Early Childhood Mental Health

Early Childhood Mental Health Consultation Brochure
This brochure describes what ECMHC is, why a family might seek consultation and why it's important.

Helping Ohio's Children: Understanding the Impact of Early Childhood Mental Health Services
Preparation of this report commenced at the initiative of Voices for Cleveland's Children and the Early Childhood Mental Health Advisory Counsel and was supported by the Ohio Department of Mental Health.

Children's Mental Health: What Every Policymaker Should Know (2010)
This report, by the National Center for Children in Poverty, describes the insufficient state of mental health service delivery. Children need to be healthy in order to learn, grow, and lead productive lives. With the addition of effective treatments, services, and supports, the mental health system can become better equipped to help children and youth with mental health problems, or those who are at risk, to thrive and live successfully. Shannon Stagman, Janice L. Cooper.

Early Childhood Mental Health Consultation Program Report (2010)
In this report, the Ohio ECMH Program reviews What Works? A Study of Effective Early Childhood Mental Health Consultation Programs and compares it to Ohio's current ECMH Program model to ascertain what elements may be strengthened. Marla Himmeger, Ohio Department of Mental Health.

Addressing the Mental Health Needs of Young Children and Their Families (2010)
This National Children's Mental Health Awareness Day newsletter explains the immediate and lifelong benefits of providing effective age-appropriate services and supports to young children and families who experience mental health challenges.

State Case Studies of Infant and Early Childhood Mental Health Systems (2010)
This report examines the efforts made in Colorado, Indiana, Massachusetts, and Rhode Island to develop mental health systems of early identification and intervention for children from birth to age 5. Support for this research was provided by The Commonwealth Fund. D. Russell Lyman, Wendy Holt, and Richard H. Dougherty.

Ohio's Core Competencies for Early Childhood Mental Health Professionals (2009)
This document of core competencies is for ECMH professionals who provide consultation and/or treatment. The core competencies included in this manual are written to promote the professional development of knowledge, skills, and attitudes necessary for working with diverse populations. This document serves as an initial effort to articulate Ohio's vision of the competent Early Childhood Mental Health Practitioner.

What Works? A Study of Effective Early Childhood Mental Health Consultation Programs (2009)
The Georgetown University Center for Child and Human Development (GUCCHD) embarked on this study, funded by the Annie E. Casey Foundation and the A.L. Mailman Family Foundation, to address critical knowledge gaps in the field of ECMHC and provide data–driven guidance around consultation program design. Duran, F. et al.

Unclaimed Children Revisited: Status of Children's Mental Health Policy in the U.S. (2008)
This report aims to document and assess how well child mental health policies across the 50 states and three territories respond to the needs of children and youth with mental health problems, those at risk, and their families. Prepared by the National Center for Children in Poverty. Cooper, J.L., Aratani, Y., Knitzer, J., Douglas-Hall, A., Masi, R., Banghart, P. & Dababnah, S.

Early Childhood Mental Health Consultation: An Evaluation Tool Kit (2007)
The purpose of this tool kit is to increase the capacity for high-quality evaluation of early childhood mental health consultation (ECMHC) in community based settings. Hepburn, K. S., Kaufmann, R. K., Perry, D. F., Allen, M. D., Brennan, E. M., & Green, B. L. Washington, DC: Georgetown University, Technical Assistance Center for Children's Mental Health; Johns Hopkins University, Women's and Children's Health Policy Center; and Portland State University, Research and Training Center on Family Support and Children's Mental Health.

Promotion of Mental Health and Prevention of Mental and Behavioral Disorder Vol. 1 (2005)
Early Childhood Mental Health Consultation: This monograph had its genesis at the May 1998 “Roundtable on Mental Health Consultation Approaches for Programs/Systems Working with Infants, Toddlers, and Preschoolers, and Their Families.” Its goal was to exchange information. The then Georgetown University Child Development Center convened this meeting at the request of and with funding by the Substance Abuse and Mental Health Services (SAMHSA), Center for Mental Health Services (CMHS). Cohen, E., and Kaufmann, R.

Promotion of Mental Health and Prevention of Mental and Behavioral Disorder Vol. 2 (2005)
A Training Guide for the Early Childhood Services Community: After reading the publication, you will be prepared to use the training materials to inform and guide programmatic planning for mental health consultation within the context of early childhood services. Hepburn, K. S., & Kaufmann, R. K. Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.

ODMH Early Childhood Mental Health Initiative: Attributes for Effective Consultants (2005)
This document lists the skills and areas of expertise that every consultant should possess.

Other Readings of Interest

A National Agenda for Research in Collaborative Care (2011)
At the AHRQ–funded Collaborative Care Research Network Research Development Conference, key national leaders took major steps toward establishing a research agenda for collaborative care among primary care and mental health clinicians. This set of three research papers represents the fruits of that meeting. Miller BF, Kessler R, Peek CJ, Kallenberg GA.

Drugging the Vulnerable: Atypical Antipsychotics in Children and the Elderly (2011)
Pharmaceutical companies have recently paid out the largest legal settlements in U.S. history – including the largest criminal fines ever imposed on corporations – for illegally marketing antipsychotic drugs. The payouts totaled more than $5 billion. But the worst costs of the drugs are being borne by the most vulnerable patients: children and teens in psychiatric hospitals, foster care and juvenile prisons, as well as elderly people in nursing homes. By Maia Szalavitz of TIME Magazine.

