Breaking the Cycle (BTC), founded in 1995, is an early identification, prevention, and treatment program for pregnant and parenting women who abuse substances. The authors explore the impact of substance abuse on early attachment relationships and on infant regulatory functioning. BTC focuses on building and enhancing the mother's relationships,…

Onunaku, Ahlers, and Gilkerson describe Illinois's effort to build infant mental health capacity within the Part C Early Intervention system and Wisconsin's effort to build capacity for infant and early childhood mental health services statewide across all systems that serve children. Because of multiple funding streams, families often experience…

Heckman et al. discuss how cost-benefit analysis of prekindergarten education programs demonstrates that the highest per child benefits stem from programs that focus on economically disadvantaged children. Indeed, studies have shown that these children make significant gains in cognition, social-emotional development, and educational performance…

Across the country, states are developing more unified and comprehensive education systems for young children. The authors of this article outline seven features that help connect various early education programs across a state. First, supportive governance ensures that all parts of an early care and education system complement, rather than…