An Evaluation of the Effectiveness of School-Based Behavioral Consultation

An investigation of the effectiveness of school-based behavioral consultation was conducted. Participants were 80 teachers who recently were involved in consultation with a practicing school psychologist. Teachers were asked to evaluate a recent consultation case using a consultant effectiveness scale, a measure of intervention quality, and an intervention outcome index. Results indicated that consultant skills were rated as highly effective, 4 of 6 critical elements of problem solving were included in a majority of cases, and in two thirds of the cases student functioning improved. Significant correlations between consultant skills, consultation quality, and case outcomes were obtained. Potential contributions of field-based consultation research are discussed.     

Maternal Negativity and Children's Externalizing Behavior

Maternal negativity in parent-child interactions related to both the presence and persistence of child externalizing behavior problems. We examined how behavior of 120 mothers and their children in an interaction task at preschool related to assessments of child behavior problems at preschool, first grade, and third grade. At preschool and first-grade, children were assigned to three groups: comparison, moderate externalizing, and pervasive externalizing; at both timepoints the pervasive externalizing group had greater maternal negativity assessed at preschool. Maternal negativity was predicted, beyond the child's disruptive behavior in the task, by two variables: mother's perception of low spousal agreement and support related to child problems and depression. At third grade, child symptoms and diagnoses of ADHD and ODD were predicted by mothers' commands and repeat commands, though not negativity, in the preschool interaction task. Implications of these findings for early family intervention are discussed.     

Maternal Negativity and Children's Externalizing Behavior

Maternal negativity in parent-child interactions related to both the presence and persistence of child externalizing behavior problems. We examined how behavior of 120 mothers and their children in an interaction task at preschool related to assessments of child behavior problems at preschool, first grade, and third grade. At preschool and first-grade, children were assigned to three groups: comparison, moderate externalizing, and pervasive externalizing; at both timepoints the pervasive externalizing group had greater maternal negativity assessed at preschool. Maternal negativity was predicted, beyond the child's disruptive behavior in the task, by two variables: mother's perception of low spousal agreement and support related to child problems and depression. At third grade, child symptoms and diagnoses of ADHD and ODD were predicted by mothers' commands and repeat commands, though not negativity, in the preschool interaction task. Implications of these findings for early family intervention are discussed.     

Parents' and Children's Perceptions of Parental Behavior: Associations with Children's Psychosocial Adjustment in the Classroom

Objective. We examined correspondence in parents' and children's perceptions of parenting and associations between these perceptions and children's social adjustment in the classroom. Design. The sample included 214 children (M age = 9) from third to fifth grades and their parents. Children and parents reported on parenting behavior. Results. Parents' self-reports and children's reports about parents showed systematic differences, with parents perceiving themselves as more supportive than children perceived them to be. Direction of discrepancy between child and parent reports appeared to be more important than size of discrepancy in predicting child outcomes. Hierarchical regression analyses showed that parents' self-perceptions of parenting and children's perceptions of parenting were predictive of different measures of child psychosocial adjustment. Conclusions. The results of this study support the assumption that parents' self-perceptions and children's perceptions of parenting provide unique views of the family and unique relations to children's psychosocial adjustment.     

Considerations for Future Research in the Institutionalization of School-Based Consultation

The purpose of this article is to identify some of the research questions which arise when consultation services are introduced in school systems. Specifically, questions that arise from introducing pre-referral and in-service consultation are discussed. It is emphasized that unique problems are encountered when consultation is implemented system wide. These problems need to be empirically evaluated across each organizational level of school systems. Conclusions are drawn suggesting the need to adopt formal methods for institutionalizing consultation in the schools.     

