National Center for Effective Mental Halth Consultation

Key Elements of the Consultative Stance


mother and child Element 3: Avoiding the position of the expert — The consultant relies on the relationships and a collaborative process with the caregivers in the child's life to build their capacity to deliver care and interventions in the context of the child's and caregiver's everyday activities.

Illustration: Renee then asked for some new ideas and ways to work with Shelby and Niya. Rather than give immediate advice, Jasmine inquired about what Renee had already tried and what new ideas she might have, given her close relationship with Shelby, her observations of Shelby and Niya, and their home environment. Renee shared some of her ideas with Jasmine who then encouraged Renee to brainstorm other ideas and choose something that she thought she could try on her next home visit.

Element 4: Mutuality of endeavor — The consultant and consultee (provider or parent) both contribute to the process by identifying the concern, mutually sharing their perspectives, developing hypotheses, showing willingness to participate in changes, and generating ideas for moving forward.

Illustration: In addition to working together to devise a plan and new activity for the next home visit with Shelby and Niya, Jasmine and Renee agreed to work together more regularly — checking back and changing plans as needed to benefit Shelby and Niya. By sharing observations, exploring ideas, and working together, Renee felt she and Jasmine were partners.




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Georgetown University Center for Child and Human Development National Center for Effective Mental Health Consultation