“This work really does matter”: Q & A with Infant Mental Health instructor Londa Wagner

Londa Wagner is an instructor of CEED’s online Introduction to Infant Mental Health course.

Londa Wagner
Londa Wagner

Londa Wagner, MS, LMFT, IMH-E® (III), is an instructor for CEED’s online Introduction to Infant Mental Health course. Londa is the mental health specialist for the St. Cloud Area School District early childhood programs in St. Cloud, Minnesota. She provides assessment and support to children and parents and works with early childhood staff to promote social and emotional learning and development for children, ages birth to five. Her extensive experience providing family therapy includes her private practice providing in-home family therapy to children and families who have experienced complex trauma. Londa is a founding member and serves on the Board of Directors of the Ellison Center in St. Cloud, an early childhood mental health center.

In this Q & A, Londa gives an overview of the infant mental health field and explains what participants can expect to learn in Introduction to Infant Mental Health.

Q. What age range does the information in this course apply to?

LW: Typically, in the field of mental health, when we are talking about infants, we usually mean birth to 3 years. However, the time between conception and birth is very important as well, because there is considerable evidence regarding prenatal influences on many clinical problems in early childhood. We also often extend the upper age limit to 5 years, because much research and many clinical programs extend beyond the first three years.

Q. Can you share a definition of “infant mental health”?

LW: Infant mental health is the young child’s capacity to experience, regulate, and express emotions in close and secure relationships and to explore the environment and learn. All of these capacities will best be accomplished within the context of the caregiving environment that includes family, community, and cultural expectations for young children. Developing these capacities is synonymous with healthy social and emotional development.

A happy toddler rides on the shoulders of a smiling young man

Q: Do people who take this course usually have an infant mental health background, or is the course intended for people who are exploring careers in infant mental health?

LW: Typically, the people who enroll in this course are working with children and their families, but they are not necessarily mental health specialists. For example, in our last session, participants included therapists and directors who had mental health knowledge, but who had not been trained specifically in the development of very young children. Also enrolled were a nurse who worked in a NICU, an early childhood special education home visitor, and some international students who worked in a hospital setting. All of these people had experience working with families and children in some capacity, but none had had specific training or knowledge in the philosophies and ideas of infant mental health.

I’ve heard from many students after this course that they were now able to think differently and with a new perspective, not only when working with the infants and their families, but also when working with anyone who was once an infant, which of course includes all of us! All of the development that occurs in our early childhood years tends to follow us and influence our current experiences, our work, our marriages, and our parenting. This includes influencing our attachment patterns, relationship styles, and our “ghosts” and “angels” in the nursery. These are metaphors for negative or positive early relational experiences with our own caregivers.

Q: What are the top three takeaways that you hope students come away with from this course?

LW: The first major takeaway I want to share is that relationships are the vehicle and the context for all early learning. This idea and viewpoint is often very different from our initial training and education as professionals, and it changes our work with children and families for the better. In infant mental health, the focus is always on the dyadic relationships between infants and caregivers. This is not only because infants are so dependent upon their caregiving contexts, but also because infant competence may vary widely in different relationships. What that means is that infants may act one way with one caregiver and another way with another caregiver. How they act depends on how their caregivers act; it depends on the nature of the caregiver’s presence and their positive or negative responses to the child. As we sometimes say in this field, it depends on how each caregiver is with the child. The infant mental health pioneer Jeree Pawl said, “How you are is as important as what you do.”

The second takeaway is that infant mental health is a multidisciplinary field. Infant and early childhood professionals represent a variety of disciplines spanning a variety of program and service settings. This includes early care and education, early intervention, mental and physical health, and child welfare, among other professions. Knowledge of infant mental health is beneficial to so many professions and the information learned in this course enriches your work tenfold.

The final takeaway I want to emphasize is that early intervention for children whose development is at risk has been shown to shift the balance from risk to resilience. This work really does matter!

Introduction to Infant Mental Health starts soon. Learn more and register.

Supporting kindergarten readiness at home

Here are some ways to support school readiness from home for families of children who will be starting kindergarten amid the COVID-19 pandemic.

By Alyssa Meuwissen, PhD, Research Associate

Families of children who will be starting kindergarten this fall may look to the new school year with a mix of apprehension and excitement amid the COVID-19 pandemic. There are still so many unknowns about the 2020-21 school year. Parents may also have some specific questions about school readiness. Perhaps their children were attending preschool up until recently. Maybe their schedule included sports, music, and play groups—activities that are likely much more limited under a stay-at-home order.

Parents may wonder what they can do to help prepare next year’s kindergarteners at home. At the same time, they may also be bombarded with well-intentioned resources for keeping their children occupied; just sorting through them can feel like a full-time job! The good news is that parents can help with both academic and social skills at home. Even better, kindergarten readiness doesn’t have to be another onerous item on your to-do list. Instead, it can be integrated into your child’s everyday activities, including play.

A child pulls a Jenga block from a tower of blocks

Defining kindergarten readiness

How is kindergarten readiness defined? This term can be broken down into four basic categories of skills.

