Skip to main content

Advertisement

Log in

Teachers’ Acceptance of a Psychodynamically Based Schoolwide Mental Health Consultation Program

  • Published:
Contemporary School Psychology Aims and scope Submit manuscript

Abstract

We report on a novel mental health classroom consultation program that is guided by psychodynamic principles rather than a scripted curriculum or manualized program. Based on each teacher’s needs and existing skills, consultants may divide their time among meeting with teachers, directly intervening with students, referring parents for services, and helping teachers implement a social–emotional learning curriculum. Throughout, they strive to build trusting relationships and promote mentalization with teachers as well as with students. Given the unusual design of this program model, it was important to assess teacher acceptance. A 2-year pilot in three high-poverty New York City schools assigned some classrooms to consultants and others to a comparison group. Results revealed that teachers who received consultation reported good relationships with their consultants. They reported that of all activities performed, consultants helped most by co-teaching the social–emotional curriculum. Furthermore, compared to teachers in a comparison group, those receiving consultation improved their self-efficacy with respect to promoting social–emotional competence, knowing effective strategies for dealing with behavioral challenges, and communicating with mental health providers. This model shows promise in light of high teacher acceptance.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alkon, A., Ramler, M., & MacLennan, K. (2003). Evaluation of mental health consultation in child care centers. Early Childhood Education Journal, 31, 91–99.

    Article  Google Scholar 

  • Barnes, T. N. (2019). Changing the landscape of social emotional learning in urban schools: What are we currently focusing on and where do we go from here? The Urban Review, 51, 599–637.

    Article  Google Scholar 

  • Becker, K. D., Bradshaw, C. P., Domitrovich, C., & Ialongo, N. S. (2013). Coaching teachers to improve implementation of the Good Behavior Game. Administration and Policy in Mental Health and Mental Health Services Research, 40, 482–493.

    Article  PubMed  Google Scholar 

  • Biggs, B. K., Vernberg, E. M., Twemlow, S. W., Fonagy, P., & Dill, E. J. (2008). Teacher adherence and its relation to teacher attitudes and student outcomes in an elementary school-based violence prevention program. School Psychology Review, 37, 533–549.

    Article  Google Scholar 

  • Camacho, D. A., Vera, E., Scardamalia, K., & Phalen, P. L. (2018). What are urban teachers thinking and feeling? Psychology in the Schools, 55, 1133–1150.

    Article  Google Scholar 

  • Cappella, E., Frazier, S. L., Atkins, M. S., Schoenwald, S. L., & Glisson, C. (2008). Enhancing schools’ capacity to support children in poverty: An ecological model of school-based mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 35, 396–409.

    Article  Google Scholar 

  • Cappella, E., Hamre, B. K., Kim, H. Y., Henry, D. B., Frazier, S. L., Atkins, M. S., & Schoenwald, S. K. (2012). Teacher consultation and coaching within mental health practice: Classroom and child effects in urban elementary schools. Journal of Consulting and Clinical Psychology, 80, 597–610.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cappella, E., Jackson, D. R., Kim, H. Y., Bilal, C., Holland, S., & Atkins, M. S. (2016). Implementation of teach consultation and coaching in urban schools: A mixed method study. School Mental Health, 8, 222–237.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Coles, E. K., Owens, J. S., Serrano, V. J., Slavec, J., & Evans, S. W. (2015). From consultation to student outcomes: The role of teacher knowledge, skills, and beliefs in increasing integrity in classroom management strategies. School Mental Health, 7, 34–48.

    Article  Google Scholar 

  • Committee for Children. (2003a). Second Step: A Violence Prevention Curriculum, Preschool/Kindergarten. Seattle, WA: Author.

    Google Scholar 

  • Committee for Children. (2003b). Second Step: A Violence Prevention Curriculum, Grades 1-3. Seattle, WA: Author.

    Google Scholar 

  • Committee for Children. (2003c). Second Step: A Violence Prevention Curriculum, Grades 4-5. Seattle, WA: Author.

    Google Scholar 

  • Cook, C. R., Frye, M., Slemrod, T., Lyon, A. R., Renshaw, T. L., & Zhang, Y. (2015). An integrated approach to universal prevention: Independent and combined effects of PBIS and SEL on youths’ mental health. School Psychology Quarterly, 30, 166–183.

    Article  PubMed  PubMed Central  Google Scholar 

  • Domitrovich, C. E., Bradshaw, C. P., Greenberg, M. T., Embry, D., Poduska, J. M., & Ialongo, N. S. (2010). Integrated models of school-based prevention: Logic and theory. Psychology in the Schools, 47, 71–88.

