Early Childhood Comprehensive Systems

The Early Childhood Comprehensive Systems (ECCS) project focused on mitigating the impact of toxic stress and trauma in young children from 2013-2016.

ECCS was a project within the Wisconsin Medical Home initiative of Children's Health Alliance of Wisconsin. Funding was provided through the Wisconsin Department of Health Services'  Maternal Child Health Program located in the Division of Public Health. For a summary of the ECCS projects, please view the ECCS Fact Sheet.

To view archived editions of our newsletter, visit the ECCS e-newsletter page. 

For additional information about the ECCS project or our partners, please contact Amy D’Addario, Project Manager at adaddario@chw.org or 920-969-5326.


Infant/Early Childhood Mental Health Consultation

Infant/Early Childhood Mental Health Consultation (IECMHC) is an effective intervention strategy for building parent/caregiver capacity to support young children’s social and emotional development and to address challenging behaviors in the context of relationships across multiple settings and systems of care. As a result, more and more states and communities are investing in IECMHC.

As Wisconsin embraces IECMHC as a valuable early prevention and intervention strategy, it’s important to have a shared understanding of best practice guidelines regarding what IECMHC is, how it’s delivered and who should be providing it. The following guidelines were developed by a group of Wisconsin experts, chaired by the Wisconsin Alliance for Infant Mental Health, to ensure that high standards of practice are consistently maintained throughout the state.

Infant/Early Childhood Mental Health Consultation in Wisconsin Best Practice Guidelines


Webinar Series: Reducing Toxic Stress and Increasing Resilience in Wisconsin’s Young Children

The National Child Traumatic Stress Network (NCTSN) Curriculum

Caring for Children Who Have Experienced Trauma (2010) was originally a workshop designed for resource parents. Over the past five years many states, including Wisconsin, have opened up these workshops to include birth parents, as well as professionals.

ECCS, in partnership with the Wisconsin Department of Children and Families Trauma Project and the Wisconsin Alliance for Infant Mental Health, has modified this curriculum to focus on the impact of toxic stress & trauma in children birth through 5 years of age:

Caring for Children who have Experienced Trauma: A Workshop for Caregivers of Children Ages 0-5

The complete original curriculum is available on the NCTSN Learning Center, as part of an online community for facilitators. (Note: you must create an account on the Learning Center in order to join the community.)

Wisconsin Child Psychiatry Consulation Program: A Resource for Your Child's Primary Care Provider

The Child Psychiatry Consultation Program offers psychiatric consultation, education, and resource coordination to primary care providers in the Northern Region of Wisconsin and Milwaukee County who care for children with mental health concerns. If you are a parent of a child with behavioral health concerns,  you may want to ask if your child’s primary care provider is aware of this resource. 

Learn More » 

Neurorelational Framework (NRF)

It is not uncommon for infants and families entering service delivery systems to face fragmented and isolated silos of service. There are three Wisconsin communities that have adopted Neurorelational Framework (NRF) to coordinate care via a common language and shared approach to assessment and intervention. The shared approach promotes healthy brain architecture during the early years by reducing toxic stress patterns and improving the quality of engagement between infants and caregivers. NRF translates three core concepts of brain development into clinical steps for assessment and intervention:

  • adaptive versus toxic stress

  • age appropriate versus low levels of engagement

  • age appropriate developmental and functional brain capacities versus delays

The goal is to create communities that coordinate care using NRF’s three steps. These communities intentionally invite practitioners from five service delivery sectors:  medical, developmental disabilities, mental health, early care and education, and child welfare. As cross-sectored teams are trained simultaneously, teams begin to shift from siloed to coordinated care, and from multi-disciplinary to inter- and trans-disciplinary teams. 

Two of the three Wisconsin communities that have adopted NRF are ECCS pilot communities! Both Kenosha County and Waupaca County participated in three days of training in March of 2015. As they are learning more about fidelity to the NRF model, these communities are working to infuse NRF principles into their daily work.

For more information about NRF please feel free to contact Dr. Connie Lillas, Director of the Interdisciplinary Training Institute, at infantmentalhealth@earthlink.net.


Prior Events

August 11, 2015

Infant and Early Childhood Action Day:

Moving Forward with Infant & Early Childhood Mental Health Consultation

April 17, 2015

Infant and Early Childhood Awareness & Action Day

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