Grief does not spare infants and young children. Attachment disruption through the loss of a primary caregiver is devastating to a young child's foundational experience of safety without the developmental capacity to understand any aspect of their loved one's absence. In this case story, the authors explore the diagnosis of complicated grief in…

The University of Minnesota's Birth to Three Clinic has adopted a holistic approach to supporting children's needs within an attachment-focused, trauma-informed, and neurodevelopmental framework rooted in the DC:0-5™ classification framework. This clinical framework of infant and early childhood mental health (IECMH) assessment has been applied in…

The Reflective Interaction Observation Scale (RIOS™) was developed as a research tool to identify the extent to which a supervisory session demonstrates a reflective process grounded in infant and early childhood mental health (IECMH) principles and practice. It is aligned with the competencies of the Endorsement for Culturally Sensitive,…

Researchers from the Happy Teacher Project found that many early childhood teachers experience stress and demonstrate lack of well-being at rates and levels that threaten the quality and sustainability of the workforce. Further, working with children exposed to trauma adds significant emotional and physical burden on teachers who already struggle…

This article offers an introduction to the creation and implementation of a workforce development project for frontline providers serving mixed-status immigrant families in infant and early childhood programs. The project comprised specialized training and an innovative approach to reflective consultation to provide an in-depth exploration…

An Early Head Start teacher and an infant and early childhood mental health consultant share the story of how their consultative relationship was shaped by a significant rupture and subsequent repair. From their individual perspectives, they reflect on how racial differences, past traumas, relational histories, and not maintaining the consultative…

A trauma-informed organization serving young children and their families experienced differentials in vaccine uptake. Organization leadership viewed this response through a trauma-informed framework that recognizes legacies of scientific racism and attendant distrust of medical information, particularly new treatments. Trauma-informed frameworks…

Trauma early in life can significantly impair children's development, mental health, and learning, placing them at risk for poor mental and physical health problems throughout life. Young children experience trauma more often, and are more vulnerable to its harmful effects, than older children. Early childhood education (ECE) programs regularly…

Professionals who are working to support infants, young children, and families are called upon to build others up, and doing so requires a strong foundation. Yet, in these challenging times of a global pandemic, all are standing on unfamiliar ground. The pandemic has required that professionals across disciplines adapt to changing circumstances…

In the swift shifts and complexity of the system of government agencies making decisions about babies at the border, the ZERO TO THREE Policy Center relies on decades of research on brain development, child well-being, and the impact of trauma to serve as crucial guideposts for our work. This article offers a description of this moment in the…

DC:0-5™: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (ZERO TO THREE, 2016) emphasizes the centrality of relationships for young children's development and psychopathology. The authors share the story of a young child and his mother to illustrate the use of DC:0-5, with an emphasis on how…

This article describes the impact on young children of sudden and extended separation from a primary attachment figure. It recommends clinical intervention when the child's development and family functioning are negatively affected by the severity of the child's symptoms, and it highlights key treatment modalities derived from Child-Parent…

The recent headlines about parent and child separation at the U.S. border has raised concern about the impact of such experiences on young children. In this article, the author provides the children's perspective of parental separation and loss and their experience of mourning during infancy and early childhood. Three vignettes illustrate how…

Young children in the child welfare system are inherently vulnerable to disruptions in early attachment, and abrupt changes of placement can function as trauma triggers. In this article, the authors present a case from a Child-Parent Psychotherapy (CPP) Learning Collaborative which exemplifies the potential trauma of placement changes, and how CPP…

This article explores the identity development of young children of color growing up in transracial adoptive homes. The authors present the story of a 6-year-old child with a history of severe trauma and how this trauma shaped her understanding of race and identity. After her eighth foster placement, the child's play and talk became increasingly…