    Article  PubMed  PubMed Central  Google Scholar 

  • Domitrovich, C. E., Li, Y., Mathis, E. T., & Greenberg, M. T. (2019). Individual and organizational factors associated with teacher self-reported implementation of the PATHS curriculum. Journal of School Psychology, 76, 168–185.

    Article  PubMed  Google Scholar 

  • Egan, T. E., Wymbs, F. A., Owens, J. S., Evans, S. W., Hustus, C., & Allan, D. M. (2019). Elementary school teachers’ preferences for school-based interventions for students with emotional and behavioral problems. Psychology in the Schools, 56, 1633–1653.

    Article  Google Scholar 

  • Embry, D., Staatemeier, G., Richardson, C., Lauger, K., & Mitich, J. (2003). The PAX good behavior game (1st ed.). Center City, MN: Hazelden.

  • Emmer, E. T., & Stough, L. M. (2001). Classroom management: A critical part of educational psychology, with implications for teacher education. Educational Psychologist, 36, 103–112.

    Article  Google Scholar 

  • Eppler-Wolff, N., Martin, A., & Homayoonfar, S. (2019). The School-Based Mental Health Collaboration (SBMHC): A multi-level university-school partnership. Journal of Infant, Child, and Adolescent Psychotherapy, 18, 13–28.

    Article  Google Scholar 

  • Eppler-Wolff, N., Homayoonfar, S., Albertson, J., Semel, R., & Jean-Pierre, A. (2020). School Based Mental Health Collaboration Clinical Consultant guidebook. New York: Teachers College, Columbia University.

    Google Scholar 

  • Flaspohler, P., Duffy, J., Wandersman, A., Stillman, L., & Maras, M. A. (2008). Unpacking prevention capacity: An intersection of research-to-practice models and community-centered models. American Journal of Community Psychology, 41, 182–196.

    Article  PubMed  Google Scholar 

  • Fonagy, P., & Target, M. (1997). Attachment and reflective function: Their role in self-organization. Development and Psychopathology, 9, 679–700.

    Article  PubMed  Google Scholar 

  • Gessnitzer, S., & Kauffeld, S. (2015). The working alliance in coaching: Why behavior is the key to success. The Journal of Applied Behavioral Science, 51, 177–197.

    Article  Google Scholar 

  • Greenhalgh, T., Robert, G., MacFarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. The Milbank Quarterly, 82, 581–629.

    Article  PubMed  PubMed Central  Google Scholar 

  • Guerra, N. G., & Knox, L. (2008). How culture impacts the dissemination and implementation of innovation: A case study of the Families and Schools Together Program (FAST) for preventing violence with immigrant Latino youth. American Journal of Community Psychology, 41, 304–313.

    Article  PubMed  Google Scholar 

  • Hagelquist, J. O. (2018). The mentalization guidebook. London: Routledge.

    Book  Google Scholar 

  • Han, S. S., & Weiss, B. (2005). Sustainability of teacher implementation of school-based mental health programs. Journal of Abnormal Child Psychology, 33, 665–679.

    Article  PubMed  Google Scholar 

  • Heller, S. S., Boothe, A., Keyes, A., Nagle, G., Sidell, M., & Rice, J. (2011). Implementation of a mental health consultation model and its impact on early childhood teachers’ efficacy and competence. Infant Mental Health Journal, 32, 143–164.

    Article  PubMed  Google Scholar 

  • Huber, M. J., Fruth, J. D., Avila-John, A., & López-Ramirez. (2016). Teacher self-efficacy and student outcomes: A transactional approach to prevention. Journal of Education and Human Development, 5, 46–65.

    Article  Google Scholar 

  • Hyman, S. (2012). The school as holding environment. Journal of Infant, Child, and Adolescent Psychotherapy, 11, 205–216.

    Article  Google Scholar 

  • Jones, S. M., Brown, J. L., & Aber, J. L. (2011). Two-year impacts of a universal school-based social-emotional and literacy intervention: An experiment in translational developmental research. Child Development, 82, 533–554.

    Article  PubMed  Google Scholar 

  • Levitt, H. M., Neimeyer, R. A., & Williams, D. C. (2005). Rules versus principles in psychotherapy: Implications of the quest for universal guidelines in the movement for empirically supported treatments. Journal of Contemporary Psychotherapy, 35, 117–130.

  • McCormick, M. P., Cappella, E., O’Connor, E. E., & McClowry, S. G. (2015). Social-emotional learning and academic achievement: Using causal methods to explore classroom-level mechanisms. AERA Open, 1, 1–26.

