A young child is kissing an adult on the cheek outdoors, both with a dark skin tone, with fall leaves in the background.

Child First

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Child First provides mental health intervention and support services through a proven home visiting model that builds and strengthens relationships between caregivers and their children. As a two-generation model, Child First partners with families to address the challenges, stressors and traumas they experience, create an environment to foster healthy child development, and connect with needed services and resources in their communities.

Child First is a comprehensive model that is fully integrated into the system of care of early childhood and young adult services in each region.

Who Child First Serves

Child First partners with pregnant caregivers, infants and young children, from birth through age five. The program works with families who have experienced trauma and other adversities (such as poverty, mental health challenges, housing insecurity, or abuse and neglect), or whose children are experiencing emotional, behavioral, learning or developmental challenges.

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How Child First Works

Grounded in the science of healthy development

A child’s earliest experiences and relationships are critical to brain development – laying the foundation for long-term health, learning and success. Grounded in the science of brain development, the Child First model promotes responsive caregiving to protect a child’s developing brain from stress and support healthy development. With health equity at its core, Child First helps caregivers cope with hardship and stress, create a sense of safety and security at home, and build better lives for their families.

Two-person care team supporting mental health and care coordination 

Child First utilizes a two-pronged approach, pairing families with a highly trained, two-person care team who provides comprehensive support and promotes caregiver capacity. Each care team includes a licensed mental health clinician, who provides relationship-based, family driven counseling to help address trauma, challenging behaviors, developmental concerns and other adversities, and a care coordinator, who connects families with complementary, community-based services and resources to support healthy child development and family wellbeing

Intensive, relationship-based intervention in the home 

With regular home visits and services typically lasting a minimum of 6-12 months, Child First delivers tailored programming, mental health intervention, and connection to resources, centered on the family’s innate strengths and unique circumstances. Child First’s intensive early intervention, family-driven care, and comprehensive services help strengthen family stability, connection and long-term ability to thrive.

Two-generation approach for long-term impact 

When parents and caregivers have the resources and support they need to raise happy, healthy children, they are better equipped to break cycles of trauma, adversity and poor health. The Child First approach serves the needs of both generations together, strengthening caregiver-child relationships and building a foundation for a family’s long-term health and well-being.

The Impact of Child First

Families served annually 

2,400+

Contacts with families annually 

58,000+

Community-based affiliates delivering Child First 

30+
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The impact of Child First is demonstrated by 10+ years of research and evidence – and comes to life in the strong, loving and nurturing relationships between caregivers and children. As a leading evidence-based intervention, Child First is backed by the highest quality research and continuous evaluation. Changent collects detailed data to track outcomes, measure impact, improve program quality, and better understand a family’s experience through a strengths-based approach.

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Join our Network

Learn more about how to bring Child First to your community.

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CPETT

The Center for Prevention and Early Trauma Treatment (CPETT), a NCTSN Category II Center established by Child First, helps children and families by collaborating with early childhood providers and creating a trauma-informed continuum of care through comprehensive trainings, resources and public awareness.

CPETT is working to address gaps in prevention and early childhood treatment of children and families impacted by trauma and adversity.

Child First Success Stories

Two adults with a medium skin tone are sitting together at a table with a child who has a medium skin tone, looking at a drawing.

Child First Breaks the Cycle of Trauma in Families

When Mary Lambert explains the techniques employed in the Child First program, she talks about the “double scoop.” It’s a way to break an impasse in communications by talking for the child and for the caregiver about what they are feeling.  To a small child, for example, her mother may appear angry when she’s actually

An adult with dark skin is holding the book Twinkle From Above, smiling for the camera.

From Grief to Growth: A Child First Clinician’s Journey

When Markela Batts was attending graduate school to become a Licensed Clinical Social Worker, she knew she wanted a career in helping children develop, grow and heal. It was during an internship at Amos College where her mentor pointed out that Markela had an innate ability to help people through play. “I became interested in

A child with a light skin tone is standing in front of a tree, wearing a backpack with their hair styled half-up, half-down.

Strengthening Bonds: Alisha and Serenity’s Journey with Child First

At just six years old, Serenity is a high-energy, incredibly verbal girl with a curious mind. Her intelligence and enthusiasm shine through in everything she does. “She is always asking questions and loves to be in charge,” said Alisha, Serenity’s mom. However, Serenity was struggling with listening, cooperating, and interacting, which challenged her relationship with

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