Infant and Early Childhood Mental Health (IECMH) Consultation

Fast Facts

Relevant Actions
State or Local? State
Counties All Counties
Type of Lead Agency


Racial Equity Lens
  • This Initiative provides consultation to providers of health care and education of young children without need for insurance or payment from families, so that it is available for all young children.
  • The Initiative is currently examining data resources to ascertain numbers served disaggregated by race and ethnicity where possible, as well as data on outcomes such as suspension/expulsion rates for children in early education settings that have accessed consultation and rates of successfully linking families with community resources and/or interventions.
  • Many of the early childhood teachers who access IECMH consultation are persons of color.



Community Voice
  • The Committee is cross-sector and includes family support leadership.
  • The Committee is incorporating family input from the family survey and Interview responses collected by the NC Initiative for Young Children’s Social-Emotional Health.


  • This Initiative is in its first year. See future impact goals below:
    • Increase in early childhood workforce efficacy in promoting healthy social emotional development of children in their care; and in optimizing their classroom environment.
    • Increase in primary care clinician efficacy in supporting parents in promotion of healthy social emotional development, in implementing social-emotional developmental screening, familiarity and utilization of the DC, 0-5, primary care intervention, follow-up and referral for interventions as needed
    • Increase in primary care understanding of Early Relational Health, the impact of family strengths and protective factors, Social Determinants of Health (including structural racism) on healthy social-emotional development.


Next Steps
  • Utilize current capacity through the NC Child Psychiatry Access Program and IECMH provided in Head Start to begin including providers in an incremental fashion (e.g., CMARC, Part C providers)
  • Identify potential funding approaches for broader expansion
  • Identify current research and data sources for making the case for return on investment
Primary Partners
Primary Funders
  • State funding–IECMH in Head Start
  • HRSA–Child Psychiatry Access program
Contact Marian Earls

Active Counties