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High quality behavior guidance policies and early childhood mental health consultation (ECMHC) have been identified as evidence-based practices for addressing and preventing children’s challenging behaviors. The Teaching and Guidance Policy Essentials Checklist (TAGPEC) describes seven essential features of high-quality behavior guidance policies for programs serving children from birth to eight years of age. The purpose of this paper is to describe how we used the TAGPEC in partnership with two early childhood programs at the programmatic level of ECMHC. Like the approach espoused by the TAGPEC, programmatic consultation adopts a systemic approach and seeks program-wide impact to improve overall program functioning. Findings indicate that the TAGPEC five step process is an effective tool for implementing the programmatic level of ECMHC.