This article describes the impact on young children of sudden and extended separation from a primary attachment figure. It recommends clinical intervention when the child's development and family functioning are negatively affected by the severity of the child's symptoms, and it highlights key treatment modalities derived from Child-Parent…

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 COVID-19 pandemic threw a spotlight on telehealth as a mechanism for programs and professionals who provide direct services to young children and families to be able to continue essential supports and services. Providers, agencies, and insurance companies had to rapidly evolve in order to reach families and other caregivers in new ways. This…

Young children with developmental delays, neurodevelopmental disorders, or other developmentally atypical presentations are increasingly referred to the mental health system of care because of symptoms that include prolonged tantrums, aggression, anxiety, and sensory processing difficulties. Concerning behaviors can be viewed as constitutional…

Child-Parent Psychotherapy (CPP) is an evidence-based mental health intervention for infants and toddlers as well as their adult caregivers. Families with young children in foster care benefit most when it is offered along with an array of other supportive measures (e.g., housing, medical attention). As a core component of the Safe Babies Court…

Childhood experiences of interpersonal trauma often leave a legacy of painful emotions and memories that can be especially destructive when adults transition to parenthood. In this article, the authors present a promising treatment approach, Perinatal Child-Parental Psychotherapy (P-CPP), adapted from evidence-based Child-Parent Psychotherapy…

An estimated 15 million mothers with young children in the U.S. suffer from depression. Untreated maternal depression has serious consequences for the mother's long-term health and for her child's development and functioning. it can also be costly, driving up health care use, reducing employment, and creating the need for early childhood…

This article tells the story of a single mother, Maria, who has a history of trauma, and her 2-year-old daughter, Lina, as they learn, play, and heal together through the use of Child-Parent Psychotherapy, an evidenced-based, trauma-informed therapeutic intervention in a home-based program model. Through the power of play, Maria and Lina are able…

This article describes how a Tulane early childhood mental health clinic provided trauma-informed care for a young, severely maltreated child victim of human trafficking. Effective treatment included two evidence-based therapies and psychiatric care over a span of 2 years. Therapists made decisions about intervention in response to fluctuations in…

Postpartum depression (PPD) affects a significant portion of women and has serious negative short- and long-term consequences for the woman, infant, and family. This article highlights the feasibility and acceptability of group interpersonal psychotherapy (IPT-G), a manualized approach to PPD treatment, with a high risk and underserved sample of…

Public enforcement agencies such as criminal justice, child welfare, and immigration directly or indirectly impact children and families, often through mandated requirements and forced separations. As a result, families involved with these agencies can be wary of trusting early childhood home visitors and mental health providers. Through case…