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cpmgsandiego At CPMG, we're dedicated to providing expert health care just for kids, from birth through age 18. Users are expected to use the site only for those purposes.

Children's Physicians Medical Group, also known as CPMG San Diego, is San Diego's largest pediatric-only medical group. CPMG has over 400 pediatricians and pediatric specialists throughout San Diego county and southern Riverside, so we're sure you'll find just the right doctor to care for your child. In partnership with Rady Children's Health Network (RCHN) we deliver coordinated healthcare just f

or kids, from birth through age 18. CPMG
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As of August 3, 2015

The purpose of this Children’s Physicians Medical Group (CPMG) page is to enhance communication with patients, parents/guardians, staff and community members. This page is not intended to provide medical advice, diagnosis or treatment. To seek medical care or find an office near you, please visit cpmgsandiego.com. Any views and comments expressed by users on this site are those of the users and do not necessarily reflect the views of CPMG. This is a public forum and any information provided in comments will be available to the general public on Facebook and the privacy policies of Facebook apply. In addition, the user agrees to indemnify CPMG against any damages, losses, liabilities, judgments, costs or expenses arising out of a claim related to any material the user has posted. Any user's reference to a specific commercial product or service does not imply endorsement or recommendation of that product or service by CPMG. All site users are personally responsible for the content of their posts and CPMG is not responsible for the content of external websites. Users are expected to communicate in a respectful, courteous and professional manner. This site is regularly monitored and any inappropriate posts will be promptly removed. This may also pertain to posts that are not related to the stated purpose of the site, including, but not limited to, comments of a commercial nature, political activity and comments that constitute discrimination or harassment. Please contact [email protected] regarding violation of these guidelines on the use of CPMG social media platforms.

05/07/2026

Guidelines for Special Time and "Time In"

“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.

Disclaimer

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.

© 2021 American Academy of Pediatrics. All rights reserved.

¡Vamos! ¡Únete a nosotros! Say hello to Esther at the CPMG booth on Saturday, 4/25, at MiraCosta College.
04/13/2026

¡Vamos! ¡Únete a nosotros! Say hello to Esther at the CPMG booth on Saturday, 4/25, at MiraCosta College.

Visit your favorite train, Thomas, and find a wonderful CPMG pediatrician this Saturday! Day Out With ThomasSouthern Cal...
04/09/2026

Visit your favorite train, Thomas, and find a wonderful CPMG pediatrician this Saturday!
Day Out With Thomas
Southern California Railway Museum, 2201 S. A Street, Perris, CA
Esther will be in the CPMG booth from 9:00-4:00 to answer your pediatric healthcare questions!

Day Out with Thomas at the Southern California Railway Museum - All Aboard! Ride behind Thomas, meet Percy & Sir Topham Hatt.

https://cpmgsandiego.com/directory/gina-rosenfeld-md/Spotlight on CPMG's wonderful Dr. Gina Rosenfeld.
03/10/2026

https://cpmgsandiego.com/directory/gina-rosenfeld-md/
Spotlight on CPMG's wonderful Dr. Gina Rosenfeld.

Dr. Rosenfeld has been practicing as a pediatrician in private practice for over 18 years. She is Board Certified and a Fellow of the American Academy of Pediatrics. Dr. Rosenfeld completed her Pediatric Residency at The University of California, San Diego and Children's Hospital San Diego. She rece...

Focus on the Family by Dr. Gina RosenfeldWhether you’re a new or seasoned parent, I’m sure you can agree that having a b...
02/18/2026

Focus on the Family by Dr. Gina Rosenfeld
Whether you’re a new or seasoned parent, I’m sure you can agree that having a baby changes everything. There is nothing harder, more rewarding, and more important than being a parent, and once you are, family takes on a whole new meaning. This month’s theme is “Focus on the Family,” and I would like to share a few thoughts on parenting and building a strong family unit.

There is no bigger influence in your children’s lives than you. You smile, and they smile back; they are watching, listening, and picking up cues from you from the get go and for many years to come. Children learn what they live, so model behaviors you would like to see in them. If you want them to be kind, respectful, and patient, be kind, respectful, and patient with them and those around you.

Be a strong parent, and by that I mean set rules and routines and stick to them. Kids not only need rules, but also thrive because of them. Rules teach self control and help children understand what behavior is expected of them and what will happen if they don’t comply. Rules in the home translate to laws outside, so don’t be afraid to make them and enforce them. Routines and schedules make everyone feel better and give our kids a sense of security. Children fear the unknown and change, and throughout their childhood they have to face hundreds of new situations. When it’s time to take on a new challenge, structure and routine at home help your child feel safe and ready to meet it. In addition, routines keep kids on schedule, help them cooperate, help eliminate power struggles and help parents stick to healthy expectations for everyone in the family.

To build a strong family unit, make time for family, make memories, and keep the traditions going. You’ve all heard the cliché “it goes by so fast” -- well, it really does. At times, the days can seem endless, but the years keep flying by. It’s amazing -- you bring home a newborn and before you know it, he’s walking, then talking, starting school, wanting to drive, then talking about college! The best method to help cope: memories… make them and make them often. Be there for your children; play with them, laugh with them, read with them, cook with them, and share with them. Eat together as often as possible, have family movie night, game night, and take vacations together. We are so lucky now with cell phones to have a photo and video camera available right in the palm of our hands — use it. Something else to do: share your favorite memory of the day and have your children do the same. Then jot those memories down in a little book and keep them forever.

Finally, at the end of the day, after all the rules, routines, and memories, kiss your kids and remind yourself and your kids how blessed you are.

The UK is considering banning social media for those children under 16. What do you think as parents?
01/20/2026

The UK is considering banning social media for those children under 16. What do you think as parents?

A ban could have a positive impact on children’s mental health.

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