    Article  Google Scholar 

  • NYC Department of Education. (n.d.). School quality snapshots. Retrieved December 6, 2019 from https://tools.nycenet.edu/snapshot/2019/

  • Pianta, R. C., La Paro, K. M., & Hamre, B. K. (2008). Classroom Assessment Scoring System (CLASS) manual, K-3. Baltimore, MD: Brooks Publishing Co..

    Google Scholar 

  • Ransford, C. R., Greenberg, M. T., Domitrovich, C. E., Small, M., & Jacobson, L. (2009). The role of teachers’ psychological experiences and perceptions of curriculum supports on the implementation of a social and emotional learning curriculum. School Psychology Review, 38, 510–522.

    Google Scholar 

  • Ratkalkar, M., Ding, K., Clark, M. H., Morrison, M., Thames, J., Elmished, L., Garvin, B., Boyer, J., & Daly, B. P. (2017). Partnering with teachers in the delivery of a classroom-based universal social-emotional intervention program in urban elementary schools. Reports on Emotional and Behavioral Disorders in Youth, 17, 39–46.

    Google Scholar 

  • Reinke, W. M., Herman, K. C., Stormont, M., Newcomer, L., & David, K. (2013). Illustrating the multiple facets and levels of fidelity of implementation to a teacher classroom management intervention. Administration and Policy in Mental Health and Mental Health Services Research, 40, 494–506.

    Article  PubMed  Google Scholar 

  • Reyes, M. R., Brackett, M. A., Rivers, S. E., Elbertson, N. A., & Salovey, P. (2012). The interaction effects of program training, dosage, and implementation quality on targeted student outcomes for the RULER approach to social and emotional learning. School Psychology Review, 4, 82–99.

    Article  Google Scholar 

  • Sanders Thompson, V. L., Bazile, A., & Akbar, M. (2004). African Americans’ perceptions of psychotherapy and psychotherapists. Professional Psychology: Research and Practice, 35, 19–26.

    Article  Google Scholar 

  • Shernoff, E. S., Mehta, T. G., Atkins, M. S., Torf, R., & Spencer, J. (2011). A qualitative study of the sources and impact of stress among urban teachers. School Mental Health: A Multidisciplinary Research and Practice Journal, 3, 59–69.

    Article  Google Scholar 

  • Steele, M., Murphy, A., & Steele, H. (2015). The art and science of observation: Reflective functioning and therapeutic action. Journal of Infant, Child, and Adolescent Psychotherapy, 14, 216–231.

    Article  Google Scholar 

  • Strein, W., Hoagwood, K., & Cohn, A. (2003). School psychology: A public health perspective: I. Prevention, populations, and systems change. Journal of School Psychology, 41, 23–38.

    Article  Google Scholar 

  • Sutherland, K. S., Conroy, M. A., Vo, A., & Ladwig, C. (2015). Implementation integrity of practice-based coaching: Preliminary results from the BEST in CLASS efficacy trial. School Mental Health, 7, 21–33.

    Article  Google Scholar 

  • U.S. Census Bureau. (n.d.). 2013-2017 American Community Survey 5-Year Estimates. https://factfinder.census.gov/faces/nav/jsf/pages/community_facts.xhtml

  • Walter, H. J., Gouze, K., & Lim, K. G. (2006). Teachers’ beliefs about the mental health needs of inner city elementary schools. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 61–68.

    Article  PubMed  Google Scholar 

  • Wehby, J. H., Maggin, D. M., Moore Partin, T. C., & Robertson, R. (2012). The impact of working alliance, social validity, and teacher burnout on implementation fidelity of the Good Behavior Game. School Mental Health, 4, 22–33.

  • Winnicott, D. W. (1965). The maturational process and the facilitating environment. Madison, CT: International Universities Press.

Download references

Acknowledgment

We gratefully acknowledge Cheryl Y.S. Foo for her invaluable research assistance.

Funding

This work received funding from private donors and the Teachers College Office of School and Community Partnerships’ Zankel Urban Fellowship Program.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Anne Martin.

Ethics declarations

Ethics Approval and Consent to Participate

Study procedures were approved by the Teachers College Institutional Review Board and the New York City Department of Education Institutional Review Board.

Consent for Publication

Research involved human participants, all of whom provided informed consent.

Conflict of Interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Martin, A., Martin, S., Homayoonfar, S. et al. Teachers’ Acceptance of a Psychodynamically Based Schoolwide Mental Health Consultation Program. Contemp School Psychol 26, 469–480 (2022). https://doi.org/10.1007/s40688-021-00362-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40688-021-00362-9

Keywords

Navigation