Consultation Flashcards
collaborative consultation
Collaborative consultation is a process in which a trained, school-based consultant, working in an egalitarian, nonhierarchical relationship with a consultee, assists that person in her efforts to make decisions and carry out plans that will be in the best educational interests of her students. Collaborative consultation is an interactive process that enables groups of people with diverse expertise to generate creative solutions to mutually defined problems. The outcome is enhanced and altered from original solutions that group members tend to produce independently. Collaboration refers to a very specific kind of consultation, one characterized by “a recip- rocal arrangement between individuals with diverse expertise to define problems and developsolutions mutually Consultees are more engaged when they are given more responsibility/input in the planning process. expertise and mutual assistance are the two major components of a consultation model that has come to be known as collaborative (Friend & Cook, 2009; Idol, 1 990; Idol, Nevin, & Paolucci-Whitcomb, 2000). Role of expert shifts among participants
ACCEPT
A Acknowledging the consultee’s predominant role in carrying out the planned interventions, usually in his classroom (or home), in the context of that setting, and in his style. C Commenting positively on the efforts the consultee has made to date in trying to solve the problem, and the effort he is expending now on behalf of the student. C Convincing the consultee that he has good ideas to offer, and that you, the consultant, would like to hear them. E Expecting that the consultee will take the lead in the development of ideas if encouraged to do so, and expecting that the consultee will give equal weight to the consultant’s ideas. P Pointing out possibilities for effective interventions based on the consultee’s ideas. This involves taking his ideas and helping him think through the pros and cons of these ideas and the details of implementation. In this way, you provide your content expertise in the context of his ideas. When collaborative con- sultation is working well, the consultant’s role is that of facilitatorof the consultee’s ideas. T Treating him as an equal. One of the hallmarks of a collaborative model is that it brings adults together in an atmosphere of mutual respect. Both are equally expert, both need help from the other, and both give ideas and contribute to the final solutions.
Criteria for intervention
Treatment Acceptability, Treatment Validity, Treatment ethics, Treatment Integrity, Treatment effectiveness
Consultant
i. To empower consultee to carry-out their ideas on how to best meet individual student’s needs. ii. Become an expert in process and content iii. Let the power rest with the consultee iv. Should consultants exert power 1. Yes, depends on what kind. f. BEING A CONSULTANT IS NOT… i. Taking over the intervention ii. Being responsible for intervention’s implementation iii. Being a counselor to the consultee iv. Handling over entire responsibility to the consultee v. Expert of the process The consultant’s job is to facilitate the thinking of these “primary care providers” (i.e., parents and teachers serving as consultees) so these individuals can feel empowered to carry out their ideas about how to best assist the student, under the guidance and encouragement of the consultant.
Consultee
d. Role of consultee i. Holder of power ii. Responsible for carrying out the intervention or primary care provider iii. Provide initial data about student iv. Consulteees are much more likely to engage in the consultation process if they have at min., an equal amount of input regarding what should be done to ameliorate or decrease the problem.
Process and content expertise
We take the position that expertness should be expected in the area of process and that it is highly desirable but not sufficient in the area of content. By process, we mean the interactions that occur between the consultant and the consultees through which a behavior or a learning problem is approached and solved; it is concerned with how one acts as a consultant. Content refers to the actual ideas that the consultees will implement, such as a contract method, cooperative learning, phonemic awareness instruction, or a token economy; it represents what people will do as a result of consultation. Collaborative consultation requires expertise in process; without such expertise, the process disintegrates, resistance increases, and consultees become dissatisfied with the consultative approach for dealing with their needs as teachers. The content consultants are expected to provide includes knowledge of empirically supported intervention techniques. However, the consultee determines what is practical to apply given the context of the referral
Response to Intervention (RTI) - Three levels of intervention
a multitiered approach to ameliorating behavioral or achievement difficulties Primary/Universal, Secondary/Selective, and Tertiary/Indicated. Primary or universal prevention involves taking action to ensure that students are unlikely to develop learning or behavioral difficulties. Standards, appropriate curriculum and teaching methods, and prevention strategies as common as classroom rules are all part of universal prevention. Secondary or selective prevention involves actions taken when a student appears to be having difficulties adapting to behavioral or academic expectations. Small homogeneous grouping, parent conferences, in-class modifications, social skills training, and other mild forms of intervention are common during this stage. Selective interventions should involve some type of supplemental instruction to directly teach and provide additional practice on the skills the student failed todevelop in the primary/universal stage (Gersten et al., 2008) The referral problems are more serious at the tertiary or indicated level; major steps need to be taken (e.g., remediation, reading recovery, special education services, alternative education). Those concerned with the student’s welfare need to consult with each other and collaboratively develop plans that are in the best educational interest of the student. Typically this collaboration occurs with a schoolwide team, such as the student study team (SST) or an individualized education program (IEP) team, which develops individualized, daily, and closely monitored interventions. Wraparound services (Eber, Nelson, & Miles, 1997) that involve out-of-school agencies such as community mental health, respite services, and social services are also examples of collaborative efforts at the tertiary level.
