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Early childhood mental health consultation (ECMHC) has expanded to these settings to help the adults attend to very young children whose needs are often obscured by families' crises. Recent research in ECMHC to childcare has cited the salience of the consultant\u2013consultee relationship as the central contributor to positive change in caregiver's behavior and children's experience. This article explores the similarities and variations in the consultant's way of being that are necessary to expand this relationship\u2010based ECMHC model to adult\u2010focused settings. This has incorporated a combination of consultative shifts: expanded training, appreciation for families' survival priorities, attention to the effects of unavoidable adult decisions on children, increased tolerance for the affect this raises in parents and caseworkers, and greater efforts to create space for reflection and thinking. Caseworkers' attenuated contact with and limited prior knowledge about young children creates challenges in identifying and responding to concerns about children. The particular systemic and relational difficulties that emerge in shelters and that influence caseworkers' responsiveness to clients are explored.<\/jats:p>","DOI":"10.1002\/imhj.21338","type":"journal-article","created":{"date-parts":[[2012,4,23]],"date-time":"2012-04-23T14:44:12Z","timestamp":1335192252000},"page":"283-293","source":"Crossref","is-referenced-by-count":12,"title":["Expanding early childhood mental health consultation to new venues: Serving infants and young children in domestic violence and homeless shelters"],"prefix":"10.1002","volume":"33","author":[{"given":"Charles F.","family":"Brinamen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana N.","family":"Taranta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kadija","family":"Johnston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,4,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:ECEJ.0000005307.00142.3c"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1446.2004.21103.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avb.2003.10.004"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2007.CDC10"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.87.2.241"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10896-006-9035-1"},{"issue":"8","key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1001\/jama.1996.03540080062031","article-title":"The characteristics and needs of sheltered homeless and low\u2010income housed mothers","volume":"276","author":"Bassuk E.L.","year":"1996","journal-title":"Journal of the American Medical Association"},{"key":"e_1_2_8_9_1","volume-title":"San Francisco High Quality Child Care Mental Health Consultation Initiative: 2003\u20132004 Evaluation Report","author":"Bleecker T.","year":"2005"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/15295190701306896"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/10409280801975834"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0735-7028.29.4.383"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0080230"},{"key":"e_1_2_8_14_1","volume-title":"Homelessness: Programs and the people they serve","author":"Burt M.","year":"1999"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1016325332527"},{"issue":"3","key":"e_1_2_8_16_1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.15453\/0191-5096.2918","article-title":"Prevalence of child welfare services involvement among homeless and low\u2010income mothers: A five year birth cohort study","volume":"30","author":"Culhane J.F.","year":"2003","journal-title":"Journal of Sociology and Social Welfare"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016732"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10896-007-9065-3"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001163-200607000-00007"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yapd.2007.03.010"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/02711214060260030201"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-3588.2008.00519.x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0079448"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001163-200510000-00004"},{"key":"e_1_2_8_25_1","volume-title":"Mental health consultation in childcare: Transforming relationships among directors, staff and families","author":"Johnston K.","year":"2006"},{"key":"e_1_2_8_26_1","first-page":"564","volume-title":"Handbook of infant mental health","author":"Johnston K.","year":"2009"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137047"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0017241"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.05.007"},{"key":"e_1_2_8_30_1","volume-title":"Homeless children: America's new outcasts","author":"National Center on Family Homelessness","year":"1999"},{"key":"e_1_2_8_31_1","unstructured":"National Child Traumatic Stress Network. 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