Discovering a Passion for Connection

“I never set out to be a nurse,” Trish recalls. “In high school, I thought journalism or broadcasting might be my calling—I loved storytelling and learning about people. But as soon as I realized that public speaking made me queasy, I knew I had to rethink my plans.” She shared that her parents’ careers had also influenced her more than she had initially realized. “My dad was a firefighter, and my mom had started nursing school before shifting paths. Healthcare had always been in the background of my life, even if I hadn’t acknowledged it yet.”

A defining moment came when Trish had the opportunity to shadow a nurse practitioner in high school. It was a light bulb moment as she saw how science met human connection. “That experience cemented my decision, and I was determined to pursue nursing despite the daunting competition. I remember being told, ‘You need at least a 3.5 GPA to even apply.’ That was intimidating, but it didn’t deter me. I had found my path, and I was ready to fight for it.”

“Created by the field, for the field, the core competencies are intended to be a ‘living’ set of resources that meet the needs of the professionals doing this critical work,” explains Cassie Morley, Assistant Director for Home Visiting at Start Early Washington. These core competencies were crafted with deep engagement from the home visiting community, with over 350 professionals helping to shape them, ensuring that they truly reflect the work and values of the field. “Those documents and those ideas really do belong to them,” Cassie emphasizes. “It seems only fitting that we would try our best to make sure they are available in the languages that that group of people reads and speaks and prefers to take in information in.”

Translating the competencies into these four languages was guided by the home visiting field itself, following the same collaborative and inclusive spirit in which they were initially developed.

Start Early & Head Start

Start Early’s partnership with Head Start began in 1985, coinciding with the launch of the Beethoven Project, a groundbreaking program developed to provide wraparound services – including early education options – to families in Chicago’s Grand Boulevard neighborhood. Initially starting off as a grantee of Head Start funding, Start Early has since developed a deep, decades-long relationship with Head Start, that has culminated in a Start Early, Early/Head Start Network, two directly operated programs, and the aligned goals of delivering equitable access to high-quality early learning and care for children and families in the areas in which we operate.

As our network now stands, we partner closely with several local community-based agencies, including our two directly operated programs – Educare Chicago and Healthy Parents & Babies – delivering not only early learning services but also crucial components like doula, home visiting, nutrition, family, health and wellness services. With Black and Hispanic children representing a disproportionate share of children living in disinvested areas, Head Start programs also play a crucial role in addressing opportunity gaps in school readiness for children facing systemic barriers.

Looking to the future, we will continue working in tandem with Head Start to best meet the needs of the families we serve and continue centering family and early childhood education provider voices and expertise in all areas of our work. We are also working to expand our network reach by partnering with new agencies to deliver Head Start services throughout Chicago and our surrounding suburbs and are actively expanding our efforts to address the teaching shortage in the early education field. Through this approach, we hope we can continue providing the best-in-class early education and services so that our children and families within our communities and programs can thrive.

Picky eating is a common concern among parents, especially in early childhood. It’s a sensitive topic because food is deeply personal and essential for growth and development. Understanding picky eating, its causes, and how to support a child through it can make a significant difference in fostering healthy eating habits.

In this blog, Melanie Santarelli, our Health & Nutrition Services Manager, explores what picky eating is, why it’s common, strategies to support picky eaters, and dispel common misconceptions about children’s nutrition.

What is picky eating?

Picky eating typically refers to a child having strong food preferences, refusing to try new foods, or avoiding certain textures or tastes. It’s a phase that most children go through during their development. According to Melanie, nearly every child experiences phases of picky eating. This behavior can vary widely from child to child, making it crucial for parents to approach it with patience and understanding.

Identifying When to Be Concerned

While picky eating is usually normal, there are instances where it might indicate a more significant issue. Parents should consult their child’s medical provider to differentiate between typical picky eating and something that may require intervention. Regular checkups and open communication with health care professionals are vital in ensuring that a child’s eating habits are healthy and developmentally appropriate.

Supporting Your Picky Eater

Supporting a picky eater involves a combination of patience, creativity and persistence. Here are some strategies to help:

• Offer Variety: Continue to introduce a variety of foods. If your child doesn’t like a food prepared one way, try a different method. For example, if they don’t like steamed broccoli, try roasting it.
• Make Meals Fun and Engaging: Turn mealtime into a fun experience. Get your child involved in cooking, gardening, or grocery shopping. Discuss the food’s taste, texture and appearance to make them more curious and engaged.
• Be Patient: Don’t force your child to eat. Encourage them gently and offer new foods multiple times without pressure. A relaxed approach can help reduce mealtime stress.
• Role Modeling: Children learn by observing others. Eat together as a family without distractions, and model healthy eating habits. Older siblings can also be role models for younger children.
• Seek Professional Help: If picky eating seems to be more than a phase, seek advice from medical providers. They can refer you to dietitians or occupational therapists if needed.

