Students with or at-risk for emotional and behavioral disorders pose an immense challenge for educators, and typical practices to address them are punitive and exclusionary, leading to poor academic and social outcomes for students. To address the complex needs of students with intensive emotional and behavioral needs, evidence-based practices and strategies that have been validated through rigorous research are needed. In this article, we describe evidence-based practices for creating positive and effective classrooms environments as well as illustrate implementation factors that are key to successful and sustained use of evidence-based practices in school settings.
The COVID-19 pandemic has amplified preexisting challenges for educators as manifested in high rates of workrelated stress and burnout, and educators leaving the profession in higher numbers than ever before. In this article, we highlight the urgency for work-related well-being supports for educators, with a particular focus on system changes. Individual self-care is necessary, yet insufficient. To this end, we recommend the use of a multitiered system of support framework to promote a supportive and balanced work environment for all educators, tailored to local needs. We provide a rationale for the use of a tiered model and give specific recommendations for implementation and sustainability of a continuum of supports for school-wide educator well-being.
Impact and ImplicationsEducators are leaving the profession at alarming rates, resulting in critical and ongoing shortages, due in large part to high stress levels, high job demands, and underresourced schools. The present article presents a contextualized, school-wide, and multitiered approach to understanding and promoting educator work-related well-being. We provide examples of how to use a data-informed and team-based approach to identify and provide supports tailored to each school and educator.
Through innovation in research and self-correction, it is inevitable that some practices will be replaced or be discredited for one reason or another. De-implementation of discredited and low-value practices is a necessary step for school psychologists’ maintenance of evidence-based practices and to reduce unnecessary costs and risk. However, efforts to clarify de-implementation frameworks and strategies are ongoing. The scope of this paper follows McKay et al. in considering the potential for de-implementation strategies to be informed by applied behavior analysis and operant learning theory. We conceptualize low-value practice as sets of behaviors evoked by their context and maintained by their consequences, and thus de-implementation as behavior reduction. We discuss the need for future research given this perspective.
Mental health service utilization research is needed for students who are likely to receive school mental health services, yet little research exists for adolescents experiencing emotional/behavioral problems and school impairment. This study addressed this gap using secondary data analyses conducted on baseline data from a large trial testing school-based interventions for high school students ( n = 647) experiencing emotional/behavioral problems and school impairment. Analyses examined the number and type (community-based or school-based psychosocial, inpatient, pharmacological treatment) of services used, and sociodemographics associated with services. Sixty-nine percent had received at least one service for their emotional/behavioral problems prior to the study, with nearly half of those having only received a single service. Community-based psychosocial and pharmacological treatments were most common. White adolescents and those in special education were more likely to have received services, particularly community-based and pharmacological treatment. On average, adolescents had not received any services until early adolescence. Findings add to increasing literature on the current status of service use among adolescents with emotional/behavioral problems and the potential for schools to increase access for those in need.
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