One of the challenges the center has faced has been the need to support staff members who had traditionally worked only in nonclinical settings. In anticipation of building the clinical programs, the child psychiatrist, the clinical administrator, and the coordinator of child development services conducted a review and subsequently developed a training program to meet the needs of the children in the clinical programs. The training program covered topics such as presenting to a treatment team, principles of behavior management, note taking, and the medical directors' reporting requirements. Treatment protocols were developed for such problems as aggression, noncompliance, and high levels of activity to help ensure a consistent approach to the most frequently encountered early childhood behavioral problems. In addition, three-day all-staff inservice training on various topics is held once a year.