Schools as Health Service Delivery Sites: Current Status and Future Directions

Summary

The health of our nation is inextricably linked with the health of our children. While families and professionals alike have recognized this truth for decades, current social reform movements in education and health services have provided an unprecedented opportunity for schools to become equal partners in addressing the needs of children, families, and communities in a wholistic, boundary-free, and collaborative manner. Since schools are the one social institution with which every child has contact, they offer a natural environment for assessment, services, and follow-up to promote the convergent education and health agendas articulated in Goals 2000 and Healthy People 2000. This article examines the components of education and health care reform with particular attention to a recon-ceptualization of health care services in schools. Within this framework, special services professionals are highlighted as leaders in service coordination and delivery for students, staff, and the community at large.     

Integrated Behavioral Health in Rural Settings: A Course Design

ABSTRACT

Rurality is a vital component of cultural diversity, making it essential to train future counselors on comprehensive mental health counseling practice with rural populations. In this article, we describe the development of a master’s level course that reflects an integrated approach to providing mental health counseling services in rural communities. First, the pedagogical foundation for the course design and positionality are discussed. Second, the course objectives are outlined, and corresponding teaching methods and creative learning assignments are provided. Last, we discuss the strengths and challenges of the course design and implementation.     

How do included and excluded students with SEBD function socially and academically after 1,5 year of special education services?

ABSTRACT

The present study tested three conflicting hypotheses as to how students with social/emotional/behavioural difficulties (SEBD), who showed similar social-emotional, behavioural and academic functioning prior to placement, function socially and academically after they have received additional support either in inclusive regular education or in exclusive special education. Thirty-six included and 15 excluded students with SEBD participated. We collected data from students and teachers with classroom surveys, individual testing sessions with students with SEBD, and from application files. Using Bayesian statistics, our results suggest that excluded students are better socially embedded in exclusive special education and that they perform better academically than comparable included students with SEBD. Special education services in exclusive settings may thus afford certain benefits to some students with SEBD, not typically found in regular education, which can be considered a first indication that there may be valid counterarguments against the ‘inclusion for all’ perspective on educational needs.     

Dental anxiety in the elderly

Abstract

This review of the literature shows that dental anxiety in the elderly has been estimated at a much lower level than that found in the general population. However, it is thought that the problem may have been underestimated because older persons may have masked their feelings by minimizing their needs for dental treatment. It is suggested that dentists need to address the special needs of the older dental patients if they wish to have them utilize their services. Older persons' needs can be met only with a greater understanding and tolerance of ageing processes than has been shown in the past. The decrease of dental anxiety with age found in cross-sectional studies needs to be confirmed by longitudinal studies.     

A Multi-Dimensional Framework for Evaluation of Instructional Consultation Teams

ABSTRACT

This article describes a multidimensional framework for evaluating team-based services in schools. The theory and literature on developmental, causal and confirmatory program evaluation are discussed as the foundation for this framework. The model of Instructional Consultation Teams (IC-Teams) is presented as an illustration of how program evaluation research supports program development and provides evidence of program impact. The inferred impact of IC-Teams upon over-referral and identification of students for special education, especially minority students, is investigated using the confirmatory criteria of consistency. Three studies investigating the impact of IC-Teams upon special education referrals of the IC-Team model are presented. The studies, conducted across three implementations of the program with three different methodologies, demonstrated decreases in the referral, evaluation and placement of students in special education. The need for additional research and limits of the approach are discussed.     

What about the family in youth gender diversity? A literature review

Abstract

Background: Previous research has suggested that gender diversity affects everyone in the family, with positive mental health and global outcomes for gender diverse youth reliant on receiving adequate family support and validation. Although the individual mental health, treatment and outcomes for gender diverse youth have received recent research attention, much less is known about a family perspective. Hence, a review of the literature exploring youth gender diversity from a family perspective is warranted.

Aims: To systematically identify, appraise and summarize all published literature primarily exploring gender diversity in young people under the age of 18?years, as well as selected literature pertaining to a family understanding.

Methods: Six electronic databases (CINAHL, MEDLINE, EMBASE, PsycINFO, SCOPUS, Web of Science) were searched for relevant literature pertaining to youth under the age of 18?years.

Results: Research evidence was consistently found to support the beneficial effects of a supportive family system for youth experiencing gender diversity, and a systemic understanding and approach for professionals. Conversely, lack of family support was found to lead to poorer mental health and adverse life outcomes. Few articles explored the experience of siblings under the age of 18?years.

