Integrating consultation and program evaluation in school psychology

Consultation approaches to providing psychological services are widely used by school psychologists. Recently, the need for school psychologists to be proficient in educational program evaluation has been recognized. The present paper discusses how school psychologists can use their existing consultation skills as an approach to program evaluation. The integration of consultation skills with evaluation results in an approach to program evaluation that is particularly useful where program goals and objectives are broad and nonspecific (as in many educational innovations). Also, the consultation approach to evaluation is easier for school psychologists to blend with their other roles in schools than the assessment-oriented evaluator role of some evaluation models. The consultation approach to evaluation is illustrated using a federally sponsored training program for school teachers and administrators.     

Consultative services in the schools: A model

A model Child Evaluation Center was established in a regular public school to demonstrate alternative methods for providing psychoeducational services. In addition to its service/demonstration function, the center functioned as a psychoeducational field training clinic for the training of school psychologists. The center was successful in encouraging teachers to utilize consultative services, and, in the process, reducing the number of referrals for formal psychological evaluation.     

Collaboration with Urban Community Stakeholders: Refining Paraprofessional‐led Services to Promote Positive Parenting

This paper describes the process of a community–academic partnership to navigate implementation challenges for a school‐based service model led by paraprofessionals to promote positive parenting in high poverty urban communities. We describe the process by which we (a) identified implementation challenges, (b) sustained a university–community collaboration to redesign the paraprofessional service model, and (c) assessed the feasibility of the new model involving four social service agencies in 16 schools with over 600 families. The structure and process of the collaboration and refinement are described with attention to who was best positioned to engage in the collaboration and how the partnership worked to balance scientific rigor with responsiveness to paraprofessional workforce strengths. Feasibility data indicated that the revised model was successfully implemented by paraprofessional staff; 92.2% of possible staff monthly reports were completed and discussion of key goals was incorporated into 94.2% of interactions. Continual monitoring provided critical feedback from stakeholders as we drew on and interpreted these various sources of information to build and refine the service model. We suggest that these processes are critical steps to bridge the research‐to‐practice gap, by promoting practices that are aligned with the needs of children and families, and the staff who serve them.     

The Paraprofessional and Family Therapy

The new career movement in the community mental health field will increasingly demand that training programs provide the paraprofessional with a clinical role that avoids the temporary and mostly erroneous advantages of being an “indigenous” worker. Clinical functions taught in training need to be related to the problems of the urban poor; it is this group that needs a concept of service that can combine management of reality with beneficial restructuring of psychological systems. The resulting role is that of the paraprofessional family therapist — a new career that offers service to the troubled family unit of the urban poor and vocational definition to the person who is so trained.     

A case study approach to delivering and evaluating services by a school psychologist

Two interrelated problems in delivering school psychological services by one school psychologist acted as a motivating force behind this study: the problem of how to plan and render services to a school system where the ratio of students to school psychologists is high, and the problem of how to determine the degree of effectiveness of these services. This study describes an approach which consisted of three distinct services rendered by a school psychologist. Evaluative measurements of the services were made in two areas: the effect of the services on the ongoing operations of the system, and the evaluation of the services by school personnel exposed to the services directly or indirectly. The relative merits and the limitations of such an approach are discussed.     

Psychological services in schools: A summary of international perspectives

School psychological services in 26 countries are summarized. An understanding of school psychological services is enhanced by knowing the conditions that affect the acceptance of psychology and support for public education in the various countries. The article also discusses the nature of services, the points of delivery, and the number of school psychologists. Three major problems inhibiting the growth and development of school psychology are discussed along with possible solutions to these and other questions.     

Predicting psychological service providers' empowerment in the light of the COVID‐19 pandemic outbreak: A structural equation modelling analysis

This study aimed to investigate the predictors of psychological service providers' empowerment in the light of the COVID‐19 pandemic outbreak. The researcher prepared a psychological service providers' empowerment scale that consisted of 28 items, and this scale was applied in a random sample consisting of 975 psychological service providers. The results showed that the empowerment scale has acceptable validity and reliability. The results of the exploratory factor analysis indicated that the 28 scale items saturate on seven factors, which accounted for 64.42% of the total variance of the scale: the first factor named expect psychological services effectiveness accounted for 27.86%, the second factor named self‐stimulation accounted for 9.71%, the third factor named responsibilities and duties accounted for 7.12%, the fourth factor named psychological services work environment accounted for 6.51%, the fifth factor named psychological service providers’ decision‐making accounted for 5.37%, the sixth factor named creative psychological service provider behaviour accounted for 4.45%, and the seventh factor named psychological services confidence accounted for 3.82% of the total variance of a psychological service providers' empowerment. In order to study the ability to predict the empowerment among psychological service providers, the researcher developed a structural model for psychological service providers' empowerment and then used the structural equation model analysis. The results showed that the proposed structural model of a psychological service providers' empowerment has goodness‐of‐fit, and these results emphasised the ability to predict psychological service providers' empowerment by seven tested factors.     

