INTRODUCTION: WHY IS THIS IMPORTANT?

Adverse childhood experiences can lead to developmental delay, long term health problems, poor school performance and significant behavioral and emotional problems. The “buffering” effect of a positive stable caretaker relationship can help to create resilience and offset the effects of toxic stress particularly in young children ages 0-3 years.

Pediatric practitioners are often the first professionals who interface with parents and infants and are therefore key experts in helping to both promote healthy parent infant attachment and communication and in identifying dysfunctional parent infant dyads before problems escalate.

Yours may be the only professional voice that parents of infants and young children hear!

TREE Early Relational Health Syllabus

Session #1 Look: Observing Parent Infant Interactions- ERH Exam 

• TREE Log #1
• TREE Log Supplement #1

Session #2 Listen- ERH History

• TREE Log #2
• TREE Log Supplement #2

Session #3 Providing Positive Feedback to Parents

• TREE Log #3
• TREE Log Supplement #3

Session #4 Developmental Coaching: Talk and Communication 

• TREE Log #4
• TREE Log Supplement #4

Session #5 Developmental Coaching: Play and Learning

• TREE Log #5
• TREE Log Supplement #5

Session #6

• TREE Log #6
• TREE Log Supplement #6

Appendix TREE ERH Office Activities

• 0) Appendix Overview of TREE Early Relational Health Activities
• 1) TREE SAP EARLY RELATIONAL HEALTH PARENT INFANT OBSERVATION MODEL
• 2) Social Emotional Milestones Activity
• 3) Serve and Return Activity
• 4) Social Cues Activity
• 4A) Rupture and Repair Activity
• 5) Reflective Parenting Questions Activity
• 6) Opening Pandora’s Box Activity
• 7) Active Listening Activity
• 8) Early Relational Health Vitamin E Therapy Activity
• 9) Early Relational Health Providing Positive Feedback Activity
• 10) Reconstructing the Well Child Visit Activity
• 11) Foster Caregiver Calmness Activity
• 12) Developmental Coaching Talking and Communication Activity
• 13) Activities Talk and Communication
• 14) Baby Sign Language
• 15) Developmental Coaching Playing and Leanring Activity
• 16) Activities Play and Learning Activity
• 17) Playing with Blocks Office Encounter Activity
• 18) Making the Case Activity
• 19) Sustaining Change Activity
• 20) PDSA Cycle Template

TREE Developmental Coaching 

• 1) TREE Parent Powerpoint
• 2) TREE Parent Powerpoint Spanish
• 3) TREE Illustrations Only Parent Powerpoint
• 4) Tips for Coaching Session Activities
• 5) EMR Documentation Form
• 6) Sample Video Consent Form in English and Spanish
• 7) ActiviTREE Form

TREE Office Tips

• 1) TREE Office Tips
• 2) TREE Office Flyer English
• 3) TREE Office Flyer Spanish
• 4) TREE Poster
• 5) QR code for TREE Website
• 6) AAP Early Childhood Social-Emotional Development Billing and Coding

TREE References and Resources: Taking a Deeper Dive

• TREE Reference and Resource List

Maryland Community Resources

• Resource List

TREE Office Based Training Video with Flip Chart

TREEHOUSE Introductory Coaching Videos and Powerpoint

Implementing the TREEHOUSE Program: Instructional Video 

TREEHOUSE Demonstration Coaching Video #1

TREEHOUSE Demonstration Coaching Video #2

Thinking Outside the Blocks