Report of the Working Group on Governance and Administration

Prepared by the Working Group on Governance and Administration from the November 1995 Georgetown conference sponsored by the Association of Medical School Psychologists, this paper delineates the various trends in health care that may impact upon organizational structures for psychologists within academic medical centers. Ten variables that describe various functional issues within academic medical centers or health science centers are defined. Finally, seven organizational guidelines and recommendations pertaining to governance of psychological services are detailed.     

Marketing Psychology at Academic Health Centers

The administrative structure of academic health centers is reviewed, with a view to understanding the issues of marketing psychological services within that setting. The slow changes at academic health centers to new practice styles requires psychology to formulate a market strategy addressing the traditional specialist model and another plan responsive to the emerging model emphasizing primary care. Market targets for psychologists include administration, physicians, and patients. Presently, the Association of Medical School Psychologists is working with the Association of Academic Health Centers to design a marketing program targeting leaders at academic health centers.     

EFFECTS OF HIGH-PREFERENCE SINGLE-DIGIT MATHEMATICS PROBLEM COMPLETION ON MULTIPLE-DIGIT MATHEMATICS PROBLEM PERFORMANCE

The purpose of this study was to examine the effects of a sequence of three single-digit (1 digit × 1 digit) multiplication problems on the latency to initiate multiple-digit (3 digit × 3 digit) multiplication problems for 2 students in an alternative education school. Data showed that (a) during the preference assessment, both students selected the single-digit problems in a majority of the sessions, and (b) intervention resulted in a decrease in latency between problems for both students. Results are discussed in relation to using high-preference sequences to promote behavioral momentum in academic content areas.     

Teacher Use Of Interventions In General Education Settings: Measurement And Analysis Of The Independent Variable

This study examined the integrity with which 4 general education teachers implemented an intervention designed to improve the academic performance of elementary school students. Treatment integrity was measured daily using permanent products. The results showed that the 4 teachers markedly increased the integrity of the delivered treatment when they were provided with performance feedback. The results suggest that academic performance improved for the group of students as integrity improved.     

CONTROL OF ARITHMETIC ERRORS USING INFORMATIONAL FEEDBACK AND GRAPHING1

The effect of informational feedback and graphing on reducing the number of arithmetic worksheet errors was investigated. The present study replicated and extended earlier findings with other populations (Journal of Applied Behavior Analysis, 1974, 7 , 547–555; 1970, 3 , 1–4; 1970, 3 , 235–240) to a first-grade classroom. Ten first-grade pupils (four males and six females) served in an ABAB design. During the feedback-only phase, subjects were provided informational feedback, in the form of a written number, on the number of errors made on individual arithmetic worksheets. The feedback-only phase lasted seven days and was followed by the feedback-plus-graphing phase, during which subjects graphed the number (of errors written at the top of the individual worksheet) daily on individual graphs on their desks. The feedback-plus-graphing phase lasted 10 days and was followed by a reversal to feedback only for 10 days. The final phase was a replication of the feedback-plus-graphing phase. All subjects showed a change in number of worksheet errors, in the predicted direction, during the feedback-plus-graphing phases. An overall mean difference of ?2.66 was found to be statistically significant (P < 0.01), using a Wilcoxson Matched-Pairs Sign Test. The results were interpreted as being empirical support for earlier findings in other populations. In addition, the present findings represented a successful extension of feedback and graphing interventions to the management of academic behaviors in a first-grade classroom.     

A classroom program teaching disadvantaged youths to write biographic information

Little attention has been given to how formal classroom instruction can be adapted to teach youths everyday skills such as the correct writing of biographic information frequently requested in transactions like applying for a job or a social security number and cashing a check. In this study, six youths in a special education classroom were taught to complete job application forms with the date, their name, signature, address, telephone number, date of birth, and a reference's name, address, and occupation. Each youth was trained on one item of biographic information at a time, after which he was tested on four application forms, including one on which he had not been trained. The tests show that after an item had been taught, it was correctly used in completing application forms on which the youths had been trained and forms on which they had never been trained. The study demonstrates the feasibility of teaching community-living, vocation-related skills to special-education youths in a classroom setting.     

