Integrating Play Therapy and Mental Health Consultation

Child-Centered And Center-Based Consultation

Mental health consultation is generally requested in one of two forms: case consultation (child-centered) or program consultation (center-based). When a request for case consultation is received, it is typically on behalf of the individual child. This request for services may come directly from the caregiver or school around a challenging behavior or concern for impairment and/or at functioning level. For example, Abigail, a 3-year-old female in a private preschool, presents with social difficulties, such as taking turns with her peers as well as aggressive behaviors. The school reportedly informed Abigail’s single mother that she is not engaging with her peers appropriately and at times displays aggressive behaviors on the playground if another child has a desired object. Additionally, the teachers reported that she appears overstimulated by activity and noises in the gym. They describe Abigail as agitated in the gym, unable to play with peers, yelling, and, at times, covering her hears when the noise level rises. Perplexed by this presentation, as mom reportedly does not see such behavior in the home, she is referred for consultation to support the child’s social development within the classroom and school setting.