Mental Health

Mental health services are an integral part of the early childhood development and health services programs that provide direct support to children, family, and staff. All programs should cultivate an agency-wide culture that promotes child, family, and staff well-being in all program components.

Policies Procedures, & Forms

Mental Health Activity Record (DFSS 2569a)

Agencies should complete this form when conducting their annual planning session with a mental health consultant and keep on site. See CELS 2.0 Chapter 9.II.C.a for more information.

Contact your assigned DFSS Supervisor for this resource.
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Report On Mental Health Services (CYS 115)

Mental health consultants must complete a written summary of the observations and recommendations for children individually observed. A copy of the individual observation report should be kept in the child’s file. See CELS 2.0 Chapter 9, II.C.f for more information.

Contact your assigned DFSS Supervisor for this resource.
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Mental Health Individual Observation (DFSS 2954)

Parent/guardian must be consulted and give consent before a child is referred for an individual observation with a mental health consultant. This completed form should be kept in the child’s file. See CELS 2.0 Chapter 9, II.C.f for more information.

Contact your assigned DFSS Supervisor for this resource.
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Parent Mental Health Activity Record (DFSS 2569B)

Agencies should complete this form when conducting their annual planning session and post the completed, signed form on the parent bulletin board See CELS 2.0 Chapter 9, II.C.a for more information.

Contact your assigned DFSS Supervisor for this resource.
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Cooperative Agreement For Mental Health Services

This is a template scope of services for mental health consultation that an agency may use when contracting with a mental health consultant. It includes all services required of the mental health consultant by the Head Start Program Performance Standards and CELS 2.0 manual.

Contact your assigned DFSS Supervisor for this resource.
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Support Services Verification

This document is referred to in the scope of services template. Agency should submit to monitoring team supervisor if they use DFSS’s mental health consultant.

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Mental Health Resources

ECLKC Mental Health

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Mental Health Consultation Tool

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ECLKC Early Childhood Mental Health Consultation: An Evaluation Tool Kit

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ECLKC Infant and Early Childhood Mental Health Consultation and Your Program

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ECLKC Infant and Early Childhood Mental Health Consultation: Engaging with Families

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Improving Access to Children’s Mental Health Care

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Milestones

Quarter 4 (Jun - Aug)
  • Complete analysis of 4th Quarter PIR Data (End of Month).
  • Complete mental health cooperative agreement(s).
  • Conduct the Mental Health Planning Meeting.
  • Complete Mental Health Planning Form and Mental Health Activity Record.
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