What each role does and where

Each role has its own settings. The work happens at different levels, from a single child and family up to a whole state.

  • IECMH consultant

    Settings
    Natural settings, such as home visiting programs, classrooms, primary care offices, child care, early intervention programs, and homeless shelters.
    Child and family
    Identifies concerns early through referral, screening, or assessment. Develops a plan to address social and emotional or behavior concerns. Supports caregivers as they put new strategies in place, and links families to treatment and community supports as needed.
    Classroom
    Assesses the classroom's social and emotional climate, supports classroom planning, and gives teachers ongoing onsite support. Links the classroom to community and culturally based supports.
    Program
    Supports program-level policies and practices that promote the social and emotional health of staff, children, and families, such as expulsion and suspension policies.
  • Program implementation coach

    Settings
    Early childhood education or early intervention settings, such as child care centers, Early Head Start and Head Start, home visiting programs, preschool programs and the agencies or districts that provide them, family child care, and early intervention programs.
    Classroom
    Guides the leadership team as it develops and delivers ongoing professional development, including training and coaching staff to use Pyramid Model practices.
    Practitioner coaches
    Guides and supports practitioner coaches as they deliver practice-based coaching and use the Pyramid Model observation tools.
    Program
    Supports program-level policies and practices for implementing the Pyramid Model, and guides the leadership team through program-wide implementation. Trains and supports the team to use data in decisions about implementation and outcomes, such as practice fidelity, program fidelity, equity, and tracking behavior incidents and responses.
    Community or state
    Provides community or state training in Pyramid Model practices, data tools, and observation tools. Provides data for community or state analysis of implementation and scale-up. Recruits and selects more programs to implement the model.
  • Practice-based coach

    Settings
    Early childhood education or early intervention settings. The coaching goes to practitioners who are implementing the Pyramid Model.
    Classroom
    Works with classroom practitioners to identify strengths and needs in using Pyramid Model practices. Coaches through goal setting, action planning, observation, reflection, and feedback. Observes teaching practices with formal tools, such as the Teaching Pyramid Observation Tool, and with informal ones.
    Early intervention
    Works with early intervention practitioners to identify strengths and needs in using Pyramid Model practices with families and other caregivers in natural settings. Coaches through goal setting, action planning, observation, reflection, and feedback. Observes early intervention practices with formal and informal tools. Addresses the support families and caregivers need to promote social and emotional development and address challenging behavior.

Source: Crosswalk of Infant Early Childhood Mental Health Consultation and Pyramid Model Coaching, National Center for Pyramid Model Innovations and Center of Excellence for IECMHC, 2021. Download the Crosswalk

Where to go next

Programs get more from the Pyramid Model when an IECMH consultant is on the team. The Practical Certificate in IECMHC builds that capacity. The people who wrote the national competencies teach it.