What Works ?
What Works? A Webinar Series on
Effective Early Childhood Mental Health Consultation
Presented by the Georgetown University
Center for Child and Human Developmentwith sponsorship from
The A.L. Mailman Family Foundation
Moderated by Kathy Hepburn, GUCCHDTechnical support by Kevin Enright, GUCCHD
What Works ?
A Brief Webinar Orientation
What Works ?
What Works? A Webinar Series on
Effective Early Childhood Mental Health Consultation
Presented by the Georgetown University
Center for Child and Human Developmentwith sponsorship from
The A.L. Mailman Family Foundation
Moderated by Kathy Hepburn, GUCCHDTechnical support by Kevin Enright, GUCCHD
Call-in Number: 1-800-832-0736
Room Code: 2884179
If you can see this, but can’t hear the audio, dial the Call-in Number and enter the Room Code circled in red
What Works ?
LogisticsMove all electronic devices away
Close all file sharing applications and streaming music and video
If you need technical support, please contact Soumia Yesraoui at 202-687-0308
Send questions during the webinar that will be held for Q&A periods
After the webinar: – Evaluation– Unanswered questions and access to archives
What Works ?
What Works? A Webinar Series on
Effective Early Childhood Mental Health Consultation
Presented by the Georgetown University
Center for Child and Human Developmentwith sponsorship from
The A.L. Mailman Family Foundation
Moderated by Kathy Hepburn, GUCCHDTechnical support by Kevin Enright, GUCCHD
What Works ?
Webinar Series
Webinar Dates in 2010
An Introduction to Effective Early Childhood Mental Health Consultation April 28
Preparing and Supporting the Work Force, Part 1 May 26
Preparing the Supporting the Work Force, Part 2 June 30
High Quality Services July 28
Relationships and Readiness September 29
Evaluation Early Childhood Mental Health Consultation October 27
Building Capacity, Part 1 November 17
Building Capacity, Part 2 December 16
For brief descriptions of each webinar, go to http://gucchd.georgetown.edu/90642.html
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What Works ? Webinar #1
Introduction to Effective Early Childhood Mental Health
Consultation: An Overview of Study Findings
Roxane K. Kaufmann, M.A.Roxane K. Kaufmann, M.A.Frances B. Duran, M.P.P.Frances B. Duran, M.P.P.Deborah F. Perry, Ph.D.Deborah F. Perry, Ph.D.
Georgetown University Center for Child & Human DevelopmentGeorgetown University Center for Child & Human Development
April 28,2010April 28,2010
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What Works ?
Today’s Webinar
Describe GUCCHD’s work in children’s mental health and the context of the study
Highlight national data on the status of ECMHC
Showcase key study findings, including an emerging model for effective consultation programs
Describe evaluation in the context of study sites
Discuss next steps for the field
Highlight resources for further guidance
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What Works ?
Setting the Context
GUCCHD’s work in ECMH
Increased knowledge about child development and increased concerns about young children’s behavior
Lessons from the Field
1999 Roundtable supported by SAMHSA
Expanding use of ECMHC and research
Mailman Family Foundation support9
What Works ?
• Indirect mental health intervention for infants, toddlers and preschoolers
• Focused on young children in ECE settings and their caregivers
• Collaboration between a professional consultant with mental health expertise and consultees
What is Early Childhood Mental Health Consultation?
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What Works ?
Types of ECMHC
Child/family-centered consultation: Focuses on a particular child with challenging behavior and/or the family of that child
Programmatic consultation: Focuses on a general program or classroom issue that impacts the mental health of staff, children and/or families
Cohen & Kaufmann, 2000
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What Works ?
What are the Goals of ECMHC?
Reduce the impact of mental health problems among young children in ECE settings
Build the capacity of ECE staff, programs, and families to promote young children’s healthy social/emotional development and address challenging or troubling behaviors
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What Works ?
Setting the Context (cont’d)
Growing body of research on ECMHC, but key questions remained…– What are the essential components of effective mental
health consultation?
– What are the skills, competencies, and credentials of effective consultants?
– What are the training, supervision, and support needs of consultants?
– What level of intervention intensity is needed to produce good outcomes?
– Which outcomes should be targeted and how should they be measured?
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What Works ?
The What Works? Study
What Works? study (2009)– Targeted focus on exploring the key components
of effective consultation programs– Site visits to 6 programs with positive outcomes– Participation from those delivering and
receiving ECMHC services– National Scan
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What Works ?
Study Sites
Child Care Expulsion Prevention (MI)
Early Childhood Consultation Partnership (CT)
Early Intervention Program/Instituto Familiar de la Raza (San Francisco, CA)
Early Intervention Project (Baltimore, MD)
Kid Connects (Boulder, CO)
Together for Kids (Central Massachusetts)
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What Works ?
ECMHC: The National Picture
National Scan
Brief online survey
Sent to all states’ and territories’ Children’s Mental Health Directors and ECCS Coordinators
35 states/territories responded
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What Works ?
National Scan Highlights
Prevalence of ECMHC29 states indicated availability of ECMHC; 21 with statewide efforts
Key factors that supported ECMHC implementation: funding, research/data, leadership, state/community concerns, and/or early childhood initiatives
Top Funding SourcesState General Funds, Child Care Development Funds, Mental Health, Private Funds
Evaluation Most (61%) have a coordinated statewide effort
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What Works ?