Common Misconceptions About Children’s Nutrition

There are several misconceptions about children’s nutrition that parents should be aware of:

1. Picky Eating is Abnormal: Picky eating is a common phase in early childhood. Research says it takes eight to 15 times to introduce a new food before your child will accept it. Children need repeated exposure to new foods before they may accept them. Try offering it again in a different form or at a different time.
2. Healthy Eating is Expensive: Healthy eating doesn’t have to be costly. Utilizing frozen fruits and vegetables can be a budget-friendly way to provide nutritious meals.
3. All Children Need Whole Milk: Recent research suggests that not all children need whole milk after the age of one. Only children who are underweight require whole milk; others can transition to lower-fat options.
4. Milk is Necessary at Every Meal: A common misconception is that children need to drink milk with every meal. However, milk can be very filling, especially for young children with small stomachs. Offering milk with meals can sometimes lead to a full stomach, making the child seem picky when they’re just not hungry. Offering water during meals instead can help ensure that they are still interested in eating their food.
5. Babies are Ready for Solid Foods at Four Months old: The phrase “food before one is just for fun” highlights that introducing solid foods before a child’s first birthday is more about familiarizing them with textures and the concept of eating than meeting nutritional needs. Starting solids too early can make it seem like a child is picky when they may just not be developmentally ready for solid foods.

Picky eating is a common, often frustrating phase in early childhood. During the holidays, having a picky eater can be even harder to navigate. Consider having a “practice” meal or having one of your child’s favorite foods at the table is an easy way to help your child feel more comfortable.

With patience, creativity, and the right strategies, parents can support their children through this phase and help them develop healthy eating habits. Remember, every child is unique, and what works for one may not work for another. Stay informed, trust your instincts, and seek professional advice when needed.

Looking for Bright Spots

What are some of the biggest things you’ve learned in supporting infant and maternal mental health?

Becca: I have been really impressed by the leaders that we have encountered in Washington State and across the United States. We all know there are not enough resources in the ecosystem to support families. We also know there is not enough support for the work that infant and maternal mental health leaders are doing. Yet so many leaders are willing to step forward with partners and make things happen. For example, Perinatal Support Washington and Start Early partnered to provide home visitors with Maternal Mental Health training. That partnership has created new mental health resources for the workforce and for families.

Kim: Because early childhood and parent mental health is so under-resourced, there are opportunities for progress in many kinds of systems. That is helpful because as we seek to fund systems change, we can remember we don’t have the answers. We can’t foresee which groups of stakeholders, in which systems, are going to rise to the occasion because they care deeply about the bond between caregivers and a child, and they see how important that is to their work.

In Tennessee we see leadership from community behavioral health, in California we see innovation led by pediatricians and community health workers, and in New Jersey there are doulas growing access to maternal mental health care. These examples are the tip of the iceberg. The diversity of ways to make progress is both a lesson learned as well as an approach we can continue to support.

Creating a Movement

(Start Early) Are you finding new champions for infant and maternal mental health emerging since Perigee began in 2018?

Becca: We have learned that there are champions everywhere. I think our mission calls us to learn about opportunities to help everyone see the importance of child and family wellbeing and valuing the earliest relationships. Particularly where there are instances of trauma in a family’s experience, either now or intergenerationally.

Whether it’s guaranteed basic income or child welfare, there are people in tune with needs and opportunities, and there are people who are curious and want to learn more. By gathering people together, getting to know one another, and talking about the issues, you can see the places where the family economic security goals and the mental health goals can come together and be in alignment.

As a former preschool teacher, Adrienne Matthias, Start Early Washington Home Visiting Training Manager has always believed in the power of early connections with families. While teaching in Korea in her twenties, she recognized that the most powerful way to reach children was through the parents and caregivers who really had the strongest relationship with them. This awareness of the opportunities to create healthy relationships early on is what eventually led her to home visiting.

Planting the Seeds for Early Intervention

Back in the U.S. teaching preschool, the idea of connecting with families as early as possible became more important to Adrienne, strengthening her view that all parents need support during those first critical years of a child’s life. This led Adrienne to training as a home visitor, because as she sees it, home visiting provides an important resource, partnering with parents in ways that differ from a traditional classroom setting. Home visitors can support parents, building their confidence and providing tools and emotional support during the critical early days of parenting.

We asked Michael Gouterman, our mental health expert, why prioritizing parental mental health is essential for nurturing a healthy environment for children to thrive.

