Tara C. Raines

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.

Surveillance of Middle and High School Mental Health Risk by Student Self-Report Screener

Introduction: A 2009 National Academies of Sciences report on child mental health prevention and treatment concluded that screening for mental health risk is an essential component of service delivery. To date, however, there are few practical assessments available or practices in place that measure individual child risk, or risk aggregated at the school or community level. This study examined the utility of a 30-item paper and pencil student self-report screener of behavioral and emotional risk (BER) for surveying community risk among 7 schools. Methods: In 2010, 2,222 students in 3 middle and 4 high schools in a medium-sized school district in Georgia were administered the Behavioral and Emotional Screening System Self-Report Child/Adolescent form (BESS Student). The BESS is designed to measure 4 sub-syndromal BER factors for developing mental health disorders: inattention/hyperactivity, internalizing, school problems, and personal adjustment. Analysis of Variance and Chi Square analyses were used to assess the association between adolescent self-reported BER as an indicator of school BER, grade level, child ethnic identification and gender, socioeconomic status, and special education placement status. Results: BESS scores differentiated well between schools for overall BER and special education status, as well as between grade levels, ethnicity, and gender groups. One high school, known by the school administration to have numerous incidents of student behavior problems, had the most deviant 4 BER domain scores of all 7 schools. Girls rated themselves as having a higher prevalence of BER (14%) than boys (12%); middle school students reported fewer difficulties than high school students. Conclusion: Middle and high school students were capable of identifying significant differences in their own BER across schools, suggesting that universal mental health risk screening via student self-report is potentially useful for identifying aggregated community risk in a given school that may warrant differential deployment of mental health prevention and intervention strategies. BESS results reliably identified individual mental health risk associated with special education placement, which is documented to lead to poor school outcomes such as school dropout and lack of enrollment in post-secondary education.

Psychometric Analysis of the BASC-2 Behavioral and Emotional Screening System (BESS) Student Form: Results From High School Student Samples

The Behavioral and Emotional Screening System (BESS) is a relatively new method for identifying behavior and emotional risk (BER) in children and adolescents. Psychometric evidence regarding this instrument is important for researchers and practitioners considering the use of the BESS for identifying BER in students. Previous psychometric research specifically regarding the BESS Student Form involved the use of samples of elementary and middle school-age children. This study adds to the psychometric evidence for scores on the BESS Student Form by using samples of high school aged students to assess both the factor structure reported by Dowdy, Twyford et al. (2011) and the measurement invariance of the BESS items with regard to ethnicity, English language proficiency, and socioeconomic status. The results indicate that while the proposed 4-factor structure of the BESS Student Form is appropriate, lower than preferred reliabilities for some of the factors indicates that reporting the overall risk T score is more appropriate than reporting factor scores for risk classification purposes. Additionally, the BESS Student Form items did not exhibit measurement bias when comparing across ethnicities, language proficiency classification, or socioeconomic status (via free/reduced lunch classification).

Factor Structure and Differential Item Functioning of the BASC-2 BESS Spanish Language Parent Form.

Given the steady increase of students from diverse backgrounds in the U.S. educational system, in particular immigrant and Latino students, it is important to consider how to best support all students within our schools. The present study focuses on the Behavior Assessment System for Children-Second Edition (BASC-2) Behavioral and Emotional Screening System (BESS) Parent Spanish form, which is a promising assessment tool for those who are interested in screening for behavioral and emotional risk among Spanish-speaking populations. The present study included 725 students of Latino descent in Grades K-6 in an urban school district and their parents or legal guardians, who served as the informants. All parents completed the BESS language form (English or Spanish) of their choice. A confirmatory factor analysis (CFA) supported a 4-factor structure (Externalizing, Internalizing, Inattention, and Adaptive Skills) similar to that of the BESS Parent English form: χ2(77) = 248.06, p < .001; CFI = 0.903; TLI = 0.940. However, differential item functioning (DIF) analyses revealed 5 items (16.7%) demonstrated significant levels of DIF, with 4 of the 5 being easier to endorse in English. This study provides preliminary evidence of partial invariance of the BESS Parent across language forms. Although some evidence of invariance across language forms at the structural and item levels exists, more research is necessary to determine whether the DIF found in the present study results in any perceptible test bias. (PsycINFO Database Record

Adaptive Skills and Academic Achievement in Latino Students.

ABSTRACT Interventions developed to improve adaptive skills can improve academic achievement. The authors expanded this line of research by examining the relationship between performance on a state proficiency exam and adaptive skills classifications on the Behavioral Assessment System for Children, Second Edition parent and teacher reports. Participants included 392 Latino students, Grades 2–6 in a large urban school district. Ordinal regression models were used to assess relationships between student academic proficiency level and adaptive skills classifications. Students classified as having higher adaptive skills by teachers were more likely to be classified as proficient or higher in reading and mathematics. These findings further support the relationship between adaptive skills and academic achievement. Implications for future research and practice are discussed.

School-based Assessment with African American Children and Adolescents

Data and information gathered from school-based assessments are frequently utilized to make critical decisions about curriculum, instruction, and school personnel. The outcomes of these assessments have the power to alter the educational trajectory of a student or determine the perceived value of a school. When approaching school-based assessment of African-American children and adolescents, specific considerations should be made to promote culturally responsive assessment, preferably from a population-based lens, that will provide authentic information regarding the student’s performance. This chapter discusses school-based assessment approaches for social–emotional and academic performance. Both population-based and curriculum-based assessment approaches are highlighted and implications of their use with African-American students are discussed. Additionally, considerations for approaching school-based assessments with African-American populations are provided.