Center for Family Strengthening is dedicated to strengthening families through education and advocacy. The center partners with family support organizations in San Luis Obispo County to provide resources to families in need, protect children from abuse and neglect, and ensure that strong families are a community priority.

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  • Give Children Affected by Trauma a Chance to Thrive

    Martha's Place Gives Children who Suffer from Prenatal Substance Exposure and Early Childhood Trauma a Chance to Thrive and to Reach their Full Potential. A research study known as the… Read more…

  • Promotores Collaborative Program Successes!

        The County of San Luis Obispo Preventive Health Grant sponsors the professional coordination services required for a high functioning Promotores Collaborative. Center for Family Strengthening (CFS) provides leadership development and… Read more…

  • CFS Promotes Staff Member

    Center for Family Strengthening promotes Erica Ruvalcaba-Heredia to Director of Promotores Collaborative. “We are thrilled with Erica’s accomplishments in driving the growth and success of Promotores Collaborative,” said Lisa Fraser,… Read more…

  • CFS Welcomes New Program Coordinator

    Gwendolyn Garcia has joined Center for Family Strengthening as Program Coordinator for CFS’ major programs: Parent Connection, Kidz Tool Box for personal safety, Promotores Collaborative, Central Coast Breastfeeding Coalition and… Read more…

  • CFS moves to new location

    Center for Family Strengthening has moved its corporate headquarters to 3480 South Higuera, Suite 100, San Luis Obispo. Affiliate agency ALPHA Pregnancy and Parenting Support is also moving its corporate… Read more…

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Give Children Affected by Trauma a Chance to Thrive

Martha’s Place Gives Children who Suffer from Prenatal Substance Exposure and Early Childhood Trauma a Chance to Thrive and to Reach their Full Potential.

A research study known as the Adverse Childhood Experiences Study (ACEs) shows that traumatic experiences in childhood including divorce, domestic violence, abuse and neglect are associated with a greater rate of negative health outcomes later in life, including drug addiction, mental illness, chronic health conditions and even early death. (See the ACEs Study by Kaiser Permanente.) The term “complex trauma” may be used to describe both children’s exposure to multiple traumatic events as well as the long-term effects of this exposure.

In addition to children who have experienced trauma, infants who have been prenatally exposed to alcohol and/or other substances are also vulnerable to experiencing challenges over the course of their life. In 2003, the Public Health Assessment Survey conducted by Community Action Partnership of San Luis Obispo County reported that there were significantly higher incidences of substance abuse among pregnant women on the Central Coast compared to national average:42% screened positive for drug use; 18% of mothers reported smoking during pregnancy; 35% endorsed using alcohol at some point in their pregnancy. We know that use of these substances impacts the development of the fetus and poses health and developmental threats to the child. Due to these findings, it was deemed to be critical in our community to assess these exposed infants as early as birth and provide targeted early intervention treatment up to five years of age to mediate negative health outcomes to the fullest extent possible. 

In 2007, Shirley Bianchi, retired 2nd District Supervisor, along with other SLO County Community Leaders took action and founded Martha’s Place, an assessment and treatment center for children birth to five. Martha’s Place is a San Luis Obispo County Health Agency program where Mental Health and Public Health are integrated to provide services for children birth to five. Martha’sPlace provides expert, multidisciplinary assessment of infants and young children who exhibit extreme behavioral concerns, developmental delays, and known prenatal substance exposure.

Martha’s Place was named in honor of Martha Johnston great-granddaughter of Shirley Bianchi, whose life, though tragically short, exemplifies both the damage alcohol and drugs can have on children as well as the amazing resiliency of youth when help is provided. We know that brain development is extremely vulnerable during the first five years of life; and therefore it is crucial that children be evaluated medically, developmentally, socially and emotionally beginning as early as possible to identify any areas of concern and address these concerns before they become more challenging and solidified issues.

Martha’s Place is devoted to helping children in our community to reach their full potential, to be loved, to be emotionally well developed and to enter school ready and able to learn. Martha’s Place helps give our most vulnerable young children a voice and a safe, stable environment in which to thrive. It is crucial that Martha’s Place continue to serve children who have this very critical need.

