The evidence is in: 1001 critical days-a priority and an opportunity for mental health promotion, prevention and early intervention that cannot be ignored

Abstract

Background: An evidence base has emerged highlighting the importance of pregnancy and the early years of a child's life for setting a foundation for social and emotional well-being and resilience, and reducing the risk of the intergenerational transfer of mental health issues. Pregnancy and the early years are a public health priority and require an integrated and collective approach to achieving positive outcomes. Objectives: To provide an overview of the 1001 Critical Days Manifesto and Coalition and to summarize the existing literature on the importance of pregnancy and the early years of a child's life in building emotional resilience, optimizing development and reducing the likelihood of future mental health issues through promotion, prevention and early intervention. Methods: Literature searches of the science of child development and the early years of a child's life including an understanding of the neuroscience, the impact of trauma, the importance of sensitive and responsive care for optimal infant development and the requirement of a collaborative community and service sector that can respond to the social and emotional needs of perinatal families. Findings: Solid evidence exists for positive returns in investing in social and emotional well-being and child development in pregnancy and the early years of a child's life for individuals, families and society. Conclusions: An integrated and collective response is required to ensure optimal social and emotional well-being outcomes in the perinatal period, which will become the foundation for future resilience and reduce the risk of the intergenerational transfer of mental health issues.L6116370352016-08-16 <br />