Reflective Consultation (RC) Offering Application
* " We thank you for your interest in the Reflective Consultation offering.WE INVITE YOU TO KINDLY SHARE YOUR INTEREST AND DETAILS BELOW TOWARDS A WAITING LIST."

The Infant and Early Childhood Mental Health Partnership between the Massachusetts Society for the Prevention of Cruelty to Children (MSPCC) and the Massachusetts Association for Infant Mental Health (MassAIMH) offers a 12-month Reflective Consultation opportunity comprised of web-based group reflection experience with an Endorsed® practitioner

This offering is in service of our ongoing commitment to diversify and strengthen the early childhood workforce by creating equitable access to reflective consultation.


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Please share your full name *
What is your Email Address? *
Do you currently receive Reflective Consultation / Supervision at your workplace? *
Are you a supervisor at your workplace? *
Can you commit to attending Reflective Consultation Groups virtually for 2 hours per month for a 1 year period? *
The Reflective Consultation Offering includes an evaluation component. Can you commit to completing a pre-and-post evaluation survey? *
Infant Mental Health Endorsement® at the Infant Family Specialist category requires RC (a minimum 24 hours within a 1-year minimum – 2-year maximum timeframe). As part of this offering, it is guaranteed that you will be offered a minimum of 24 hours of RC from an Endorsed® provider over the course of two years. All of your RC participatory hours with this consultant will count toward Endorsement® requirements for your application.
Would you be interested in pursuing IMH Endorsement® ? *
What are your hopes of being a part of this group reflective consultation offering? *
Demographics
We would like to learn about you. As you are comfortable, please tell us a little bit about yourself.
What is your racial identity? (check all that apply) *
Required
What is your ethnicity? (Please self identify)
What is your gender identity? *
Do you speak (and serve families in) Spanish *
If you responded Yes above: The RC offering will have one group for Spanish speaking practitioners. Would you prefer being in the Spanish speaking group? *
What is the highest educational degree you have earned? *
Please choose the setting(s) in which you work currently (select all that apply): *
Required
What area(s) of the state do you routinely/currently work in (check all that apply) *
Required
What best describes your socio-economic/class background or origin? *
Is there anything else you want to share about your background or identity?
Thank you for your interest. We will reach out by this summer. If you have questions, please reach out to Aditi Subramaniam, Associate Director, IECMH at asubramaniam@mspcc.org
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