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The San Francisco ECMHC Initiative Evaluation Report: Community Experiences (2021-2022)



This exploratory program evaluation of the Early Childhood Mental Health Consultation (ECMHC) initiative in San Francisco spans three years in the making, punctuated by the many disruptions caused by the COVID-19 pandemic. The design of this evaluation was developed with input from the joint funders of the initiative as well as from San Francisco’s ECMHC workforce (i.e., mental health consultants, supervisors, and directors of the original five consultation agencies). Funder and workforce input was also solicited in the data collection, analysis, and interpretation phases of this work, as the evaluation team worked to maintain a transparent, inclusive process that would yield meaningful results.


This report presents findings from Phase 1 and Phase 2 of a broader ECMHC evaluation agenda in San Francisco. Phase 1 reports on the On-Call model and approach and Phase 2 explores experiences, impact, and feedback on the ‘traditional’ ECMHC model from the perspective of consultation partners (i.e., teachers and ECE site administrators/directors) as well as from the perspective of mental health consultants. Given that these are initial phases of a broader evaluation agenda in San Francisco, much of the work presented in this report is exploratory and will inform subsequent phases of the evaluation.


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