Despite affirming findings about the efficacy of ECMHC as an intervention, the research syntheses by Brennan, Perry and colleagues (2008, 2009) also highlighted a lack of data-driven guidance around what makes ECMHC effective. To fill this void and continue to move the field forward, GUCCHD embarked on a study examining the essential components of effective consultation (Duran et al., 2009). Through in-depth site visits to six ECMHC programs demonstrating positive outcomes, study researchers identified five critical elements in designing an effective consultation program and, more broadly, providing effective consultation services: