1. What Works ? What Works? A Webinar Series on Effective Early Childhood Mental Health Consultation Presented by the Georgetown University Center for Child and Human Development with sponsorship from The A.L. Mailman Family Foundation Moderated by Kathy Hepburn, GUCCHD Technical support by Kevin Enright, GUCCHD

2. What Works ? Use the Chat (Q&A) pod to ask a question or respond to a general question to the audience.

3. What Works ? Logistics Close all file sharing applications and streaming music and video Send questions during the webinar that will be held for Q&A periods After the webinar: –Evaluation –Archives, support materials, and unanswered questions at : http://gucchd.georgetown.edu/90642.html http://gucchd.georgetown.edu/90642.html

4. What Works ? Webinar Series Webinar Dates in 2010 An Introduction to Effective Early Childhood Mental Health ConsultationApril 28 Preparing and Supporting the Work Force, Part 1May 26 Preparing the Supporting the Work Force, Part 2June 30 High Quality ServicesJuly 28 Relationships and ReadinessSept. 29 Evaluation Early Childhood Mental Health ConsultationOct. 27 Building Capacity, Part 1Nov. 17 Building Capacity, Part 2Dec. 16 For brief descriptions of each webinar, go to http://gucchd.georgetown.edu/90642.html http://gucchd.georgetown.edu/90642.html

5. What Works ? Webinar #5 R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Presenters: Cassandra Coe Instituto Familiar de La Raza, CA Elia Dominguez Instituto Familiar de La Raza, CA Jordana Ash Kid Connects, CO September 29, 2010

6. What Works ? Today’s Webinar Revisit key study findings and essential features of high quality ECMH consultation services Describe what we mean by “catalysts for success” Focus on: –Relationships/relationship-based approach –The personal context of a cultural and clinical framework –Considerations and features of program, provider, and family readiness for early childhood mental health consultation and a tool for assessing and supporting readiness for consultation Viewed from two program models (strategies tools and resources)

7. What Works ? An Emerging Model for ECMHC

8. What Works ? Catalysts for Success Like yeast is to bread… the mix of positive relationships and readiness for early childhood mental health consultation are strongly associated with positive outcomes of consultation. Both are: Dynamic Developmental And a bit mysterious

9. What Works ? Positive Relationships Positive relationships between the consultant and consultees are central to successful consultation efforts Consultant characteristics Time Relationship building strategies Relationships-based approach

10. What Works ? Relationship-based Approach Consultation facilitates and nurtures optimal adult- child interactions by building trust and relationships with consultees that mirror the attributes that need to be fostered between the adult caregivers and child and between the adult caregivers themselves to create a nurturing environment - “Parallel Process” supported by Reflective Supervision Early childhood development and mental health All learning takes place in the context of relationships Young children are best served within natural relationship contexts - early care and education and their families

11. What Works ? Cultural Competence ECMHC/Consultant actions: –Recognize one’s own culture and its influence –Learn about program, community, and family cultural values, beliefs, and practices – Explore developmental expectations and child rearing practices –Attend to customs and cultural expectations in interaction, meetings, home visits, etc. –Understand beliefs and perceptions about mental health –Identify a “cultural guide” and use supervision to reflect on “dynamics of difference” –Speak language/interpreters A set of congruent behaviors, attitudes, policies, structures and practices that come together in a system, agency or among professionals and enable that system, agency, or those professionals to work effectively in cross-cultural situations. (NCCC)

12. What Works ? Readiness for Consultation Consultation is a dynamic process and requires active participation from all parties for maximum impact Stakeholders at various stages of readiness Work toward reaching a state of readiness ECE ProgramECE ProviderParent Caregiver Supportive administrator Flexibility Mental health perspective Open to learning Willing to try something new Willing to collaborate Not threatened by consultant involvement Accepts there are concerns Willing to try something new Willing to collaborate Resolution of stigma associated with consultation

13. What Works ? Question Review and Response

14. What Works ? Resources Mental Health Consultation in Child Care: Transforming Relationships Among Directors, Staff, and Families http://www.amazon.com/Mental-Health-Consultation-Child-Care/dp/0943657911 Building Culturally & Linguistically Competent Services to Support Young Children, Their Families, and School Readiness http://www.aecf.org/KnowledgeCenter/Publications.aspx?pubguid= {6F04722C-85EB-45BF-B6B3-07FFF5E435A9} Culture and Caregiving: Goals, Expectations, & Conflict http://main.zerotothree.org/site/DocServer/ZTT23-5_apr_may_03.pdf?docID=7291 How Culture Shapes Social-Emotional Development: Implications for Practice in Infant-Family Programs https://secure2.convio.net/zttcfn/site/Ecommerce/793557903? VIEW_PRODUCT=true&product_id=1281&store_id=1121 National Center for Cultural Competence http://nccc.georgetown.edu/

15. What Works ? Resources What Works? study & Resource Compendium http://gucchd.georgetown.edu/78358.html http://gucchd.georgetown.edu/products/78366.html –Early Care Site Readiness Assessment Services Agreement and Mutual Goal Setting –Core Knowledge & Competencies: A Self-Evaluation Checklist –TFK Economic Report Early Childhood Mental Health Consultation: An Evaluation Toolkit (2007) http://gucchd.georgetown.edu/72407.html Early Childhood Mental Health Consultation (2000; 2005) & A Training Guide for the Early Childhood Services Community http://mentalhealth.samhsa.gov/publications/allpubs/svp05-0151/ http://mentalhealth.samhsa.gov/publications/allpubs/svp05-0151B/ Center for Early Childhood Mental Health Consultation http://www.ecmhc.org

16. What Works ? For More Information Cassandra Coe –ccoe@ifrsf.orgccoe@ifrsf.org Elia Dominquez –edominguez@ifrsf.orgedominguez@ifrsf.org Jordana Ash –Jash@mhcbbc.orgJash@mhcbbc.org

17. What Works ? Join us for next webinar…. Evaluating Early Childhood Mental Health Consultation Wednesday, October 27, 2010 2-3:30 PM EST, 11 AM-12:30 PM PT Presenters: Deborah Perry, PhD Georgetown University Center for Child and Human Development Rosalind Kirk, University of Michigan Walter Gilliam Yale University Child Study Center

18. What Works ? After the Webinar Evaluation Unaddressed questions/archives on webpage For any webinar connection/participation issues, contact Kathy Hepburn, ksh@georgetown.edu Thank You