Discussion: This literature review is the first to critically evaluate and summarize all published studies which adopted a family understanding of youth gender diversity. The review highlighted a lack of current research and the need for further targeted research, which utilizes a systemic clinical approach to guide support for gender diverse youth and family members.     

Limits and lessons of constructivism some critical reflections

Abstract

Despite their diversity, the articles in this special issue generally bear on three key problems facing constructivist theorists and therapists: (1) the relation between knowledge and reality, (2) the construction of self in social relationships, and (3) the facilitation of change in the clinical context. In this article I critically evaluate the recommendations and challenges of the contributors regarding these problems and clarify the implications for the practice of constructivist psychotherapy.     

On the Representation of N4-Lattices

N4-lattices provide algebraic semantics for the logic N4, the paraconsistent variant of Nelson's logic with strong negation. We obtain the representation of N4-lattices showing that the structure of an arbitrary N4-lattice is completely determined by a suitable implicative lattice with distinguished filter and ideal. We introduce also special filters on N4-lattices and prove that special filters are exactly kernels of homomorphisms. Criteria of embeddability and to be a homomorphic image are obtained for N4-lattices in terms of the above mentioned representation. Finally, subdirectly irreducible N4-lattices are described.     

Identifying Gifted and Talented Students

ABSTRACT

This article offers a set of recommended best practices in the identification of students who are gifted and talented. The article recommends that school psychologists gain familiarity with gifted children and their families, recognize the multiple manifestations of giftedness and the developmental nature of talent development, link identification to intervention, employ multiple assessment measures, include the assessment of motivation, consider social and emotional needs, and monitor the recommended interventions. The article also reviews recurring issues that adversely impact upon the provision of gifted services in the public schools. These issues include society not viewing the gifted as a high-priority special needs group, definitions of giftedness that vary across states, differing expert opinions on what giftedness represents, uncertainty about prevalence rates, under-representation of certain groups of gifted students, the role of creativity, and whether gifted education should be a part of special education.     

Changing the School Culture Toward Integrated Services

Summary

In this article, contemporary school culture is examined, as it relates to delivery of health and mental health services to children and families. Proposed changes are put forth that can help move from services as currently organized to integrated services as discussed herein.     

School Psychology: Training Individuals for One of the Best Kept Secrets in Professional Psychology

Abstract

School psychology training at the doctoral level is discussed. Given the increasing diversity in the schools as well as the varied education and mental health needs of the population, school psychology training is necessarily broad, involving traditional skills such as assessment, intervention, consultation, and counseling, all of which are taught within a context of a changing school population with changing needs. Because there is compulsory education, school psychologists’ interface with a broad cross-section of individual children, their parents, and their teachers. Moreover, school psychological practice is not limited to schools, as doctoral school psychologists are health service providers; many of these individuals work in other settings for which they are trained to provide services. The complexities and challenges of training school psychologists within this broad agenda effectively across domains are discussed.     

Spirit breaking: When the helping professions hurt

Abstract

Too often the human services dehumanize and depersonalize those who come to receive services, as well as those professionals who provide physical disabilities and people with psychiatric disabilities are frequently hurt by helping professionals, the phenomenon of “spirit breaking” is introduced. Suggestions for re‐humanizing the human services are made, including new models for clinical interaction that serve to empower rather than disempower service recipients, and the contributions that people with disabilities are making in their own state and national movements for social justice and the right to humane treatment and rehabilitation services.     

Suppression and justification processes to reduce in-group bias in a multiculturalism diversity context

IntroductionThis study investigates the impact of an organisational multiculturalism perspective of diversity on in-group bias towards people of foreign origin.ObjectiveWe hypothesise that organisational multiculturalism constitutes a norm which creates a positive context for intergroup relations. We expect that when workers perceive that their organisation recognises group differences, their own values are influenced, namely egalitarian values and perceived value violation. The value-related mediators are conceptualised in the frame of justification-suppression model (Crandall & Eshleman, 2003) respectively as suppression and justification.MethodData were collected from a sample of 402 workers who completed an anonymous questionnaire.ResultsBased on structural equation modelling, results show that the perception of organisational multiculturalism is negatively and indirectly related to in-group bias through both suppression and justification processes.ConclusionThis study highlights that the perception of the normative context of an organisation is related to workers’ attitudes. The results are discussed consistent with the literature on diversity.     