Cognitive Modeling: A Means for Achieving Prevention in School-Based Consultation

The shift in educational placement of children with disabilities into an integrated approach continues to gain momentum. One strategy for implementing this integrated partnership is the use of general education prereferral intervention techniques. This study specifically examined the longitudinal impact of collaborative consultation as a prereferral intervention on referral accuracy to special education. Several data collection forms were used to provide an accurate count of the number of children in the school populations who were referred for special education assessment and who were found to verify for special education services. Referral accuracy was determined by taking a ratio of the number of students assessed to the number of students verified. Results indicated a significant increase in referral accuracy when the collaborative consultation model was implemented as a prereferral strategy. Implications and suggestions for further research are offered.     

Early Parenting and the Development of Externalizing Behavior Problems: Longitudinal Mediation Through Children's Executive Function

Path analysis was used to investigate the longitudinal associations among parenting and children's executive function and externalizing behavior problems from 36 to 90 months of age in the Family Life Project (N = 1,115), a study of child development in the context of rural poverty. While controlling for stability in the constructs, semistructured observations of parenting prospectively predicted performance on a battery of executive function tasks and primary caregivers' reports of externalizing behavior. Furthermore, the association between early parenting and later externalizing behavior was longitudinally mediated by executive function, providing support for a process model in which sensitive parenting promotes children's self‐regulation, which in turn reduces children's externalizing behavior.     

Collaboration in School-Based Consultation: Myth in Need of Data

American students, more so than at any other time in history, have the intellectual potential and opportunity to become educated, but are failing to achieve. This problem of underachievement has consequences for the future of our nation that are now and will continue to be devastating: Each class of dropouts can be expected to earn about $237 million less over a lifetime and pay $70 billion less in taxes than high school graduates (Mitgang, 1991).     

The Evidence Base for Mental Health Consultation in Early Childhood Settings: A Research Synthesis Addressing Children's Behavioral Outcomes

Research Findings: Early childhood mental health consultation aims to reduce problem behaviors and improve social skills in young children primarily through changes in the classroom environment and teacher practices. We conducted a systematic review of the literature and identified 14 rigorous studies that reported on child-level outcomes. These studies had at least one of the following characteristics: publication in a peer-reviewed journal, use of a randomized control trial design, or inclusion of a comparison group. Across these studies, there was variation in the approaches to consultation, qualifications of the consultants, and intensity of the services provided. Overall, early childhood mental health consultation services were consistently associated with reductions in teacher-reported externalizing behaviors. Findings related to reductions in internalizing behaviors were mixed. Teacher ratings of prosocial behaviors were improved in the majority of the studies that reported on this domain. Practice or Policy: This research synthesis underscores the importance of documenting the specific approaches to early childhood mental health consultation that are being implemented to allow for replication of effective models. Areas for future research improvement include increasing rigor through studies that contain independent assessments of children's behaviors, isolating key components of effective consultation, and identifying consultant qualifications and characteristics that lead to child behavior changes.     

Mutual Relations Between Mothers' Depressive Symptoms and Hostile-Controlling Behavior and Young Children's Externalizing and Internalizing Behavior Problems

Objective. This study considered the role of mothers' depressive symptoms and hostile-controlling behavior in young children's externalizing and internalizing behavior problems. Pathways of influence between mothers' depressive symptoms and hostile-controlling behavior and children's externalizing and internalizing behavior problems also were examined. Design. Data were collected at child ages 4 and 6 years from a nonclinical, community sample of 51 mothers and their children. At both assessments, mothers' behavior was observed during a structured mother - child play activity, and mothers completed questionnaires to assess their depressive symptoms and children's externalizing and internalizing symptoms. Results. Hierarchical regression analyses revealed different patterns of findings across the 2 assessments as well as different patterns of findings for children's externalizing versus internalizing behaviors. At age 4, mothers' depressive symptoms and hostile-controlling behavior predicted children's externalizing behaviors; at age 6, only mothers' hostile-controlling behavior predicted children's externalizing behaviors. Regarding children's internalizing behaviors, mothers' depressive symptoms were significant predictors at child age 4; however, by age 6, mothers' depressive symptoms were no longer significant predictors. When longitudinal modeling was applied to the data, some support for both maternal and child effects was found. Conclusions. Findings highlight the importance of considering mothers' depressive symptoms and hostile-controlling behavior in predicting children's externalizing and internalizing behavior problems and suggest different etiological pathways for externalizing versus internalizing expressions of dysfunction.     

