Erin Dowdy

School-Based Screening: A Population-Based Approach to Inform and Monitor Children's Mental Health Needs.

School-based mental health professionals often conduct assessments and provide interventions on an individual basis to students with significant needs. However, due to increasingly limited resources and continuing high levels of need, a shift in service delivery is warranted. Efforts to move school psychological services from reactive and individual, to preventive and universal are ongoing. To further service delivery change, school-based mental health professionals can engage in systematic periodic mental health screening of all children. This article will (a) discuss screening for risk of emotional and behavior problems from a population-based approach, (b) describe how screening data can identify and monitor the needs of students, schools, and communities, and (c) provide future directions for screening practices. As continued changes to service delivery are imminent, information on how to utilize school-based screening data will be particularly valuable to mental health professionals working with or within schools.

Protecting and Promoting: An Integrative Conceptual Model for Healthy Development of Adolescents

Resilience and positive youth development have substantial overlap and offer complementary perspectives on fostering healthy youth development. However, these two areas have not yet been fully integrated into a unified approach, one that has the potential to build on the interconnectedness of risk, protection, and assets within the ecological systems affecting adolescent development. This article draws on extant research to delineate linkages between the risk and resilience and positive youth development literatures. School-related outcomes are examined within an integrative conceptual model delineating eight developmental domains useful for future research on underlying mechanisms associated with healthy outcomes, as well as prevention and intervention efforts.

Factor Structure of the BASC-2 Behavioral and Emotional Screening System Student Form.

The BASC-2 Behavioral and Emotional Screening System (BESS) Student Form (Kamphaus & Reynolds, 2007) is a recently developed youth self-report rating scale designed to identify students at risk for behavioral and emotional problems. The BESS Student Form was derived from the Behavior Assessment System for Children-Second Edition Self-Report of Personality (BASC-2 SRP; Reynolds & Kamphaus, 2004) using principal component analytic procedures and theoretical considerations. Using 3 samples, the authors conducted exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) to understand the underlying factor structure of the BESS Student Form. The results of the EFA suggested that the SRP contained a 4-factor (i.e., Personal Adjustment, Inattention/Hyperactivity, Internalizing, School Problems) emergent structure, which was supported by CFA in 2 additional samples. Practical and research implications are discussed.

Early Identification of Behavioral and Emotional Problems in Youth: Universal Screening versus Teacher-Referral Identification

Universal screening is one strategy to enhance the early identification of behavioral and emotional problems among youth. Although it appears to be effective, it is unclear if universal screening is more or less effective than current teacher referral practices. Thus, the purpose of this study was to compare the effectiveness of a teacher-rated, universal screener and typical teacher-referral methods in identifying youth at risk for emotional and behavioral problems. Results indicated that of the 24 students identified as at-risk by the universal screening measure, only 11 were previously identified through current teacher referral practices — highlighting the potential benefit of universal screening to enhance early identification. Furthermore, results indicated that academic achievement and student engagement outcomes were significantly correlated with at-risk status by identification method. The strengths and limitations of this study, as well as implications for practice, are discussed.

Enhancing School-Based Mental Health Services With a Preventive and Promotive Approach to Universal Screening for Complete Mental Health

Universal screening for complete mental health is proposed as a key step in service delivery reform to move school-based psychological services from the back of the service delivery system to the front, which will increase emphasis on prevention, early intervention, and promotion. A sample of 2,240 high school students participated in a schoolwide universal screening to identify behavioral and emotional distress as well as personal strengths. School psychologists, as part of a multidisciplinary team, coordinated the use of these screening data to engage in preventive consultation with administration to make decisions regarding the refinement and expansion of mental health service delivery options. Schoolwide and individual student prevention and intervention activities were tailored according to screening results. The roles of the school psychologist and multidisciplinary team members are discussed as critical components of this approach to service delivery change. Implications for future consultation research, practice, and training are provided.

