Assessing the severity of behavior disorders: Rankings based on clinical and empirical criteria

School psychologists need to assess the severity of behavior disorders accurately to facilitate comprehensive diagnosis, to provide appropriate intervention, to enlighten research efforts, and to be in compliance with state and federal guidelines. Although clinicians in fields such as mental retardation categorize severity of behavior to make diagnostic and general treatment decisions, school psychologists rarely attempt to assess severity in any systematic or comprehensive way. The primary purpose of this study is to see how 92 practicing school psychologists rank 11 variables in their assessments of SED in school-age children. A secondary purpose is to examine the extent of school psychologists' reliance upon clinical and empirical criteria in assessing the severity of SED. It is concluded that school psychologists agree in their rankings of variables from most to least important and that they do not consider empirical criteria more important than clinically based criteria when assessing SED. Implications for practice are presented.     

School‐based tertiary and targeted interventions for students with chronic medical conditions: Examples from type 1 diabetes mellitus and epilepsy

Approximately 15% of children experience a significant illness prior to age 18 years. For many of them, school absenteeism, substandard academic performance, and social problems ensue. When disorders affect the central nervous system, some suffer global developmental delays or selective neuropsychological deficits. As health service providers, school psychologists understand both the educational process and the ways in which childhood illnesses can impact it. This article argues that school psychologists' breadth of knowledge enables consultation with teachers about health‐related classroom accommodations and communication between medical professionals and educators. Epilepsy and type 1 diabetes mellitus are two conditions associated with a risk of school problems. Using these two disorders as examples, this article outlines roles for school psychologists and provides specific guidance about how they can promote success among all students with chronic illnesses. © 2007 Wiley Periodicals, Inc.     

The clinical treatment of school refusal behavior: A survey of referral and practice characteristics

Youngsters with problematic nonattendance present a difficult dilemma for school psychologists and educators, particularly because of the prevalence and heterogeneity of the behavior. However, because of the information gap that often exists between researchers and practitioners, essential facts about the characteristics and treatment of this population are often unavailable to school personnel. This is unfortunate given that such personnel usually make initial decisions about referral and/or school-based intervention. Therefore, clinicians were surveyed about recently referred and treated cases of school refusal behavior. Data were obtained on clinical prevalence, demographic characteristics, length of absenteeism, severity, etiology, and length, type, and success of treatments used. Recommendations are made with respect to the initial referral and treatment of this population.     

Building and sustaining communities that prevent mental disorders: Lessons from the field of special education

Quietly, at least beyond the awareness of many psychologists, a relatively new technology based on school‐wide behavior management strategies has emerged in special education to answer the call to build healthy communities. The success of these strategies in changing the practices of school systems and creating positive school climates may offer insights for school psychologists interested in preventing mental disorders and promoting health on a broader scale. Spreading the influence of school‐wide behavior supports to ensure that all schools provide the nurturing environment needed to promote academic and life success for all children is an important and immediate goal. Beyond the school, the challenge will be to implement and evaluate the impact of positive behavior supports in other connected communities. The present article reviews the history and present state of school‐wide behavior supports and prevention research, limitations of current practice, and opportunities for integrating school‐wide programs with psychological science and practice. © 2006 Wiley Periodicals, Inc. Psychol Schs 43: 313–329, 2006.     

The nature and treatment of childhood anxiety

Several issues pertinent to childhood anxiety and related disorders are reviewed. These include the reliability and validity of existing classification systems, the diversity and shortcomings of behavioral assessment techniques, and the nature and efficacy of intervention strategies with this population. Particular attention is paid to the need to interface taxonomic, assessment, and treatment methods. A functional model of assessing and treating children and adolescents with school refusal behavior is presented as a preliminary example. Recommendations for future research by educators and psychologists are also discussed.     

Factors associated with school psychologists' perceptions of campus violence

Recent concern about school violence has increased demands on school psychologists to respond to safety concerns on their school campuses. In this study, 123 school psychologists responded to a survey about their perceptions, experiences, and readiness to meaningfully address school violence. School psychologists reported that they do not worry about their personal safety at school (78%), but most felt unprepared to deal with school violence (73%) and had received no specialized training in this area (85%). A principal components analysis of the types of violence school psychologists perceived to occur on their campuses identified a range of incidents from bullying to antisocial behavior. School psychologists working in inner-city schools were more likely to believe that their schools had high levels of violence (45.6%) compared with those working in urban-not inner-city (14.3%), suburban (4.9%), or rural (0%) schools. Recommendations to prepare school psychologists to help prevent, reduce, and respond to campus violence are discussed. © 1996 John Wiley & Sons, Inc.     

