The opioid epidemic has led to a dramatic increase in the number of infants and toddlers being removed from their homes and placed in foster care. Doing so places these vulnerable young children at high risk for attachment issues, postnatal medical problems, and development delay. Early Childhood Courts have been found to be a very effective intervention in coordinating two-generation services and utilizing an infant mental health approach toward addressing the child, parent, and relationship needs using Child-Parent Psychotherapy. Florida has a statewide approach with 22 judges currently implementing Early Childhood Court which are showing more timely permanency, minimizing return to foster care, and improving child well-being as has been demonstrated in previous evaluations of the Safe Babies Court Teams. Structures and procedures imbedded in Early Childhood Court protocols can ensure CAPTA [Child Abuse Prevention and Treatment Act] compliance with tracking and follow up.