Noting that many young children are excluded from child care settings because of their behavior and that early emotional and behavioral problems are often ignored or misidentified, this issue brief highlights emerging strategies to promote the emotional wellness of young children and their families, including those most at risk. The brief further focuses on strategies to enhance the skills of the families and other caregivers who nurture and support young children and to ensure that those who need specialized services get them. The brief describes a number of initiatives developed across the nation, with an emphasis on two Starting Points sites, San Francisco and Vermont. The key strategies discussed include: (1) developing mental health consultation for child care and early learning programs; (2) enhancing mental health support for home visiting programs; (3) promoting healthy relationships in the context of early health care; and (4) promoting emotional wellness of young children and their families through a statewide approach. (KB)