Abstract
School psychologists play an essential role in the provision of school-based mental health services yet continue to spend the majority of their time conducting psychoeducational assessments. In California, changes in law regarding the provision of mental health services have increased the tension around the role of school psychologists and led to models for determining the need for mental health services that are inefficient and present a potential barrier to students receiving services in a timely manner. The paper proposes case conceptualization as a more useful and efficient approach, than traditional assessment processes for determining students’ mental needs and writing goals.
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References
A.B. 3632, Chapter 26 (1984).
Adelman, H. S., & Taylor, L. (2012). Mental health in schools: moving in new directions. Contemporary School Psychology, 16, 9–18 http://www.caspwebcasts.org/new/index.php?option=com_content&view=article&id=51&Itemid=60. Accessed 12/08/2020.
American Psychological Association Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. American Psychologist, 61(4), 271–285. https://doi.org/10.1037/0003-066X.61.4.271.
Arora, P. G., Connors, E. H., George, M. W., Lyon, A. R., Wolk, C. B., & Weist, M. D. (2016). Advancing evidence-based assessment in school mental health: key priorities for an applied research agenda. Clinical Child and Family Psychology Review, 19(4), 271–284. https://doi.org/10.1007/s10567-016-0217-y.
Barnett, D., Bauer, A., Ehrhardt, K., Lentz, F., & Stollar, S. (1996). Keystone targets for change: planning for widespread positive consequences. School Psychology Quarterly, 11(2), 95–117. https://doi.org/10.1037/h0088923.
Burns, B. J., Costello, E. J., Angold, A., Tweed, D., Stangl, D., Farmer, E. M., & Erkanli, A. (1995). Children’s mental health service use across service sectors. Health Affairs, 14, 147–159. https://doi.org/10.1377/hlthaff.14.3.147.
Butler, G. (1998). Clinical formulation. In A.S. Bellack & M. Hersen (Eds.), Comprehensive clinical psychology. Pergamon.
California Department of Education. (2011a). Assembly Bill 114: Local Educational Agencies' Responsibility for Providing Related Services to Students with Disabilities. https://www.cde.ca.gov/sp/se/ac/ab114memo.asp. Accessed 12/08/2020.
California Department of Education. (2011b), Assembly Bill 114: Related Services Under the Individuals with Disabilities Education Act. https://www.cde.ca.gov/sp/se/ac/rltdsrvcidea.asp. Accessed 12/08/2020.
California Department of Education (2012). Assembly Bill 114: Use of mental health funds in the budget act of 2011-12. https://www.cde.ca.gov/sp/se/ac/useofmhfunds.asp. Accessed 12/08/2020.
California Department of Education (2014). Assembly Bill 114: Assessment Summary-Revised. https://www.cde.ca.gov/sp/se/ac/documents/assessmentsummary.doc. Accessed 12/08/2020.
Castillo, J. M., Wolgemuth, J. R., Barclay, C., Mattison, A., Tan, S. Y., Sabnis, S., Brundage, A., & Marshall, L. (2016). A qualitative study of facilitators and barriers related to comprehensive and integrated school psychological services. Psychology in the Schools, 53(6), 641–658. https://doi.org/10.1002/pits.21932.
Christon, L. M., McLeod, B. D., & Jensen-Doss, A. (2015). Evidence-based assessment meets evidence-based treatment: an approach to science-informed case conceptualization. Cognitive and Behavioral Practice, 22(1), 36–48. https://doi.org/10.1016/j.cbpra.2013.12.004.
Committee on School Health. (2004). School-based mental health services. Pediatrics, 113(6), 1939–1845 https://pediatrics.aappublications.org/content/113/6/1839. Accessed 12/08/2020.
Cowan, K. C. (2010). The NASP practice model: a framework for promoting and implementing a comprehensive role. Communique Online, 39(4).
Doll, B., Nastasi, B. K., Cornell, L., & Song, S. Y. (2017). School-based mental health services: Definitions and models of effective practice. Journal of Applied School Psychology, 33(3), 179–194. https://doi.org/10.1080/15377903.2017.1317143.
Dudley, R., Ingham, B., Sowerby, K., & Freeston, M. (2015). The utility of case formulation in treatment decision making; the effect of experience and expertise. Journal of Behavior Therapy and Experimental Psychiatry, 48, 66–74. https://doi.org/10.1016/j.jbtep.2015.01.009.
Easden, M. H., & Fletcher, R. B. (2020). Therapist competence in case conceptualization and outcome in CBT for depression. Psychotherapy Research, 30(2), 151. https://doi.org/10.1080/10503307.2018.1540895.
Education Code, (2004a) 34 C.F.R. § 300.34[a]. https://sites.ed.gov/idea/. Accessed 12/08/2020.
