Families with young children attend well-child visits in pediatric primary care settings frequently during the first 3 years of life and receive information and answers to questions about their young child's health and development. Integrating an infant-early childhood mental health and child development specialist into a pediatric primary care…

When parents make an unintentional mistake that harms their child, the associated guilt and grief can be overwhelming and difficult to treat. The parents described in this article unknowingly created a medical emergency when they added water to their child's formula, thinking it would help her constipation. The baby survived the trauma--but with…

When a mother has a severe and chronic mental illness, her pathway ahead as a parent can be fragile and uncertain. This article describes a therapeutic support group for women with mental illness and reveals how individual women responded to a group that was created to support them in the parenting role. Periods of silence followed by palpable…

This article illustrates the multidimensional impact of violence during infancy and the effectiveness of a relationship-focused treatment, child-parent psychotherapy (CPP), in addressing the traumatic consequences of exposure to violence. The authors describe the treatment of a 3-year-old boy and his mother and highlight three key points: (a)…

At the age of 4 years, Joseph came to the Orleans Parish Early Childhood Supports and Services program (ECSS) for mental health services because of serious aggression and anger. His history included physical abuse before age 2, long-term maintenance on an atypical antipsychotic medication, and other biological, psychological, and…

When Pennsylvania's Early Intervention system implemented an early intervention-reflective supervision project, modest expectations for change were anticipated, given the limited amount of time and funding for the project. In this article, one participant tells the story of her professional development, which enabled her to augment her skills as…

Preschool-age children who have had traumatic experiences often experience several challenges as they enter school. They are frequently preoccupied with the trauma and display both externalizing and internalizing behaviors in their classrooms, significantly impairing their abilities to learn. With few additional resources and the lack of…

Nearly 20 years after the passage of the Family and Medical Leave Act (FMLA), it is time to take stock of U.S. policy on parental leave, particularly as it affects infant care and child development. While the FMLA has certainly expanded access to job-protected leave, large sectors of the workforce are left out and, in the absence of paid leave,…

The authors remember the life of Katie Beckett, who was an outspoken advocate for disability rights and inspired the Katie Beckett Waiver Program, which allowed children to continue to be eligible for Medicaid and to have their health care needs provided in the home rather than being forced to be in a hospital or institution. Together, Katie and…

Alison Gopnik, PhD, a researcher and professor at the University of California, Berkeley, responds to questions about the ways researchers are discovering the complex processes of early cognitive development. Dr. Gopnik shares some of the creative research methods that are demonstrating how infants are figuring out what is going on in the mind of…

Brenda Jones Harden, PhD, associate professor in the Department of Human Development, University of Maryland, College Park, describes how young children develop the capacity to modulate their emotions and behavior in the first years of life. A child's basic temperament has an impact on self-control, but temper tantrums are a normal part of child…

Ellen Wartella, PhD, a leading scholar of the role of media in children's development, responds to questions about the role of media in the lives of very young children. She discusses how technology is having an impact on parents and children and provides some context for how parents and caregivers can make informed decisions about using media…

Pamela High, MS, MD, co-director of the Infant Behavior, Cry and Sleep Clinic at the Brown Center for the Study of Children at Risk, discusses the phenomena of infant crying and the impact it has on families. In most cases, infant crying will peak and resolve in the early months, but infant irritability can increase the risk of maternal…

Jeree Pawl, PhD, former clinical professor, Department of Psychiatry, University of California at San Francisco and past director of the Infant-Parent Program located at San Francisco General Hospital responds to questions about how parents and caregivers can support the development of self-esteem in very young children. Contrary to the idea that…

Kyle D. Pruett, MD, clinical professor of child psychiatry at the Yale School of Medicine, responds to questions about the importance of engaging men in the lives of children. Dr. Pruett discusses how men parent differently than women; how mothers and fathers can effectively co-parent; the impact of parenting on the marital relationship; and the…