Guidelines for Special Time and Time In—Mental Health Toolkit

“Special time” or “time in” is one-on-one time shared by a child or adolescent and a parent or caregiver. It demonstrates the parent’s or caregiver’s enjoyment of spending time together and offers a break from any tensions or caregiver demands, including those resulting from a child’s or teen’s difficult behaviors.

Special time for children aged 2 through 10 works best when it is

  • Called a certain name that the child understands, such as “special time”

  • Given every day, whether the child has behaved positively or negatively

  • Never taken away as a punishment

  • Kept a consistent, short amount of time (such as 10–15 minutes)

  • Given at a time convenient for the parent or caregiver, although a consistent time is desirable

  • Given separately by each parent or caregiver to each child in the family each day

  • Used for a joint activity that the child chooses (within activities acceptable to the adult, such as reading a book together, playing catch, taking a walk, working on a puzzle, or playing a board game)

  • Not used for watching TV or using electronic devices

  • Not interrupted by the parent or caregiver taking telephone calls or turning their attention away to something else

  • Ended on time, in order to prevent begging

  • Not saved up and done at greater length on another day

  • Separated from other playtime that day by a break, which indicates that the rules are different

  • Shortened by any time-out required for misbehavior occurring during special time

  • Carried out by repeatedly trying to engage a child who refuses special time, in order to convey the parent or caregiver’s sincere interest

Time in for older children and adolescents works best when it has one or more of the following qualities:

  • Screen-free (youth and parent)

  • Respectful of homework, sports, connection with friends, and other developmentally important activities

  • Spontaneous at times, taking advantage of “breaks” or canceled plans

  • A joint activity such as one mentioned under special time (for example, taking a walk, playing a board game)

  • A daily non-prying “check-in” by the parent—a brief conversation to ask how the day has gone or is going and how the youth’s friends are doing, follow up on any worries or stresses shared previously, and anticipate upcoming activities

Adapted, with permission, from Howard BJ. Guidelines for special time. In: Jellinek M, Patel BP, Froehle MC, eds. Bright Futures in Practice: Mental Health— Volume II. Tool Kit . National Center for Education in Maternal and Child Health; 2002.

The information contained in this resource should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances. Original resource included as part of Addressing Mental Health Concerns in Pediatrics: A Practical Resource Toolkit for Clinicians , 2nd Edition.

Inclusion in this resource does not imply an endorsement by the American Academy of Pediatrics (AAP). The AAP is not responsible for the content of the resources mentioned in this resource. Website addresses are as current as possible but may change at any time.

The American Academy of Pediatrics (AAP) does not review or endorse any modifications made to this resource and in no event shall the AAP be liable for any such changes.

Copyright © American Academy of Pediatrics Date Updated: Nov 17 2024 20:38 Version 0.1

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starfish
February 12, 2026
There have been cases of measles in NC, with exposures in Chapel Hill, Durham, and Wake County. We can give the MMR dose early to families who want it. This applies to infants 6-12 months who have not gotten a dose yet or kids under 4-5 years who have not gotten their second MMR dose. At this time, the NC DHHS and health departments are not recommending this unless traveling or living in an area with sustained transmission. Two doses of the MMR vaccine are highly effective (97%) at preventing measles infections. At CHCAC, children receive their first dose at 12 months of age and a second dose at 4 years of age, ensuring they are fully protected as soon as possible, in accordance with the most up-to-date AAP recommendations. Some infants aged 6 months to 11 months who travel internationally or in high-prevalence areas may need a dose to protect them; however, they still require the 1-year and 4-year-old doses as well. If you are ever concerned about a possible exposure to measles, please CALL before entering our office. DO NOT ENTER the office. NC DHHS keeps a list of areas with measles exposures here . This is a highly contagious illness, and special precautions must be taken to prevent spread. The virus can be present in the air for 2 hours after an infected person is in the room, and 90% of susceptible patients can be infected. As always, if you have questions, we are here to help make sense of it all!