1 / 9100%
CARE AND DEVELOPMENT OF INFANTS AND
TODDLERS - AN INTRODUCTION
When you think about infants and toddlers, what words and images come to mind? William James imagined
infants as experiencing a “blooming, buzzing confusion” (James, 1890). More recent and more accurate
images consider infants and toddlers as young scientists making sense of their world as they actively engage
with it (Gopnik, 2012; Gopnik, Meltzoff & Kuhl, 1999). The goal of this section is to briefly introduce you
to infants and toddlers by presenting demographic information, guiding principles of infant/toddler care
and education and to demonstrate why quality care and education for infants and toddlers is so important
1.2: Who are Infants and Toddlers?
Infants and Toddlers
As a collective, the term “infants and toddlers” refers to children from birth to three years of age. More
specifically, infancy refers to children between birth and one year of age, while toddlerhood refers to
children between 1 and three years of age. In many texts, infants and toddlers are perceived as a
homogenous group (i.e., Maguire-Fong, 2014); however, recent research highlights the importance of
recognizing the individual differences between children under three years of age (Frank, Braginsky,
Yurovsky & Marchman, 2021; Kidd, Donnelly & Christiansen, 2018; Pérez‐Edgar, Vallorani, Buss &
LoBue, 2020). It is now undeniable one cannot consider all infants or toddlers to be developmentally similar
or to have similar experiences. There are important, early forming and long-lasting individual
developmental differences (Marchman & Fernald, 2008).
Infants and toddlers in the U.S. represent a diverse group demographically. The organization Zero to Three
conducts a large annual report revealing state and national data on infants and toddlers (Keating et al.,
2021). Across the years, the data have revealed a few general findings that are noteworthy when considering
who infants and toddlers are and their individual differences (each year’s data may be different so this list
presents average findings across the years that data has been collected so far):
Over 50% of the nation’s children under three years of age are children of color.
About 40% of infants and toddlers live in households where the income is less than twice the federal poverty
level (about $50,000 a year for a family of four in 2018).
Approximately 20% of infants and toddlers live with a single parent.
Infants and toddlers have the highest rates of abuse and neglect of any age group.
Approximately 20% infants and toddlers have already been exposed to one adverse childhood experience
and about 7% have experienced two or more.
Less than 40% of infants and toddlers are read to every day.
There are racial/ethnic disparities across several critical domains, such as prenatal care, preterm birth rates,
breastfeeding rates and crowded housing.
There are disparities based on family income, such as maternal mental health, breastfeeding rates,
neighborhood safety, adverse childhood experiences, book reading frequency, and developmental
screenings.
States differ greatly in offering positive learning experiences in child care settings and in the homes of
families.
This page titled 1.2: Who are Infants and Toddlers? is shared under a mixed 4.0 license and was authored,
remixed, and/or curated by Todd LaMarr.
1.3: What does Care and Education of Infants and Toddlers mean?
Care and Education of Infants and Toddlers
What does care and education of infants and toddlers even mean? Perhaps it is most clear to start by
describing what it is not. Care and education of infants and toddlers is not babysitting. Babysitting, or
keeping an eye on a child and making sure they are safe, is hardly even the minimum of what this means.
The first three years of a child’s life are a critical foundation for later development, so caregivers need to
implement research-supported strategies to create secure and stimulating experiences with quality
relationships in the classroom.
Care and education of infants and toddlers is not preschool. Although there are many different preschool
pedagogical approaches, they often revolve around schedules of table top activities, circle time and
indoor/outdoor play. Should this be similar for infants and toddlers? For some, infant and toddler education
is just like preschool or at least the goal is for it to be as similar to preschool as possible. The activities
might differ and the allotment of time devoted to activities may be different, but many infant and toddler
programs attempt to be replications of preschool curricula, using a diluted approach.
Care and education of infants and toddlers is and should be very different from preschool curriculum. The
term curriculum is being used more frequently in reference to infants and toddlers, but it carries a different
meaning than what is commonly considered when people think about curriculum. What do you think about
when you consider the term curriculum? Do you envision a curriculum book that lays out day-by-day
activities with weekly and monthly themes? This is common in many preschool settings. Curriculum for
infants and toddlers is different. Curriculum for children under three years of age focuses on relationships
while closely observing and reflecting upon the interactions and experiences that unfold.
This page titled 1.3: What does Care and Education of Infants and Toddlers mean? is shared under a mixed
4.0 license and was authored, remixed, and/or curated by Todd LaMarr.