Barriers to Treatment Success in Behavioral Consultation: Current Limitations and Future Directions

Behavioral consultation is a prominent indirect service model in the practice of psychology in the schools. Despite some empirical support for the use of behavioral consultation strategies, consultants frequently face a number of barriers to implementation of treatment in practice. This article outlines a number of these barriers in behavioral consultation, including the lack of standardization of consultation, lack of specific training of consultants, little or no consultee (teacher) training, problems surrounding target behavior identification, and external constraints to consultation. Each of these areas is described along several dimensions that need to be addressed in future research.     

Conducting Rigorous Survey Research in the Study of School-Based Consultation

The evidence base for school-based consultation practice and training is limited by a small number of studies, possibly due to unique challenges in researching consultation. For example, there are myriad variables to measure and idiosyncratic cultural and contextual factors to account for when investigating what works, for whom, and in what circumstances. Survey methodology offers one means for conducting consultation research. This article proposes a process for rigorous survey research in school-based consultation training and practice, which addresses some potential concerns regarding survey research. Specifically, issues of survey development, survey validation, sampling, and data collection are addressed. These processes are illustrated through the design and administration of an online survey of 262 early career school psychologists; preliminary data analyses suggested strong scale reliability, minimal item response bias, and population representativeness. Recommendations for future consultation survey research are provided.     

Effortful Control Moderates Bidirectional Effects Between Children's Externalizing Behavior and Their Mothers' Depressive Symptoms

This study examined bidirectional associations between mothers' depressive symptoms and children's externalizing behavior and whether they were moderated by preschool‐age effortful control and gender. Mothers and teachers reported on 224 primarily White, middle‐class children at ages 3, 5, and 10. Effortful control was assessed via behavioral battery and mother ratings. Structural equation modeling indicated that maternal depressive symptoms at child age 3 predicted more externalizing behavior at age 10 among children with low effortful control and among boys. Externalizing behavior at age 3 predicted fewer depressive symptoms at the age 10 assessments among mothers of children with high effortful control. Boys with suboptimal self‐regulation exposed to high levels of maternal depressive symptoms were at greatest risk for school‐age behavioral problems.     

Behavioral Consultation as a Process for Linking the Assessment and Treatment of Social Skills

There has been recent interest in social skills assessment and treatment among researchers and practitioners. The research bases in these areas are expanding rapidly, and the identification of valid assessment methods and effective intervention strategies is promising. However, few researchers have identified ways m which social skills assessment and intervention can be linked in a practical manner. Likewise, the process by which services are delivered is rarely addressed. The purpose of this article is to present a model by which the interaction between social skills assessment and intervention can be enhanced, with a focus on the problem-solving process. One effective and efficient manner of providing services to socially unskilled children is through an indirect model of service delivery; that of behavioral consultation. Behavioral consultation is a four-stage problem-solving model that involves the cooperative efforts of two or more persons to clarify a student's needs and develop and implement appropriate strategies for intervention. This article presents the objectives and procedures of each stage of behavioral consultation as a process to facilitate accurate problem identification and effective problem resolution, with the goal of linking social skills assessment directly to treatment.     

Perceptual Mapping Software as a Tool for Facilitating School-Based Consultation

Perceptual mapping is a systematic method for collecting, analyzing, and presenting group perceptions that is potentially useful in consultation. With input and feedback from a consultee group, perceptual mapping allows the consultant to capture the group's collective perceptions and display them as an organized image that may foster meaningful understanding of their shared beliefs and serve as a stimulus for discussion and problem solving. Perceptual mapping can give school-based consultants an additional means to bring ideas “to the table” that consultees can clearly conceptualize as originating with them as opposed to the notions of the consultant. The authors illustrate the potential use of and offer support for perceptual mapping as a tool for consultation in schools.     

