For More Information:

Bonne Goltz Reiser, MFT; BonneR@jfcs.org; 415-419-3683

Early Childhood Mental Health

Since 1996, the Early Childhood Mental Health program at Parents Place has been training mental health consultants and placing them at childcare centers serving low-income families with at-risk children from birth to age 5. They work with the children for a six-hour day each week. By establishing trusting, consistent relationships with childcare providers, consultants become part of the fabric of the childcare centers. The program also works with childcare providers, focusing on prevention and early intervention techniques, helping them learn to identify at-risk children, and ensuring that the children and their families receive the special assistance they need to thrive.

How the Program Works

The ECMH consultant meets with the school staff and the director to provide program consultation and to assist in all aspects of program planning to improve the overall quality of the school program. Activities focus on inter-staff communication and implementing developmentally appropriate practices for the children. Case consultation enhances the provider's understanding, willingness to persevere, and ability to intervene effectively with a challenging child. The consultant observes a particular child in a school program to assess the child's functioning and evaluate the match between the child's needs and the school setting.

The consultant also meets regularly with the staff to provide developmental guidance, interpret the meaning of the child's behavior, suggest interventions appropriate to a group setting, and support the staff. The consultant also works with staff and parents to design parent support and educational activities--arranging for or leading workshops about specific topics, facilitating discussions, and providing one-on-one consultation, as requested.

The consultant provides direct intervention with children and families. His or her involvement with the family may include providing developmental guidance, exploring more appropriate child-rearing practices, encouraging understanding and mutual support between the parents and the school staff, and offering short-term therapeutic intervention. If the consultant determines a need for longer term help, the consultant ensures the family's engagement with outside clinical services by facilitating referrals and remaining involved with the family throughout the process.

Once services are in place, the consultant can, with the parent's permission, act as a liaison between the mental health clinician and the staff, relaying information that enhances the staff's ongoing understanding and work with the child.