1.4: Guiding Principles of Infant and Toddler Care and Education
Principles of Care
Decades of research and theory have produced some general guiding principles that are an important
starting place for understanding infant and toddler care and education. [1]
Principle #1: Children are active participants in shaping their own development.
Infants and toddlers seek out information from their environments and social partners through eye gaze,
communication/language, physical touches and manual manipulations of objects. Specific types of
information attract infants’ attention and provide unique access into helping them understand how the world
works. For example, infants prefer to listen to infant-directed language and this type of language exposure
from adults helps infants acquire language (García-Sierra, Ramírez-Esparza, Wig & Robertson, 2021; Graf
Estes & Hurley, 2013). A great example of how active participation shapes personal development comes
from motor development. Even after toddlers begin to walk, there is still much more improvement needed
to walk efficiently. In fact, toddlers take an average of 2,368 steps each hour and also fall an average of 17
times (Adolph et al., 2012). Actively engaging in the practice of walking shapes their own developmental
process in walking efficiency. Additionally, actively engaging in the practice of walking is related to
individual differences in language and cognitive development since walking creates new opportunities to
engage with other people, holding objects while being mobile and encountering new objects and
experiences (Karasik, Adolph, Tamis-LeMonda & Zuckerman, 2012; Schneider & Iverson, 2021; West &
Iverson, 2021)
Principle #2: Relationships and experiences are the primary ways development occurs.
Infants and toddlers develop through adult-child and child-child relationships and through exploring their
world, both alone and with others. Sensitive, respectful, and stable relationships with caregivers serve as
the foundation for the healthy development of infants and toddlers (Bornstein et al., 2020; Li et al., 2022;
Raby et al., 2019). These relationships are the starting place for language, social, emotional, and cognitive
development—and these relationships are literally shaping the structure of the developing brain (Bernier,
Calkins & Bell, 2016; King et al., 2021; Nelson, Zeanah & Fox, 2019). [1]
Principle #3: Development is complex and transactional.
Children and their contexts shape each other in ongoing and cyclical ways—referred to as the transactional
model of development (Sameroff, 2009; Sameroff & Mackenzie, 2003). For example, each child is raised
in a cultural context that shapes all aspects of development, but the child’s particular familial or cultural
context may also affect the larger community context over time in complex ways. The same environmental
factors can affect different children and families in different ways. Likewise, different environmental
factors can have a similar effect on children. For example, toddlers from lower SES homes typically are
exposed to less language; however, this is not always the case as even amongst all low SES families, some
toddlers are exposed to an
abundance of language while others are exposed to much less (Weisleder & Fernald, 2013). Figure shows
how the amount of words toddlers hear in one day differs greatly amongst families. In the graph, each
vertical bar represents one child’s total amount of words they are exposed to in one day. So even though all
these toddlers were from low SES families, there were significant differences in the amount of language
from caregivers. [1]
Each bar represents one child's level of word exposure. There are total of 28 bards on this graph, for 28
different children. This graph shows the number of words that different kids heard from grownups in 1 day.
The bottom section/green part of each bar shows the number of words that grownups said to that kid in 1
day. The top/blue part of each bar shows the number of words that kids overheard when grownups were
talking to other people. For example, kid 2 heard 2,500 words total. 2,000 words are directed to her, and
500 words are overheard. Child 23 hears 20,000 words total. 2,000 words are directed to her, 18,000 words
are overheard. Child 27 hears 21,000 words total. 15,000 words are directed to her, 6,000 words are
overheard.
Principle #4: Development and learning occur in multiple systems or contexts.
Infants and toddlers develop as the result of the direct interactions they have with the people in their world
(family, friends, non-parental caregivers), as well as the indirect influences, including community
resources, policies in parental work settings, state child care policies, and many more physical, social, and
interactional environments (Bronfenbrenner & Morris, 2006; Rowe & Weisleder, 2020). Within these
multiple systems and contexts, parents are children’s first and most influential caregivers and their primary
sources of knowledge. The quality of these various contexts can greatly influence the developmental
trajectories of infants and toddlers (Gilkerson et al., 2018; Larose et al., 2021; Shuffrey et al., 2022). [1]
Principle #5: All areas of development are interrelated.
During the infant and toddler period, the domains of development (i.e., physical development, cognitive
development, and social development) are interrelated. Development in one domain influences
development in other domains. For example, an infant's motor ability to sit independently is related to
cognitive and language development (Oudgenoeg-Paz, Volman & Leseman, 2012; Veldman et al., 2019).
As a result, developmental domains cannot be considered in isolation from each other. The dynamic
interaction of all areas of development must be considered when planning for and interacting with all
children, especially infants and toddlers. [1]
Principle #6: There are vast individual differences in rates of development among children.