A Comparison of Teacher Nomination and Screening to Identify Behavioral and Emotional Risk Within a Sample of Underrepresented Students

Early identification of behavioral and emotional risk has been identified as one strategy to help decrease rates of childhood behavioral and emotional problems. This study compares two methods for early identification (teacher nomination and universal screening) to determine how each strategy may differentially identify at-risk students. A sample of 849 elementary and middle school students was assessed on a number of behavioral and academic outcomes to determine differences among identification methods. Results indicate that universal screening identified a higher number of students than teacher nomination, and those identified by universal screening had lower reading grades. Both approaches identified more males than females. Although students identified as at risk by both methods had significantly more office discipline referrals, and lower study habits and cooperation grades than students not identified as at risk, there were no significant differences in these variables between the early identification methods. Implications and future research needs are discussed.

Applicability of the Dual-Factor Model of Mental Health for College Students

This study explores the utility of a dual-factor model of mental health in which the concepts of mental illness and mental wellness are integrated. Life satisfaction, emotional symptoms, personal adjustment, and clinical symptoms were assessed with a sample of 240 college students. Participants were organized into four groups based on levels of life satisfaction and clinical symptoms. Results appear to be consistent with previous research suggesting that psychopathology and subjective well-being are not opposite ends of an illness--health continuum, but may be better conceptualized as separate and complementary constructs related to the full range of human functioning. Implications for prevention and intervention are discussed.

Examining the Relationship Between Scores on the Behavioral and Emotional Screening System and Student Academic, Behavioral, and Engagement Outcomes: An Investigation of Concurrent Validity in Elementary School

Universal screening of emotional and behavioral problems among students warrants further consideration by school professionals. School-based universal screening may provide opportunities for early identification and intervention, ultimately preventing the development of more severe problems and promoting more positive outcomes in the future. The Behavioral and Emotional Screening System (BESS) is a contemporary screening instrument that may be used to identify risk for emotional and behavioral problems in students from preschool to high school. The purpose of the present study was to examine the concurrent validity of the BESS in elementary school settings. Specifically, this study examined the relation between BESS ratings and report-card outcomes (i.e., academic, behavioral, and engagement marks). The results supported the hypotheses that students’ risk-level classifications were significantly related to school-based outcome criterions and that school-based outcome criterions were deemed to be effective discriminators of students’ risk-level classification. Limitations, future directions for research, and implications for practice are discussed herein.

Alternatives to Suspensions: Rationale and Recommendations

Suspensions are often used as an individual disciplinary consequence in attempts to reduce problem behaviors in the future. However, suspensions have shown to be less effective for students with specific behavioral challenges and problems. When examining suspensions in the context of behaviorist and social-ecological learning theories, suspending may be inappropriate and ineffective to promote learning or behavioral compliance, specifically for students with behavioral skill deficits. A literature review of effective prevention methods (e.g., positive behavior supports) informs a potential paradigm shift in how student misbehavior may be effectively addressed. A proposed model for alternatives to suspensions is presented, with special attention to implications and guidelines for practitioners. Additionally, a pilot initiative implementing alternatives to suspensions is discussed, and a case study serves as an example for recommendations in replacing punitive discipline practices with proactive, learning opportunities.

The Factor Structure of the BASC-2 Behavioral and Emotional Screening System Teacher Form, Child/Adolescent:

The BASC-2 Behavioral and Emotional Screening System Teacher, Child/Adolescent Form (BESS Teacher Form C/A; Kamphaus & Reynolds, 2007) is a brief teacher-report rating scale designed to identify students who are at-risk for behavioral and emotional problems. The aim of this study was to describe the latent dimensions that underlie the responses to the BESS Teacher Form C/A. Exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) across two random subsets of a nationally representative sample of 2,582 children aged 6 to 12 years suggested that the BESS Teacher Form C/A contains a four-factor latent structure consisting of Externalizing Problems, Internalizing Problems, School Problems, and Adaptive Skills.