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.     

Meeting the Challenges of the Future: Integrating Public Health and Public Education for Mental Health Promotion

The 2002 Future of School Psychology Conference called for reform of current models of professional school psychology, including a paradigm shift toward a public health model of practice. This article explores the role of school psychologists in efforts to achieve an integrated public health and public education model for delivering comprehensive school-based mental health services. Building on expertise as psychological and educational consultants, school psychooogists can play a unique role in facilitating the necessary systemic reform and capacity building for comprehensive mental health service delivery. This revised role requires redefining school-based consultation to include consultation for capacity building, and rethinking professional preparation to ensure expertise in public health models, inter-agency and interdisciplinary collaboration, participatory action research, and comprehensive service delivery.     

Congruence and typology of diagnoses in school psychology: An empirical study

Focus is directed upon the logic and import of the assumption that effective preventative and remedial mental health service demands reasonable agreement among service providers as to the nature and course of psychological problems. The study proceeds to test the belief that school psychologists improve in diagnostic agreement as a function of increased training and experience. Seventy-two randomly selected members of groups of novice, intern, and expert school psychologists were presented with three child case studies containing a full breadth of information and were subsequently asked to render diagnoses. It was found that diagnostic agreement was absent at all levels of experience, and further, a trend was noted wherein school psychologists tended to demonstrate increasing disagreement with one another as they acquired more training and experience. The findings were examined in the context of comparative research from allied mental health and educational specialties, with a special concern for discovering prevailing patterns of decision-making errors that result in reduced diagnostic agreement and validity.     

Role and function of school psychologists, 1992–93: A comparative study

The roles and functions of 52 school psychologists from Iowa and Tennessee were examined. A multivariate analysis of variance (MANOVA) was used to test differences between reported time spent on prereferral, assessment, intervention, consultation, and curriculum-based assessment. Significant differences were found for the time spent in all areas. A second one-way MANOVA was used to test the differences between the two groups in reported actual time spent and desired time spent. A significant difference was found for consultation. A third MANOVA was utilized to test the differences between the two groups' desired time spent on the five variables. A significant difference was found for curriculum-based assessment. The results suggest that school psychologists in Tennessee and Iowa occupy different roles. School psychologists in Tennessee reported spending the majority of their time on assessment activities, whereas the Iowa sample balances their time between the five functions. The Iowa role exemplifies alternative functions for school psychologists. The Tennessee role is oriented more toward the refer, test, place model.     

Delivering school‐based mental health services by school psychologists: Education,training, and ethical issues

Consistent with the priority goals of the 2002 Future of School Psychology Conference, the National Association of School Psychologists' Blueprint for Training and Practice III advocates for school psychologists becoming “leading mental health experts in schools.” In this regard, the present article reviews the prevalence and incidence of children's mental health problems in the schools, followed by a historical overview of the nature of school‐based mental health services. We discuss education and training issues and related ethical and professional practice issues that focus on the ethics codes of the National Association of School Psychologists and the American Psychological Association that are associated with the delivery of mental health services by school psychologists. Recommendations are offered for graduate‐level coursework and field experiences in the delivery of school‐based mental health services, as well as future directions for research in this area. © 2011 Wiley Periodicals, Inc.     

An examination of ethnic incongruence in school‐based psychological services and diversity‐training experiences among school psychologists

The current study examined the prevalence of ethnic incongruence in three school psychological services: assessment, consultation, and counseling; the prevalence of diversity training among school psychologists; and practitioners' attitudes about their training experiences. A mail survey was sent to a random sample of 500 school psychologists drawn from the 1999 membership roster of the National Association of School Psychologists (NASP). Ethnic incongruence, defined as ethnic differences between a professional and a client, was commonly reported for assessment, consultation, and counseling cases. Diversity training was reported by 90.7% of participating school psychologists in the form of graduate coursework, internship experiences, or continuing education. Though most respondents rated their training experiences positively, improvements were suggested. © 2005 Wiley Periodicals, Inc. Psychol Schs 42: 419–432, 2005.     