• Understanding the Impact
  Parents are their children’s first teachers, and it is the quality of parent-child relationships and interactions that create the foundational skills that children need to be successful in school and in life. When parents experience mental health challenges, it can have ripple effects on their children’s development.
• The Dysregulated World
  Imagine a child born into a world where their caregivers are grappling with their own dysregulation—an environment marked by stress, anxiety or depression. In such circumstances, the ability of caregivers to provide consistent emotional support and regulation may be compromised, impacting the child’s sense of safety and security. Read our tackling tough topics posts on: Racism and Violence
• The Transmission of Stress
  Stress has a way of affecting parent-child relationships and impacting the way children may perceive the world. When parents struggle with their mental health, children may internalize this stress, leading to challenges in emotional regulation and social and emotional development.
• Empowering Parents as Advocates
  Recognizing the importance of parental mental health is not about assigning blame, but rather acknowledging the complex interplay between individual well-being and environmental factors. Empowering parents to advocate for their own mental health is paramount, ensuring they have access to resources and support systems to address their needs.
• Breaking the Cycle
  When we prioritize parental mental health, we can break the cycle of the intergenerational transmission of stress and help create an environment where children can thrive. When parents prioritize their own well-being, and are better equipped to provide the support and stability their children need to navigate life’s challenges.

Helpful Mental Health Resources for Parents

• Mental Health Resources for Parents and Caregivers – Administration for Children and Families
• Parenting while coping with depression
• Resilience topic landing page and resources – American Psychological Association
• Taking care of ourselves – Activities for parents (English)
• Taking care of ourselves – Activities for parents (Spanish)
• Checking your employee benefits for Employee Assistance Programs, which typically include mental health support.

Mindfulness Tips:

• Check your employee benefits for subscriptions to paid mindfulness and meditation services, such as Calm or Chill Anywhere.
• Search your phone’s app store for apps that offer free services.
• Youtube is a great resource for finding free mindfulness and/or meditation sessions of any length.

Here are some simple yet powerful activities that can cultivate positive mental health experiences:

• Establishing Rituals and Routines
  Rituals and routines provide a sense of predictability and stability for young children, helping them feel safe and secure in their environment. Consider incorporating the following rituals and routines into your daily life:
  • Morning and bedtime routines: Establish consistent rituals for waking up and going to bed, such as reading a bedtime story or sharing highlights from the day.
  • Mealtime rituals: Create special traditions around mealtime, such as setting the table together or sharing a favorite family recipe.
  • Transition rituals: Develop rituals for transitions, such as saying goodbye before leaving for school or welcoming your child home after a day apart. ​Don’t be afraid to be creative and make your own unique rituals as a family.

By consistently practicing these rituals and routines, you can instill a sense of familiarity and connection in your child’s daily life, promoting a feeling of safety and predictability.

• Exploring New Experiences
  While routines provide a sense of security, it’s also important to expose children to new experiences and challenges to support their growth and development. Here are some ways to encourage exploration and curiosity:
  • Visit new places: Take your child on outings to explore new environments, such as parks, museums or community events. There are many opportunities each month to gain free access to many of the popular museums and attractions throughout the Chicagoland area.
  • Try new activities: Encourage your child to try new hobbies or activities that spark their interest, whether it’s painting, dancing or playing a musical instrument.
  • Embrace nature: Spend time outdoors exploring nature together, whether it’s going for a hike, collecting and sorting leaves or playing in the backyard.

By introducing new experiences in a supportive and encouraging environment, you can help your child develop confidence, resilience and a sense of curiosity about the world around them.

• Cultivating Connection
  Building strong connections with caregivers, family members and peers is essential for promoting positive mental health in early childhood. Here are some ways to foster meaningful connections:
  • Quality time: Set aside dedicated time each day to spend one-on-one with your child, engaging in activities they enjoy and showing genuine interest in their thoughts and feelings. Even for the busiest of schedules, dedicating a small amount time together can have a tremendous impact.
  • Family traditions: Create special traditions and rituals that bring your family together, such as movie nights, game nights or weekend outings.
  • Social interactions: Encourage your child to interact with peers through playdates, preschool or community groups, providing opportunities for friendship and social development.

What is mental health?

At its core, mental health encompasses social, emotional, and psychological well-being. It’s about how we think, feel, and behave, and how we navigate the world around us.

Providing safe environments for children, where they can build relationships and connections with their caregivers and loved ones, has a positive impact on their mental health. These early interactions lay the groundwork for a child to learn and feel a sense of safety and security in the world.

In these safe and nurturing environments, children begin to develop what psychologists refer to as a secure attachment which Influences how children relate to others throughout their lives.

Why is mental health important in early childhood development?

At Start Early, we know that the foundation of a child’s social and emotional competence begins forming in the prenatal relationship and continues to be laid the very first days, months, and years of life, shaped by the interactions babies have with their parents and other caring adults. Babies thrive when they are securely attached to someone special—their mother, father or other primary caregiver—who knows and responds consistently and reliably to their needs.

Mental health is a lifelong journey that is shaped by our experiences, relationships and environments. We know from research that quality programs for infants, toddlers and their families can make a significant impact on their lives, a difference that can last a lifetime.

As we embark on this journey of exploration and understanding, let’s remember that mental health is not a destination but a continuum. By nurturing our own mental well-being and supporting those around us, we have the opportunity to build a stronger world for everyone to thrive as their best selves.