Affiliation:
1. Department of Psychiatry and Human Behavior Alpert Medical School of Brown University Providence Rhode Island USA
2. Bradley/Hasbro Children's Research Center E. P. Bradley Hospital East Providence Rhode Island USA
3. Department of Psychiatry University of Rochester Medical Center Rochester New York USA
4. Department of Psychology American University Washington District of Columbia USA
5. Frank Porter Graham Child Development Institute The University of North Carolina at Chapel Hill Chapel Hill North Carolina USA
Abstract
AbstractInfant and early childhood mental health consultation (IECMHC) in early care and education (ECE) settings is a promising approach to support young children. Although research on the effects of IECMHC is encouraging, it is limited by the complexities of the systems in which IECMHC is implemented and the variability in IECMHC models. The current study aims to clearly articulate a statewide, child‐focused, short‐term IECMHC model, assess consultee satisfaction, examine the effects of consultation on children's functioning in the school and home settings, and evaluate changes in teacher perceptions associated with expulsion risk following consultation. In total, 268 children ages 1–5 (69% White, 75% male) and their family and school caregivers participated in consultation in a New England state, and 95 children and caregivers were included in an evaluation subsample. Of this subsample, teachers and ECE administrators, but not families, indicated significant improvement in children's functioning from referral to end of consultation. There was also a significant decrease in children's risk of expulsion, as measured by teachers’ perceptions associated with expulsion decisions. This study contributes to the IECMHC literature by providing results specific to a child‐focused model of consultation and highlighting the possible role of adult attributions for children in ECE.
Funder
Substance Abuse and Mental Health Services Administration
Subject
Psychiatry and Mental health,Developmental and Educational Psychology,Pediatrics, Perinatology and Child Health
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