The clinical staff at Martha’s Place including pediatricians, mental health therapists and public health nurses receive specialized training on detecting signs of trauma in infants and toddlers and are knowledgeable in the wide-range of resources in our community dedicated to supporting children and their families. Dr. Nisha Abdul Cader, conducts the specialized pediatric exams at Martha’s Place. She is also the Medical Director for the Suspected Abuse Response Team and serves as the supervising physician at the Juvenile Service Center for the County of San Luis Obispo. As a medical student and pediatric resident at Harbor-UCLA, Dr. Abdul Cader co-founded the UMMA Community Clinic in South Central Los Angeles and is Board Certified in General and Child Abuse Pediatrics. Dr. Abdul Cader frequently lectures locally and throughout the state on prenatal substance exposure evaluation and treatment, as well as on topics concerning child maltreatment.

Today Martha’s Place provides developmentally appropriate, evidence-based services to over 300 children each year. The clinic follows the SART Model of treatment—Screening, Assessment, Referral and Treatment—created by Dr. Ira Chasnoff in Chicago. 

Developmental Screening ideally takes place in the community setting, such as by a family’s primary pediatric provider or in a preschool program. At Martha’s Place, screening tools include Ages and Stages Questionnaires and Child Behavior Checklists, through CHADIS, a web-based diagnostic, management, and tracking tool designed to assist professionals in efficiently addressing parents’ concerns about their child’s behavior and development. There are also screening tools for sensory processing differences, such as hypersensitivity to sound, touch, or taste, that can be caused by prenatal substance exposure and early childhood trauma.

In the Assessment phase, the state of the child’s physical and mental health is determined during the intake process. The mental health assessment includes: a comprehensive psycho-social history, observation conducted by a therapist and a child/adolescent needs and strengths (CANS) assessment. The specialized pediatric assessment includes: an in-depth review of the child’s medical history; caregiver interview; a physical growth and development evaluation; and, observations of physical and behavioral signs/symptoms of fetal alcohol/drug exposure and complex trauma.

Following these assessments, the family is provided with referrals to support their child’s identified needs. Referrals include additional specialized medical assessments, such as neurology or hearing evaluations, developmental services, parenting groups, and special education local plan area (SELPA) to advocate for services and accommodations through the school district. Community-based organizations, such as Family Resource Centers, often provide additional services to help families meet their basic needs such as housing, food, transportation and clothing that may be impacting the family’s ability to fully participate in services.

Finally, treatment recommendations are provided to the family, which may include: individual play therapy to process trauma, family therapy to develop secure attachments with caregivers, occupational therapy, and on occasion, medication management. This treatment can be provided at Martha’s Place, by contracted providers in the community or at other County behavioral health clinics closer to the family’s home.

The Role of Attachment in a Child’s Development

Attachment is the deep and enduring connection that is established between a child and caregiver in the first several years of life. This relationship profoundly influences every aspect of a child’s development. A child who has experienced a disrupted attachment/trauma can present with anger, temper tantrums, aggressive behavior, anxiety, withdrawn behavior, sleep and/or eating problems. Their development can be delayed in language, coordination, balance, sensory responsiveness, cognitive functioning and they may have difficulties in processing new information. They also often exhibit poor social and emotional skills and have challenges in reading social cues. Frequently, there is a strong need for control and low self-esteem.

The focus of the team at Martha’s Place is to improve the child’s ability to attach in a healthy way with caregivers—a secure attachment relationship is the primary protective factor in minimizing the negative effects of trauma on the child.

Healthy attachment includes learning basic trust and reciprocity, the child exploring their environment with feelings of safety and security and the ability to co-regulate impulses and emotions. Healthy attachment creates the formation of identity-including a sense of competency, self-worth, and a balance between autonomy and dependency. Importantly, it provides the child the opportunity to form a prosocial moral framework including empathy, compassion, and conscience. It generates a core belief system and provides a defense against stress and trauma.

Martha’s Place Success in Children recovering from Trauma in San Luis Obispo County

Martha’s Place has seen significant positive changes in the lives of children who have been prenatally exposed to substances and/or trauma. Outcome data from 2017 compiled at Martha’s Place indicates that the children served experience a significant reduction in aggressive behaviors as well as improvements in attachment and in sleep. Two families who received services at Martha’s Place agreed to share their experiences:

“When my family was considering moving out of the area, the number one reason we stayed was because of Martha’s Place and the key services it provided our child. Our son is a totally different child since beginning treatment at Martha’s Place. He no longer exhibits continuous meltdowns and his mood has evened out. Medication with therapy has allowed him to be able to engage more appropriately and benefit from interventions”.