No child left behind (NCLB)
No Child Left Behind (NCLB) Act, a far-reaching piece of federal legislation. It is essentially a reauthorization of the Elementary and Secondary Education Act of 1 965. Its requirements include annual testing in reading and math of all stu- dents in grades 3 through 8, as well as the provision of additional funds to support schools that are consistently underachieving. It has particular relevance for students with disabilities because it requires that these students participate in the “high-stakes” testing that is required by this act and that school and district administrators be just as responsible for the performance of students with disabilities as they are for students without disabilities. NCLB is an attempt to close the gap between the actual and expected level of student performance, particularly among the lowest achieving students (Bolt & Roach, 2009), such as students with disabilities, English language learners, and students from economically impoverished families.
IDEA
In 2004, the U.S. Congress passed the Individuals with Disabilities Education Improvement Act (IDEA) to replace previous laws governing the provision of special education services. Laws governing special education services and funding have existed since the passage of P.L. 94-1 42 in 1 975. These laws guarantee the rights of students with disabilities to receive a free and appropriate public education (FAPE) in the least restrictive environment (LRE) and the rights of their parents to due process if they believe their child’s access to FAPE is limited by school personnel. The IDEAs also describe the eligibility criteria for determining whether spe- cial education services are needed and provide safeguards to ensure a student’s misconduct does not result in disciplinary actions that impinge upon their FAPE. The 2004 IDEA differed from previous reauthorizations in its alignment to NCLB. For example, like NCLB, IDEA 2004 emphasizes student outcomes, including performance on large-scale assessments as well as better assessment of students’ present level of performance. Authorized: Early Intervention- IDEA 2004 promotes servicing students at risk for academic or behavioral disabilities before they are identified as disabled. Specifically, schools can apply a portion of their federal special education funding to provide EBIs to students who need extra academic and behavioral supports to succeed in the general education environment (Sec. 613(f)) SLD and RTI- DEA 2004 redefined eval- uation for a specific learning disability to be based on the outcome of EBIs rather than a discrepancy between a child’s intelligence and achievement. In fact, state departments of educations can no longer require school systems to find a severe discrepancy between achievement and intellectual ability in order to qualify a student for special education due to a learning disability. Further, the law and regulations encourage “a process that deter- mines if the child responds to scientific, research-based interventions” (Sec. 61 4(b)). In addition, a child who has had a lack of appropriate instruction, including scientifically supported methods for teaching reading, cannot be identified as a child with a disability The emphasis on universal (sound instruction), selective (evidence-based intervention in the form of supplemental instruction), and indicated (intense remedial or special education services) interventions is a major element of the service delivery model known as response to intervention (RtI), which is associated with the IDEA 2004 learning-disability eligibil- ity requirements and is described in greater detail in the next section.
Inclusion and Least Restrictive Environment (LRE)
Special education services can be provided in a continuum of settings ranging from general education (least restrictive) to pull-out resource support, to most of the day or the full day in a special education classroom, to a special education school with a student population comprising exclusively students with disabilities (most restrictive) In Daniel R. R. v. State Board of Education (1989), the court indicated a two-part test for determining compliance with the requirement for placement in a least restrictive environment (LRE) First, we ask whether education in the regular classroom, with the use of sup- plementary aids and services, can be achieved satisfactorily for a given child. If it cannot and the school intends to provide special education or to remove the child from regular education, we ask, second, whether the school has main- streamed the child to the maximum extent appropriate.
