SSIP: Infant Mental Health/Reflective Supervision & Consultation by

Successes:

DOHEIS — 2025-12-20 01:03:20 UTC

Quality of discussions have changed. Staff able to have discussions with families, ask the right questions to support families where they are at (i.e. what else is going on with the family that may be impacting their ability to participate in services).

More aware of themselves/their character and how they are approaching situations, conversations with families

Approach situations from a different lens; wonder more; have more questions; full-picture process; more intentional in their conversations

Providers having richer conversations with families.

Embracing Hawaii curriculum: included section on Infant Mental Health

Thinking about the systems that surround the child (micro, macro), environments for the child.

Challenges/barriers?

DOHEIS — 2025-12-22 18:21:59 UTC

Unsure of how staff are implementing/utilizing the information they learned from the trainings as programs do not have formal way of measuring this.

What ideas/supports are needed to address the challenges/barriers?

DOHEIS — 2025-12-22 18:24:03 UTC

Have refresher courses to help staff stay curious/continue to wonder, and make connections

Have check-in discussions at staff meeting to encourage staff to share how they are using it in their practices

CYSHNS (Future idea): contract with AIMHI to explore trainings for more programs/settings and staff in DOH programs

Successes:

DOHEIS — 2025-12-22 18:44:27 UTC

Ongoing RSC, helps remind PM what to do, be more intentional, slow down, how help their staff. Staff are becoming more reflective, braver, and having more intentional and reflective conversations with families. RSC is a safe space for staff. Manager has better framework for providing supervision to staff.

RSC is helpful for staff because of the population they work with; safe space for staff to share and process; supports internal connections amongst staff. You do not have leave with an answer.

RSC helps staff be reflective with family

A program is doing Group RSC with CCs once a month.

RSC supports Self care

Important for supervisors who do RSC to have their own RSC.

Scheduling monthly RSC and quarterly or every other month administrative supervision to delineate spaces

It’s a time to take a breath.

Challenges/Barriers?

DOHEIS — 2025-12-22 18:47:29 UTC

Knowing what to talk about (staff) during these meetings. Manager is accessible, so staff feel does not always need scheduled RSC time. What is the staff’s understanding of the purpose of RSC? Feeling it is “therapy”

How do we make time within our schedules (staff and managers)? How do we balance day to day work and RSC? Sometimes 30 minutes not enough. Sometimes it’s an hour and we don’t need the hour; staff need time to do documentation and visits. Sometimes an hour is not enough. What is staff understanding of the scheduled time for RSC-can schedule an hour but may not use the hour.

Scheduling

Ongoing funding for RSC

State CCs placed in POS programs (POS manager does not provide RSC to these CCs).

Group RSC- everyone has a different comfort level with sharing; takes a while to build a safe space amongst the group

Remembering that it’s the staff space to share.

Staff comfort level with sharing, being reflective, “wondering”

What ideas/supports are needed to address the challenges/barriers?

DOHEIS — 2025-12-22 18:48:23 UTC

*Group RSC for staff who are interested, including state CCs.

*RSC for supervisors helps them see other avenues to do RSC and how to do RSC (i.e., walk out of the office, starbucks)

Currently rare that social work services or goals written into IFSPs

DOHEIS — 2025-12-22 18:52:31 UTC

Staff who are more comfortable take on more challenging cases.

DOHEIS — 2025-12-22 18:52:43 UTC

Supports needed:

DOHEIS — 2025-12-22 18:53:37 UTC

Clearer guidance re: role of CC and LSW/SW services in EI

Feedback: CWS cases should not automatically go to LSW

Challenge/Question: in ECSP, LSW is in SW III position, not SW IV

Data on staff retention since implementation of RSC

DOHEIS — 2025-12-22 18:53:58 UTC

Do you AGREE to keep this target? YES

DOHEIS — 2025-12-22 18:56:50 UTC

Do you AGREE to this proposed target? YES

DOHEIS — 2025-12-22 19:01:02 UTC

AGREE to this proposed target?  If NO, what is the proposed target and justification?

If we are making RSC mandatory for staff, all Supervisors and Managers should complete the trainings.

Proposal (New): 80% of Supervisor/PM to implement RSC at least once per month for each staff.

DOHEIS — 2025-12-22 19:01:53 UTC

Do you DISAGREE with the target? If so, what is your justification and proposed target.

DOHEIS — 2025-12-23 22:34:11 UTC

Do you AGREE to this proposed target? YES

DOHEIS — 2025-12-23 22:35:40 UTC

Do you DISAGREE with the proposed target? If so, what is your justification and proposed target.

DOHEIS — 2025-12-23 22:35:55 UTC

Do you DISAGREE with the proposed target? If so, what is the proposed target and justification?

DOHEIS — 2025-12-23 22:40:35 UTC