Early Childhood Mental Health Consultation: Promoting Change in the Quality of TeacherChild Interactions

The goal of this study was to examine the relationship between characteristics of early childhood mental health consultation (ECMHC) and changes in the quality of teacherchild interactions. One hundred forty-one early childhood teachers, serving 3- to 5-year-olds in publically funded early education programs in the state of Arkansas, participated in this study. All childcare sites and preschool programs participating in the study received ECMHC through the Arkansas Early Childhood Mental Health Consultation Project over a period of 3 years. Findings from this study suggest that teachers exposed to ECMHC through their employment at one of the project sites made significant gains toward high-quality teacherchild interactions relative to their initial levels of quality. In particular, delivery aspects of ECMHC and teachers' experiences of ECMHC predicted change in quality of teacherchild interactions. Findings suggest that ECMHC may be a promising professional development intervention for teachers in early childhood settings and that specific characteristics of consultation may be particularly influential in impacting change in those settings.