Education Code, (2004b) 34 C.F.R. § 300.34 [c][2]. https://sites.ed.gov/idea/. Accessed 12/08/2020.
Education Code, (2004c) 34 C.F.R. § 300.101. https://sites.ed.gov/idea/. Accessed 12/08/2020.
Education Code, (2004d) 34 C.F.R. § 300.320. https://sites.ed.gov/idea/. Accessed 12/08/2020.
Education Code, (2004e) 34 C.F.R. § 300.324. https://sites.ed.gov/idea/. Accessed 12/08/2020.
Education Code, (n.d.) 5 C.C.R. § 3051.10. https://govt.westlaw.com. Accessed 12/08/2020.
Eells, T. D. (2013). The case formulation approach to psychotherapy research revisited. Pragmatic Case Studies in Psychotherapy, 9(4), 426–447. https://doi.org/10.14713/pcsp.v9i4.1834.
Fagan, T. K., & Wise, P. S. (2000). School Psychology: Past, Present, and Future. Second Edition. NASP Publications.
Gower, P. (2011). Therapist competence, case conceptualization and therapy outcome in cognitive behavioural therapy (Doctoral dissertation, University of Exeter, Exeter, UK). https://ore.exeter.ac.uk/repository/handle/10036/3275. Accessed 12/08/2020.
Haynes, S. N., O'Brien, W. H., & Godoy, A. (2020). A proposed model for the psychometric evaluation of clinical case formulations with quantified causal diagrams. Psychological Assessment, 32(6), 541–552. https://doi.org/10.1037/pas0000811.
Hurl, K., Wightman, J., Haynes, S. N., & Virues-Ortega, J. (2016). Does a pre-intervention functional assessment increase intervention effectiveness? A meta-analysis of within-subject interrupted time-series studies. Clinical Psychology Review, 47, 71–84. https://doi.org/10.1016/j.cpr.2016.05.003.
Individuals with Disabilities Education Act, 20 U.S.C. § 1400 (2004). https://sites.ed.gov/idea/. Accessed 12/08/2020.
Jablensky, A. (2016). Psychiatric classifications: validity and utility. World Psychiatry, 15(1), 26–31. https://doi.org/10.1002/wps.20284.
Liese, B. S., & Esterline, K. M. (2015). Concept mapping: a supervision strategy for introducing case conceptualization skills to novice therapists. Psychotherapy, 52(2), 190–194. https://doi.org/10.1037/a0038618.
Merrell, K. W., Ervin, R. A., & Gimpel, G. A. (2006). School psychology for the 21st century: foundations and practices. Guilford Press.
National Association of School Psychologists. (2020). The professional standards of the National Association of School Psychologists. https://www.nasponline.org/standards-and-certification. Accessed 12/08/2020.
Petereit, T. (2020). An exploration of the alignment of actual and desired roles for school psychologists (Publication No. 27830895). [Doctoral dissertation, University of Nebraska]. ProQuest Dissertations Publishing.
Regier, A. D., Kuhl, E. A., & Kupfer, D. J. (2013). The DSM-5: classification and criteria changes. World Psychiatry, 12(2), 92–98. https://doi.org/10.1002/wps.20050.
Ridley, C. R., & Jeffrey, C. E. (2017a). Thematic mapping in case conceptualization: an introduction to the special section. Journal of Clinical Psychology, 73(4), 353–358. https://doi.org/10.1002/jclp.22355.
Ridley, C. R., & Jeffrey, C. E. (2017b). The conceptual framework of thematic mapping in case conceptualization. Journal of Clinical Psychology, 73(4), 376–392. https://doi.org/10.1002/jclp.22353.
Vanheule, S., Desmet, M., Meganck, R., Inslegers, R., Willemsen, J., De Schryver, M., & Devisch, I. (2014). Reliability in psychiatric diagnosis with the DSM: Old wine in new barrels. Psychotherapy and Psychosomatics, 83, 313–314. https://doi.org/10.1159/000358809.
Weist, M. D., Eber, L., Horner, R., Splett, J., Putnfm, R., Barrett, S., & Hoover, S. (2018). Improving Multitiered Systems of Support for Students With “Internalizing” Emotional/Behavioral Problems. Journal of Positive Behavior Interventions, 20(3), 172–184. https://doi.org/10.1177/1098300717753832.
Wiley, D. C., & Cory, A. C. (2013). Encyclopedia of school health. SAGE Publications.
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Hass, M.R., Maupin, Z. & Doria, M. Case Conceptualization as an Alternative to Educationally Related Mental Health Assessments. Contemp School Psychol 26, 290–298 (2022). https://doi.org/10.1007/s40688-020-00349-y
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DOI: https://doi.org/10.1007/s40688-020-00349-y
Keywords
- Assessment
- Mental health
- Case conceptualization