“We have received services at Martha’s Place for 3 years and are so pleased with the great progress the therapist achieved with our daughter in helping to alleviate her anxiety and prepare her for elementary school. The therapist, and other experienced professionals, provided guidance to the entire family with parenting skills and support.  The pediatrician is a valuable ally throughout our daughter’s treatment program and the rest of the staff at Martha’s Place are excellent. We cherish each and every visit.”

For many families, Martha’s Place is the most important organization within the community providing mental health services that would otherwise be inaccessible or cost prohibitive.  

Model of Care Partners Oversight Committee of Martha’s Place (MoCPOC)

MoCPOC, chaired by Mary Bianchi, Aunt of Martha Johnston, seeks to leverage community resources in an open format that informs all partners on the current needs of Martha’s Place and to stimulates ideas, discussion and solutions to ensure children’s needs are being met through the System of Care. MoCPOC is made up of representatives from agencies and individuals including: Center for Family Strengthening, SLO County Child Welfare Services, SLO County Health Agency, SELPA, Community Action Partnership of SLO County, and County Supervisor Bruce Gibson.

MoCPOC’s Vision is for the community of San Luis Obispo to ensure all children will receive any interventions, treatment and support they may need to reach their highest level of growth and development; live safely in their homes, succeed in school, have meaningful friendships, grow up healthy, and become resilient citizens of our community.

A special message from Mary Bianchi:

Martha’s Place was named in honor of my niece, Martha Johnston, whose tragically short life exemplifies the damage alcohol and drugs can have on the very young. My family was inspired to take action so other young children could have a better chance to heal from the trauma of abuse and neglect. Martha’s Place helps our family deal with the pain and grief of losing our Martha.
 
My mom, Shirley Bianchi, is a founding member of Martha’s Place. I am honored to follow in her footsteps and serve on the Model of Care Oversight Partners Committee of Martha’s Place (MoCPOC) and the Center for Family Strengthening Board of Directors.  
 
I serve because I am devoted to improving resources dedicated to serve children birth to five years of age suffering with severe developmental delays and behavioral challenges due to prenatal substance exposure and/or early childhood trauma. For these children and their families, particularly those with financial challenges, Martha’s Place is the portal to mental health services they need in San Luis Obispo County. Please join me in providing young children affected by trauma a chance to grow, learn, and thrive. 

Please contribute to the Friends of Martha’s Place Fund. Contact Center for Family Strengthening at 805 543-6216 or support@cfsslo.org for more information. All contributions are tax deductible.

__________________________________

Martha’s Place Assessment and Treatment Team Includes:

Program Supervisor: Katie Cohen, LMFT, PsyD

Mental Health Therapists: Casey Roos, LMFT, Jill Anderson, LMFT, Rachel McSpadden-Tarver, LMFT, RPTS

Public Health Nurses: Laura Ottrando, RN, and Betty Wighton, RN

Pediatricians: Nisha Abdul Cader, MD, and Christy Mulkerin, MD

Health Information Technician: Michelle Archer

Reception/Administrative Assistant: Elizabeth Schmidt

Elizabeth Family Advocate: Marivel Flores

Public Health Administrative Assistant: Mary Teresi

Promotores Collaborative Program Successes!

 
 
The County of San Luis Obispo Preventive Health Grant sponsors the professional coordination services required for a high functioning Promotores Collaborative. Center for Family Strengthening (CFS) provides leadership development and community outreach opportunities so Promotores can grow their capacity to connect Latino neighbors with community resources.

We are so pleased to share the accomplishments of the Promotores Collaborative of San Luis Obispo County during the past year.

  • Trained Promotores provided over 360 hours at food bank distribution sites around SLO County promoting self-sufficiency in meeting food needs.  This project is in collaboration with the Food Bank Coalition of San Luis Obispo County through a USDA Community Food Project Grant.
  • 29 Home Visits were conducted for families with special needs children by Promotores who serve as bilingual coaches/mentors trained to help families understand the multiple resources available. In 2017, the San Luis Obispo County Promotores Collaborative joined Parents Helping Parents to help families improve access to services provided by the Tri-County Regional Center.
  • Certified Promotores Mental Health Interpreters served a total of 181 families receiving County Mental Health Services. The Latino Mental Health Enhancement Collaborative compliments the contract Promotores has with the County of San Luis Obispo BehavioralHealth Dept. through the Mental Health Services Act (MHSA).

