Building school support systems for parents of handicapped children: The parent Education and Guidance program

The Parent Education and Guidance Program was motivated by the belief that the fostering of a positive, ongoing relationship between the school and home can have a significant bearing on the development of family strengths for coping with a handicapped child. The training program utilized parent support groups and professionals from various fields to involve parents of handicapped children in group process directed toward the holistic approach to meeting the child's social, emotional, and intellectual needs. During the course of the program it became apparent that parents needed the help and support of other parents who shared similar difficulties related to having a handicapped child in the family. Issues related to developing personal awareness as well as interpersonal skills were dealt with at the parent meetings. An atmosphere of mutual understanding and support between members of the Child Study Team and parents developed as a result of less formalized and more relaxed contact during the 8-month program.     

Systematic reading training in the family: Development,implementation, and initial evaluation of the Berlin Parent–Child Reading Program

Drawing on knowledge about the development of reading comprehension, and empirical insights into the effects of training on students' learning strategies and reading-related metacognition, we developed a parent–child reading program for implementation in the home environment. The results of this first quasi-experimental evaluation study indicate that it is generally possible to implement a program of this kind within the family setting, but that participation is low and selective based on family background and children's achievement level. Nevertheless, participation in the program was found to have substantial effects on the development of vocabulary and on reading-related metacognition, indicating that family-based reading programs have considerable potential. The issues of selective participation and the lack of a program effect on text comprehension are discussed, and prospects for future research on systematic reading training in the family context are considered.     

SCAN: A method of community collaboration

Recent research has highlighted the complexity of the battered child syndrome. Clinical experience suggests that treatment of troubled families is a long-term process, draining financial resources of agencies and emotional resources of professionals. The need to provide support and case consultation to professionals working in the area of child abuse and neglect evolved in the establishment, in 1968, of the Suspected Child Abuse and Neglect (SCAN) Program at Children's Hospital, Pittsburgh, Pennsylvania. This program provides an effective method of intervention through identification, consultation, referral and follow-up of at-risk families. Weekly meetings offer multi-disciplinary case coordination, treatment recommendations, and a channel of communication for representatives of community agencies. This paper traces the history and present status of the SCAN Program, as well as the role of SCAN as a force for change of community attitudes.     

Serving Children With Special Social and Emotional Needs: A Practical Approach to Evaluating Prevention Programs in Schools and Community Settings

Prevention programs for young children are becoming more prevalent in schools and community centers. Practical evaluation methods are needed that can inform program design and implementation as well as assess a program's overall success. An evaluation model is presented that provides both program process and outcome information. The institutional and program conditions supportive of this type of evaluation and the limitations of this approach are discussed. A case example illustrates practical issues related to designing and implementing evaluations for prevention group projects for young children at risk for child abuse and neglect. Implications for educational and psychological consultation are discussed.     

Child and adolescent mental health and counselling in Mugello, Italy

This report deals with a program to train the General Practitionners and Pediatricians (P&;P) in child and adolescent mental health (CAMH) counselling, undertaken by the Community Service child neuropsychiatrists (CNs) in the Mugello, a mountain region near Florence (Italy) of approx. 500 square miles, with about 58,000 residents of which 9,000 under eighteen years of age. The program began in 1996 and, after an organizational phase, the P&;P's professional interests and needs dealing with CAMH were tested (review phase). The remarkable P&;P's interest and motivations in CAMH were confirmed by the significant percentage (about 50%) of voluntary attendance and the high percentage (about 91%) of active participation in the meetings and by the 50% increment of first referrals to specialists during a test-period lasting two month (February--March 1997/96). A close-ended questionnaire investigated the most frequent CAMH problems faced by the P&;P, which prevalently turned out to be ordinary events. The high rate (about 54%) of missing responses to questions about the P&;P's possibility to aknowledge their own sources of knowledge on such problems and the high positive response rate (about 70%) indicating a non professional source of knowledge reveal the P&;P's awareness of professional insecurity in CAMH, and this was the cause of their difficulties in distinguishing between ordinary events and psychopathology. The P&;P replied positively in 93% of the cases to the question “do you think it is useful for your professional self-confidence to examine these problem areas in depth?” The method that they preferred proved to be “continuing training courses” (35%). These results provided the basis for the implementation phase with a continuing professional training program. The P&;P's awareness of professional insecurity and the admission of their need for training and information in CAMH motivate their requests for CNs Counselling reference in order to deal with psychiatric cases, while the P&;P's humane approach with patients, revealed during the meetings and in the questionnaire, simplifies the task of training the P&;P to become counsellors in CAMH problems which are less severe.     

