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The assessment organizes inputs across the infant and early childhood landscape, child mental health needs, early childhood workforce capacity, and the availability of screening, services, and supports. It prompts partners to compile data on population size by age range, current service utilization and risk indicators, workforce training and supervision, and gaps to guide future community-aligned decisions.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/sample-needs-assessment-center-of-excellence-for-infant-and-early-childhood-mental-health-consultation/246971/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/sample-needs-assessment-center-of-excellence-for-infant-and-early-childhood-mental-health-consultation/246971.png","ImageObject",442,249,{"name":88,"@type":89},"Angel","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who can use this sample needs assessment template?","Question",{"text":109,"@type":110},"States, tribal nations, and communities can use it to develop or strengthen their IECMHC model.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How should the needs assessment be conducted?",{"text":114,"@type":110},"It should be done collaboratively with intended partners, and may require several meetings to complete each section.",{"name":116,"@type":107,"acceptedAnswer":117},"What kinds of information does the template collect?",{"text":118,"@type":110},"It collects data on child populations by age range, current mental health and social-emotional service needs, workforce training/supervision capacity, screening, and availability of services and supports.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},246971,1790001445,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":47},687207412472,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Center of Excellence for Infant and Early Childhood Mental Health Consultation  \nSample Needs Assessment  \nContents  \nSample Needs Assessment................................................................................................................................................................... 3  \nScope of Need: The Infant and Early Childhood Landscape .................................................................................................................... 3  \nMental Health Needs of the Children Served ....................................................................................................................................... 6  \nThe Scope of Need: Early Childhood Workforce ................................................................................................................................... 7  \nThe Scope of Need: Mental Health Consultant Workforce..................................................................................................................... 9  \nScope of Need: Social and Emotional/Mental Health Screening ............................................................................................................. 9  \nScope of Need: Availability of Services and Supports .......................................................................................................................... 11  \nSample Needs Assessment  \nStates, Tribal Nations, and communities can use the template below to develop a needs assessment to gather information that will help drive development or strengthening of your IECMHC model. You may not have access to all the information below, but use this as a starting point to help gather information. The information you gather from a needs assessment will inform and drive future decisions and ensure that any actions you eventually take or join in are in line with needs that are expressed by the community.  \nThe needs assessment should be done collaboratively, ensuring that the partners you want are included in this step. It may take several meetings to work through each section of the needs assessment.  \nScope of Need: The Infant and Early Childhood Landscape  \nThis section will help you gather information on your potential population for IECMHC services. The table below will help you gather data on the number of children by age range across state, regional, tribal, or community programs.  \n\n| Population | Number of children served\u003Cbr>(infant/toddler) | Number of children served\u003Cbr>(preschool) | Number of children served\u003Cbr>(K–3) | Are representatives from this early childhood organization/group active partners? |\n| --- | --- | --- | --- | --- |\n| Licensed Child Care |  |  |  |  |\n| Kith and Kin Care |  |  |  |  |\n| Public Preschool Programs |  |  |  |  |\n| Primary Care |  |  |  |  |\n\n\n| Population | Number of children served\u003Cbr>(infant/toddler) | Number of children served\u003Cbr>(preschool) | Number of children served\u003Cbr>(K–3) | Are representatives from this early childhood organization/group active partners? |\n| --- | --- | --- | --- | --- |\n| Home Visiting |  |  |  |  |\n| Part B and C1 |  |  |  |  |\n| Women and Infant Care |  |  |  |  |\n| EPSDT Program2 |  |  |  |  |\n| Foster Care |  |  |  |  |\n| Head Start/Early Head Start |  |  |  |  |\n| Family Child Care |  |  |  |  |\n\n1 [http://w w w.parentcenterhub.org/repository/partb/](http://w w w.parentcenterhub.org/repository/partb/)  \n2 [http://mchb.hrsa.gov/epsdt/epsdtbackground. pdf](http://mchb.hrsa.gov/epsdt/epsdtbackground. pdf)  \n\n| Population | Number of children served\u003Cbr>(infant/toddler) | Number of children served\u003Cbr>(preschool) | Number of children served\u003Cbr>(K–3) | Are representatives from this early childhood organization/group active partners? |\n| --- | --- | --- | --- | --- |\n| Other: |  |  |  |  |\n\nMental Health Needs of the Children Served  \nThis section will help you gather information on services currently provided to children and families.  \n\n| Services Provided | Children birth to","cbCaigAjiQtGKBZz","https://ap.wps.com/l/cbCaigAjiQtGKBZz","pdf",813893,13,"English","# Sample Needs Assessment\n## Scope of Need: The Infant and Early Childhood Landscape\n## Mental Health Needs of the Children Served\n## The Scope of Need: Early Childhood Workforce\n## The Scope of Need: Mental Health Consultant Workforce\n## Scope of Need: Social and Emotional/Mental Health Screening\n## Scope of Need: Availability of Services and Supports","[{\"question\":\"Who can use this sample needs assessment template?\",\"answer\":\"States, tribal nations, and communities can use it to develop or strengthen their IECMHC model.\"},{\"question\":\"How should the needs assessment be conducted?\",\"answer\":\"It should be done collaboratively with intended partners, and may require several meetings to complete each section.\"},{\"question\":\"What kinds of information does the template collect?\",\"answer\":\"It collects data on child populations by age range, current mental health and social-emotional service needs, workforce training/supervision capacity, screening, and availability of services and supports.\"}]","Sample Needs Assessment - Center of Excellence for Infant and Early Childhood Mental Health Consultation | PDF",1789239246]