advancement of IECMH assessment, diagnosis, and treatment policies that will contribute to the healthy…

As U.S. infant mortality remains relatively unchanged and maternal mortality is rising, it is increasingly clear that service providers need to address many of the modifiable risks that determine birth outcomes prior to pregnancy. Health professionals have promoted preconception care for decades as a way to improve women's and infant's health. Yet…

Including fathers is the next frontier for infant mental health. In this article, the authors describe the inclusion of fathers as equal partners in Child-Parent Psychotherapy (CPP), an evidence-based treatment for young children experiencing or at risk for mental health problems following exposure to violence and other adversities. The authors…

This article describes an intense relationship between an infant mental health (IMH) specialist and a mother-daughter dyad. At intake, an 18-month-old little girl was diagnosed with failure to thrive and a chronic kidney condition, and she was at risk for protective service involvement and possible removal from the family home. The author…

This article presents an overview of the Healthy Steps for Young Children (Healthy Steps) program at Montefiore Medical Center, in the Bronx, NY. The authors review the theoretical underpinnings of this national program for the promotion of early childhood mental health. The Healthy Steps program at Montefiore is integrated into outpatient…

Poverty-associated chronic stress is a serious threat not only to a mother's mental health but also to maternal functioning. Recent neuroimaging studies suggest that a mother's brain undergoes dynamic changes to support her transition to parenthood, including better emotion regulation and heightened sensitivity to infants. However, we propose that…

Home visiting (HV) programs serve women at high risk for developing postpartum depression because of factors such as poverty and low social support. Depression poses serious threats not only to mother-child attachment and healthy infant development but also to women's ability to engage with HV services and supports. The Mothers and Babies (MB)…

Depression in pregnant women and mothers of very young children is a pressing public health issue. Maternal depression is linked to a number of serious difficulties for mothers, their young children, and mother-child relationships. Unrecognized and untreated, it can lead to long-lasting impairment for both mothers and their children. However,…

Children's exposure to violence is a national crisis. The high prevalence of exposure to violence in infancy and early childhood has implications for lifelong health and development because early experiences are most influential in shaping the structure and functioning of the brain, the quality of attachments and other relationships, and the…