The Process of Fostering Consultee Development During Instructional Consultation

This investigation examines how the process of instructional consultation (IC) supports consultees' problem-solving and fosters change in how the consultees understand pertinent work problems. The setting was a mid-Atlantic elementary school's Instructional Consultation Team, and the participants were 13 case manager consultants and 5 teacher consultees. A micro-ethnographic research approach was used and 4 primary sources of data collected: interviews, direct observations, consultation documents, and IC training documents. Analysis of the data uncovered 4 general themes related to the participants' problem-solving and evolving understanding of the work issues. In the discussion, the question of how IC is a constructive process that promotes consultees' development is considered.     

Effects of a professional development program on classroom practices and outcomes for Latino dual language learners

A randomized, controlled study was conducted to assess the effects of the Nuestros Niños professional development program on classroom practices and child outcomes related to language development and early literacy skills in both English and Spanish. Fifty-five teachers and 193 Latino dual language learners (DLLs) enrolled in the North Carolina More at Four Pre-Kindergarten Program participated in the study. The content of the professional development program consisted of research-based instructional practices designed to complement the core curriculum and scaffold learning for DLLs, and the format included professional development institutes, individualized consultation, and community of practice meetings. The results showed that the intervention led to measurable improvements in both the overall quality of teachers’ language and literacy practices as well as those specific to working with Latino DLLs, and greater gains in children's phonological awareness skills in their primary language.     

Countertransference and failure to report child abuse and neglect

Though every state has laws requiring the report of suspected child abuse and neglect, failure to report remains a significant problem. Review of previous research on failure to report suggests that the reporters' anxieties about disrupting their relationship with the child's family as well as the reporters' gender, experience, and training affect willingness to report. Countertransference fear, guilt, shame, and sympathy are discussed as a basis for understanding the reporter's anxieties. We suggest that countertransference issues should be addressed in the training and ongoing practice of mandated reporters. The following mechanisms are offered to deal with this issue in training and practice: (1) teaching professionals about how countertransference reactions may arise during the reporting process (this training may include the use of risk management groups for private practitioners); (2) identification of a community child abuse expert for consultation; and (3) educating child protection workers about psychodynamics aspects of case management.     

The Cost-Effectiveness of Adding One Type of Parent Involvement to an Early Intervention Program

The belief that parent involvement is an important aspect of early intervention programs for children with disabilities is widely accepted, but the empirical evidence to support this belief is limited (White, Taylor, & Moss, 1992). Using a randomized experimental design, the present study compared a classroom-based early intervention program with the same program supplemented by a parent involvement component. The parent involvement component consisted of weekly parent meetings focused on (a) training parents to provide additional intervention, (b) providing information on general topics, and (c) providing social support. Outcome data were obtained following intervention and longitudinally on child and family functioning, and on educational outcomes. A cost-effectiveness analysis was completed. With respect to measures of child development and family functioning, there were some small initial effects in favor of the parent involvement group that tended to fade out in later reassessments. However, longitudinal educational outcomes indicate positive effects on child placements and teacher perceptions of the children's functioning in favor of the parent involvement group. The parent involvement component was not immediately cost effective, but may be in the long term.     

Use of the Collaborative Drawing Technique in School Counseling Practicum: An Illustration of Family Systems

According to the extant school consultation literature, counselors can effectively use brief family interventions and family assessment procedures in schools as part of a collaborative consultation approach. School counselors, however, often lack training in family systems theory, because counselor training programs tend to use individual counseling models. When used in a school counselor practicum course, the Collaborative Drawing Technique (CDT; G. M. Smith, 1985) introduces counselors‐in‐training to family systems concepts and lays the foundation for postgraduate training in family systems. The authors use a case illustration to explore paradigmatic shifts in trainees' case conceptualizations as a function of their use of the CDT with a family.     

