Understanding Integrated Mental Health Services in Head Start: Staff Perspectives on Mental Health Consultation

Abstract Despite mandates for Head Start programs to provide mental health services to families and children, considerable variability remains in the level and type of services provided by mental health consultants. A qualitative study was conducted to explore staff perceptions about the role of mental health consult- ants and, in particular; the ways in which consultants are (or are not) integrated into the day-to-day functioning of Head Start programs. Programs with integrated mental health models were characterized by strong positive relationships between consultants and program staff; perceptions that the consultant was "part of the team," and involvement of the consultant in a wide variety of program activities and components. Results suggested that programs with such an integrated mental health model were more likely (compared to those with a more traditional consultant model) to report a strong, unified vision for mental health services, to describe a mental health approach consistent with current promising practices, and to perceive their mental health services to be more effective.