 

Latina Action Day in Sacramento. 6 Promotoras attended this conference in May 2018 and learned about new public policy issues. This one-day conference is designed to facilitate dialogue between corporate and community Latina leaders and elected officials on public policy effecting the Latinos in California.
 
 
Parent Leadership Convening. 10 Promotores participated in this event recognizing Parent Leaders for their dedication to strong communities held in partnership with San Luis Obispo, Santa Barbara and Ventura Counties in February 2018.
 

CFS Promotes Staff Member

Center for Family Strengthening promotes Erica Ruvalcaba-Heredia to Director of Promotores Collaborative. “We are thrilled with Erica’s accomplishments in driving the growth and success of Promotores Collaborative,” said Lisa Fraser, Executive Director of Center for Family Strengthening. “Her leadership, planning, and execution of “Promotores Collaborative” are having a transformational impact on our Spanish-speaking Community.”

Ruvalcaba-Heredia is a graduate of the University of Santa Barbara and earned her Master’s Degree in Spanish and BA in Spanish and Latino and Iberian Studies. She holds a PhEd in Organizational Leadership from the University of Laverne.

Promotores Collaborative,” of San Luis Obispo County is an emerging prevention and health education model that works for the Latino community with neighbor-to-neighbor outreach activities. This promising and novel program, introduced by Center for Family Strengthening (CFS), is rapidly changing our Spanish-speaking Community from within to achieve greater and greater success. Organized and trained volunteer Latinos within the neighborhood are providing a path for other Latinos in the neighborhood to thrive.

Promotores volunteers reach into the Latino neighborhoods to recruit, organize and train networks of Spanish-speaking volunteers who introduce Latinos to important beneficial services to build healthy communities. Through Promotores, the Latino Community, neighborhood by neighborhood, is learning essential life skills. Promotores provides Latinos access to healthy foods, nutritional education, emotional support, access to mental health resources such as substance abuse and domestic violence programs, medical and dental care access, and programs tailored to child development, effective parenting and education.

About Center for Family Strengthening (formerly SLO-CAP): In 1988 the San Luis Obispo County Board of Supervisors designated Center for Family Strengthening (CFS) as the self-governing entity responsible for local efforts to prevent and respond to child abuse and neglect. Center for Family Strengthening is dedicated to strengthening families through education and advocacy. Center for Family Strengthening partners with family support organizations in SLO County to provide resources to families in need, protect children from abuse and neglect, and ensure that strong families are a community priority. To donate or learn more about Center for Family Strengthening go to www.cfsslo.org or call (805) 543-6216.

CFS Welcomes New Program Coordinator

Gwendolyn Garcia has joined Center for Family Strengthening as Program Coordinator for CFS’ major programs: Parent Connection, Kidz Tool Box for personal safety, Promotores Collaborative, Central Coast Breastfeeding Coalition and Postpartum Depression Support Services.

Garcia graduated from California Polytechnic University with a Bachelors of Science Degree in Child Development and a minor in Psychology and also holds an Associate Degree in Early Child Development and Behavioral Sciences.

Impressively, while completing her studies at Cal Poly, she received training through Active Parenting and Positive Discipline. She worked as an“early childhood educator” at Community Action Partnership of San Luis Obispo, served as Assistant Director at the Shepard Christian Preschool and was a co-teacher working with pre-schoolers at the County Office of Education in Paso Robles and Shandon.

We are thrilled to have Gwen as an addition to our team,” said Lisa Fraser, Executive Director of Center for Family Strengthening. “Gwen’s education, experience, her enthusiasm in working with preschoolers and her ability to create supportive environments for children and families substantially enhance our efforts in strengthening families and preventing abuse and neglect in children.

Center for Family Strengthening is a SLO-based non-profit agency dedicated to preventing child abuse and neglect through by building stronger families and supporting them with a myriad of programs.