Inclusion
The term mainstream has been replaced by inclusion, reflecting an increased emphasis on providing accommodations and modifications in the general education program so that an even wider range of students with disabilities may experience success (Fuchs & Fuchs, 1 994; Heward, 2000; Mastropieri & Scruggs, 2000; Serge, 2009)
Due process
Under IDEA, parents have the right to an impartial due process hearing to determine whether their child is receiving FAPE and whether compensatory education is warranted if FAPE has been compromised (Sec. 615(f)).District personnel can invite parents to engage in mediation prior to a due process hearing in an attempt to prevent a potentially expensive and acrimonious event. Collaborative consultation with parents when disagreements emerge, rather than after a complaint has been filed, may be an even more effective method than mediation for avoiding due process hearings
Positive behavior support (PBS)
positive behav- ioral support plan (i.e., an indicated intervention) if a student’s behavioral disability is interfering with her ability to access the curriculum and instruction
Functional Behavior Assessment (FBA)
When a student with an identified disability exhibits a behavior that interferes with his/her access to the general education curriculum, THIS must be conducted and the results used to ensure the student’s academic and behavioral success in school.
Process in which the funcJon of behavior and sedngs that trigger and maintain the behavior are idenJfied
Manifest Determination
Specifically, if a special education student violates a school rule his IEP team must determine whether the violation was a result of his disability and whether appropri- ate behavioral supports were in place prior to the infraction.
Transition planning
Because stu- dents with disabilities have not had the success that students without disabilities enjoy in adulthood (National Organization on Disability, 2004), IDEA requires school personnel to collaborate with students, their parents, and adult services agencies to produce a plan and provide services to improve students’ postsecondary outcomes
Response to Intervention (RTI)
The term responsiveness to intervention was first proposed by Frank Gresham (2001 ), who suggested providing increasingly more intense interventions and monitoring to students who remained below grade level expectations despite receiving scientifically based interventions. Tier 1 - Tier 1 constitutes good general education instruction, including high levels of academic engagement, positive classroom management, and differentiated instruction. Assessment at Tier 1 should involve universal screening of all students three or more times a year. Students who fail to attain grade-level benchmarks on the screening receive a predetermined intervention, such as small-group instruction on letter sounds, based on their performance on the screening. This is known as a standard protocol to assessment and intervention (Fuchs & Fuchs, 2006), and it is designed to capture students who are falling behind early before deficits become entrenched and difficult to remediate. Tier 2 - A student who progresses to Tier 2 (selective intervention) should receive a different, more intense intervention compared to Tier 1 , not just more of the same. Fuchs and Fuchs (2006) described increasing the intensity of an intervention as involving one or more of the following (a) more teacher-centered, explicit, and systematic instruction, (b) for longer dura- tions, (c) more frequently, (d) in smaller or more homogeneous groups, and (e) provided by personnel with more training or expertise. Along with a more intense intervention, assess- ment becomes more frequent and targeted at Tier 2. . Students’ progress toward intervention goals should be monitored on a weekly basis, or once a month at a minimum, in order to make midcourse corrections to interventions that are not producing the desired results. Tier 3 - Tier 3 (indicated intervention) can involve increased individual or small-group instructional time, extended-day school, summer school, or special, alternative, or non-public-education serv-ices. In the case of special education, data gathered from the other tiers on rate of progress and intervention responsiveness can be used to guide development of the individualized edu- cation program.
Concerns with fidelity
Currently, there is adearth of research on assessing fidelity, due to myriad of issues such as (a) some consultation behaviors may work better in some situations than others, (b) fidelity may be a function of the match between the intervention plan and the referral concern, (c) there is a dearth of intervention fidelity instruments that are sensitive to change and demonstrate adequate reliability and validity, and (d) it is not feasible to monitor the fidelity of some types of interventions (Sheridan, Swanger-Gangné, Welch, Kwon, & Garbacz, 2009)
Roadblocks to collaborative consulation
Habit strength - don’t want to give up what you’re used to Restructuring role of school personal (systemic changes) - asking general ed teachers to teacher special education students. School Climate and culture Resistance
Stages of Behavioral Consultation
Problem identification - consultee and consultant prioritize concerns and select target behavior and tentative goals - Area of concern - If you focus on one of these four think what would it be Problem Analysis - ABC, determine strengths and weaknesses - brainstorm - The most important - Get a sense of what teachers are willing to do (buy-in) Plan implementation - implement and monitor intervention, support consultee Plan Evaluation - Evaluate goal attainment and plan effectivenes
Behavioral Model
built on the theories of learning that have been adapted by behav- iorists such as Skinner, Bandura, and Meichenbaum (Conoley & Conoley, 1 992) and made specific in the area of consultation by Bergan (1 977) and Kratochwill and Bergan (1 990). Martens and DiGennaro (2009) describe behavioral consultation as voluntary face-to-face interviews with the consultee to “identify and analyze client problems and to design and evaluate intervention plans” (p. 1 47). Following the behavioral tradition, the student’s problem is defined in operational terms (i.e., very specific and overt behaviors). Conditions that instigate or sustain the behaviors are identified, an intervention plan that includes some type of modification to the contingencies that support the behavior is developed, and the student’s responses to the interventions are graphed and compared to preintervention (baseline) performance (Martens & DiGennaro, 2009)
Dougherty (2000) indicates that a behavioral approach to consultation differs from a clinical-
diagnostic approach in that the focus is on behaviors that are either observable to the teacher or
parent or reportable by the student.
