Consultation researchers have long recognized the importance of assessing fidelity of intervention implementation, including the fidelity with which both consultation procedures and behavioral intervention plans are delivered. However, despite decades of discussion about the importance of assessing for fidelity of implementation in intervention…

Gerald Caplan (1917-2008), world-renowned child and community psychiatrist, was the originator of the modern practice of mental health consultation. In addition to consultation, Caplan developed and refined many conceptual models and methods for practice for use in community mental health, psychology, and education. This tribute article focuses on…

Research Findings: Early childhood mental health consultation aims to reduce problem behaviors and improve social skills in young children primarily through changes in the classroom environment and teacher practices. We conducted a systematic review of the literature and identified 14 rigorous studies that reported on child-level outcomes. These…

The purpose of this study was to investigate the efficacy of function-based interventions on the challenging behavior of three young boys with autism in rural Tennessee. Tennessee preschool teachers serve primarily rural communities, marked by high poverty rates and lack of access to ongoing teacher training and consultation. Positive Behavior…

The current study replicated the positive effects of performance feedback on treatment integrity and extended previous work by examining reactivity using a multiple baseline design with alternating treatments for observer-present and observer-absent conditions on teachers' implementation of a classwide behavior plan. No differences were found…

The reauthorization of the Individuals with Disabilities Education Act of 1997 emphasized the use of positive behavioral interventions, supports, and services for students with disabilities who display challenging behaviors. Unfortunately, most teachers and schools still lack systems for identification, adoption, and sustained use of these…

Mental health consultation can be very valuable in supporting children with behavioral difficulties and mental health issues in the classroom. Research has shown that consultation improves teacher efficacy--an important ingredient for teacher success. Consultants vary in the roles they play in child care programs. Most behavioral consultants…

The article describes a behavioral consultation model developed in a residential treatment program for visually impaired children with maladaptive behavior. Two case studies illustrate the application of behavior modification techniques. The article concludes with suggestions for overcoming the resistance of staff members to using behavior…

A growing number of states and communities are implementing the Pyramid Model in early care and education settings, and in many of these places there are also early childhood mental health consultation (ECMHC) programs operating. This policy brief provides an overview of ECMHC, how it can support the implementation of the Pyramid Model and the…

Increasing numbers of young children are being expelled from child care settings because of their problem behavior. Access to mental health consultation is related to lower rates of expulsion, but additional data are needed to document the pathways through which mental health consultation reduces the risk of expulsion. We report on outcomes from a…

The purpose of this paper is to question whether adequate consultation can take place when issues and problems are considered only at the level of the overt behavior of the problem child.'' (Author)

After observing the operation of a resource program involving part-time consultants, the authors offer a number of advantages to this method. They also suggest ways to make such an arrangement most effective. (BY)

Twenty-nine consultant-consultee dyads completed traditional problem identification and problem analysis interviews. Results indicate that the mean integrity of a monitoring system based on teacher self-report was 54%. Average use of intervention stimulus products was 62%. Teachers implemented the treatment as planned 4% of the time. Reduction of…

The effects of a school consultation program were reviewed through an analysis of referral patterns of teachers over a seven-year period. The provision of consultation services was found to result in a pattern of decreasing referrals on the part of teachers over time. (Author)