Increasing numbers of young children are now routinely screened for developmental delays during well-child visits in primary care settings which support early identification of developmental delays. Unfortunately, research indicates that there is often a gap between the number of children who receive an abnormal screen and the number who…

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…

Children of incarcerated parents may face an increased risk for developmental and behavioral problems. Early care and education can play a positive role in addressing these risks and providing positive support. However, these children are largely hidden when it comes to formal early care and education policy and program initiatives. This article…

Children from birth to 3 years old with complex medical needs often experience psychological issues, but there are limited services and supports to meet their needs. To bridge this gap, the authors created the Pediatric Birth to Three Clinic and Early Childhood Mental Health Program at the University of Minnesota. They describe the toxic stress…

This article describes an infant and early childhood mental health-informed therapeutic visitation program that offers clinical support, systems-level advocacy, and developmentally appropriate guidance to families navigating the child welfare and family court systems. The program offers treatment, permanency, and placement planning for infants,…

The ParentChild+ Program was created more than 50 years ago and has provided thousands of at-risk families across America with positive outcomes. Originally known as the Mother-Child Home Program and later, Parent-Child Home Program, the model is home visiting, reaching families affected by poverty and societal hardships. This article describes…

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…

ParentChild+ is a national home visiting program dedicated to bridging the opportunity gap for families in marginalized communities. During the COVID-19 pandemic, the program worked more closely than ever with families and family care providers with young children to ensure they had the necessary tools and resources to support their children to…

Too many parents who find themselves involved with child welfare agencies have had lives threaded with deeply traumatic events. As adults, their childhood histories manifest themselves in substance abuse, domestic violence, relational problems, risk-taking behaviors, emotional lability, self-harming, anxiety, and depression. To successfully…

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…

Nurturing care in early childhood requires responsive interactions and opportunities to learn; however, there are few large-scale programs in low- and middle-income countries that support parents' ability to provide responsive care and activities that help children learn. The Reach Up training program was developed to increase capacity of…

Early Learning Neighborhood Collaborative (ELNC) began as a year-long initiative to support early learning for very young children and families. The program has grown into a self-sustaining, nonprofit, place-based organization committed to improving the lives of children and families in the underresourced neighborhoods of Grand Rapids, MI.…

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…

ZERO TO THREE's (ZTT) mission is to ensure that all babies have a strong start in life. The mission is intentionally inclusive of "all babies," because ZTT envisions a society with the knowledge and will to support all infants and toddlers in reaching their full potential. In recognition of a "strong start," ZTT strives to…

Because the earliest years of life are a period of incredible growth, they present an opportunity to shape strong and positive development. Good health, secure and stable families, and positive early learning environments are necessary to foster children's physical, intellectual, and social-emotional development during this significant period. Yet…