Literacy: All skills underlying reading. This includes recognizing and writing letters or words and knowing the sounds letters make. It also involves being able to recall and tell stories and taking an interest in books and reading.
Numeracy: Pre-math skills like recognizing numbers, counting, making comparisons such as less or more, ordering items based on size, matching shapes, and identifying patterns.
Self-regulation or executive function: Skills that allow a child to work toward a goal, such as planning ahead, identifying and correcting mistakes, controlling impulses, and persevering through frustration.
Social-emotional skills: Knowing and following the social conventions of interacting with teachers and peers, such as listening to others, sharing, and asking others to join in play.

In this time when enrichment opportunities are more limited than usual and parents are often meeting the demands of work and parenting simultaneously, play can be used as a crucial tool for ensuring children are still practicing school readiness skills.

“Play is often talked about as if it were relief from serious learning. But for children, play is serious learning. Play is really the work of childhood.” 

Fred Rogers

Literacy and numeracy

Literacy activities don’t need to be limited to activities that require sitting still! Your child can still absorb the words in books while acting out the story or rolling on the floor. One clever idea for active youngsters is to work on the alphabet by writing their name and other words in sidewalk chalk and asking them to name (or shout!) the letters as they jump from one to the next.

Play is a crucial context for building vocabulary, as children are more likely to learn new words when they’re presented in play. Build on your child’s interests. Are they interested in animals? Talk about their play using words they may not know yet, like “mammals,” “talons,” or “herd.” Highlight the fun of language by thinking up rhymes or prompting your child to do so. You can change up the words of songs your child knows well, maybe making the song about them!

A child holds a collection of pinecones
Photo by Annie Spratt on Unsplash

Pre-math skills can also be incorporated into play and are more appealing when they are applied to your child’s interests. To build a Lego house that is the same height on all sides, a child will need to practice counting. Stuffed animals can be categorized, for example into a family of dogs and a family of cats, or lined up from smallest to largest. Children love to “hunt and gather” in outdoor play. They could collect 10 pinecones or pick 15 dandelions or sort rocks into piles of large and small.

“In play a child always behaves beyond his average age, above his daily behavior; in play it is as though he were a head taller than himself.”

Lev Vygotsky

Executive function and social-emotional skills

Playing pretend allows children to process their emotions, because they are able to take an outside view rather than being overwhelmed by the experience itself. Pretend play is also a unique realm where children have control over how they wish things were. What does your child talk about when they pretend? Being able to make believe that, for example, the playground is open, helps children to express and have control over their feelings about playgrounds being closed. Sometimes having an adult join in a pretend world is an important acknowledgement that the child’s feelings are valid.

To build executive function skills, it’s important for parents to let children lead the play. Children don’t get to make many big decisions in the “real world,” so pretend play is a chance for them to make a plan and discover the consequences. Encourage your child to verbalize a plan. For example, “Monkey will eat breakfast, then take a bath, then get dressed, then take a nap.” Or else, “I will build a rocket that has three windows.” Then help them remember and carry out their plan. For activities where there’s a “right answer,” such as putting together puzzles, think about how you can avoid correcting children’s mistakes. Instead, try to guide them through identifying and correcting their own mistakes. Teaching kids overall strategies, such as building the corners and edges of the puzzle first, helps them become more independent.

One way to help them practice the social skills that they’ll need when they enter kindergarten is to harness play to work through imagined scenarios. If you want to work on sharing with your child, build on what they are playing. For example, suggest that one doll wants to play with the other doll’s toy. You can ask your child about how the dolls are feeling. What might they say to each other? How might they work out sharing the toy?

You can also encourage children to “play school” as kindergarten approaches. You may notice them using puppets or stuffed animals to work through questions and concerns they have about starting school, and you can follow suit, providing information and reassurance about what to expect through the medium of pretend play.

We all know that reading to children is an important way to support budding readers, and choosing books about making friends and resolving conflict can help develop social-emotional skills as well as literacy. I’m fond of two series from Free Spirit Press. The Best Behavior series includes titles such as Hands Are Not for Hitting and Words Are Not for Hurting that are appropriate for the very youngest children. Free Spirit’s Learning to Get Along series offers titles like Share and Take Turns and Join in and Play. Another fun pair of picture books are Me Too and Me, Me, Me by Annika Dunklee from Kids Can Press. These stories are aimed at slightly older children but their relatable characters and social situations would also appeal to the pre-K set.

Using screens intentionally

Many parents are relying on screen time more than they otherwise might as a way to get things accomplished with the whole family at home. Instead of feeling guilty, why not be intentional about which programs and games children engage with? High-quality TV shows and games do exist that entertain and teach at the same time. PBS Kids offers ad-free shows and games to suit a variety of ages and interests. Most of their apps are free of charge, including the content-rich PBS Kids Video and PBS Kids Games apps. Consult the independent nonprofit organization Common Sense Media for reviews and recommendations for all kinds of media on many different platforms.

School readiness activities don’t have to be complex or time-consuming. Meet children where they are—at play! Observe your child at play. What school readiness skills are they already using? What do they love to play? How can you make your child’s play a little more fun, a little more interesting, and a little more educational by adding some new ideas?