Each child has a unique rate of growth and development. Some children may have a developmental delay
or disability requiring early intervention and/or adaptations to be successful in achieving a particular
developmental outcome. Furthermore, early forming individual differences are important because they are
often associated with positive outcome benefits. For example, achieving motor milestones earlier (sitting
or walking) is related to short-term growth in language abilities (Carina, Leinweber & Ritterfeld, 2019; He,
Walle & Campos, 2015). While milestone charts can provide approximates for what is considered typical
development, recent research into early individual differences highlights the important role caregivers have
for providing high-quality positive care and educational environments for infants and toddlers (Lopez et
al., 2020; Ramírez, Lytle & Kuhl, 2020). [1]
Principle #7: Birth to age 3 is a distinct developmental period that is the foundation for later development.
Periods of rapid growth and change, such as during infancy, offer the greatest opportunities for experiences
or interventions to influence the course of development (Raikes, Love, & Chazan-Cohen, 2004). The
relationships and experiences that influence development from birth through age 3 can have a profound and
lasting impact. For example, experiences during infancy affect the architecture of the brain or the way the
brain is “wired” (Center on the Developing Child, 2007), as well as how the brain works, including how
fast it thinks, how it makes connections and remembers, how it pays attention to information, and how it
forms ideas, concepts, and understandings (Fernald, Perfors & Marchman, 2006; Rose, Feldman,
Jankowski, & Van Rossem, 2008). Infancy and toddlerhood is characterized by rapid growth and
development of concepts, attitudes, skills, and abilities that are foundational for current development, later
success in school, and lifelong learning (Domond et al., 2020; Early Head Start National Resource Center,
2012; Losier et al., 2021). [1]
Figure :The fun of exploration (Image by Senjuti Kundu on Unsplash)
[1] Horm et al., (2016). Developmental foundations of school readiness for infants and toddlers: A
research to practice report. OPRE Report #2016-07, Washington, DC: Office of Planning, Research and
Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. In
the public domain.
This page titled 1.4: Guiding Principles of Infant and Toddler Care and Education is shared under a mixed
4.0 license and was authored, remixed, and/or curated by Todd LaMarr.
1.5: Why is Care and Education with Infants and Toddlers Important?
The rapid growth that unfolds during the first three years of a child’s life is unprecedented and establishes
a developmental foundation for future years to build off of. The experiences infants and toddlers have are
related to short-term and long-term growth trajectories. Not only are the infant and toddler years associated
with school readiness, but the first three years are also a wise investment for long-term academic and
developmental outcomes.
School Readiness for Infants and Toddlers?
Until very recently, the majority of work in school readiness has focused on the preschool period. In fact,
the term school readiness itself is controversial when applied to infants and toddlers. School readiness often
brings about the idea of formal academics such as letters and numbers presented in ways that are not
developmentally appropriate for infants and toddlers. However, as the term school readiness became more
broadly defined and the research base documenting the important foundations for later learning established
during the first three years expanded, families, programs serving infants and toddlers, and policymakers
have increasingly accepted that school readiness begins in infancy.
Several organizations have issued guidance and developed resources for programs, practitioners, and
families on how to think about and offer services to support the foundations of school readiness in infants
and toddlers. For example, in 2013, the National
Association for the Education of Young Children (NAEYC) published a book entitled Developmentally
Appropriate Practice: Focus on Infants and Toddlers devoted to defining and applying the concept of
developmentally appropriate practice for teachers and caregivers working in infant and toddler programs
(Copple, Bredekamp, Koralek, & Charner, 2013). The Office of Head Start has also provided guidance to
programs through developing the Framework for Programs Serving Infants and Toddlers and Their
Families and The Parent, Family, and Community Engagement (PFCE) Framework. Figure presents the
Framework for Programs Serving Infants and Toddlers. An important aspect of the Early Head Start
framework is the relationship between the provision of high-quality services and children’s growth and
development. The quality of early childhood service is multidimensional and encompasses not only
characteristics of staff but also the quality of the interactions and relationships among staff members and
the children and parents with whom they work. States have also published expectations for infants, toddlers,
and their caregivers (National Center on Child Care Quality Improvement, 2019). As of 2019, all U.S. states
have developed early learning development guidelines for preschool children (3 to 5 years old), and most
states, although not all, have early learning development guidelines that either include or are separate for
infants and toddlers. [1] [2]
Figure : Children's well-being and competence enhance children's growth and development, enhance
parent-child
1.5.1
relationships, strengthen families, provide children with individualized services, develop strong
relationships with parents and children, link children and families to community services. Ensure programs
meet high-quality standards that Foster: the proficiency of staff, nurturing environments to support child,
the engagement of family strong partnerships in the community (Image from Vogel et al., (2015). Toddlers
in Early Head Start: A portrait of 2-year-olds, their families, and the programs serving them)
The infant and toddler period is an opportunity to support young children’s optimal development and to set
a positive path for school readiness and life-long success. It is also true that all opportunities involve risk.
