Together, We Can Make the Difference of a Lifetime

Watch how Door to Hope's MCSTART program is helping children.

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Admission Requirements

Children between ages 0 and 11 years with some of the following:

  • Little or no prenatal care
  • Biological mothers with a history of substance use disorder
  • Positive toxicology screen of mother or newborn at delivery
  • Low newborn birth weight
  • Small head circumference
  • Neonatal intensive care admission
  • Admittance in the child welfare system
  • Biological mothers involved with the criminal justice system, either corrections or probation
  • Delayed development
  • Troubling behavior
  • Family history of domestic violence
  • History of multiple placements
  • History of trauma


Call us at (831) 755-8155 or use the contact form below.

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Each year, more than 1,000 babies in Monterey County experience prenatal exposure to trauma, alcohol and/or drugs. Even more are exposed to domestic violence and trauma postnatal. To help these little ones, professionals must intervene and treat them.

To do this, Door to Hope and Monterey County established MCSTART (for Monterey County Screening Team for Assessment, Referral and Treatment). Door to Hope is the lead agency in this collaboration.

Caring Treatment that Starts with Families

Prenatally exposed children have different needs. Parents and caregivers should strive to help the child overcome their challenges. They must serve as the child’s trusted anchor.

Our professionals, many of whom are bilingual, are all trained in this highly specialized area of medicine and behavioral health. They represent many disciplines and can provide the knowledge, support and special services required.

Children referred to the MCSTART clinic undergo a comprehensive assessment of their medical, cognitive, behavioral, social, emotional, and educational development. Parental functioning is also assessed. After completing the assessment, all evaluating professionals, involved agencies, practitioners and the family meet to develop appropriate treatment strategies.

To learn more about MCSTART, visit

Our Services

  • Developmental Screening
  • Specialty-Focused Medical Assessment and Care
  • Psychological Assessment
  • Dyadic Therapy
  • Attachment Therapy
    • Theraplay®
    • Circle of Security
  • Occupational Therapy
  • Sensory Integration Therapy
  • Parent Child Interactive Therapy (PCIT)
  • Parents as Teachers
  • Family support services
  • Education
  • Case management services