Psychotropic Drug Abuse in Foster Care Costs Government Billions (2010)
Seven year old Gabriel Meyers didn't want soup for lunch one Thursday in April, 2009. When his 23 year old foster brother sent Gabriel to his room for dumping his soup in the trash, Gabriel threatened to kill himself. He kicked his toys around his room, then locked himself in the bathroom. Police reports say Gabriel was home sick that day from his elementary school in Margate, Florida, under the care of Miguel Gould, his foster father's son. Around 1 p.m., city police responded to Gould's frantic 911 call and found Gabriel had hanged himself. By David Sessions of The Politics Daily.

The Foundations of Lifelong Health Are Built in Early Childhood (2010)
A focus on health promotion in the early childhood period can help reduce the social and economic burdens of illness, not only in childhood but also throughout the adult years. This publication was co–authored by the National Scientific Council on the Developing Child and the National Forum on Early Childhood Policy and Programs, which are both initiatives of the Center on the Developing Child at Harvard University.

Poor Children Likelier to Get Antipsychotics (2009)
New federally financed drug research reveals a stark disparity: Children covered by Medicaid are given powerful antipsychotic medicines at a rate four times higher than children whose parents have private insurance. And the Medicaid children are more likely to receive the drugs for less severe conditions than their middle–class counterparts, the data shows. By Duff Wilson of The New York Times.

Language of Mental Health: The Parent Perspective (2009)
This report summarizes the results of IPAC's CBPR focus group research investigating the language surrounding mental health in our region. The aim was to explore how parents talk about mental health in order to improve mental health service utilization. Prepared by the Voinovich School of Leadership and Public Affairs. Aimee Collins, Jane Hamel–Lambert, Margaret Hutzel, Sue MeeksRobin Lindquist–Grantz, Sherry Shamblin.

Analysis of the Developmental Functioning of Early Intervention and Early Childhood Special Education Populations in Oregon (2009)
This study reports on the developmental functioning levels of children from birth through age 2 in early intervention services and children ages 3–5 in early childhood special education services at the time of entry into services, using data from the Oregon Early Childhood Assessment System. This report was prepared for the U.S. Department of Education Institute of Education Sciences by Northwest Regional Educational Laboratory. Nave, G., Nishioka, V., and Burke, A.

Improving Care Coordination, Case Management, Linkages to Service for Young Children (2009)
Issued by the National Academy for State Health Policy in partnership with the Commonwealth Fund. This report outlines the ABCD III calling for better linkages to support optimal child development. Five barriers highlighted include: constraints on primary care provider capacity to refer to and link to other community resources, inadequate service capacity for early childhood developmental and mental health services, gaps between programs and service delivery systems, insufficient payment/financing for time spent in referral and coordination efforts, and different practice cultures and customs. Johnson, K. & Rosenthal, J.

Integration of Mental Health/Substance Abuse and Primary Care (2008)
Integrated care occurs when mental health specialty and general medical care providers work together to address both the physical and mental health needs of their patients. This comprehensive systematic review addresses the evidence for integration of mental health services into primary care settings and primary services into specialty outpatient settings. Prepared by the Minnesota Evidence–based Practice Center. Prepared for the Agency for Healthcare Research and Quality. Butler M, Kane RL, McAlpine D, Kathol, RG, Fu SS, Hagedorn H, Wilt TJ.

Personally Controlled Online Health Data – The Next Big Thing in Health Care? (2008)
Commentary by Robert Steinbrook, MD, in the New England Journal of Medicine. Lynn Harter says the article “highlights various forms and uses of electronic medical records. I found this article accessibly written, informative, and even-handed in terms of benefits and potential unintended consequences of electronic and online storage and retrieval of medical information. It may help spur ideas among us about making coordinated care more efficient, empowering patients/families to be more involved in management of information, etc.”

Mapping as a Visual Health Communication Tool: Promises and Dilemmas (2007)
Health Communication from The Pennsylvania State University. Parrott, R., Hopfer S., Ghetian C. & Lengerich E. Lynn Harter highlights this article on the use of mapping technologies on publicly accessible online sites. The article focuses on disease maps that are part of state comprehensive cancer control plans (CCC), and explores how maps are used to visually illustrate patterns of diagnosis and risk factors across geographic areas. Importantly, visual maps also can be used to illustrate service availability in given regions (something which may be of interest to IPAC and its constituents).

Advancing the Nation's Health: A Guide to Public Health Research Needs, 2006-2015 (2006)
This new guide will serve as a critical resource for research areas that should be addressed during the next decade by CDC and its partners in response to current and future public health needs and events. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

Key Principles in Providing Integrated Behavioral Health Services for Children and Families (2001)
This paper describes the Starting Early Starting Smart (SESS) project, an early intervention program that has been developed in the context of the national, multi–site program and evaluation funded by the Substance Abuse and Mental Health Services Administration and Casey Family Programs. Hanson, L., Deere, D., Lee, C., Lewin, A., and Seval, C. (2001).