A risk with applying the concept of school readiness to infants and toddlers is the temptation to funnel
practices developed for preschoolers to children under three years of age. To avoid this risk, attention to
the unique developmental characteristics of infants and toddlers and purposeful reflection is required to
ensure activities and interactions are age-appropriate. [1]
Infant and Toddler Care & Education: A Wise Investment
The experiences infants and toddlers receive during the first three years of life can have a long-lasting
impact on their later development, academic achievement and income in adulthood. While there are
numerous studies documenting the long-term benefits of investing into the preschool years (Bai, Ladd,
Muschkin & Dodge, 2020; Deming, 2009; Fisher, Barker & Blaisdell, 2020; Joo et al., 2020; Knudsen,
Heckman, Cameron & Shonkoff, 2006; Nores, Belfield, Barnett & Schweinhart, 2005), more recent studies
have revealed that investing into the infant and toddler years has strong, long-lasting benefits as well.
When children attend center-based or family child care programs as infants, they are more likely to graduate
high school (compared to dropping out) and less likely to be in poverty as adults (Domond et al., 2020;
Gertler et al., 2014; Losier et al., 2021). Attending center-based programs, compared to informal care, such
as by a family member, can have a long-lasting, positive impact on a child’s social-emotional, language
and cognitive development (Davies et al., 2021; Felfe & Lalive, 2014; Gomajee et al., 2018; Hansen &
Hawkes, 2009; Luijk et al., 2015; Orri et al., 2019). Infants and toddlers who attended a center-based
program for at least one year saw the greatest social and emotional benefits later in childhood (Gomajee et
al., 2018). During the COVID-19 pandemic, infants and toddlers who attended group care programs,
compared to those in informal care, had higher cognitive abilities (Davies et al., 2021). In Chile, toddlers
who attended center-based care had higher cognitive and language scores, compared to toddlers in informal
care (Narea, Arriagada & Allel, 2020; Narea, Toppelberg, Irarrázaval & Xu, 2020).
The greatest returns on investments into infancy and toddlerhood may be for the children who are most at
risk (Felfe & Lalive, 2014). One risk factor for optimal child development outcomes is low socioeconomic
status (SES). SES is a multidimensional construct, combining factors such as an individual's (or parent's)
education, occupation, and income (McLoyd, 1998). In 2020, there were 37.2 million people in poverty in
the U.S., approximately 3.3 million more than in 2019 (United States Census Bureau, 2012). Approximately
40% of infants and toddlers live in households that are low-income or in poverty (Keating et al., 2021). In
California, infants and toddlers of color are more likely to be growing up in poverty (Keating et al., 2021).
Figure shows the 1.5.3
percentage of children under three years of age in California, by race, who are living in poverty. Compared
to only 7% of White children, 39.2% of American Indian/Alaska Native, 31.8% of Black and 22.2% of
Hispanic children are growing up in poverty (Keating et al., 2021). [3] [4]
Figure : Percentage of infants and toddlers in California in poverty, by race. Asian 7.7 %, Multiple Races
9.5%, Non-Hispanic
1.5.3
Black 31.8%, Hispanic 21.2%, Non Hispanic Other 26.1%, Non-Hispanic White 7.0%, American
Indian/Alaska Native 39.2% (Image by Todd LaMarr is licensed under CC by 4.0[5]
The negative impact SES can have on childrens’ development begins to show an effect during the first three
years. Significant disparities in vocabulary and language processing efficiency were evident at 18 months
between infants from higher and lower SES families. In fact, by 24 months, there is a six month gap between
SES groups in the ability to process language (Fernald et al., 2013). Importantly, these early differences do
not fade stronger language abilities as toddlers are related to stronger language abilities and higher cognitive
abilities later in childhood (Gilkerson et al., 2018; Marchman & Fernald, 2008). Already by 21 months of
age, toddlers from higher SES families have greater language and memory skills (Noble et al., 2015)
Figure : Trajectory of total gray matter growth from 5 to 37 months of age. Age in months is shown on the
horizontal axis,
1.5.4
spanning from 5 to 37 months. Total gray matter volume is shown on the vertical axis. The blue line shows
children from Low SES households; children from Mid SES households are shown in red. The green line
shows children from High SES households. ([9]
The negative impact SES can have on childrens’ development is a worldwide concern. Latin America is a
region that struggles with wealth inequality. After examining young children from five Latin American
countries, differences in language skills between the highest and lowest wealth groups emerged by three