National Scan Highlights (cont’d)
Consultant Qualifications– Few have state-level requirements
Common Challenges– Lack of funding, providers and/or expertise– ECMH not valued/included in systems
development efforts
Lessons Learned– Collaboration and cross-agency cooperation is critical
– Effective ECMHC attends to promotion, prevention & intervention
– A highly trained and supported consultant workforce is crucial to effective ECMHC 18
What Works ?
Question Review and Response
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What Works ?
An Emerging Model for ECMHC
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What Works ?
Solid Program Infrastructure
Well-defined model
Strong leadership
Clear organizational structure
Strong hiring and training component
Supervision and support mechanisms for consultants
Strategic partnerships
Community outreach and engagement
Clear communication
Evaluation
Financing
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What Works ?
Highly-Qualified Consultants
Content Knowledge– Infant/early childhood mental health (I/ECMH)– Typical & atypical child development– Best/evidence-based practices in I/ECMH– Cultural and linguistic competence– Service systems and community resources
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What Works ?
Highly-Qualified Consultants (cont’d)
Skills– Work at multiple levels
• Group settings and one-on-one
• Children and adults
• Infants, toddlers and preschoolers
– Communicate effectively– Collaborator, educator, coach and cheerleader– Develop targeted & individualized strategies– Build strong, healthy relationships!
Attributes23
What Works ?
High-Quality Services
Include both types of consultation
Provide an array of services/activities– Information gathering– Individualized service plan development– Plan implementation support– Provider/family education– Provider/family emotional support– Linkages to services beyond consultation (e.g.,
direct therapy)
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What Works ?
Tips on High-Quality Service Delivery
Strong service initiation process
Collaboration
Family involvement
Cultural and linguistic competence
Individualization of services/strategies
Consistency across home & classroom
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What Works ?
Tips on High-Quality Service Delivery (cont’d)
Utilization of hands-on, practical materials
Consistency in consultants
Availability of consultants
Integration of consultant into program routines and operations
Facilitation of ECE program requirements and goals
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What Works ?
Catalysts for Success
Positive Relationships
Readiness for ECMHC
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What Works ? Additional Considerations in
Developing/Refining ECMHC Models
Caseloads
Intensity of services
Use of best/evidence-based practice(s)
Local resources/capacity
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What Works ?
Question Review and Response
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What Works ?
Expanding the Evidence Base
Two reviews of the best available evidence– Staff & Program Level Outcomes– Child Behavioral Outcomes
Increasing rigor in state level evaluations underway
Use of valid and reliable tools
Well articulated theory of change
33
What Works ?
Evaluation
Helps answer critical questions about your program:– What is your program doing?– What effects are you having on whom?– What parts work well?– What parts need improvement?
Helps promote sustainability
Continuous Quality Improvement
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What Works ? Evaluation Efforts in Study
Sites
All selected sites had positive outcomes
All programs have rigorous evaluations underway
Mixed methods being used: quantitative and qualitative
Variety of formative and summative outcomes
Comprehensive table of tools (p. 91-93)
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What Works ?
Measuring Impact at Multiple Levels
MD Evaluation: Logic Model
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What Works ?
Moving Toward Fidelity
Begin with essential features: importance of clear model
Challenge of not being a manualized intervention
Approach similar to the National Wraparound Fidelity process– Key principles, then core practices
The NEST and modified Delphi process
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What Works ?
ResourcesWhat Works? study
http://gucchd.georgetown.edu/78358.html
Early Childhood Mental Health Consultation: An
Evaluation Toolkit (2007)
http://gucchd.georgetown.edu/72407.html
Early Childhood Mental Health Consultation (2000; 2005)
http://mentalhealth.samhsa.gov/publications/allpubs/svp05-0151/
Center for Effective Mental Health Consultation
http://www.ecmhc.org
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What Works ?
Research SynthesesDuran, F.B.; Hepburn, K.S.; Kaufman, R.K.; Le, L.T.; Allen, M.D.;
Brennan, E.M.; & Green, B.L. Research synthesis: Early childhood mental health consultation. Available at Center for Social Emotional Foundations of Early Learning (CSEFEL) website http://www.vanderbilt.edu/csefel/pdf/rs_ecmhc.pdf
Brennan, E. M., Bradley, J. R., Allen, M. D., & Perry, D. F. (2008). The evidence base for mental health consultation in early childhood settings: Research synthesis addressing staff and program outcomes. Early Education and Development.
Perry, D.F., Allen, M.D., Brennan, E.M., & Bradley, J.R. (in press). The evidence base for mental health consultation in early childhood settings: Research synthesis addressing children’s behavioral outcomes. Early Education and Development
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What Works ?
Question Review and Response
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What Works ?
For More Information
Frances Duran
Deborah Perry
Roxane Kaufmann
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What Works ?
Join us for next webinar….
Preparing and Supporting the Workforce, Part 1:
Key Skills, Attributes, and CharacteristicsWednesday, May 26, 2010
2 PM EST, 11 AM PT
Presenters:Elizabeth BicioEarly Childhood Consultation Partnership, CT
Pamala TrivediBright Beginnings, Inc., Washington DC
Deborah PerryGeorgetown University Center for Child and Human
Development39
What Works ?
After the Webinar
Evaluation
Unaddressed questions/archives
Technology change
For any webinar connection/participation issues, contact Kathy Hepburn,
Thank You40
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