Early childhood mental health consultation (ECMHC) has been promoted by the federal government as a promising model for reducing early childhood expulsions and suspensions and is now implemented by numerous states. Despite growing ECMHC proliferation, this study is only the second randomized controlled trial of ECMHC, extending the methodologies of the first to include assessment of effects on random peers. Classrooms were assigned randomly to treatment or waitlist-control condition (n = 51 classrooms, 57 preschool teachers, and 190 preschoolers). Evaluation measures were collected at both pretreatment and posttreatment, following approximately six consultation visits. Classroom and teacher outcomes were evaluated with ordinary least squares regressions, while hierarchical linear modeling was used to evaluate child-level outcomes, accounting for the nested study design. Treatment children (both the target children who prompted the referral for ECMHC and random peers) evidenced significant improvements in social and emotional skills. Promising trend findings were noted for child behavior problem reduction and teacher pedagogical approach and locus of control. No significant effects were found on likelihood of expulsion and classroom mental health climate. This is the first ECMHC to demonstrate effects on nontarget peers in a rigorous randomized controlled trial. Programmatic and methodologic limitations and implications are discussed.

Previous research has shown the relevance of psychopathic traits as predictors of severe and persistent antisocial behavior. Given that personality traits refer to developmental constructs, the main purposes of this study were to analyze the stability of psychopathic traits from childhood to adolescence, and to examine differential outcomes derived from distinctive pathways of stability and change. Data was collected in a Spanish sample of 138 children aged 6–11 at the onset of the study (T1), and 12–17 in the subsequent follow-up conducted 6 years later (T2). The stability of psychopathic traits was assessed in terms of differential continuity (rank-order), absolute stability (mean-level) and individual-level change (Reliable Change Index). Results confirmed that psychopathic traits remained moderately to highly stable from childhood to adolescence (p < .001). There were, however, some differences depending on the informant (parents vs. teachers) and the particular assessment method used (rank order vs. mean-level and RCI). A stable high and an increasing developmental pattern of psychopathic traits were related with severe adolescent behavioral and psychosocial problems (ŋ² = .10–.36). These results support the usefulness of youth psychopathic personality as a developmental construct, and highlight its relevance as a predictor of long-lasting maladjustment, with relevant implications in terms of prevention and treatment.