Protecting my turf: The moderating role of generational differences on the relationships between self-direction and hedonism values and reactions to generational diversity

ABSTRACT

Drawing from basic human values theory and generational identity theory, we hypothesize that two self-focused values, self-direction and hedonism, will be negatively associated with reactions to generational diversity initiatives, and that this relationship will differ between millennials and non-millennials. As expected, our findings illustrate that self-direction and hedonism are negatively related to reactions to generational diversity initiatives. Additionally, self-direction’s influence on reactions to diversity initiatives is significantly higher for non-millennials than millennials. These findings suggest that generational differences affect cognitive processes surrounding reactions to generational diversity initiatives.     

Comment on Delgado-Romero and Howard

Abstract

Too often the human services dehumanize and depersonalize those who come to receive services, as well as those professionals who provide physical disabilities and people with psychiatric disabilities are frequently hurt by helping professionals, the phenomenon of “spirit breaking” is introduced. Suggestions for re‐humanizing the human services are made, including new models for clinical interaction that serve to empower rather than disempower service recipients, and the contributions that people with disabilities are making in their own state and national movements for social justice and the right to humane treatment and rehabilitation services.     

Interagency Collaboration

Abstract

Child welfare, education, health, juvenile justice, and mental health systems have simultaneously initiated movements to reform services to troubled children during the past ten years. Recently, these agencies have shown increased interest in bringing their change efforts together for a more unified system of care. This paper describes essential components of systems of care and interagency collaboration. A case illustration describes a setting in which special service providers in schools, particularly special education administrators and school psychologists, played major roles in the conceptualization and implementation interagency collaboration for a system of care.     

It's Complicated: Corporate Sustainability and the Uneasiness of Life Cycle Assessment

Abstract

Life cycle assessment (LCA) is a technique and field of expertise aimed at modeling the complete ‘cradle-to-grave’ life of goods and services, as well as their multiple impacts on environmental and human well-being. Although not new, in recent years LCA has become a central tool in corporate and government initiatives to improve overall product sustainability. These initiatives show how corporate supply chains have become increasingly important sites and objects of knowledge production. But the production process is not straightforward. LCA practitioners must navigate complicated relationships with corporations that serve as both clients and sources of vital information. The challenges of generating knowledge deemed both credible and useful are compounded by the complexity, diversity and contingency of product life cycles, as well as by ongoing debates about exactly how product sustainability should be modeled and assessed. While some of these challenges are unique to LCA, others reflect tensions common to many fields that assess corporate conduct in order to improve it.     

The Inclusion Inventory

Abstract

While several studies have investigated the effects of inclusive education on children receiving special education services, less effort has been directed toward assessing implementation of inclusive educational practices. This article describes development of the Inclusion Inventory, a 90-item tool designed to survey educators' perceptions of inclusive educational practices in their school. Administration of the Inventory to 2,763 respondents from 72 schools across a large southwestern state yielded internal consistency reliability coefficients of .72 and above for the seven subscales. Respondents with experience in inclusive educational practices and those from schools where teams implement inclusive education tended to have higher ratings on the Inclusion Inventory. Implications are considered for educators and others involved in inclusive education.     

Baptist Perspectives on Faith-Based Initiatives and Religious Liberty

SUMMARY

Baptist perspectives are presented on recent policy efforts that could increase the opportunities for religious organizations to receive public monies for the planning and delivery of human services. A distinctive Baptist principle is religious liberty, a tenet of faith that contributes to several Baptist writings that consider the risks of church-state relationships in human service activities. Political and philosophical perspectives are considered in a discussion of services that Baptists provide and an understanding of these services as faith-based initiatives. The ElderCare Program of Buckner Baptist Benevolences in Texas and other services are discussed as models of faith-based initiatives for older adults.     

‘If they didn’t support me,I most likely wouldn’t be here’: Transgender young people and their parents negotiating medical treatment in Australia

Abstract

Background: It is increasingly recognized that transgender young people require affirming medical care, however the provision of such care may be mitigated by the availability of services and the views of parents.

Aims: This study aimed to explore the views of Australian transgender young people (aged 11–17) and their parents with regards to medical treatment.

Methods: Ten qualitative interviews were conducted with parent-child dyads in two Australian states. Thematic analysis was undertaken on responses to interview questions related to family relationships, views about medical treatment (specifically hormone blockers and hormones), and the relationship between medical treatment and sense of self.

Results: Themes developed focused on the importance of strong supportive parent-child relationships, the meaning of and access to hormone blockers, and the meaning of and access to hormones.

Discussion: The paper concludes by discussing the implications of the findings for clinical services, particularly in relation to supporting parents to be affirming of a transgender child, the need to prepare transgender young people and their parents for the passage of time in regards to medical treatment, and the need to focus on expectations in regards to sense of self in relation to medical treatment.