Fidelity of Problem Solving in Everyday Practice: Typical Training May Miss the Mark

Social skills training interventions have been used extensively for remediating interpersonal deficits of children and adolescents. These interventions represent an essential component of school curricula for at-risk and handicapped students, and have been incorporated into treatment programs for youngsters receiving services in psychiatric hospitals or clinics, residential facilities, and correctional institutions. As the degree of specialized knowledge necessary to effectively implement social skills training programs increases, the need for consultation services becomes more acute. Specific functional relationships among child characteristics, target behaviors, and interventions, for instance, must be analyzed with respect to ecological parameters and constraints. In this article, I discuss the use of consultation for conceptualizing and implementing social skills training with youngsters. Integrating consultation into social skills training requires developing a dynamic and collaborative relationship with practitioners. Current issues and misconceptions pertinent to social skills training are proffered in order to enhance consultant's role as problem solver and to ensure treatment integrity. This article also delineates the nexus among assessment information, target behavior selection, and intervention factors that are considered essential for providing comprehensive and effective social skills training.     

Evaluation of a Training Program in Aging Research for Social Work Faculty

Since 2004, we have offered a postgraduate training program in aging research for social work faculty from across the country. The overarching goal of the program is to expand the pool of social work faculty engaged in aging research. This, in turn, will reinvigorate participants' teaching; prepare them to update aging-related content in the curriculum, with special emphasis on cultural diversity and methodological issues; and enhance their ability to motivate new generations of students to pursue the study of aging. Program design includes an initial 8-day institute in Summer I; ongoing consultation, update meetings at several national conventions, and a 4-day midyear meeting during the intervening year; and a follow-up institute during Summer II. Between 2004 and 2009, seven cohorts of social work faculty (with 14–15 members in each cohort) participated in the program. More than 40 percent of the participants were from communities of color including African American, Hispanic American, Native American, and Asian American. This article reports the results of initial evaluation from two most recent cohorts (Cohort 6 and Cohort 7). In addition, it reports the results of a follow-up study we conducted in June 2010 on cohorts 1–5. Key lessons learned in offering the program are also shared.     

Let's Make Better Use of Our Libraries

Teachers concerned with issues of social justice are sometimes confronted by classroom incidents that compel them to take action. This article draws on an incident in a primary school setting where deprecating language, used toward a child of lesbian parents, challenged the teacher to confront the issue of homophobic language. The teacher worked in consultation with the school community to provide a real-life learning opportunity about diverse family structures. Written in a narrative style, the teacher's voice is used to articulate the incident and the dilemmas he confronted. To explore the issues, this article shows that “difference” in an educational setting can be both positive and problematic; educators can challenge the unjust use of homophobic language; and the need for visible gay role models extends not only to students but also to gay educators.     

A pilot study of early childhood mental health consultation for children with behavioral problems in preschool

This study reports the findings of a pilot demonstration project called Together for Kids, which used a mental health consultation model to address the needs of young children with challenging behaviors who are identified in preschool classrooms. The study was conducted in four preschool programs and one Head Start program serving children ages 3–5, including both private-pay families and those using public subsidies. Rates of significant behavior problems as assessed by preschool teachers using a standardized scale were high, with 34% of all children enrolled in preschool classrooms in these sites over a 3-year period identified at-risk of externalizing or internalizing problems. Classroom teachers, as well as individual children and families identified as at-risk, were provided services, including, classroom observation and teacher training, individual child assessment and therapy, family assessment and support, and referrals for other family needs. Analysis of outcomes for 47 children and families with externalizing behavior problems who received individualized consultation, compared to 89 control children, and analysis of outcomes of a matched group of 19 intervention and 19 control children, revealed that the intervention was associated with significant improvements in classroom aggressive and maladaptive behavior, and growth in adaptive behavior. Improvements in child behavior were associated with total hours of individual child services provided, and with improvements in child developmental skills. Significant reductions in the rate of children suspended or terminated from child care programs were also found. Implications for further development of models of early childhood mental health consultation are discussed.     

Collaboration in the assessment and diagnosis of preschoolers: Challenges and opportunities

The preschool assessment and diagnostic process offers many opportunities for collaboration across disciplines that can enrich the professional's understanding of the young child. This article addresses the advantages and complexities of such collaboration including opportunities for infusing collaboration across the multiple steps of assessment. Challenges commonly seen in a collaborative process, involving issues of time, decisions regarding diagnosis and recommended interventions, shared responsibilities, conflict across disciplines, and the need for administrative support, are explored. Special issues around creating meaningful partnerships with families are examined with attention to fully including families at whatever level they are comfortable. Finally, trends in consultation and collaboration that require the specialized expertise of preschool psychologists are described, along with promising models of training that incorporate collaboration, consultation, and policy work into the pre‐service experience. © 2011 Wiley Periodicals, Inc.     

