Early Literacy Research Library (ELRL) - Metric

Early Relational Health Screen (ERHS)


Access: FREE/Open Access

evaluation focus

Early Relational Health Screening

applicable ages

6-24 months; 0-2 years

available language(s)



The Early Relational Health Screen (ERHS) is an instrument that can be used to screen, monitor, and promote early relational health in parent-child dyads. This tool involves video-taped sessions of unstructured play including standard toys and for toddlers, standard challenges. Session footage may be evaluated by health professionals and reviewed with caregivers, allowing for targeted discussion and promotion of early relational health.


Areas Assessed:

    • Functional health
    • Emotional health
    • Behavioral health
    • Psychosocial health

Administration Format: video-taped play sessions


Reliability/Validity (Willis 2022): the ERHS is valid, reliable, feasibility, and useful in clinical settings. Additional studies have evaluated adaptations for other settings like home visiting.


Source: https://www.allianceaimh.org/early-relational-health-screen#:~:text=The%20Early%20Relational%20Health%20Screen%20%28ERHS%3B%20Willis%20et,detecting%2C%20monitoring%20and%20promoting%20relational%20health%20across%20settings

supporting literature

Willis, D.W., Condon, M., Moe, C., Muson, L., Smith, J.M. (2022) The Context and Development of the Early Relational Health Screen. Infant Mental Health Journal, 43(3), 493-506.
PDF: ERHS – 1 – Willis 2022
Link: https://onlinelibrary.wiley.com/doi/abs/10.1002/imhj.21986

Condon, M. (2017) Early Relational Health: Infants' Experiences Living with Their Incarcerated Mothers. Smith College Studies in Social Work, 87(1), 5-25.
PDF: ERHS – 2 – Condon 2017
Link: https://www.tandfonline.com/doi/abs/10.1080/00377317.2017.1246218?journalCode=wscs20

Moe, Vibeke, et al. (2019) Little in Norway: A Prospective Longitudinal Community-Based Cohort from Pregnancy to Child Age 18 Months. BMJ Open, 9(12).
PDF: ERHS – 3 – Moe 2019
Link: https://bmjopen.bmj.com/content/9/12/e031050