The coronavirus disease 2019 (COVID-19) pandemic continues to demonstrate far-reaching impact on individuals, families, and communities. Emerging research highlights the detrimental impact of the pandemic on perinatal mental health. Warm Connections is a behavioral health program embedded in Special Supplemental Nutrition Program for Women,…

There is great opportunity in pediatric primary care to lay the foundation for lifelong health and well-being during the critical period from infancy to early childhood. However, many of these opportunities are missed, particularly for the most vulnerable children. The challenges to equitable, universal developmental and behavioral screening in…

When families experience homelessness, both parents and children are adversely affected. The effects of homelessness may be even more profound when both the children and parents are young. Using developmental and ecological lenses, the authors describe how homelessness complicates the tasks facing young parents and their children in the early…

The article addresses clinical, neurodevelopmental, and psychological experiences of pregnant parents to build the case for shifting therapeutic approaches to promote the earliest possible connections between parents and their infant. The article emphasizes the rationale for therapeutic interface with families in pregnancy as it relates to stress…

Prenatal maternal depression affects both mother and fetus with long-term implications for offspring vulnerability to psychopathology through alterations to brain development, stress physiology, negative emotionality, and cognitive control. This article reviews evidence for the negative impact of prenatal maternal depression on offspring…

Opioid use in pregnancy and the postpartum period increases the vulnerability of the newborn in many ways. No single system can appropriately meet all the needs of this population. Due to the variety of systems that are involved, there are multiple opportunities for gaps in care. Thus, the systems of care must collaborate, communicate, and share…

The authors wrote this article in the context of the ongoing wars, losses, battles, violence, conflicts, hunger, and unprecedented humanitarian crises in the Arab world and in the context of the discrimination, hatred, and separations faced by many refugee families who are seeking to find a safer life for themselves and their children. Drawing on…

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…

The concept of "adaptive leadership" refers to principles that allow professionals and organizations to respond effectively in challenging circumstances. This article presents the personal reflections of a ZERO TO THREE Fellow on selected adaptive leadership principles in action. The author explains how adaptive leadership tools informed…

The transition to parenting (Galinsky, 1987) can be a tumultuous time, particularly when parents have experienced traumatic and stressful life circumstances. Interventions to help these parents often focus on the first 2 years after birth because of the importance of this sensitive period for babies' developing brains. However, we describe…

The last decade has seen an exponential increase in the use of illicit and prescription opioids during pregnancy. Opioid dependency during pregnancy increases the risks of obstetric complications for mothers and potential dangers for newborns during infancy and later in life. The mother-child dyad faces specific hurdles when it comes to getting…

This article provides an overview of Building Connections, a national initiative in Canada to embed trauma-informed approaches into community-based projects, highlighting the components that indicate successful implementation. Building Connections uses a relationship-based approach (a) to support the readiness to engage in an intervention focused…

Parental substance use disorders negatively impact a child's development both prenatally and postnatally. Caregivers struggling with substance use disorders, and Opioid Use Disorder in particular, often have difficulty accessing appropriate holistic clinical interventions and are at high risk of losing custody of their children due to abuse and…

This article examines the outcomes of implementing a trauma-informed home visiting program in a refugee/immigrant-serving mental health program in Chicago, Illinois. The mental health program used the Baby TALK home visiting program model, an evidence-based relational approach to supporting pregnant mothers and families with children less than 3…

Reaching at-risk families with health and development information and connecting them to resources during pregnancy and throughout early infanthood remains a challenge for many health and early learning and development initiatives. This article showcases strategies used by Text4baby--a free mobile health program for pregnant women and mothers--to…