The home of infant & early childhood mental health consultation

Consultation builds the capacity of the adults around a child to respond with competence in the moments that matter.

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A comprehensive library of IECMHC research, tools, and resources

An evidence-based strategy for reducing expulsions, suspensions, and staff turnover

  • What is IECMHC?

    Trained professionals from mental health or ECE backgrounds build the capacity of adults around the child to respond to behaviors in ways that strengthen relationships, support social-emotional development, and build provider resilience.

    • Used across early childhood education, home visiting, child welfare, and early intervention
    Understand consultation
  • Get consultation

    We work to ensure that every program can access qualified IECMH consultants in every state by:

    • Helping programs build consultation capacity
    • Providing remote virtual consultation by Georgetown trained consultants
    • Partnering with leaders to design sustainable IECMH consultation systems
    Bring consultation to my program

Our goal

Double the consultants by 2030

There are an estimated 5,000 IECMH consultants nationally, not nearly enough to meet the need. A study of 1,400+ educators found that only one in six(opens in a new tab) received consultation. We exist to make consultation more commonplace.

Evaluate your program's consultation

Read 10 statements and tell us which sound like your program. We'll tell you whether your consultation meets the national IECMHC competencies. Then we'll tell you what to do next.

1 of 10

Our consultant works mostly with our teachers and staff rather than one-on-one with children.

0 out of 10 aligned

“When a flower does not bloom, you fix the environment in which it grows, not the flower.”
Alexander Den Heijer

Calculate your potential reach

Direct treatment reaches one child. Consultation builds up the adults, and they carry it to every child in their care. Choose your setting to see the reach and the evidence.

Choose your setting

How many consultants would your program fund?

We plan on 8 to 12 classrooms per full-time consultant and 8 children per classroom. NAEYC accreditation caps class size at 8 for infants, 12 for toddlers and 20 for preschoolers. We count 8, the infant class size, so a program with older children will reach more. This is a starting-point estimate. We'll work with you to find the exact ratios for your system.

192 to 288

children reached across their classrooms

Get consultation

Three ways to start benefiting from consultation

  1. Build capacityTrain your own staff with the Practical Certificate in IECMHC.
  2. Get consultation nowVirtual consultation from Georgetown faculty.
  3. Design your systemTechnical assistance to design, deploy, and measure a system of support.
Map of the United States. Choose a state to read its profile.Map of the United States. Choose the map to find a state.

39 states and DC have a profile. 11 states aren't in the scan yet, so you can't choose them: Idaho, Indiana, Iowa, Kentucky, Mississippi, Ohio, Oklahoma, South Dakota, Utah, Virginia, West Virginia.39 states and DC have a profile. 11 states aren't in the scan yet: Idaho, Indiana, Iowa, Kentucky, Mississippi, Ohio, Oklahoma, South Dakota, Utah, Virginia, West Virginia.

View the results of our national scan of consultation

We scanned the state of consultation across the country in early 2026. View the results for your state.