Mental health consultation can be very valuable in supporting children with behavioral difficulties and mental health issues in the classroom. Research has shown that consultation improves teacher efficacy--an important ingredient for teacher success. Consultants vary in the roles they play in child care programs. Most behavioral consultants conduct classroom observation followed by recommendations for accommodating a child of concern. Consultants can also offer programmatic consultation by supporting teachers in creating classrooms that best facilitate children's social-emotional development. Consultants may also be asked to meet with parents and to make referrals for children and families. This article presents a vignette about Jeremiah, a four-year-old child with many challenging behaviors, to illustrate how classroom-based consultation and intervention help teachers meet children's needs. In Jeremiah's case, his teachers gained competence and felt able to better address other problems that might arise in the classroom. The child and his parents did not have to leave his school in defeat. The teachers' willingness to make changes on this child's behalf allowed his parents to feel supported and understood. The positive alliance between school and home allowed the child's parents to seek further advice about his development because they felt supported. Some guidelines for the effective use of mental health consultation in early childhood programs are listed. (Contains 4 resources.)