1. R&R: Relationships and Readiness in Early Childhood Mental Health Consultation Jordana Ash, LCSW Kid Connects Boulder The Mental Health Center serving Boulder/Broomfield Counties September 29, 2010

2. History of early childhood mental health consultation in Boulder, Colorado History of early childhood mental health consultation in Boulder, Colorado Evolution of Kid Connects Evolution of Kid Connects 2002 Innovations 2002 Innovations Integrated Health Practices Integrated Health Practices Family Child Care Family Child Care

3. Kid Connects Kid Connects Currently providing services in Boulder & Broomfield Counties Currently providing services in Boulder & Broomfield Counties Completed 2 year replication process in Weld County, CO and continued work is planned there Completed 2 year replication process in Weld County, CO and continued work is planned there New funding to implement model in 2 Head Start settings in additional counties in Colorado New funding to implement model in 2 Head Start settings in additional counties in Colorado Kid Connects Implementation Manual Kid Connects Implementation Manual

4. Relationship Based Work Desiree-clip Flexibility of responding Flexibility of responding Be humble Be humble Every story matters Every story matters Consider how it might be done Consider how it might be done

5. Relationship Based Work Time Time Balance between reflective support and responding to needs of setting Balance between reflective support and responding to needs of setting Understanding and respecting cultural aspects of relationships & interactions Understanding and respecting cultural aspects of relationships & interactions

6. Readiness for ECMHC Major importance to assess sites’ readiness for consultation Major importance to assess sites’ readiness for consultation Early Care Site Readiness Assessment Early Care Site Readiness Assessment Uses Uses Decision Making Decision Making

7. Readiness for ECMHC FORMAT FORMAT Structured Interview Structured Interview TOPICS TOPICS Demographics-who is enrolled Demographics-who is enrolled Specific Questions about Social Emotional Practices Specific Questions about Social Emotional Practices Interactions Interactions Environments Environments Staff & setting stability Staff & setting stability Home/Setting Partnerships Home/Setting Partnerships Expulsions policy & Practices Expulsions policy & Practices

8. Early Care Site Selection Indicators of Readiness Administrative Support for MH consultation Administrative Support for MH consultation Current Practices including Expulsion Policies Current Practices including Expulsion Policies Flexibility in Programming to incorporate MH consultation Flexibility in Programming to incorporate MH consultation Readiness for Partnership with MH Consultation Readiness for Partnership with MH Consultation

9. Site Readiness: What to Do When… Director Readiness Director Readiness Not quite ready yet? Not quite ready yet? Ensuring connections with staff Ensuring connections with staff Their input in ECMHC Their input in ECMHC Reaching families Reaching families

10. Assessing and Supporting the Readiness of Consultants Preparing consultants for relationship based work Preparing consultants for relationship based work No tools yet developed to ascertain success No tools yet developed to ascertain success Some specific domains to be thinking about: Some specific domains to be thinking about: Pace of progress Pace of progress Pull to intercede Pull to intercede Complicated alliances Complicated alliances Tolerating care practices Tolerating care practices

11. TOOLS & RESOURCES Early Care Site Readiness Assessment Early Care Site Readiness Assessment Services Agreement Services Agreement Mutual Goal Setting Mutual Goal Setting Core Knowledge & Competencies: A Self- Evaluation Checklist Core Knowledge & Competencies: A Self- Evaluation Checklist Kid Connects Implementation Manual Kid Connects Implementation Manual ONE FAMILY’S CLOSING THOUGHTS ONE FAMILY’S CLOSING THOUGHTS