We work in partnership with the Bayview Child Health Center (BCHC). We treat children, youth and caregivers referred to us a by a BCHC Pediatrician who exhibit symptoms of physical or emotional distress due to ACEs and toxic stress.We provide a variety of carefully coordinated mental health and wellness interventions to address the impact of ACEs and toxic stress. These interventions are guided by a multidisciplinary, two-generation approach and include:
- Assessment: We screen children for exposure to adversity and assess symptoms of toxic stress in the pediatric setting and use this tool to help us evaluate the well-being of the whole child.
- Home visits: We engage families at home and school, as many families lack access to childcare and transportation.
- Education: We offer targeted education that helps families better understand the causes and symptoms of chronic stress and provide ways to mitigate the kind of stress that can hurt children’s health and well-being.
- Psychotherapy: We provide a variety of evidence-supported treatments and promising practices that share core principles of culturally competent, trauma-informed therapy that are appropriate for children and families from diverse cultural backgrounds, including Child Parent Psychotherapy and Cue-Centered Therapy. We do this in partnership with the Child Trauma Research Program at UCSF, led by Dr. Alicia Lieberman, and the Early Life Stress and Pediatric Anxiety Program at Lucile Packard Children's Hospital, led by Dr. Victor Carrion.
- Psychiatry: Psychiatrists are provided through a partnership with Department of Psychiatry at University of California San Francisco including the Young Adult and Family Center (YAFC). They provide medication evaluations of children and caregivers and offer consultation to SMHC Bayview Child Health Center physicians and CYW staff.
- Mindfulness and coping skills: Our wellness coordinators receive training to help patients and families build resilience and manage future stressful events through mindfulness techniques. Research has shown that techniques such as breathing retraining, progressive relaxation, meditation and mindfulness-based awareness can increase self-regulation, reduce stress levels, and improve health.
- Referrals: In addition to making appropriate referrals for our clinical services, we also coordinate referrals to high-quality institutional partners who also use an ACEs-informed lens in their work.