Consists of identifying ABC’s
Stages in behavioral consultation
Bergan (1 977) and Bergan and Kratochwill (1 990) have delineated four stages that form the
structure of the behavioral consultation model: problem identification, problem analysis, plan
implementation, and plan evaluation.
(1) In problem identification (60% of variance in plan implementation was accounted for by the effectiveness of problem identification).
- prioritize and identify target behavior
- operationally dfine target behavior (frequency, accuracy, duration, intensity, latency) may include discussion of what behaviors are and areno t examples of the target behaivor
- collect baseline data
- establish intervention and long-term goals
(2) In problem analysis
- Through functional observations and interviews (behavioral concern, examine possible antecendent and consequent events that maintain the behavior
- conduct brief experimental analysis to determine if it is a performance or skills deficit and whether the student needs to elarn (acquisition), practice (fluency), or generalize the skills (academic concern)
- look for patterns in errors or behaivoral disruptions
- generate a hypothesis about why the problem is occuring (which environmental demands is greater tha nwhat developing skill?)
3. In plan implementation,
- Brainstorm interventions related to the target beaivor and consistent with hypothesis
- select the interventions that are feasible, evidcen based, and indicated by the problem behavior
- delineate who will provide waht intervention; describe the intervention in enough detail to monitor, including what will occur, how often it will occur, and what resources are needed.
- identify mehtod and person for conducting intervention integrity checks
- identify method and person for collecting progress-monitoring data
- establish date/time for follow-up meeitng
4) I**ntervention evaluation - **
- Examine intervention fidelity data
- examine progress-monitoring data relative to intervention goal
- apply a decision-making rule to determine whether to discontinue, continue, or modify the intervention
- if necessary, schedule a followup meeting
4. For plan evaluation, Bergan (1 977) suggests three steps: evaluating goal attainment, eval-
uating plan effectiveness, and planning postimplementation. The goals should have been estab-
lished during the problem identification stage and should have flowed naturally from the nature
of the problem. The primary objective of this stage is to determine how well the goals have been
met
Mental health model
The mental health tradition is based on psychodynamic theories of human interaction (Conoley &
Conoley, 1992; Erchul, 1993). Developed by Gerald Caplan.
In strong contrast to the behavioral model, which emphasizes contingencies of reinforce-
ment, modeling, and self-reinforcement, the mental health model stresses intrapsychic feelings and
shows how they affect interpersonal relationships
Mental health consultation also differs from behavioral consultation in its focus on the consultee rather than the client.
The main goal of mental health consultation is to increase the capacity of the consultees. As such, researchers of mental health models of consultation often collect data on changes in the attitude or behavior of the consultee rather than the out-come of the client (Knotek, Kaniuka, & Ellingsen, 2009).
Collaboration is encouraged.
5 key concepts:
- The relatinoship between the consultatn and the consultee is coordinate and nonhierarchical
- Consultation is usually conducted as a short series of interviews
- The consultant does not get involved in the personal problems of the consultee
- A long-term goal of all consultation is to improve the on-the-job functionign of consultee.
- The Caplans intend their model to be used primarily for mental health problems.
Types of Mental Health Consultation
4 types
- Client-centered case consultation - the consultant deals directly with a client (student) in
order to provide some service (such as assessment or treatment) or to develop ideas that a consul-
tee can use when working with the client
- Consultee-centered case consultation-the consultant deals directly with the consultee in
order to assist the consultee in formulating a plan for dealing with the client. The consultant has little
or no direct interaction with the client.
- Program-centered administrative consultation - the consultatn evaluates a policy or program and devleops a plan for improving it
- Consultee-centered administrative consultation - the consultant works with a group of consultees to help them develop better ways of managing their program.