Karinu’s services are guided by system of care values and principles. These services include two overall components.



  • Screening and assessment in a range of child-serving settings
  • Integration of behavioral health into primary care
  • Mental health consultation in early care and education
  • Enhanced home visiting with a focus on social and emotional well-being
  • Family strengthening and parent skills training


  • Social, emotional, and behavioral assessment
  • Individualized services and supports that promote the social, emotional, and behavioral well-being of young children
  • Therapy using play intervention strategies

Kariñu clinical services is designed to support the growth of secure parent/caregiver-child relationships and to encourage healthy social and emotional development in children birth to 5 years. Kariñu clinical services are provided by Early Childhood Mental Health Clinicians (ECMHC); licensed in the state of Guam to provide master level evaluation and assessments as well as individual and family therapy, and who have knowledge and training on the developmental stages of young children. The treatment of choice utilized by the ECMHC is therapy using play interventions. Infant and early childhood mental health clinicians often use play as a way for toddlers and preschoolers to learn pro-social skills as well as express their worries and fears. Furthermore, as clinicians work collaboratively with parents and caregivers to provide love, affection, support, and opportunities to play, children will explore the world and feel competent and successful; this is the foundation of infant and early childhood mental health.