Based on the view that promoting the emotional wellness of young children and fostering secure, warm relationships between chidren and their teachers are critical to healthy early development, the Jewish Family and Children's Services (JFCS)/Parents Place collaborated with the City and County of San Francisco's Community Mental Health Division and Day Care Consultants to recruit, train, and supervise mental health consultants to provide support for child care center staff. The partnership also involved a number of low-income San Francisco child care centers open to utilizing the services of mental health consultants to examine the effects of the intervention strategy on the quality of child care. This report details the experiences of JFCS/Parents Place as the organization created and implemented a model of service intended to improve the prospects for the most vulnerable children and families. Section 1 of the report presents the philosophy of the project. Section 2 details steps involved in beginning the consultation process. Section 3 describes how case consultation is initiated and includes a case study and key elements in beginning case consultation. Section 4 discusses parental involvement in case consultation. Section 5 describes how the consultant begins to implement a plan for individual children and families and discusses actions taken when consultation is not adequate. Section 6 addresses the program consultation process. Section 7 offers information on training mental health consultants. Section 8 presents preliminary evaluation findings related to overall program quality, caregiver interactions, caregiver attitudes and self-efficacy, and consultant effectiveness. Six appendices include the consultant's job description, a description of project partners, a discussion of costs for consultation, a 16-item bibliography, and evaluation instruments. (KB)