Child First

Child First Child First is a two-generation, home-based intervention, that works with very vulnerable young chil

Child First is an intensive, early childhood, two-generation, home visiting intervention that works with a community’s most vulnerable young children (prenatal through age five years) and their families. Child First identifies children at risk of behavioral or learning problems and works with their families to address multiple risk factors such as poverty, trauma and exposure to violence, abuse an

d neglect, depression, substance use, and homelessness. Child First is based on two core components:
1) a comprehensive and coordinated system-of-care approach to provide individualized support and services to the child and family, and
2) relationship-based approaches to enhance nurturing and positive development. Child First is delivered in the family home to increase engagement and participation. The program is provided by a two-member team, consisting of a care coordinator and a licensed mental health clinician, referred to as a child development specialist. Families and the Child First team work together to develop a comprehensive plan that includes treatment activities and goals, supports, and services. The care coordinator connects families with community-based services addressing challenges relating to health, mental health, early childhood, and education, and with other social supports. The clinician is trained to provide trauma-informed, child–parent psychotherapy to build parenting skills and develop a more nurturing and responsive relationship between the parent and child. The Child First team works with families for 6 to 12 months through home visits of between 60 to 90 minutes. During the first month of the intervention, the assessment phase, the Child First team makes twice-weekly home visits. During the remaining months of the intervention phase, one or both of the Child First team members conduct weekly home visits or more, as needed.

We’re so excited to introduce something we’ve been pouring our hearts into: Child First is now a program of Changent, a ...
06/02/2025

We’re so excited to introduce something we’ve been pouring our hearts into: Child First is now a program of Changent, a national organization that helps grow and support data-driven programs!

Changent is the new name and brand for the National Service Office for Nurse-Family Partnership and Child First (NSO). While the name of the NSO has changed, the Child First program, name and commitments remain steadfast.

Every day, we partner with communities to meet families where they are, delivering care that’s inclusive, accessible and impactful. Together, we’re building brighter futures for generations to come. 💙

As part of this change, we’ll be saying goodbye to this page. Be sure to follow our new Changent page to stay inspired and connected—we’re just getting started!

Every family deserves care that meets them where they are. 💙 At Child First, we’ve been proud to offer that care and cre...
05/29/2025

Every family deserves care that meets them where they are. 💙 At Child First, we’ve been proud to offer that care and create opportunities for children to thrive. Now, we’re evolving to serve families better than ever. Something exciting is coming soon—stay tuned!

Journaling is an excellent way to check in with yourself and your mental health. Here are some prompts from Mental Healt...
05/23/2025

Journaling is an excellent way to check in with yourself and your mental health. Here are some prompts from Mental Health America to help get you started.

Did you know your gut and your brain are talking to each other? 🤔 Learning about the gut-brain connection can help you i...
05/21/2025

Did you know your gut and your brain are talking to each other? 🤔 Learning about the gut-brain connection can help you improve your physical and mental health.

Learn more: mhanational.org/resources/the-gut-brain-connection

Taking steps to understand and care for your mental health isn’t just self-care – it’s an investment in your future.Take...
05/19/2025

Taking steps to understand and care for your mental health isn’t just self-care – it’s an investment in your future.

Take the first step with an online mental health screen: mhascreening.org

Starting to feel burned out? Here are five things you can do to help yourself through.Our mental health can’t wait.
05/16/2025

Starting to feel burned out? Here are five things you can do to help yourself through.

Our mental health can’t wait.

Charlotte Min-Harris, President & CEO for the National Service Office for Nurse-Family Partnership and Child First, has ...
05/14/2025

Charlotte Min-Harris, President & CEO for the National Service Office for Nurse-Family Partnership and Child First, has released the following statement:

"At the National Service Office for Nurse-Family Partnership and Child First, we stand with the moms, babies, and families who rely on Medicaid—not just for access to care, but for opportunities to improve health outcomes and thrive. That’s why we are deeply concerned by the $700 billion in proposed Medicaid cuts in the House budget reconciliation bill.

While the specific provisions in the bill may not directly target pregnant women and children, the overall reduction in federal Medicaid funding is staggering and will impact care. A cut of this magnitude represents a massive cost-shift to states. And when states are forced to fill a $700 billion gap, health care and other essential service—even for populations like pregnant women and children—will inevitably suffer.

We agree that Medicaid must be protected for its intended populations, and we recognize that there are difficult fiscal decisions to make, but we cannot afford to take a shortsighted approach. Prevention-focused programs like Nurse-Family Partnership and Child First are not just compassionate investments, they are cost-effective strategies that produce lasting benefits for families and communities. But even with strong bipartisan support, these programs can be vulnerable in tight budget environments. They’re often dismissed as “nice to have,” when in fact, they’re essential to building healthier futures.

Increasingly, both red and blue states have recognized this and are turning to Medicaid to help sustainably fund home visiting programs. This growing momentum toward Medicaid-financed prevention is a positive trend. It means more families get the support they need early, when it can have the greatest impact and is more cost-effective. Unfortunately, that progress is now at risk.

A $700 billion cut undermines states’ ability to invest in innovative, evidence-based solutions like ours, and it threatens the gains made in maternal and child health.

This is why the National Service Office for Nurse-Family Partnership and Child First urges Congress to reject these cuts. Protecting Medicaid funding is not just about preserving a safety net—it’s about supporting the systems that help children, families and communities grow stronger, healthier, and more resilient.

With sincere gratitude,
Charlotte Min-Harris
President and CEO, National Service Office of Nurse-Family Partnership & Child First"

Did you know that helping others actually helps you? This  , remember that small acts of kindness can make a big differe...
05/14/2025

Did you know that helping others actually helps you? This , remember that small acts of kindness can make a big difference for your mental health.

Learn more: mhanational.org/help-others

Setting boundaries at home is brave. Setting boundaries at work is brave. Setting boundaries with your friends is brave....
05/12/2025

Setting boundaries at home is brave. Setting boundaries at work is brave. Setting boundaries with your friends is brave.

Learn how to build your boundaries this

Trying new things can be scary. 😰 Starting therapy may feel overwhelming, but it’s a powerful step toward improving your...
05/07/2025

Trying new things can be scary. 😰 Starting therapy may feel overwhelming, but it’s a powerful step toward improving your mental health, and you deserve support.

Find the tools you need for : mhanational.org/therapy

1 in 5 people will experience a mental health condition in any given year, and everyone faces challenges that can affect...
05/05/2025

1 in 5 people will experience a mental health condition in any given year, and everyone faces challenges that can affect their mental health.

Learn how you can take action for your mental health today: mhanational.org/may

We’re joining Mental Health America’s   campaign this May to help spread the word that the time to take action for our m...
05/01/2025

We’re joining Mental Health America’s campaign this May to help spread the word that the time to take action for our mental health is NOW.

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6 Corporate Drive, Suite 420
Shelton, CT
06484

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Monday 9am - 5pm
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Wednesday 9am - 5pm
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