The relationship between behavior at school entry and services received in third grade

Recent studies report the cumulative prevalence of behavioral disorders among school‐age children to be second only to anxiety disorders. Unfortunately, by the time behavior has been identified as needing special education services, patterns of disruptive and externalizing behavior have often become unremitting. If at‐risk behavior can be reliably identified at school entry, there is potential to intervene early to reduce severity and chronicity of behavior. Thus, with the aid of a nationally representative sample (n = 17,490), this study aimed to ascertain if teacher‐observed disruptive behavior in kindergarten predicted children’s categorical identification for special education and receipt of behavior goals in their individualized education plans in third grade. Results indicated externalizing behaviors and approaches to learning at school entry, predicted identification with emotional disturbance, and other health impairment due to attention deficit hyperactivity disorder in third grade. In addition, externalizing behaviors at school entry increased the likelihood of a child receiving an individualized education plan with an appropriate behavior goal. Self‐control was not a significant predictor of any outcome. Finally, the covariates of sex, reading achievement, and race at school entry were significantly associated with a child’s need for behavior‐related services. Implications for early intervention are discussed.     

Bias in the attribution of hyperkinetic behavior as a function of ethnic identification and socioeconomic status

Twenty-four school psychologists, 24 parents, and 27 elementary teachers observed films of an Afro-American, a Mexican-American, and an Anglo-American eight-year-old boy and assessed each child for hyperkinesis, using a behavioral rating scale developed for this study. The hypothesis that the perceived socioecnomic status and ethnic identification of assessees would influence assessors' attributions of hyperkinetic behavior was tested and supported. Lower socioeconomic status children and ethnic minority children were rated as more hyperkinetic by teachers, school psychologists, and parents than were middle socioeconomic status or Anglo-American children. Implications for the assessment process are discussed, and findings are explained in terms of attribution theory.     

Early intervention for handicapped children: Efficacy issues and data for school psychologists

Providing early intervention services for handicapped children is a relatively new endeavor for school psychologists. Because of the recency of this activity, most school psychologists have not received formal training—yet are providing evaluation and intervention services to preschool children. It is necessary that school psychologists fully understand the efficacy issues and data pertinent to this service to benefit preschoolers and provide accountability data for this service. This article presents the major efficacy issues and the subsequent research data on early intervention for young handicapped children.     

Deleterious effects of psychotherapy and counseling in the schools

Providing individual and group counseling has become an identified role for school psychologists working in the school setting. There is an extensive research base that highlights positive outcomes and supports the use of a variety of counseling methods when working with children and adolescents. However, there may exist a host of other outcomes, including deleterious effects, when counseling school‐age children and adolescents. This article looks to identify and summarize some of the possible deleterious effects in school‐based counseling across a variety of disorders and to make school psychologists cognizant of possible negative outcomes when designing and implementing treatment plans. © 2009 Wiley Periodicals, Inc.     

Manpower needs in rural school psychology

The majority of unserved and underserved handicapped children live in rural America (Sher, 1978). One obstacle to serving these children is a lack of qualified staff (Helge, 1981). The turnover rates for rural and urban school psychologists in Virginia were determined for the years 1977–78 through 1979–80: the rate for rurai school psychologists is four times the rate for urban school psychologists (p<.001). Rural school psychologists who terminated employment and rural school psychologists who remained were surveyed on selected background variables in 1981. School psychologists who remained were much more likely than those who left to have been raised in a nonurban community. Implications for training programs are discussed.     

A survey of school psychologists' preparation,participation, and perceptions related to positive behavior interventions and supports

Positive behavior interventions and supports are increasingly utilized in school systems throughout the nation, particularly the school‐wide multi‐tiered support framework. Given such trends, and the basis of these practices in psychological principles and research, it is important to identify how school psychologists are trained to contribute to such efforts, their involvement in intervention activities, and their perceptions of this approach. We surveyed a national sample of 557 school psychologists regarding their training, involvement, and perceptions of positive behavior supports. The results indicate that although most respondents had a variety of training experiences in multiple behavior‐related areas, one quarter did not report receiving any training related to school‐wide positive behavior interventions and supports (SWPBIS). Although 35% of school psychologists reported employment in schools implementing SWPBIS, these schools varied in the SWPBIS elements in place. Implications for school psychology training and practice are addressed. © 2011 Wiley Periodicals, Inc.     

Self-instruction training: A potential tool for school psychologists

Self-instruction training is a cognitive-behavioral approach to self-control in which children are taught to use covert speech to modify their own behavior. The potential effectiveness of self-instruction training as an intervention technique for school psychologists to enhance student academic and/or social behavior in the classroom is the focus of this review. Research results addressing the practical issues of how, when, and with whom to use this strategy, its generalizability, and its long-term and comparative effectiveness are presented. Implications for further research in the schools are discussed.     

