This program evaluation study describes 3 years of implementation of Arkansas's BehaviorHelp (BH) system, a statewide expulsion prevention support system for early care and education (ECE). BH coordinates three tiers of supports to ECE professionals, including phone support, on‐site technical assistance (TA), and infant and early childhood mental health consultation (IECMHC). We examine differences in characteristics of those served across BH service tiers, describe short‐term case outcomes, and explore factors associated with expulsions. BH accepted referrals for 1,195 children in 488 ECE programs. The majority of referrals involved male children over the age of three, and most cases were assigned to the TA tier (68.5%). Cases assigned to receive IECMHC (28.4%) were more likely to involve children in foster care, receiving developmental therapies, and with higher rates of exposure to potentially traumatic events. The expulsion rate among referred children was 2.9%, and reported teacher engagement with the support process was high. Teachers receiving IECMHC services reported significant improvements in children's symptoms of emotional and behavioral problems. Exploratory analyses revealed that risk factors for expulsion included being a male, in foster care, in a lower quality ECE environment, and having a teacher with less training in social–emotional development.

中文翻译：

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评估全州范围内减少驱逐幼儿的举措

该计划评估研究描述了阿肯色州 BehaviorHelp (BH) 系统的 3 年实施，该系统是一个全州范围的早期护理和教育 (ECE) 驱逐预防支持系统。BH 协调对 ECE 专业人员的三级支持，包括电话支持、现场技术援助 (TA) 以及婴儿和幼儿心理健康咨询 (IECMHC)。我们检查了 BH 服务层级服务人员的特征差异，描述了短期案件结果，并探讨了与开除相关的因素。BH 在 488 个 ECE 项目中接受了 1,195 名儿童的转介。大多数转诊涉及 3 岁以上的男孩，并且大多数病例被分配到 TA 层级 (68.5%)。分配接受 IECMHC 的病例 (28.4%) 更有可能涉及儿童寄养，接受发育疗法，并且暴露于潜在创伤事件的比率更高。被转介儿童的开除率为 2.9%，据报告教师参与支持过程的程度很高。接受 IECMHC 服务的教师报告说，儿童的情绪和行为问题症状得到了显着改善。探索性分析显示，开除的风险因素包括男性、寄养、儿童早教环境质量较差以及教师在社会情感发展方面的培训较少。s 情绪和行为问题的症状。探索性分析显示，开除的风险因素包括男性、寄养、儿童早教环境质量较差以及教师在社会情感发展方面的培训较少。s 情绪和行为问题的症状。探索性分析显示，开除的风险因素包括男性、寄养、儿童早教环境质量较差以及教师在社会情感发展方面的培训较少。