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1.
Sch Psychol Q ; 33(3): 460-468, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29517267

RESUMO

The current study examined between-teacher variance in teacher ratings of student behavioral and emotional risk to identify student, teacher and classroom characteristics that predict such differences and can be considered in future research and practice. Data were taken from seven elementary schools in one school district implementing universal screening, including 1,241 students rated by 68 teachers. Students were mostly African America (68.5%) with equal gender (female 50.1%) and grade-level distributions. Teachers, mostly White (76.5%) and female (89.7%), completed both a background survey regarding their professional experiences and demographic characteristics and the Behavior Assessment System for Children (Second Edition) Behavioral and Emotional Screening System-Teacher Form for all students in their class, rating an average of 17.69 students each. Extant student data were provided by the district. Analyses followed multilevel linear model stepwise model-building procedures. We detected a significant amount of variance in teachers' ratings of students' behavioral and emotional risk at both student and teacher/classroom levels with student predictors explaining about 39% of student-level variance and teacher/classroom predictors explaining about 20% of between-teacher differences. The final model fit the data (Akaike information criterion = 8,687.709; pseudo-R2 = 0.544) significantly better than the null model (Akaike information criterion = 9,457.160). Significant predictors included student gender, race ethnicity, academic performance and disciplinary incidents, teacher gender, student-teacher gender interaction, teacher professional development in behavior screening, and classroom academic performance. Future research and practice should interpret teacher-rated universal screening of students' behavioral and emotional risk with consideration of the between-teacher variance unrelated to student behavior detected. (PsycINFO Database Record


Assuntos
Comportamento do Adolescente/psicologia , Escala de Avaliação Comportamental , Sintomas Comportamentais , Comportamento Infantil/psicologia , Professores Escolares/psicologia , Instituições Acadêmicas , Estudantes/psicologia , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Risco
2.
School Ment Health ; 9(1): 28-43, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28947921

RESUMO

Internalizing mental health issues are a significant developmental and clinical concern during adolescence, but rarely identified as a problem among school staff. Using data from the National Longitudinal Study of Adolescent Health, this study examined the associations between adolescent emotional distress, school connectedness, and educational achievement by exploring potential mechanistic and interactive roles of perceived school connectedness on the emotion-education association. Emotional distress was negatively associated with adolescents' perceptions of belonging to school, which, in turn, may negatively influence educational achievement. School connectedness also had both additive and multiplicative interaction effects on the emotion-education relationship. Results support previous evidence of school connectedness as a protective factor for adolescents with internalizing mental health concerns, although much of the work to date has focused on externalizing problems. This study informs our understanding of how, why, and for whom emotional problems influence educational outcomes in light of social support in the school context.

3.
Adm Policy Ment Health ; 43(2): 168-88, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25601192

RESUMO

Although it is widely known that the occurrence of depression increases over the course of adolescence, symptoms of mood disorders frequently go undetected. While schools are viable settings for conducting universal screening to systematically identify students in need of services for common health conditions, particularly those that adversely affect school performance, few school districts routinely screen their students for depression. Among the most commonly referenced barriers are concerns that the number of students identified may exceed schools' service delivery capacities, but few studies have evaluated this concern systematically. System dynamics (SD) modeling may prove a useful approach for answering questions of this sort. The goal of the current paper is therefore to demonstrate how SD modeling can be applied to inform implementation decisions in communities. In our demonstration, we used SD modeling to estimate the additional service demand generated by universal depression screening in a typical high school. We then simulated the effects of implementing "compensatory approaches" designed to address anticipated increases in service need through (1) the allocation of additional staff time and (2) improvements in the effectiveness of mental health interventions. Results support the ability of screening to facilitate more rapid entry into services and suggest that improving the effectiveness of mental health services for students with depression via the implementation of an evidence-based treatment protocol may have a limited impact on overall recovery rates and service availability. In our example, the SD approach proved useful in informing systems' decision-making about the adoption of a new school mental health service.


Assuntos
Depressão/epidemiologia , Transtorno Depressivo/epidemiologia , Necessidades e Demandas de Serviços de Saúde , Serviços de Saúde Mental , Serviços de Saúde Escolar , Adolescente , Depressão/diagnóstico , Transtorno Depressivo/diagnóstico , Humanos , Programas de Rastreamento , Serviços de Saúde Mental/provisão & distribuição , Modelos Teóricos , Avaliação das Necessidades , Serviços de Saúde Escolar/provisão & distribuição , Estudantes , Análise de Sistemas , Recursos Humanos
4.
Health Promot Pract ; 16(2): 176-83, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25351195

RESUMO

Schools must possess a variety of capacities to effectively support comprehensive and coordinated school health promotion activities, and researchers have developed a district-level capacity-building framework specific to school health promotion. State-level school health coalitions often support such capacity-building efforts and should embed this work within a data-based, decision-making model. However, there is a lack of guidance for state school health coalitions on how they should collect and use data. This article uses a district-level capacity-building framework to interpret findings from a statewide coordinated school health needs/resource assessment in order to examine statewide capacity for school health promotion. Participants included school personnel (N = 643) from one state. Descriptive statistics were calculated for survey items, with further examination of subgroup differences among school administrators and nurses. Results were then interpreted via a post hoc application of a district-level capacity-building framework. Findings across districts revealed statewide strengths and gaps with regard to leadership and management capacities, internal and external supports, and an indicator of global capacity. Findings support the utility of using a common framework across local and state levels to align efforts and embed capacity-building activities within a data-driven, continuous improvement model.


