A team consisting of a mental health/developmental clinician and a care coordinator working together deliver the intervention. A Child First trained clinical director or supervisor provides reflective clinical and administrative supervision for the team. An affiliate agency must have a senior clinician to provide reflective, clinical supervision and implementation support to the affiliate site Child First clinical director/supervisor.
Child First teams must be culturally informed and sensitive, and meet the language needs of the communities served. Child First requires staff to have the following education and experience:
- Mental health/developmental clinicians must have a master’s-level or higher degree, be licensed or license-eligible (with approval) in a mental health specialty, and have three to five years of experience in providing relationship-based psychotherapy with very young children.
- Care coordinators must have a bachelor’s degree, knowledge about community resources, and experience in working with ethnically diverse young children and families.
- Clinical directors/supervisors must have (1) a master’s-level or higher degree in a mental health field; (2) training and experience in mental health and child development (prenatal through age 5 years), including at least five years of experience in providing relationship-based psychotherapy for young children and their families; experience with dyadic, parent-child psychotherapy and knowledge of adult psychopathology; (3) experience in providing reflective, clinical supervision; and (4) experience in working with ethnically diverse, low-income, high-risk families.
The Child First clinical director/supervisor provides each clinician and care coordinator with a total of 3.5 hours of clinical, reflective supervision per week: one hour of individual supervision, one hour of clinical team (clinician and care coordinator together) supervision, and 1.5 to 2.0 hours of group supervision with all clinical teams together. All staff receive programmatic or administrative supervision as a group for at least one hour per month. Clinical directors/supervisors must also maintain an open-door policy to respond to acute clinical needs. The clinical director/supervisor must participate in (1) biweekly, individual, clinical, and reflective consultation with the Child First state clinical director and (2) weekly individual clinical supervision from a senior clinician at the affiliate agency with experience in psychodynamic work with young children.
This model requires staff to participate in pre-service training. All staff participate in distance learning modules, which explain the fundamentals of the Child First model through webinars, videos, teleconferencing, discussion questions, and activities. The modules are accompanied by prescribed reading and community-based child observations. Staff participate in selected distance learning modules before serving families; other modules are interspersed throughout the service delivery process.
All new Child First affiliates within a state participate in an in-person, on-site Child First Learning Collaborative. The collaborative lasts about eight months and is divided into four learning sessions of two to three days each that extend from pre-service through in-service training. Learning Sessions 1 and 2 occur before staff begin working with families and last about five to six weeks.
The Child First NPO provides all new clinical directors/supervisors with an intensive four-day training on the Child First model, emphasizing supervision. The state clinical director provides weekly Child First reflective clinical consultation with new affiliates for three hours per week (one hour individually with the affiliate site clinical director/supervisor and two hours with all teams) to enhance learning and respond to questions about clinical work and the implementation process. Please contact the model developer for additional information about the pre-service training requirement.
This model also requires staff to participate in ongoing professional development. After beginning to work with families, staff participate in two more Child First Learning Collaborative learning sessions over about six months. Each learning session is two to three days long. Staff continue to participate in distance learning modules between each learning session. Specialty conferences are provided based on identified training needs for the population served. Staff also participate in a CPP learning collaborative conducted by CPP national trainers; it consists of three learning sessions over 12 months and 18 months of biweekly consultation calls.
The state clinical director continues to provide the affiliates with on-site reflective clinical consultation for three hours weekly for six months, and then three hours biweekly for six months. Each session includes two hours of group consultation with all clinical teams and one hour of individual consultation with the affiliate site clinical director/supervisor. After 12 months, the state clinical director provides the affiliate site clinical director/supervisor with individual consultation biweekly. The affiliate site clinical directors/supervisors also participate in Child First Clinical Director Network Meetings, which occur monthly for two hours. Please contact the model developer for additional information about the ongoing professional development requirement.