title: EARLY CHILDHOOD MENTAL HEALTH CONSULTATION: AN EVALUATION OF EFFECTIVENESS IN A RURAL COMMUNITY.
abstract: Little research has been done to evaluate the effectiveness of early childhood mental health consultation (ECMHC) in rural, applied settings. In this mixed-methods study, we evaluated an approach to ECMHC used in rural Southwest Kansas with individualized services for childcare providers. Twenty-nine home-based and center-based childcare providers completed measures on provider growth, perceptions of child outcomes, and satisfaction with sessions. In total, 162 data points were collected and analyzed using multilevel growth models. In addition, 16 providers participated in qualitative interviews. Both home-based and center-based providers reported very high satisfaction with consultation sessions which increased with time, although home-based providers showed significantly higher satisfaction than did center-based providers. Provider growth, encompassing personal well-being, scheduling and transitions, connections with parents, and positive discipline strategies increased significantly over time. Child outcomes, encompassing prosocial behavior, resilience, and overall well-being also improved significantly in providers' perception. ECMHC as conducted in Southwest Kansas appears to have a positive effect on childcare providers and the children in their care.
authors.affiliation: University of Kansas Center for Public Partnerships and Research, Lawrence.
authors.forename: M Alexandra
authors.initials: MA
authors.lastname: Vuyk
authors.affiliation: University of Kansas Center for Public Partnerships and Research, Lawrence.
authors.forename: Jessica
authors.initials: J
authors.lastname: Sprague-Jones
authors.affiliation: Kansas Children's Service League, Garden City.
authors.forename: Christie
authors.initials: C
authors.lastname: Reed
mesh_terms: D002662:Child Health Services / Q000592:standards*; D002675:Child, Preschool; D003156:Community Mental Health Services / Q000379:methods / Q000592:standards*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007615:Kansas; D001523:Mental Disorders; D036301:Qualitative Research; D012423:Rural Health / Q000592:standards*
keywords: Gemeinde; KinderbetreuerInnen/ErzieherInnen; Multilevel Wachstumsmodelle; angewandte Settings; applied settings; childcare providers; communauté rurale; comunidad rural; consulta de salud mental en la temprana niñez; consultation de santé mentale du nourrisson; contextes appliqués; crèches; early childhood mental health consultation; escenarios aplicados; modelos de crecimiento a niveles múltiples; modèles de développement à différents niveaux; multilevel growth models; proveedores de cuidado infantil; psychische Gesundheitsberatung in der frühen Kindheit; rural community; 䕶理兒童提供者; 地方コミュニティー; 多層次的增長模型; 多重レベルの成長モデル; 子どものケア提供者; 幼兒心理健康諮詢; 応用設定; 應用的環境; 早期の子どもメンタルヘルス・コンサルテーション; 農村社區