Reflective supervision is best practice within the infant and early childhood field. Reflective supervisors and supervisees work together to develop a shared space within which both can express their emotional response to work with very young children, caregivers, and families. Supporting professionals using reflective supervision requires a…

This article describes the FAN (Facilitating Attuned Interactions) approach to attunement in relationships and how it serves as a framework for reflective practice in an exemplary home visiting program. The authors highlight the role of the FAN as a tool for "reflection-in-action" and as a guide for "reflection-on-action." The…

Background: Behavioral health services involving multiple systems of care are increasingly being provided in community as well as hospital settings. Residents therefore should be familiar with multiple systems and the role of the psychiatrist in these systems. The authors describe a curriculum incorporating principles of systems-based practice…

This article explores the essential relationship needs and capacities of infants, parents, practitioners, and supervisors in a story about reflective practice. The author shares her experience supervising a home visitor who is a trainee in an infant mental health intervention program. The home visitor's relationship with her supervisor was a…

Describes focus groups for therapists and supervisors practicing home-based therapy. Identifies eight topics challenging to therapists and necessary for home-based practice (i.e., crisis and safety issues, multiproblem families, therapist demoralization). Recommends focus group methodology as useful tool to assess training needs and for promoting…

Home-based counseling is often the most effective intervention for families that have a child at risk for removal from the home. Whereas the process of home-based counseling has received a fair amount of attention in the literature, there has been little attention paid to the supervision of the counselors who provide the services. This article…

An evaluation of the impact on clinical interviewing of a course in family and community care for health associate students at Johns Hopkins University is described. Students were observed interviewing and rated on their ability to obtain information about family situations. Results showed a significant increase in family orientation. (Author/JMD)