Preparing Doctoral-Level Consultants for Systems Change: Implementing and Supervising Multitiered Practices in Early Childhood Education

Implementing changes that support a preventative approach in early childhood education (ECE) requires the collaboration of skilled professionals. The present case study describes a change effort to implement multitiered systems of support (MTSS) in early childhood settings that included collaboration of agency personnel, school psychology program faculty and trainees, and ECE faculty. It describes a competency-based training initiative that provides applied experiences in consultation, supervision, and change facilitation for systems change efforts. The implementation of a systems-level approach for promoting positive behavior at three ECE agencies is described, with resulting teacher and child outcomes. Implications for future consultation research, training, and practice are discussed in relation to a consultation training model that provides competency-based field experiences to support change in ECE.     

Chapter 15 Peer Educators:

Eating disorders are a serious health and mental health problem on college campuses nationwide. This article describes an innovative treatment and prevention program for eating disordered college students. Peer educators are used to provide individual, informational sessions to students with eating disorder concerns and workshops on eating disorders to the campus community. They work with the counseling center by referring more serious eating disordered clients and through consultation with a staff psychologist. The roles and functions of eating disorder peer educators are described, and issues in recruitment, selection, training and ongoing supervison are highlighted. The counseling center's role in the management of eating disorders is also discussed. Specific case examples are presented to clarify the peer educator role in working with eating disordered college students.     

Expanding Problem-Solving Consultation Training: Prospects and Frameworks

Core characteristics of problem-solving consultation research, theory, and practice in psychology and education are reevaluated within the context of consultation training agendas. Features of problem-solving consultation must be reconceptualized for advances to occur in future consultation training. Specifically, the consultant-consultee relationship, coordinate power status, consultee's right to reject the consultant's suggestions, involvement of the consultee in the consultation process, the voluntary nature of consultation, and ethical issues are discussed within a broadened framework for consultation training that emphasizes a process in which consultation services can occur on a variety of consultee-client dimensions. These dimensions include case-centered consultation (e.g., teacher-based consultation, parent-based consultation, conjoint parent-teacher consultation, child-based consultation, and peer-mediated consultation), technology training with teachers and parents, and organizational consultation. The expanded conceptual framework for consultation involves not only a reconceptualization of traditional problem-solving consultation core characteristics for practice, but also agendas for new areas within consultation training curricula at both the preservice and inservice levels. Moreover, such a broadened framework demonstrates the necessity for incorporating empirical research from other areas of psychology, education, and organizational management within the area of school consultation.     

Impact of interviewers’ supportive comments and children's reluctance to cooperate during sexual abuse disclosure

In the field of child sexual abuse (CSA) disclosure, many studies have been conducted on the impact of interviewers’ questioning style, but few have examined the impact of interviewers’ supportive comments on children's cooperative and reluctant disclosure of substantive details. This field study used a sample of children ranging from 4 to 13 years of age who have all disclosed CSA. The first objective was to examine if the interviewer's and the child's comments during CSA interviews would vary as a function of the use of the National Institute of Child Health and Human Development (NICHD) Protocol. The second objective was to identify the strongest correlates of the proportion of details disclosed by the children during forensic interviews. A total of 90 matched NICHD Protocol and non-Protocol interviews done by the same interviewers were audio-taped, transcribed, and coded using verbal subscales. The goal was to explore if differences exist between the interviewers’ supportive and non-supportive comments as well as children's cooperative and reluctant statements during investigative interviews conducted prior to or after the NICHD Protocol training. Results of a MANCOVA showed that the use of the NICHD Protocol had no influence on interviewers’ and children's demeanors. A hierarchical multiple regression analysis controlling for relevant variables (e.g., child's age and NICHD Protocol) showed that children's reluctance and interviewers’ non-support were associated with a lesser proportion of details. Overall, these results indicate that in order to promote detailed disclosure of CSA, interviewers should decrease their non-supportive comments and learn to deal more effectively with children's reluctance during forensic interviews. As such, protocols and training should encourage investigative interviewers to devote more time identifying early signs of children's verbal reluctance and to understand the negative impact of non-supportive comments on the disclosure of substantive details.     

Consultation Training in Master's Level Counselor Education Programs

The purpose of this research was to update and extend the survey of training practices conducted by Splete and Bernstein (1981). More counselor education programs are offering individual courses in consultation to their master's students, but the preferred method of delivering consultation coursework still seems to be integrating it into other courses. Little consensus was found among program administrators regarding topics covered in didactic experiences. The majority of the respondents reported offering some fieldwork in consultation, either as a requirement or as an elective.