Through its Parent Connection, Center for Family Strengthening offers parenting skills classes and coaching skills, and manages the Postpartum Depression Support Line and support services. Through Kidz Toolbox for Personal Safety, CFS teaches child protective and safety skills. CFS’ Beginnings program offers prenatal substance use awareness. CFS also educates the San Luis Obispo Community at large about child abuse reporting laws. Promotores Collaborative is a volunteer team of Spanish-speaking members who connect to families in need. CFS works with Public Health Programs to make dental care accessible to the thousands of children in this San Luis Obispo County who do not qualify for Medical. The Central Coast Breast Feeding Coalition brings together a collaborative team of breastfeeding advocates to network, share resources, accomplish projects and provide breastfeeding education based on current research and best practice. To provide families high-quality services and opportunities to thrive, CFS also partners with 14 county-wide Family Resource Centers.

About Center for Family Strengthening (formerly SLO-CAP): In 1988 the San Luis Obispo County Board of Supervisors designated Center for Family Strengthening (CFS) as the self-governing entity responsible for local efforts to prevent and respond to child abuse and neglect. Center for Family Strengthening is dedicated to strengthening families through education and advocacy. Center for Family Strengthening partners with family support organizations in SLO County to provide resources to families in need, protect children from abuse and neglect, and ensure that strong families are a community priority. To donate or learn more about Center for Family Strengthening go to www.cfsslo.org or call (805) 543-6216.

CFS moves to new location

Center for Family Strengthening has moved its corporate headquarters to 3480 South Higuera, Suite 100, San Luis Obispo. Affiliate agency ALPHA Pregnancy and Parenting Support is also moving its corporate headquarters and will co-locate with Center for Family Strengthening.

We’re pleased to share corporate offices with ALPHA,” said Lisa Fraser, executive director of Center for Family Strengthening. “We’re able to provide additional services to ALPHA’s Clients when needed and share in administrative expenses where possible.”

Center for Family Strengthening is an SLO-based non-profit agency dedicated to preventing child abuse and neglect through by building stronger families and supporting them with a myriad of programs.

Through its Parent Connection, Center for Family Strengthening offers parenting skills classes and coaching skills, and manages the Postpartum Depression Support Line and support services. Through Kidz Toolbox for Personal Safety, CFS teaches child protective and safety skills. CFS’ Beginnings program offers prenatal substance use awareness. CFS also educates the San Luis Obispo Community at large about child abuse reporting laws. Promotores Collaborative is a volunteer team of Spanish-speaking members who connect to families in need. CFS works with Public Health Programs to make dental care accessible to the thousands of children in this San Luis Obispo County who do not qualify for Medical. The Central Coast Breast Feeding Coalition brings together a collaborative team of breastfeeding advocates to network, share resources, accomplish projects and provide breastfeeding education based on current research and best practice. To provide families high-quality services and opportunities to thrive, CFS also partners with 14 county-wide Family Resource Centers.

Ron Huxley, Family Healer and Therapeutic Parent Coach, featured guest speaker at the recent Child Abuse Prevention Academy at Cuesta College, described how abusive emotional childhood experiences could so negatively affect a young child resulting in underdeveloped social and emotional skills as well as negative impacts on our society as a whole.

According to experts, child abuse is preventable by strengthening families and fostering the healthy development of children. Working with the Community, CFS prevents child abuse by offering programs that make systemic changes in lives of families. A community that cares about early childhood development, parental support, and maternal mental health will foster nurturing families and healthy children.

Child abuse and neglect are found in families across the social and economic spectrum. Social isolation, financial stress, poverty, substance abuse, and domestic violence are all factors that can lead to adults abusing children.

About Center for Family Strengthening (formerly SLO-CAP)

In 1988 the San Luis Obispo County Board of Supervisors designated Center for Family Strengthening (CFS) as the self-governing entity responsible for local efforts to prevent and respond to child abuse and neglect. Center for Family Strengthening is dedicated to strengthening families through education and advocacy. Center for Family Strengthening partners with family support organizations in SLO County to provide resources to families in need, protect children from abuse and neglect, and ensure that strong families are a community priority.

To donate or learn more about Center for Family Strengthening go to www.cfsslo.org or call (805) 543-6216.

About Alpha Pregnancy and Parenting Support

Alpha provides support, practical assistance during pregnancy through a child’s second year, and education on pregnancy and early parenting throughout San Luis Obispo County.

To donate or learn more about Alpha Pregnancy and Parenting Support go to www.sloalpha.org or call (805) 541-3367

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