Early Childhood Mental Health Consultation (ECMHC) has been linked to increased teacher competence and efficacy, as well as increased social skills and decreased challenging behaviors for participating children (Green, 2009). Partnerships for Early Childhood Mental Health ("Partnerships") is an ECMHC program in Southeastern Ohio. This study evaluated how well the program is addressing the objectives identified on the "Partnerships" Theory of Change Model. The researcher used a mixed methods approach to analyze existing program data within the framework of Stufflebeam's (2000b) CIPP program evaluation model. Results indicate the program: (1) has addressed many of the identified needs of the preschool population it was designed to serve; (2) is more expensive on many measures than the average costs of other ECMHC models; (3) has a well-articulated design that is being reliably implemented by staff; and (4) has high satisfaction from participating teachers who report positive benefits for themselves and their children. The study contributes to the field of ECMHC by reinforcing current ECMHC literature. Because of its well-articulated processes, the "Partnerships" program may serve as an exemplar for programs in similar contexts, particularly those located in rural Appalachian settings. Finally, this study demonstrates methodology that other ECMH directors can use to conduct substantive evaluations of their own programs. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]