Early relational health (ERH) is not a new field, but an enhanced focus on knowledge from infant and early childhood mental health (IECMH), neurodevelopment, and related fields. ERH brings attention to the centrality of safe, stable, and nurturing relationships and resilient communities as drivers for current and future health and well-being of…

The COVID-19 pandemic threw a spotlight on telehealth as a mechanism for programs and professionals who provide direct services to young children and families to be able to continue essential supports and services. Providers, agencies, and insurance companies had to rapidly evolve in order to reach families and other caregivers in new ways. This…

Uruguay is making great progress in improving the lives of its youngest children. A national longitudinal early childhood-focused household survey has been, and will continue to be, an important tool for identifying concerns and targeting interventions. In a study of the home environment, the authors found that children from lower income…

The Safe Babies Court Team™ (SBCT) is a community engagement and systems-change approach focused on improving how courts, child welfare agencies, and related child-serving organizations work together, share information, and expedite services for young children in the child welfare system. Ten sites across four states received technical assistance…

Child-Parent Psychotherapy (CPP) is an evidence-based mental health intervention for infants and toddlers as well as their adult caregivers. Families with young children in foster care benefit most when it is offered along with an array of other supportive measures (e.g., housing, medical attention). As a core component of the Safe Babies Court…

Maltreated infants and toddlers are more likely to be placed into foster care than any other age group of children. They also remain in foster care longer and are less likely to be reunified with their birth families. Thus, it is important that child welfare and other practitioners use the best strategies available to ensure children's expeditious…

The Baby Leadership Learning Collaborative (Baby LLC) initiative is a leadership group committed to bridging relationships across service sectors to promote infant-early childhood mental health and to break the multigenerational cycle of risk often associated with early adversity and trauma. Baby LLC has guided an early relational health focus…

Pediatric health care practices are ideal settings within which to provide vital screenings, support, and parent education to families of infants and toddlers. HealthySteps (HS) uses an integrated, relationship-based approach to deliver a range of services and supports such as anticipatory guidance, developmental and behavioral screenings,…

The First Steps Domestic Violence Program (First Steps) was developed to address the mental health needs of infants and toddlers entering a domestic violence shelter. When domestic violence occurs, the primary caregiver's ability to help restore a sense of safety for the infant--through regulation of the infant's emotions, sleep, arousal, and…

A recent partnership between the Irving Harris Program in Child Development and Infant Mental Health and the Community Based Psychiatry Program at University of Colorado Hospital joined two different approaches to child mental health treatment: infant mental health and multisystemic therapy (MST). This article illustrates the compatibility of…

Child maltreatment affects millions of children each year. health care providers are increasingly called upon to address such psychosocial problems facing many families. In this article, the authors describe a practical approach to further enhance pediatric primary care and make it more responsive to the needs of children and families. The Safe…

This article describes a model for supporting parents and their infants during separations due to temporary foster care. Using a case example, the authors describe a model for visit coaching, including their process for assessment and strategies used for intervention. The lessons learned are: (a) that individual parents can present very…

The impacts of violence for young children and their caregivers are multidimensional. The story of 2-year-old Tyronne, his mother, Josephine, and his father, James, illustrates the use of a relationship-focused treatment, child-parent psychotherapy (CPP), in addressing the traumatic consequences of exposure to violence. This family's story…