years of age (Schady et al., 2014). In Ecuador and Colombia, children from higher SES families score
higher on language and cognitive assessments and the relationship between SES and ability only grows
wider with time (Paxson & Schady, 2007; Rubio-Codina et al., 2015; Schady, 2011). By two years of age,
statistically significant differences in IQ had emerged between British children of high and low SES
families (Von Stumm & Plomin, 2015). A cross-country study of children from India, Indonesia, Peru and
Senegal found that differences in child-development scores emerged as early as nine months of age for
children in the highest and lowest SES groups (Fernald, Kariger, Hidrobo & Gertler, 2012). A study from
Bangladesh found cognitive differences between SES groups in infants by seven months of age (Hamadani
et al., 2014). [6]
The quality of care and education in group care programs during the first three years can be an important
factor to reduce the impact SES can have on children’s developmental trajectory (Felfe & Lalive, 2014;
Holochwost et al., 2021). Children from low SES families score lower on academic readiness and
achievement, unless the children attended a formal childcare program during their first four years of life,
including during infancy and toddlerhood (Geoffroy et al., 2010). Infants and toddlers from low SES
families exposed to center-based child care demonstrate better reading, writing, and mathematics scores
than low-SES children never exposed to center-based programs (Laurin et al., 2015). Children from low
SES families who begin center-based care by five months of age have better reading and mathematical
skills than infants and toddlers who do not start until eighteen months of age or later. Toddlers who were
read to everyday by caregivers had higher reading and math scores as four year olds (Lombardi, Fisk &
Cook, 2021). Children who were attending infant child care programs by nine months of age, had greater
cognitive abilities later as three year olds (Côté, Doyle, Petitclerc & Timmins, 2013). Although the
interaction between SES and child development is complex, research suggests that center-based care is
related to greater developmental outcomes due to the quantity and quality of language shared between
caregivers and children along with cognitively stimulating experiences (Davis et al., 2021; Lombardi, Fisk
& Cook, 2021).
Care and Development: Conclusion
The development that takes place over the first three years is unlike what happens in any other period. The
growth of personality, physical abilities and language are rapid and being able to witness the process of
how development unfolds is truly remarkable. Nevertheless, the experiences children are exposed to during
this time (both positive and negative) can have a direct impact on their developmental trajectories. Infants
and toddlers are not a homogenous group various individual differences across children are essential to
recognize because they can impact a child’s unique developmental trajectory. Investing into the first three
years can reap long-term outcomes. To best support optimal development caregivers should engage in
quality interactions and create stimulating environments that foster positive relationships and learning
experiences.
References
1. Adolph, K. E., Cole, W. G., Komati, M., Garciaguirre, J. S., Badaly, D., Lingeman, J. M., Chan,
G. & Sotsky, R. B. (2012). How do you learn to walk? Thousands of steps and dozens of falls per day.
Psychological Science, 23(11), 1387-1394.
2. Bai, Y., Ladd, H. F., Muschkin, C. G., & Dodge, K. A. (2020). Long-term effects of early childhood
programs through eighth grade: Do the effects fade out or grow? Children and Youth Services Review,
104890.
3. Bernier, A., Calkins, S. D., & Bell, M. A. (2016). Longitudinal associations between the quality of
mother–infant interactions and brain development across infancy. Child Development, 87(4), 1159-1174.
4. Bornstein, M. H., Putnick, D. L., Bohr, Y., Abdelmaseh, M., Lee, C. Y., & Esposito, G. (2020).
Maternal sensitivity and language in infancy each promotes child core language skill in preschool. Early
Childhood Research Quarterly, 51, 483-489.
5. Bronfenbrenner, U., & Morris, P. A. (2006). The bioecological model of human development. In
W. Damon & R. M. Lerner (Eds.), Handbook of child psychology, Volume 1: Theoretical models of human
development (6th ed., pp. 793-828). New York, NY: John Wiley.
6. Carina, L. Ü. K. E., Leinweber, J., & Ritterfeld, U. (2019). Walking, pointing, talking–the
predictive value of early walking and pointing behavior for later language skills. Journal of Child Language,
46(6), 1228-1237.
7. Center on the Developing Child at Harvard University. (2007). A science-based framework for
early childhood policy: Using evidence to improve outcomes in learning, behavior, and health for
vulnerable children. Cambridge
Students also viewed