A survey of school psychologists' knowledge and training in child psychopharmacology

A national sample of 320 school‐based, practicing members of the National Association of School Psychologists provided information on (a) their caseloads receiving medications, (b) types of school psychopharmacology training opportunities available and perceptions of their current training in child psychopharmacology, and (c) information about consultative efforts in monitoring medication effects on school functioning. Results indicated that almost one of every four cases seen by survey participants were being treated with psychotropic medications; nearly all respondents have engaged in consultation related to medication evaluations. Professional workshops and independent reading were the most utilized training opportunities, and participant responses indicated an overwhelming need for basic educational training to improve knowledge and consultation in this area. Implications of these findings on training in evidence‐based interventions and current practice are discussed as school psychologists experience legislative pressure to diminish their collaborative involvement in medication treatment consideration and evaluation. © 2006 Wiley Periodicals, Inc. Psychol Schs 43: 623–633, 2006.     

The Blueprint I revisited: Training and practice in school psychology

In 1984, the National School Psychology Inservice Training Network (NSPITN) published School psychology: A blueprint for training and practice (Blueprint I), which recognized that America's public schools were troubled and focused on how school psychology could help with a transformation; the role of school psychologists was divided into 16 practice domains. In 1997, the National Association of School Psychologists (NASP) published a successor, School psychology: A blueprint for training and practice II (Blueprint II), which credits the first edition with having “driven much of the progress in school psychology.” To better understand the impact of the Blueprint I, this study analyzes responses from Nebraska and Iowa school psychologists about it, finding that doctoral-level respondents believed that they were more competently trained than subdoctoral school psychologists in the research domain; quality of training was rated higher by respondents receiving degrees after 1984 in class management, classroom organization and social structures, interpersonal communication and consultation, legal/ethical and professional issues, multicultural concerns, parental involvement, research, and systems development and planning. Analyses revealed numerous areas of congruence and dissonance between training and practice. Respondents reported a preference to decrease the amount of time spent in assessment and increase the time spent in all other domains (except basic academic skills). The relevance to the Blueprint II and the implications for school psychology training and practices are discussed. © 1998 John Wiley & Sons, Inc.     

School‐based health centers: Opportunities and challenges for school psychologists

School psychologists have the potential to contribute to the development and delivery of health and mental health services through school‐based health centers (SBHCs). Possible roles for school psychologists within SBHCs are described. Factors that influence school psychologists' efforts within SBHCs are discussed, including factors such as system reforms, school system governance, importance of SBHC to stakeholders, and availability of funding. Knowledge of collaborative problem solving, effective prevention and intervention strategies, and recognition of limitations of traditional mental health programs were also identified as facilitators of the school psychologist's role in a SBHC. Factors that may impede the development of SBHCs are reviewed. These factors include definitional confusion, deemphasis on prevention, community stigma, limited resources, lack of integration and coordination of services, and an emphasis on a narrow role of providing only medical services. Additional factors discussed include the narrow role of school psychologists, space limitations, the challenge of collaboration, role strain, and lack of research on interventions within a SBHC. Strategies for overcoming barriers are suggested. © 2003 Wiley Periodicals, Inc. Psychol Schs 40: 253–264, 2003.     

Culturally Responsive Consultation Among Practicing School Psychologists

ABSTRACT

School-based consultation has garnered increasing attention relevant to culturally responsive practice in school psychology. Although prior research has investigated school psychologists’ experiences with supporting culturally diverse youth through school-based consultation, few studies have utilized an established framework to understand school psychologists’ experiences. We utilized specific components of Ingraham’s Multicultural School Consultation framework to examine fifteen school psychologists’ experiences with providing culturally responsive consultation. Constant comparative analysis revealed the various strategies used by practitioners to support culturally diverse students throughout the consultation process (e.g., involving multiple people in decision-making, using non-confrontational approaches to educate school personnel about cultural dynamics, providing messages of support and encouragement to diverse students and families) and the socio-contextual barriers to their practice (e.g., cultural minimization, lack of administrative support). Implications for research, training, and school-based practice are discussed.     

