It seems helpful to see how other states handle the task of early childhood mental health consultation. It's helpful to look at their numbers. How many centers are served? How many referrals? How many hours of service are provided per referral -- that sort of thing. For example, the average time devoted to each referral in Oklahoma during 2012 was 11.11 hours. That seems quite substantial, enough time that actual behavioral change can occur and be supported -- a reduction in the challenging behavior of the child by changing the behavior of the caregivers and altering the environment. -gw
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