The University of Colorado PROMISE Clinic is an integrated mental health program housed in the obstetrics/gynecology outpatient clinics. A team of medical and mental health professionals care for a racially, ethnically, and socioeconomically diverse patient population. They provide integrated mental health services from consultation through…

Consistent, sensitive caregiving across home and childcare contexts supports optimal development. In this paper, we share the story of the development of Hearts and Minds on Babies (HMB) for Early Head Start (EHS) administrators, teachers, and parents. HMB was designed to support caregiver reflective functioning and sensitivity and reduce…

The purpose of this special issue of Physical & Occupational Therapy in Pediatrics is to present an evidence-based system to guide the physical therapy management of patients in the Neonatal Intensive Care Unit (NICU). Two systematic guides to patient management will be presented. The first is a care path intended primarily for use by physical…

Objectives: To describe the development of a collaborative partnership to improve birth outcomes in Harris County, Texas. Methods: State and city-level maternal and infant health data were re-analyzed and presented to stakeholders at the zip-code level to generate a renewed response to health issues in these populations, particularly infant…

Child- and family-serving programs in community-based settings wield tremendous power for improving the lives of infants and toddlers. In this article, three authors, from Ohio, Montana, and Sierra Leone, describe the principles of adaptive leadership and will share their real-world applications. Their stories explore critical questions for…

Early childhood professionals do many things to support young families. This is true now more than ever, as researchers continue to discover the long-term benefits of early, healthy, nurturing relationships. This article provides an overview of the development of an advanced practice perinatal depression algorithm created as a step-by-step guide…

In sub-Saharan Africa, the COVID-19 pandemic continues to have far-reaching consequences for 550 million children under the age of 18. This UNICEF Child Alert examines how the disease and measures put in place to contain it are impacting the lives of children across the region, exacerbating existing threats like conflict, climate change and…

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…

This article describes the role of a Court Appointed Special Advocate (CASA). CASA volunteers are appointed by judges to represent the best interests of children who have been removed from their homes because of abuse or neglect. CASA volunteers are everyday citizens who have undergone screening and training with their local CASA program (National…

A team of facilitators describe the process and content of portfolios they create for families attending weekly playgroup sessions based on the philosophy and practices of the Parents Interacting with Infants (PIWI) model. The parent-child portfolios are a form of authentic assessment and highlight children's development within the context of…

More than half of poor African American infants are born into "fragile families" and nearly half grow up in single-mother families with little or no father involvement. However, most prenatal interventions fail to help unmarried mothers talk and plan together with their baby's father, especially when fathers are nonresidential. This…

This article features Discovery Children's Centre, one of the highest quality centres in the province of Manitoba, Canada. Discovery Children's Centre believes that children, who may have little or no voice in a democratic society, can be heard if some adult will speak on their behalf. Even as it has grown from 35 to 230 children, quality has…

The issue of early childhood trauma is becoming more prominent in early childhood policy discussions, driven by a growing recognition of the potentially devastating impacts of trauma and violence on infants, toddlers, and families. This article provides facts about the impacts of trauma and other adverse early experiences on child health and…

Early Head Start is a federally funded community-based program for low-income families with infants and toddlers and for low-income pregnant women. Created in 1995, Early Head Start strives to promote healthy prenatal outcomes for pregnant women, to enhance the development of children ages birth to three, and to promote healthy family functioning.…

As the Latino population in the U.S. grows, clinicians, researchers, and practitioners have begun to develop strategies to help Latino children and their parents adapt to life in the United States. This article describes how the stressors of immigration contribute to the development of depressive symptoms among Latina mothers, and how these…