During the COVID-19 global pandemic, early intervention (EI) practitioners experienced an unexpected shift to providing tele-intervention services to support children and families using virtual platforms. Because this shift occurred across the field, it is important to understand the perspectives of those who experienced it under exceptional…

Purpose: Limited quantitative data exist regarding growth of the velopharynx within the first 2 years of life. The purpose of this study was to (a) quantify changes in velopharyngeal structures due to growth during the first 2 years of life, (b) examine the impact of sex and race within this age range, and (c) provide normative measures for…

This article explores the many ways in which states can and are addressing racial equity in problem solving and policymaking. The authors explore national data that make the case for addressing bias and advancing equity in state policy; share strategies and best practices for engaging families and communities; and provide examples of policies that…

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…

Expanding Quality in Infant Toddler Care is a professional development initiative that is relationship-based on every level. It is administrated by the Colorado Office of Early Childhood. Instructors get intensive training and become members of the Infant Toddler Specialist network. Every level of the EQ Initiative uses an open framework called…

Based on case studies in three states (CO, RI, and TX), this brief examines promising strategies to address the developmental and mental health needs of infants and toddlers involved in Child Welfare (CW). Due to family adversities, trauma, maltreatment, and separation from primary caregivers, these infants and toddlers are at substantial risk of…

This article discusses why and how states are integrating "DC:0-5™: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood" (DC:0-5) into state policy and systems; provides state examples to highlight some of the strategies that states have used to allow, promote, or require the use of…

A qualified and dedicated early care and education (ECE) professional workforce is essential for the well-being of our youngest children. Despite the importance of ECE professionals, the field continues to experience challenges recruiting and retaining individuals in the workforce, often due to high expectations for early care with inadequate…

This briefing paper explores Infant and Early Childhood Mental Health (IECMH) policies and practices that state early intervention (Part C) programs may consider implementing to meet the social-emotional and mental health needs of infants and toddlers in the context of relationships with their parents and other caregivers.

This article spotlights Colorado and Rhode Island's collaboration efforts on the Keeping Children and Families Safe Act (PL 108-36, 2003), which reauthorized the Child Abuse Prevention and Treatment Act (CAPTA, 2018) and Part C of the Individuals With Disabilities Education Act (IDEA, 2018). These two key pieces of federal legislation require…

Pregnant women and young children who experience toxic stress are at risk for negative health outcomes. The "medical home" is seen as a place to address toxic stress by promoting healthy relationships, but Spanish-speaking Latino families face challenges accessing the medical home while simultaneously confronting unique stressors. This…

This article describes some of the remarkable accomplishments of the states that have participated in the Infant and Early Childhood Mental Health Financing Policy Project (IECMH-FPP). The purpose of the IECMH-FPP is to support states' advancement of IECMH assessment, diagnosis, and treatment policies that will contribute to the healthy…

Dr. Robert J. Harmon (1946-2006) was a member of the ZERO TO THREE Board of Directors for 20 years, and he was a pioneer in the field of infant mental health. Along with other groundbreaking contributions, he held the view that infant mental health work is deeply intimate and that incorporating personal life experience is a legitimate and…

In a previously published report, our researcher-practitioner partnership demonstrated the effectiveness of a coursework plus higher-dosage coaching professional development intervention (Expanding Quality, EQ) at improving the quality of teacher interactions with children birth-to-3 in center- and home-based child care settings. The current study…

As the infant and early childhood mental health (IECMH)-informed workforce adapted to the unexpected and challenging events brought on by COVID-19, associations for infant mental health (AIMHs), whose primary role is to support the workforce, stepped up and offered what very few organizations could during the onset of the pandemic: opportunities…