To fully grieve a parent's death, a young child needs to come to terms internally with the loss. The author describes this process in a toddler whose mother committed suicide. In therapy, the child formed a relationship with a stone statue and communicated her need to be found and protected. Drawing on the notion of "potential space," an…

Infant mental health specialists are increasingly expected to treat complex mental health disorders in very young children. Selective mutism is an anxiety disorder which can lead to functional impairment across home, preschool, and community settings. The authors share their experiences with Keylah, a preschooler with significant social anxiety…

This article describes the process of becoming a more reflective practitioner in the delivery of pediatric physical therapy through attention to 3 challenges: the therapist's resistance to addressing infant-parent mental health issues, the parents' resistance to acknowledging their infants' delays or disabilities, and the therapist's realization…

Prenatal exposure to alcohol results in complex problems for the developing child, some of which are long lasting, and may be irreversible. The earlier the intervention, the higher the probability of a positive outcome. In this article, the author illustrates the complex challenges stemming from Fetal Alcohol Spectrum Disorder (FASD) and how a…

Mental health clinicians who work with families with infants and toddlers often face complex challenges that require collaboration among many professionals and disciplines. A team approach to addressing infant mental health is critical to successful intervention. In this articles, a fractured family dealing with interpersonal violence and maternal…

Evidence-based assessment tools provide a scientifically driven way of understanding the quality of communication and connection between a parent or caregiver and child. In this article, the authors describe how these tools can play an important role in the developmentally appropriate evaluation of parent-child attachment in the child welfare…

Rachel attended the Family Connection Program (FCP) with her 9-month-old son to learn about infant development so she could her overcome the relational deficits of severe postpartum depression. The FCP fostered connections between Rachel, her son, and other participants through presentations about communication and interaction techniques and about…

For early care and education programs to achieve high quality, caregivers and teachers need professional development supports that enhance their actual effectiveness in the settings in which they practice. In this article, the author discusses three areas relevant to increasing the competence of early care and education providers: (a) challenging…

States have placed high priority on developing early care and education systems that include early learning guidelines, curriculum, program guidelines or standards, and early childhood educator competencies. To explore how professional development and quality improvement initiatives are being integrated into emerging infant-toddler care systems,…

Administrators in early care and education programs often turn to training initiatives to bolster staff competence in supporting children with emotional and behavioral challenges. However, training alone rarely results in the wide-ranging changes these administrators seek. This article presents a flexible approach to training, consultation and…

The Infant Parent Training Institute (IPTI) at Jewish Family and Children's Service of Greater Boston offers integrated clinical and theoretical infant mental health training. The curriculum reflects the belief that nurturing and reflective relationships promote optimal learning and growth. A specialty in infant mental health requires knowledge…

In a relationship-based approach to infant-family work, front-line staff members are frequently called upon to manage their emotions in order to offer a presence that will promote and maintain an effective relationship with parents. The work of managing emotions to elicit a desired response in others is called "emotional labor," and it comes at a…

To look closely at definitions of competency for those who specialize in infant mental health (IMH), the authors conducted a careful examination of interviews with IMH home visitors. The interview responses were categorized and then compared with interviews with the families who were served by the same IMH home visitors and with competency…

Preschool children are being expelled from child care programs at an astonishing rate, often because of challenging behaviors such as aggression, tantrums, and noncompliance. Teachers say they need more training in how to manage these behaviors in child care settings. Early childhood mental health consultation (ECMHC) has been shown to build…

The normal developmental challenges experienced during early childhood as well as more significant emotional and behavioral problems require that parents and caregivers communicate effectively. The manner in which parents and caregivers communicate with each other about children's behavior can have a significant and lasting impact on children,…