Mary Ann Mackrain staff portrait



Mary Mackrain has specialized in infant and early childhood mental health and early care and education for more than 20 years. She has provided national- and state-level training, technical assistance, research, and systems and policy development, and has led initiatives dedicated to promoting evidence-based practices focused on infant and early childhood mental health.

Mackrain is a certified national trainer and coauthor of several publications regarding the assessment and promotion of protective factors of at-risk young children and the adults that care for them. Currently, she is leading the first-ever national Collaborative Improvement and Innovation Network (CoIIN) within the national Maternal Infant and Early Childhood Home Visiting program. Previously, she worked as a teacher for children with autism and as a special education and mental health consultant for early childhood programs.

Mackrain holds an MEd in educational psychology from Wayne State University and a Level IV endorsement in infant mental health policy through the Michigan Association for Infant Mental Health.

“Research demonstrates that early detection of developmental and behavioral problems and the use of appropriate intervention supports and services significantly improve a child’s school readiness, academic success, and overall well-being.”

Speaking Highlights

Early Childhood Mental Health Screening and Assessment for Infants, Toddlers and Preschoolers

Creating Connections to Shining Stars 2015: Virginia’s Collaborative Early Childhood Birth through Five Conference
July 2015

Reflective Leadership to Build Staff Resilience

McCormick Center for Early Childhood Leadership
Chicago, IL
May 15, 2015

Creating Bright Beginnings: Strengthening Social and Emotional Skills to Build Resilience

Keynote, Infant Development Association of California
April 18, 2015

Responding to Behavioral Health Needs for Families in Home Visiting through Systems Integration

Webinar, Maternal Infant and Early Childhood Home Visiting Technical Assistance Center
February 2014

Selected Publications

Mackrain, M., Dworkin, P., Harden, B. J., & Arbour, M. C. (2015, April). HV CoIIN: Implementing quality improvement to achieve breakthrough change in developmental promotion, early detection, and intervention. Maternal Infant and Early Childhood Home Visiting Technical Assistance Coordinating Center Electronic Newsletter.

Ash, J., Mackrain, M., & Johnston, K. (2013). Early childhood mental health consultation: Applying central tenets across diverse practice settings. Zero to Three, 33(5), 28–33.

Fleming, J. L., Mackrain, M. & LeBuffe, P. A. (2013). Caring for the caregiver: Promoting the resilience of teachers. In S. Goldstein, & R. B. Brooks Handbook of resilience in children (2nd ed., pp. 387–397). New York, NY: Springer US. doi: 10.1007/978-1-4614-3661-4_22

Mackrain, M., & Cairone, K. (2012). Promoting resilience for now and forever: A family guide for supporting the social and emotional development of preschool children. Lewisville, NC: Gryphon House.

Selected Resources


This brief describes EDC’s deep commitment to ensuring that all young children have the support they need during the critical early childhood window of time.


This paper describes the work of the Home Visiting Collaborative for Improvement and Innovation Network (HV CoIIN).