What Works ? What Works? A Webinar Series on Effective Early Childhood Mental Health Consultation Presented by the Georgetown University Center for Child

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

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A Brief Webinar Orientation

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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

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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

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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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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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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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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 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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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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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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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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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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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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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

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Question Review and Response

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An Emerging Model for ECMHC

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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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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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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

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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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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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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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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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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

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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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Measuring Impact at Multiple Levels

MD Evaluation: Logic Model

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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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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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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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For More Information

Frances Duran

[email protected]

Deborah Perry

[email protected]

Roxane Kaufmann

[email protected]

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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

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After the Webinar

Evaluation

Unaddressed questions/archives

Technology change

For any webinar connection/participation issues, contact Kathy Hepburn,

[email protected]

Thank You40

Documents

What Works ? What Works? A Webinar Series on Effective Early Childhood Mental Health Consultation Presented by the Georgetown University Center for Child