Methodological issues in school-based evaluation

Methodology in school-based evaluation is importantly affected by economic and ethical constraints often absent or less pressing than in larger-scale evaluations. These and other factors also operate in the specialized school-based evaluations such as that of school psychological services. Defensible evaluation designs must take into account the impossibility of random assignment and reduced options for the use of control groups. In addition there are numerous pressures on the construction and deployment of measuring devices and a need for ingenuity in performing statistical analyses. This article explicates these issues and outlines alternative approaches to methodology which can result in usable data for school decision making.     

Pathways to Medical Utilization

The role of psychologists in medical settings is evolving to include the development, delivery, and evaluation of psychosocial treatments for individuals who use disproportionate amounts of medical services. The primary purpose of this article is to present a model of psychological factors that drive health care utilization. A stepped care model of treatment delivery is also discussed along with a brief literature review depicting the impact of treatment approaches on high utilizing populations. This article concludes with recommendations for psychologists interested in providing treatment to medical utilizers.     

Is the Role of the School Psychologist in Early Childhood Truly Expanding? A National Survey Examining School Psychologists' Practices and Training Experiences

Historically, the role of school psychologists in early childhood settings has been limited to the identification and evaluation of children who may be in need of special education services under Part B of the Individuals with Disabilities Education Act. It has been suggested that the role should reflect a more proactive model; specifically, it should continue to expand to include involvement in school readiness and early intervention for all students. The purpose of this study was to examine the present role of school psychologists in early childhood settings and investigate the graduate-level training provided to school psychology graduate students. Results of the survey found that a significant percentage of school psychologist practitioners continue to spend a substantial portion of their professional time completing special education evaluations. Furthermore, respondents reported minimal to moderate graduate training in the area of early childhood populations. Implications for school psychology practitioners and school psychology graduate training programs are discussed.     

Elementary school principals assess services of school psychologists nationwide

A one-page questionnaire was sent to 400 elementary school principals nationwide to assess their opinions regarding services of the school psychologist. These elementary school principals indicated that the school psychologist was found to be most helpful when providing the traditional services of psychological testing, personality and emotional assessment, consultation, and screening. Changes in school psychological services desired by the elementary school principals were more time from the school psychologist and an increase in individual and group counseling, preventive mental health, and inservice training. If elementary principal opinion is to be regarded, gross alterations to existing services of the school psychologist are not indicated by the results of this study.     

A Paraprofessional Training Model Based on the Employment Service Training Unit Concept

A paraprofessional inservice training model is presented which is based on the Employment Service Training Unit (ESTU) concept. The model encourages the use of professional staff in the local work setting as a viable source for training paraprofessional staff members. The advantages and disadvantages of current training programs are described, with the ESTU model presented as an alternative for a more effective paraprofessional training program.     

Addressing Cultural Factors in Development of System Interventions

SUMMARY

The purpose of this article is to address various issues concerning multicultural interventions at a system level. Diversity is presented through a different conceptual approach and specific implications for school psychological practice are addressed. In this theoretical context an alternative model of school psychological services that was developed in the Greek educational system is presented and a primary intervention program is described as a paradigm of multicultural system/community intervention. Finally, the components of a transnational approach to multicultural system/community interventions that provides the basic procedural guidelines to developing effective, culturally sensitive interventions in the school environment is proposed.     

Incorporating a Psychological Counselor in a Cancer Risk Assessment Program: Necessity, Acceptability, and Potential Roles

Evidence suggests that cancer risk assessment may be associated with increased psychological distress. This exploratory study assessed the necessity and acceptability of incorporating psychological counseling into routine clinic procedures at a cancer risk program. Following a visit to a university-based cancer risk clinic, patients (N = 102) completed an anonymous self-report instrument. Participants reported experiencing current stress and anxiety (41%), depression (29%), and suicidal ideation (2%). Patients with a history of cancer were more likely to be experiencing current emotional difficulties. Sixty-nine percent of the participants found the visit with the psychological counselor to be helpful, while 41% of the participants reported interest in follow-up psychological services. Interest in receiving future psychological services was positively correlated with levels of anxiety, depression, and cancer worry. This pilot study demonstrates the acceptability and potential role for psychological counselors in increasing adjustment in high-risk patients undergoing genetic counseling for inherited cancers.     