Assessment and intervention practices with second‐language learners among school psychologists

This paper describes assessment and intervention practices with second‐language learners among practicing school psychologists in one southwestern state. A 10‐item survey was used to gain information about the assessment instruments and procedures and intervention practices used with linguistically different children by school psychologists. Surveys were mailed to all members of the state professional organization. Thirty‐three percent of the surveys were returned and considered usable for analyses. An analysis of the returned surveys revealed that a number of school psychologists are using alternative assessment techniques, such as curriculum‐based measurement, dynamic assessment, and portfolio assessment with this population. The majority, however, continue to use traditional cognitive tests, such as the Weschler Scales, and traditional interventions, such as resource room service delivery. Results of the survey are discussed in terms of best practices with linguistically different children. © 2000 John Wiley & Sons, Inc.     

我国中小学心理教师的角色模糊及其深层次原因剖析

本文对我国中小学心理教师的角色模糊现象及其体制的原因进行了理论探讨。心理教师的角色模糊主要表现为心理教师与管理者、与德育教师及与普通教师的混淆。造成这一混淆的根本原因在于心理健康教育在德育和管理框架内运作,缺少与特殊教育的联系,现存殊教育范围的狭窄及其与主流教育的脱节等。解决混淆的根本途径在于深化目前的德育与管理体制的改革,在特殊教育框架内,以特殊儿童的服务为核心,重新整合心理健康教育资源,使心理辅导与心理测评发挥其应有作用。     

Attitudes of School Psychologists Towards the Integration (Mainstreaming) of Children with Disabilities

SCHOOL psychologists serving primary and secondary schools in New South Wales were surveyed to ascertain their attitudes towards the main‐streaming of children with a wide range of disabilities. They were also asked to identify the resources required to meet the needs of these children in regular classrooms and to indicate their perceived role in the process of mainstreaming. Results indicated that school psychologists appeared to have a fairly optimistic perspective with regard to mainstreaming when compared with teachers. Comparisons of factor analyses of attitudes also suggested that school psychologists tended to group disability characteristics more in terms of traditional handicapping categories than with regard to the educational demands made upon teachers. While children with learning and behavioural difficulties represented psychologists’ largest case load, they did not always feel they had the skills to assist this group and were even less confident about other categories of disability. School psychologists also saw their roles with regard to mainstreaming as consultative rather than interventionist and attached little importance to knowledge of classroom techniques to facilitate the mainstreaming of children with disabilities. Implications of these data for the training and practice of school psychology were subsequently discussed.     

Consultation With Culturally Diverse Families

The traditional role of the school psychologist has focused primarily on providing services to school-age children. However, the implementation of Public Law 99-457 has resulted in an increased need for psychologists who are knowledgeable about infants, toddlers, and preschoolers with disabilities and their families (Short, Simeonsson, &; Huntington, 1990). There is also an increased demand for school psychologists to provide consultation, intervention, and parent training services that are necessary components of early intervention programs.     

School consultation: The training needs of teachers and school psychologists

This paper describes the roles of teachers and school psychologists and presents an overview of current and prospective methods of providing services to special needs children. On the basis of the literature and professional experience, it is suggested that changes are needed in the provision of special education services. The consultative relationship between teachers and school psychologists is viewed as the key to successful classroom intervention for special needs children. Although each profession brings expertise into the consultative relationship, better training is needed for teachers and school psychologists to ensure that effective intervention strategies are developed.     

Influence of family structure and school variables on behavior disorders of children

The purpose of this study was to examine the influence of family structure and school variables on behavior disorders of children. The sample consisted of 1,162 white elementary school children. General information was obtained from school records, and ratings on behavior disorders were obtained from teachers. Data were analyzed using multiple regression analyses of variance. Results indicated that grade in school, sex, social class, ordinal position in the family, and teacher were important variables in the determination of behavior disorders. Whether or not the children were living with both of their natural parents, number of children in the family, if the children were in special education classes, and whether the children were older than usual for their grade in school were less important or were unimportant. The results, especially those that were not expected, were discussed.     

Implementing a school‐based health center: The Winston‐Salem/Forsyth County experience

This article traces the inception and implementation of school‐based health centers in the Winston‐Salem/Forsyth County (NC) school system. The challenges that arose during implementation are discussed, along with the opportunities that SBHCs provide to enhance the provision of comprehensive services for children. The involvement of the several school psychologists in the initial planning, organization and implementation of these centers is delineated as an example for other school psychologists who are interested in working with school‐based health centers. School‐based health centers represent an opportunity for school psychologists to assume a leadership role in the delivery of enhanced health and mental health services for children and families. © 2003 Wiley Periodicals, Inc. Psychol Schs 40: 289–296, 2003.