PBS Consultation


early childhood mental healthDCCDA’s Early Childhood Mental Health Consultation program is a collaborative effort between DCCDA’s mental health professionals and various community preschool and childcare centers. DCCDA provides on-site mental health consultation to childcare and preschool professionals at no charge. ECMH Consultation enables childcare and preschool staff to better meet the emotional and developmental needs of at-risk children while also increasing caregivers’ behavior problem solving skills and providing educational information to parents.

DCCDA offers child-centered and program-centered consultation.

Child-centered consultation is initiated by childcare staff or parents as they become concerned about a mental health consultationparticular child's social-emotional development. The consultant observes the child in the daycare or classroom setting and then makes recommendations to the staff and parents about the child. Recommendations are tailored to the unique needs of the child, childcare staff, and the child's family. The recommendations are designed to enhance and support the child’s functioning in his or her childcare center or school.

Some recommendations may include a change to the classroom routine, suggestions to staff and parents on new ways to connect with the child and referrals for further assessment or services.

Program-centered consultation focuses on childcare staff interactions with and sensitivity to the needs of all the children in the care center. Program centered consultation also focuses on helping center staff gain the skills necessary for assisting the children to develop optimal social-emotional functioning and development.  DCCDA has adopted The Center on the Social and Emotional Foundations for Early Learning (CSEFEL) Pyramid Model which promotes social emotional competence in infants and young children.  Enrolled programs are provided training, coaching, and resources from the Pyramid Model.  For more information on CSEFEL, visit their website at www.vanderbilt.edu/csefel/

childhood mental health servicesParents participate in both types of consultation but in different ways. In child-centered consultation, parents first give their consent for the mental health professional to be involved. Next, parent knowledge and historical perspective on the child's development will be utilized in assessing the child's needs. Parents also function as partners in deciding what kinds of interventions will be utilized and how they will be implemented.
In program-centered consultation, parental input is incorporated and feedback solicited once the interventions have been implemented in the program as a whole.


How Do You Access Early Childhood Mental Health Consultation Services?

To enroll in services and/or to make a referral, please complete the Child Referral Form and submit to Marci Ramsay at DCCDA.

Children and families can connect with ECMHC through recommendations from:

  1. Family & other caregivers
  2. Early learning center staff
  3. School administrators
  4. Health care staff
  5. Outside service providers

ECMHC does not discriminate in admission to or provision of services based on religion, gender, race, color, national origin, or disability.  Services are geared toward children ages 0-5.

DCCDA and ECMHC are committed to addressing the needs of children and families with diverse values, beliefs, racial and ethnic backgrounds, languages, and sexual orientation.


Why Do We Need Early Childhood Mental Health Consultation?

Recent neurobiological research has dramatically increased our understanding of how the brain develops during the first 3 years of life by describing the impact of environmental and biological factors on a child’s cognitive, physical, behavioral, and social development.  Concurrently, research on child development and clinical practice has shown that nurturing relationships play a crucial role in facilitating young children’s social and emotional development.  Together, these bodies of knowledge provide a solid mandate for introducing the mental health perspective into early childhood programs and systems that serve young children and their families. (U.S. Dept. of Health and Human Services, 2005).


Types of Mental Health Consultation

Child & Family-Centered Consultation:

Child and family-centered consultation is the most traditional form of mental health consultation.  Staff initially seeks the assistance of a mental health consultant because they are worried, alarmed, or frustrated by a particular child’s behavior.  The primary goal of this type of consultation is to develop a plan to address both the factors that contribute to a child’s difficulties in functioning well in the early childhood setting and the family’s role.


Programmatic Mental Health Consultation:

Mental health consultation to programs focuses on (1) improving overall quality of the program or agency and (2) assisting the program in solving a specific issue that affects more than one child, staff member, and family.  Typically, the mental health consultant in early childhood settings is called on to engage staff and families in assessing a problem and designing a plan to deal with specific issues within the overall program.  In programmatic mental health consultation, the consultants usually do not focus on individual children; rather, they facilitate the program’s success in reaching such objectives as developing a mental health approach to strengthen the quality of the program, including a staff development plan; developing opportunities for staff to discuss their concerns and to examine how stress affects their work; providing a forum to explore cultural differences and workplace conflicts; and providing a “safe place” in which staff members can identify, examine, and discuss their feelings about their relationships with children and families.


For More Information...

Marci Ramsay, LMSW
1525 W 6th Street, Suite A
Lawrence, KS 66044

Referral Form
Kansas Association for Infant Mental Health website