The growth of school psychology in the last decade

With reference to the first question, it seems that school psychology as a profession is growing much more rapidly than membership in Division 16 of APA would indicate. While the Division is growing, it is not growing in proportion to the number of practitioners in the field.

Factors that seem to be positively related to the rapid expansion of school psychological services are: financial support from the state level; training programs in the colleges and universities; special certification requirements and the designation of school psychology as a specific profession; and increasing demand for services in rural as well as the urban areas. The school psychologist, by virtue of his training and professional competence, is apparently meeting an important need in the educational system. The general tenor of the response to this survey is that the growth of school psychological services will continue.     

Stress-management training: Evaluation of effects on school psychological services

School psychologists participated in a cognitive-behavioral stress-management training program. The data showed decreases in self-reported anxiety and increases in job satisfaction of school psychologists as a result of the training. In addition, teacher satisfaction with school psychological services increased after participation in teacher inservice workshops generated as a result of training the school psychologists.     

父母心理控制对流动儿童道德推脱的影响:学校道德氛围感知的中介作用和性别的调节作用

以345名12～17岁初中阶段流动儿童为被试,采用问卷法考察学校道德氛围感知在流动儿童父母心理控制与道德推脱关系中的中介作用,以及性别的调节作用。结果表明:(1)父母心理控制正向预测流动儿童道德推脱;(2)学校道德氛围感知在父母心理控制和流动儿童道德推脱之间起到部分中介作用。(3)性别在父母心理控制与学校道德氛围感知间起调节作用,性别调节了中介模型的前半路径,具体而言,与男孩相较,女孩的学校道德氛围感知受到父母心理控制的影响作用更加显著。     

父母心理控制与青少年智能手机成瘾:心理需求网络满足和环境敏感性的作用

本研究探讨了父母心理控制与智能手机成瘾的关系,以湖北省某中学的1320名高中生为被试,采用问卷法考察了心理需求网络满足在父母心理控制和智能手机成瘾关系间的中介效应,以及环境敏感性对这一中介过程的调节效应。结果发现：（1）在控制了手机使用频率后,父母心理控制对智能手机成瘾具有显著正向预测作用;（2）心理需求网络满足在父母心理控制和智能手机成瘾之间起中介作用;（3）中介链条的后半段,即心理需求网络满足和智能手机成瘾的关系受到环境敏感性的调节。具体来说,对于高环境敏感性的人,心理需求网络满足对智能手机成瘾的正向预测作用明显增强。     

Comprehensive community-based education and neurorehabilitation for children and adolescents with traumatic brain injury

Children and adolescents who experience a traumatic brain injury (TBI) typically have sensory, cognitive, behavioral, and functional skill challenges that must be addressed in acute and post-acute rehabilitation settings. This article describes a community-based school that combines educational, medical, nursing, family, residential-living, and psychological services in a comprehensive program of pediatric neurorehabilitation. The operational, administrative, and clinical features of these service components are presented. A critical aspect of the program is an emphasis on applied behavior analysis procedures for purposes of assessment, treatment formulation, and evaluation. Data are reviewed to demonstrate demographics, patterns of service delivery, and outcome. The school program represents an educational alternative for students with TBI who are discharged from acute-care settings and require comprehensive support services to facilitate their transition and re-entry to public school and community living. © 1998 John Wiley & Sons, Ltd.     

The Role of Schools in Outcomes for Youth: Implications for Children's Mental Health Services Research

We explore the role of schools in children's mental health services research. Recent literature has suggested that schools play an important role in delivering services to children and adolescents with emotional and behavioral problems. Research in services research, though, has taken a fairly narrow view of which dimensions of school environments are relevant for inclusion in studies. We suggest that a broader view of school environments is appropriate and potentially beneficial to the field. Using Bronfenbrenner's ecological model as a guide, we conceptualize schools as microsystems. Such an approach suggests that all aspects of school environments (treatment as well as non-treatment) are likely to influence many of the outcomes that children's mental health services research frequently targets (e.g., behavioral problems, problematic peer relationships, academic achievement, school attendance). We review literature from a variety of disciplines to suggest relevant features of schools, with particular attention to the role of peer dynamics within schools. We conclude with implications of this expanded conceptualization of schools for children's mental health services research.