Role expansion in school psychology: The need for primary and secondary prevention services

A sample of 80 special education directors completed a survey regarding the functions of school psychologists, the degree of effectiveness of psychologists in delivering certain services, and activities in which they should become more (or less) involved. The results reveal that there is no single activity that accounts for the majority of the school psychologist's time. School psychologists were rated as more effective in assessment, consulting, and crisis intervention. Activities rated as needing more involvement were counseling and consultation. Although these results are supportive of role expansion and consistent with the literature, of particular concern was the failure to identify involvement with at-risk and regular education students as a major need. These concerns suggest that there is a need for increases in primary and secondary prevention services.     

Assessing severity in behavior disorders: Empirically based criteria

School psychologists are routinely required to make judgments about the severity of behavior disorders in children. While federal law demands that a child exhibit an emotional problem “to a marked degree,” school psychologists are given few clearcut guidelines for making judgments about the severity of students' adjustment problems. The purpose of this paper is to present a list of empirically based criteria for assessing the severity of behavior disorders in children. To this end, research on major behavior disorders in children of interest to school psychologists is reviewed.     

Interdisciplinary Collaboration Supporting Social-Emotional Learning in Rural School Systems

In this article we illustrate the roles of school psychologists, administrators, social workers, teachers, and parents in school reform by describing the adoption, initial implementation, and formative evaluation of an evidence-based social and emotional learning (SEL) program within several rural Midwestern school districts in a geographically large county. As part of a countywide initiative aimed at improving children's mental health services, an interdisciplinary team collaborated to select and implement a universal school-based curriculum addressing SEL objectives. Professionals in the county's special education cooperative lead the reform effort, general education teachers deliver the curriculum, and school psychologists and school social workers have served as trainers and consultants to educators and building administrators. An ecological model of organizational consultation informs these efforts. We illustrate this model by describing its application to the collaborative school-based initiative addressing SEL objectives. We also discuss implications for future consultation research, training, and practice.     

Consultant attributions revisited: The relationship to teaching experience to consultant attributions

Attribution theory recently has been applied to school psychology practice in general and to school-based consultation in particular. Previous research has shown that consultants characteristically attribute responsibility for consultation outcomes, and particularly for failed consultations, to teacher consultees. However, these attributions may be a function of differential experiences. In this study, we hypothesized that the teaching experience of school psychologists is related to causal attributions of consultation outcome. A randomly selected national sample of school psychologist practitioners completed a questionnaire concerning reasons for successful and unsuccessful consultation outcomes. Results of the study showed that the teaching experience of school psychologists may mediate attributions of causality in consultation.     

Catalyzing the Primary Prevention Revolution in the Schools: The Role of School Psychologists

The introduction of primary prevention programs into schools has great potential to expand the roles of school personnel. Working collaboratively, school psychologists, teachers, and school administrators could facilitate adoption of social skills and health promotion programs. Leaders within schools are needed to initiate the move toward primary prevention. School psychologists are ideally placed to take a leadership role in this shift toward primary prevention. However, they need to receive more information about primary prevention, both in training programs and in written works, if they are to be adequately prepared to introduce programs and to consult to school personnel. The information that school psychologists are currently exposed to provides an inadequate level of detail for those who wish to implement such programs. We offer recommendations to school psychologists and members of other professions within the schools on how to acquire the information they need to serve as leaders in the primary prevention revolution.     