Bridging the Research-to-Practice Gap in School-Based Consultation: An Example Using Case Studies

Intervention integrity or adherence describes qualities of carrying out an intervention plan and in research is fundamentally linked to experimental validity questions addressed by measurement of independent and dependent variables. Integrity has been well described in conceptual writing but has been a continuing thorny subject in research and practice with some possibility of misunderstandings. In consultation practice, in contrast to research, adherence questions may be best viewed as a triage situation in that teams examine risks and costs of decisions and plan for sufficient intervention implementation checks accordingly. Furthermore, in consultation practice the measurement of intervention adherence is not necessarily needed for internal validity arguments if internal validity evidence is a key characteristic of prior research used in problem solving. However, adherence estimates remain critical for many aspects of decision making. As much thought and resources may be dedicated to the measurement of intervention adherence as are dedicated to the measurement of dependent variables or outcome measures for both consultation practice and research depending on the decision purpose.     

Reciprocal Relations Between Harsh Discipline and Children's Externalizing Behavior in China: A 5‐Year Longitudinal Study

This research examined the overtime reciprocal relations between maternal and paternal harsh discipline and children's externalizing behavior. Seven hundred two father–mother dyads of children (6–9 years of age at baseline) completed measures of parental harsh discipline and children's externalizing behavior at five time points, 1 year apart. Autoregressive latent trajectory models revealed that maternal and paternal corporal punishment predicted subsequent children's externalizing behavior (parent‐driven effects), whereas children's externalizing behavior predicted subsequent maternal and paternal psychological aggression (child‐driven effects). The parent‐driven effects became stronger, whereas the child‐driven effects were equally strong across time. Furthermore, the parent‐driven effects for corporal punishment were found for both boys and girls, whereas the child‐driven effects for psychological aggression were found only for boys.     

A Conceptual Model for the Expansion of Behavioral Consultation Training

In this article, a general model and specific program that expand traditional behavioral consultation training are presented. The training program involves five interrelated components: (a) procedural and content skills, (b) role and relationship considerations, (c) entry/systems issues, (d) field-based experience, and (e) peer supervision. As a system, each component is necessary but not sufficient in the development of consulting expertise. Likewise, each component is subsumed by one or more components that encompass this broader framework. A theoretical rationale, model for implementation, and future training and research directions are also presented.     

An Organizational Consultation Framework for School-Based Prevention of Commercial Sexual Exploitation of Children

ABSTRACT

The commercial sexual exploitation of children (CSEC) is a form of childhood sexual abuse involving the sexual exploitation of youth for economic gain. School-based CSEC prevention efforts have increased in recent years. While these efforts represent important progress in school-based efforts to prevent CSEC, the literature indicates that they need to be strengthened. This article presents a school-based organizational consultation framework that may help schools and support personnel to enhance existing school-based CSEC prevention efforts.     

Assessment of Consultation and Intervention Implementation: A Review of Conjoint Behavioral Consultation Studies

Reviews of treatment outcome literature indicate treatment integrity is not regularly assessed. In consultation, two levels of treatment integrity (i.e., consultant procedural integrity [CPI] and intervention treatment integrity [ITI]) provide relevant implementation data. Specifically, assessment of CPI and ITI are necessary to conclude (a) consultation is functionally related to consultee implementation behavior and (b) intervention implementation is functionally related to student outcomes. In this article, study characteristics and the presence of treatment integrity at both levels are examined in 21 studies utilizing Conjoint Behavioral Consultation, a model of consultation that includes multiple consultees. Results indicate that in approximately half of studies, CPI, ITI, or both are assessed and, when reported, treatment integrity is moderately high across both levels. However, there are distinct differences in the assessment and reporting of these levels of treatment integrity. Limitations and implications for consultation research and treatment integrity reporting are discussed.