Article 

DATE: 3/10/2008 
CONTACT: Incredible Years (888) 506-3562 
CATEGORY: Treatment Study 
REFERENCE: Williford, A., and Shelton, T. 2008. Journal of Child Psychology and Psychiatry 49:2., pp 191-200. doi:10.1111/j.1469-7610.2007.01839.x. 

Using Mental Health Consultation to Decrease Disruptive Behaviors in Preschoolers: Adapting an Empirically-Supported Intervention 

Adapting empirically-supported treatments for use in mental health consultation may be a way to bridge the gap between research and clinical practice and increase effectiveness of mental health consultation in treating disruptive disorders in young children. 

Impulsivity, hyperactivity, oppositionality, and aggression are behaviors that most three-and fouryear-old children display to some degree with up to 10 to 20% of preschoolers exhibiting these behaviors at significant levels at home or at preschool/day care.

This study provides an important first step in providing evidence to support the adaptation of empirically-supported interventions for use in mental health consultation when providing services to preschoolers with disruptive behavior problems. This study suggests that these interventions can be effectively exported from controlled clinical settings into community settings. These results will need to be replicated by training professionals already providing mental health consultation within the preschool setting to incorporate the use of the empirically-supported strategies into their everyday work with teachers and children. Having mental health consultation that includes empirically-supported interventions delivered within this collaborative framework available as part of the array of services will likely reduce the need for more costly treatments in the future.

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