School-linked and school-based health services: A renewed call for collaboration between school psychologists and medical professionals

Health care and education reform provide opportunities to build systems that promote rather than retard collaboration between school psychologists and medical professionals. School-linked and school-based health services (SLSBHS) are a family of approaches that provide medical, social, and mental health services to students through school settings. These services have potential to provide more than acute care or first-aid services. SLSBHS provide medical care to uninsured children, students with chronic medical needs, at-risk children, and the overall school population. However, there are usually not enough funds to hire new staff members in most school districts. Expanding the roles of current school staff, promoting interdisciplinary collaboration, and implementing creative fiscal strategies are necessary to develop SLSBHS. Interdisciplinary collaboration may be the largest hurdle to developing SLSBHS. As such, school psychologists and medical professionals may need to rethink their professional roles and develop new techniques of interdisciplinary consultation to fulfill the potential of SLSBHS.     

School Psychologists' Sense of Self-Efficacy for Consultation

The Consultation Self-Efficacy Scale (CSES) was developed and validated to assess school psychologists' perceptions of self-efficacy for engaging in school-based consultation. A pilot study with graduate students (N = 92) indicated high internal consistency (α = .99) and provided evidence of discriminant validity, as a group with more consultation experience had significantly higher total self-efficacy scores (M = 512.25) than a moderately experienced group (M = 437.35). Subsequently, a sample of 347 practicing school psychologists completed a revised CSES, consistently endorsing moderate to high levels of consultation self-efficacy (M = 404.08, SD = 51.73). Although consultation self-efficacy was hypothesized to be a multidimensional construct, exploratory factor analysis indicated a single-factor structure. Construct validity of the instrument was supported by significant correlations between school psychologists' consultation self-efficacy ratings and perceptions of their ability to respond to hypothetical consultation referral problems (r = .69, p < .01), and regression analysis found that years of experience and time spent consulting with teachers predicted psychologists' self-efficacy scores.     

Computer-Mediated Peer Support of Consultation: Case Description and Evaluation

In this article we describe the design, implementation, and outcomes of a computer-mediated peer support group. Four school psychologists used an enhanced version of electronic mail (e-mail) referred to as groupware. The purpose of the e-mail messages was to provide two of the school psychologists with support in regard to their consultations with teachers. During the 15-week project, the school psychologists exchanged 65 e-mail messages. Their perceptions of the learning and social outcomes of the group were assessed. The school psychologists indicated that the majority of the messages contributed to their becoming more knowledgeable about consultation and knowing what support to offer the other school psychologists. Overall, the computer-mediated group experience seemed to meet or exceed the school psychologists' preproject high expectations in regard to learning about classroom-based interventions and receiving social support. Moreover, they also perceived their computer-mediated group to be highly cohesive.     

Are school psychologists reform-minded?

This study examined perceptions of reform in the role and function of school psychologists advocated by Reschly (1988). A national sample of 137 psychologists endorsed integrated features of traditional practice and reform on assessment activities and classification issues, but they more strongly favored reform positions on activities associated with consultation/intervention and professional/training issues. The use of and preference for curriculum-based assessment strongly characterized psychologists more favorably disposed toward reform. Reform-minded psychologists included administrators and trainers as well as practitioners who receive relatively few new referrals per year. However, psychologists who conducted few evaluations appeared to do more counseling than consultation or classroom intervention. Discussion focuses on understanding psychologists' conceptualization of their current role and on identifying the characteristics and activities of the more reform-minded. © 1996 John Wiley & Sons, Inc.     

School neuropsychology consultation in neurodevelopmental disorders

The role of school psychologists with training in neuropsychology is examined within the context of multitiered models of service delivery and educational reform policies. An expanded role is suggested that builds on expertise in the assessment of neurodevelopmental disorders and extends to broader tiers through consultation practice. Changes in federal legislation to allow more flexible approaches toward assessment are viewed as a catalyst toward the integration of neuropsychological practice in school‐based practice. As a set of priorities, recommendations are made for reforming assessment practice in schools, linking neuropsychological test results to academic treatment outcomes, and developing consultation practice with parents and teachers for early identification purposes and to integrate school‐based services with community mental health services. © 2008 Wiley Periodicals, Inc.