Clinical Services

Specialized care for infants, young children, caregivers, and the professionals who support them.

The earliest relationships in a child’s life shape development in profound ways. When those relationships are disrupted by trauma, loss, medical experiences, stress, or other adversity, both children and caregivers benefit from thoughtful, relationship-centered intervention that recognizes the strengths each family brings while supporting healing and resilience.

I maintain a limited clinical practice because direct work with families remains central to who I am as a clinician. Sitting with parents and young children reminds me every day that meaningful change rarely comes from having the “right answer.” It comes from slowing down, listening carefully, thinking together, and helping families discover new ways of understanding themselves and one another.

Those experiences continue to inform every aspect of my teaching, consultation, leadership, and implementation work.

As a Senior National Trainer in Child-Parent Psychotherapy (CPP), I have spent much of my career helping clinicians, supervisors, and organizations implement this evidence-supported, relationship-based model with fidelity. At the same time, I continue to provide CPP clinically with a small number of families.

CPP helps young children and their caregivers understand the impact of difficult experiences while strengthening the relationship that supports healing, resilience, and healthy development. Together, we create opportunities for children and caregivers to make sense of what has happened, strengthen feelings of safety and connection, and build new experiences that support growth.

Perinatal Child-Parent Psychotherapy (PCPP)

The transition to parenthood is one of the most significant developmental periods in adult life. Pregnancy, birth, infertility, pregnancy loss, traumatic birth experiences, NICU stays, and early parenting can all influence the developing relationship between caregiver and infant.

Perinatal Child-Parent Psychotherapy (PCPP) offers an opportunity to support families during this critical period by strengthening attachment, increasing reflective capacity, addressing trauma when present, and fostering healthy early relationships from the very beginning.

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Facilitating Attuned Interactions- or FAN’s ultimate goal is strengthening the provider-parent relationship, resulting in parents who are attuned to their children and ready to try new ways of relating to them. FAN training can help you and your team develop the skills of being with, listening to understand and reflecting on client provider interactions to become more effective in service delivery and staff retention.

Please get in touch with me for information on availability and fees.

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DC:0–5™ Version 2.0 arrived in 2021. with the goal of enhancing the mental health professional’s ability to diagnose and treat mental health problems in the earliest years by identifying and describing disorders not addressed in other classification systems and by pointing the way to effective intervention approaches.

Individuals across disciplines will find DC:0-5™ Version 2.0 to be an essential guide to diagnostic formulation with infants, young children, and their families, in a wide range of settings.

ZERO TO THREE DC:0–5 Training builds on the powerful legacy of the DC:0-3 using the latest scientific findings and clinical research. ZERO TO THREE is the only official training provider for DC:0–5. The curricula have been designed to meet the needs and interests of multiple audiences through a variety of modalities consistent with the content and approach of DC:0-5.

If you have any questions about availability and fees, please contact me.

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This training seeks to provide a framework for a stance of humility while exploring critical knowledge, values, attitudes, and skills needed to provide trauma informed care to young children and their families. These competencies are intended to guide workforce development activities including training, curriculum development, and professional standards.

To discuss availability and fees, please contact me at your convenience.

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Trainings to address reflective supervision, burnout, vicarious trauma, and staff turnover

Reflective supervision is the regular collaborative reflection between a service provider (clinical or other) and supervisor that builds on the supervisee’s use of her thoughts, feelings, and values within a service encounter. Skills in RS require training for supervisors and staff, time for reflections about the modality as well as opportunities interacting and practicing with peers.  

The evidence supporting reflective supervision comes from qualitative studies in early childhoodservices, where its presence is associated with greater resilience among providers, or where the lack of continuing education and appropriate, supportive supervision contributes to provider burnout. In addition, observational studies show that child welfare agencies with more relationship-based supervision and greater time devoted to continuing education, both elements of reflective supervision, have lower rates of turnover and greater success in obtaining permanent placement for children.

Clinicians in child services working with traumatized families may undergovicarious traumatization, burnout, and heavy staff turnover. While staff turnover is associated with many factors, inadequate supervisory support and burnout have specifically been cited by workers in these settings as a cause. Hodas (2005) proposes three “domains of functioning” to empowerdirect care staff in child services to provide quality care. These include values and beliefs,job-specific expectations and competencies, and professional self-awareness and self-control.

References:

Hodas G. Empowering direct care workers who work with children and youth in institutional care. Harrisburg: Pennsylvania Office of Mental Health and Substance Abuse Services; 2005.

Turner SD. Exploring Resilience in the Lives of Women Leaders in Early Childhood Health, Human Services, and Education. Corvallis: Oregon State University; 2009.

Benshoff JM. Peer consultation for professional counselors. . In: ERIC/CASS. Ann Arbor, MI; 1992.

Barak MEM, Nissly JA, Levin A. Antecedents to Retention and Turnover among Child Welfare, Social Work, and Other Human Service Employees: What Can We Learn from Past Research? A Review and Metanalysis. The Social Service 

Woltmann EM, Whitley R, McHugo GJ, et al. The Role of Staff Turnover in the Implementation of Evidence-Based Practices in Mental Health Care. Psychiatr Serv 2008;59:732-7.

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Imagine what it might feel like if you were able to make sense of what your child was really asking from you. The Circle of Security® Parenting™ program is based on decades of research about how secure parent-child relationships can be supported and strengthened.

Using the COSP™ model developed by the Circle of Security originators, our trained Facilitators work with parents and care-givers to help them to understand their child’s emotional world by learning to read emotional needs, support their child’s ability to successfully manage emotions, enhance the development of their child's self esteem, and honor the innate wisdom and desire for their child to be secure.

To obtain information on availability and fees, please contact me.

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Mental health consultation/supervision toward licensure is available for social work and counseling. I have over 20 years of experience supervising and training new to the field and seasoned therapists. I offer a supportive, encouraging learning atmosphere where you will learn how to conceptualize cases, formulate treatment plans, time your interventions to client readiness for change.

I can provide supervision for all generalist practice, and specialize in trauma intervention with families, parent child work, and specialize in treatment for children of all ages, and 0-5 year olds. My supervisory style is confident and thoughtful, curious, reflective and engaging. I will challenge you to learn to think critically about the healing work that we do. Fees range $200-375/hour group or individual.

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I offer a variety of speaker events including but not limited to the followingcontact me to talk about your event.

  • Keynote

  • 60 minute overview

  • 90 minute overview

  • 3 hour workshop/intensive overview

  • Full-day/multi-day events

Check out some of my work:

If you would like to get in touch with me to talk about your event, contact me.