An analysis of a performance feedback system: the effects of timing and feedback, public posting, and praise upon academic performance and peer interaction

In the first experiment, after establishing baseline composition rates in each classroom, timing (announcing time limits) and feedback (student self-scoring) were introduced followed by the introduction, removal, and reintroduction of public posting of highest scores. Timing and feedback improved story writing performance and public posting of highest scores improved performance even further in both classrooms. Teacher praise produced further improvement in one classroom but had no effect on performance in the other. Changes in on-task behavior paralleled changes in writing rate. Comments made by children concerning their own work or work of their peers were recorded throughout the experiment. Although the baseline rate of performance comments was almost zero, the introduction of each variable markedly increased the rate of performance comments. In the second experiment, baseline rates on reading and language exercises were established in a fifth-grade classroom. The entire performance feedback system was introduced on a multiple baseline across the two behaviors and then removed during the final phase of the experiment. Introducing the system improved performance on both tasks. These results further increased the generality of some of the findings of the previous experiment and of previous research on the efficacy of the experimental package of timing, feedback, public posting, and praise.     

MODIFYING LETTER AND NUMBER REVERSALS IN ELEMENTARY SCHOOL CHILDREN1

Children from regular and special-education classes were exposed to tutoring procedures designed to modify letter and number reversals. In Experiment I, two students showed reversals during letter-naming (e.g., saying p for q) and two-digit number (e.g., writing 31 for 13) exercises. In Experiment II, one subject made two-digit reversals, while the other child reversed single-digit numbers (e.g., 9 written with circle on right side of stem). The subject in Experiment III emitted letter reversals under naming, dictation, and copying exercises. The child in Experiment IV showed written letter reversals on both sides of the “body midline” under dictation procedures. Basic treatment procedures during all experiments involved modelling of correct and incorrect symbol formation, and differential experimenter feedback following student responses. During Experiments I and II, subjects were praised for each correct response, and informed when a reversal occurred. Experiment III included a Modelling Only Phase before these feedback procedures. Besides praise, treatment conditions in Experiment IV consisted of additional feedback following correct responses (e.g., charting correct responses), and temporal delays imposed between dictated letters and student responses. Except for occasional letter-naming reversals of one subject (Experiment I), and letter dictation errors of another (Experiment IV), reversals were eliminated when all experiments terminated. The Modelling Only Phase in Experiment III also reduced reversals to a low level. These findings suggest that a variety of reversal problems may be effectively assessed and remediated via simple modelling and reinforcement procedures. In addition, postcheck observations indicated that the effects were enduring. The present procedures should be easily implemented by school personnel.     

Role playing to train elementary teachers to use a classroom management "skill package"

Two teachers who led regular third-grade classrooms in a suburban elementary school were trained via role-playing to use a broad range of social skills in dealing with group behavioral management in the classroom. Teacher training reduced disruptive student behavior during both seat work and group discussions in both classrooms. A measure of student productivity during arithmetic period in one classroom showed significant gains in arithmetic problems correct per day for the middle and bottom thirds of the class, with the bottom third increasing by 76%.     

THE EFFECTS OF ACCESS TO SPECIAL ACTIVITIES ON THE PERFORMANCE IN FOUR CATEGORIES OF ACADEMIC TASKS WITH THIRD-GRADE STUDENTS1

An ABAB experimental design was used to evaluate the effects of access to recreational activities contingent on the completion of at least 80% of academic tasks assigned daily. Requirements in four task categories (writing, copying words, spelling, and dictionary skills) were specified daily and students were required to complete at least 80% of the requirements in each category correctly in order to participate in daily recreational activities. The procedure produced reliable and educationally important increases in the task performance of all 19 third-grade students in the study. Most of the difference in the performance of each child between experimental conditions was on the spelling and dictionary tasks, although there were also improvements on the writing and words-copied tasks for those students showing the greatest overall change in performance. The procedure was easily implemented by the teacher alone, required only materials and equipment typically found in elementary schools, and produced changes in performance important enough to the teacher that she continued to use the basic procedure after the evaluation program was terminated.