Assuntos
Promoção da Saúde/organização & administração , Saúde Mental , Serviços de Saúde Escolar/organização & administração , Fortalecimento Institucional , Comportamento Cooperativo , Humanos , Liderança , Governo Estadual , Estados Unidos
5.
Am J Community Psychol ; 50(3-4): 428-44, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22618024

RESUMO

While the number and scope of evidence-based health, education, and mental health services continues to grow, the movement of these practices into schools and other practice settings remains a complex and haphazard process. The purpose of this paper is to describe and present initial support for a prevention support system designed to promote high-quality implementation of whole school prevention initiatives in elementary and middle schools. The function and strategies of a school-based prevention support system are discussed, including key structures and activities undertaken to identify, select, and provide technical assistance to school personnel. Data collected over a 5 year period are presented, including evidence of successful implementation support for 5 different evidence-based programs implemented with fidelity at 12 schools and preliminary evidence of goal attainment. Findings suggest the ongoing collection of information related to organizational readiness assists in the adoption and implementation of effective practices and initiatives and provide valuable insight into the development of results-oriented approaches to prevention service delivery. Problems, progress, and lessons learned through this process are discussed to frame future research and action steps for this school-based prevention support system.


Assuntos
Prática Clínica Baseada em Evidências , Transtornos Mentais/prevenção & controle , Serviços de Saúde Mental/organização & administração , Desenvolvimento de Programas , Serviços de Saúde Escolar/organização & administração , Adolescente , Fortalecimento Institucional , Criança , Prática Clínica Baseada em Evidências/métodos , Prática Clínica Baseada em Evidências/organização & administração , Humanos , Disseminação de Informação , Instituições Acadêmicas/organização & administração
6.
Am J Community Psychol ; 41(3-4): 182-96, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18307028

RESUMO

Capacity is a complex construct that lacks definitional clarity. Little has been done to define capacity, explicate components of capacity, or explore the development of capacity in prevention. This article represents an attempt to operationalize capacity and distinguish among types and levels of capacity as they relate to dissemination and implementation through the use of a taxonomy of capacity. The development of the taxonomy was informed by the capacity literature from two divergent models in the field: research-to-practice (RTP) models and community-centered (CC) models. While these models differ in perspective and focus, both emphasize the importance of capacity to the dissemination and sustainability of prevention innovations. Based on the review of the literature, the taxonomy differentiates the concepts of capacity among two dimensions: level (individual, organizational, and community levels) and type (general capacity and innovation-specific capacity). The proposed taxonomy can aid in understanding the concept of capacity and developing methods to support the implementation and sustainability of prevention efforts in novel settings.


Assuntos
Redes Comunitárias/organização & administração , Medicina Baseada em Evidências , Modelos Organizacionais , Violência/prevenção & controle , Criança , Maus-Tratos Infantis/prevenção & controle , Difusão de Inovações , Humanos , Inovação Organizacional , Desenvolvimento de Programas
7.
J Interpers Violence ; 20(6): 701-12, 2005 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15851537

RESUMO

This study examined friendship quality as a possible moderator of risk factors in predicting peer victimization and bullying. Children (50 boys and 49 girls, ages 10 to 13 years) reported on the quality of their best friendship, as well as their bullying and victimization tendencies. Parents reported on their child's internalizing and externalizing behaviors, in addition to bullying and victimization tendencies. Results indicated that externalizing problems were related to bullying behavior; however, friendship quality moderated this relation such that among children with externalizing behaviors, a high-quality friendship significantly attenuated bullying behavior. Internalizing problems and low friendship quality were significantly related to victimization; however, friendship quality did not moderate the relation between internalizing problems and victimization. Implications for interventions based on these findings are discussed.


Assuntos
Comportamento do Adolescente/psicologia , Comportamento Infantil/psicologia , Vítimas de Crime/psicologia , Amigos/psicologia , Relações Interpessoais , Grupo Associado , Adolescente , Agressão/psicologia , Criança , Transtornos do Comportamento Infantil/psicologia , Feminino , Humanos , Masculino , Relações Pais-Filho , Psicologia do Adolescente , Psicologia da Criança , Análise de Regressão , Comportamento Social , Apoio Social , Inquéritos e Questionários , Estados Unidos
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