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Collaborative relationships: school counselors and non-school mental health professionals working together to improve the mental health needs of students.



Fifty-three school counselors A school counselor is a counselor and educator who works in schools, and have historically been referred to as "guidance counselors" or "educational counselors," although "Professional School Counselor" is now the preferred term.  and administrators employed in middle and high school settings were surveyed regarding their thoughts about school districts working collaboratively with non-school mental health professionals to respond to the mental health needs of students. In addition, the survey sought to understand what school counselors and their hiring principals/vice principals regard as the roles and responsibilities of school counselors and the scope of school counselor training.

In an effort to provide a broad array of services that will assist students in dealing with the social and emotional issues they bring to the classroom, schools and community mental health agencies have begun to implement collaborative partnerships (Walsh & Galassi, 2002). Walsh and Galassi asserted that if we are to successfully intersect In a relational database, to match two files and produce a third file with records that are common in both. For example, intersecting an American file and a programmer file would yield American programmers.  the complicated in-school and out-of-school lives of children, we must focus on the development of the whole child. Doing so will require "collaborations that span the boundaries of professions and agencies" (p. 680). Expanded school mental health programs are a growing movement in the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area. , which represents partnerships between schools and community mental health agencies. In these programs, school-hired mental health professionals (MHPs) provide a myriad of services, which emphasize effective prevention, assessment, and intervention (Weist, Lowie, Flaherty, & Pruitt, 2001). This collaborative effort is intended to lessen less·en  
v. less·ened, less·en·ing, less·ens

v.tr.
1. To make less; reduce.

2. Archaic To make little of; belittle.

v.intr.
To become less; decrease.
 the burden and liabilities of the educational system while improving the fragmented frag·ment  
n.
1. A small part broken off or detached.

2. An incomplete or isolated portion; a bit: overheard fragments of their conversation; extant fragments of an old manuscript.

3.
 and incomplete delivery of services to school-aged children and youth. Research has indicated that less than one-third of youth who are candidates for mental health services health services Managed care The benefits covered under a health contract  receive the care they need (U.S. Department of Health and Human Services Noun 1. Department of Health and Human Services - the United States federal department that administers all federal programs dealing with health and welfare; created in 1979
Health and Human Services, HHS
, 1999).

Given the importance and acceptance of multisystem collaboration in improving child and youth mental health, the perceived efficacy of these collaborative partnerships is what drives this research agenda. Precisely, we are interested in the perceptions held by school counselors, school principals, and vice principals as related to school-community agency collaboration. In addition, we sought to understand what school counselors and their hiring principals/vice principals regard as the roles and responsibilities of school counselors and the scope of school counselor training.

Although many school counselors may feel adequately trained to deal with the personal, social, and psychological needs of their students and in some cases expect that is how they will spend their time, in reality school districts are working collaboratively with non-school MHPs to respond to the mental health needs of students. Some of the positions are paid, in part, by the school district. As such, we were particularly interested in the viewpoints of those professionals who are stakeholders Stakeholders

All parties that have an interest, financial or otherwise, in a firm-stockholders, creditors, bondholders, employees, customers, management, the community, and the government.
 in these collaborative relationships. In other words Adv. 1. in other words - otherwise stated; "in other words, we are broke"
put differently
, what thoughts do school counselors hold about their school districts contracting to hire non-school MHPs, namely licensed clinical social workers and psychologists, to provide mental health services to school-aged students? What are the experiences of school counselors as they define their roles and interact with non-school personnel to meet the mental health needs of students?

METHOD

Participants and Procedure

Participants were 53 school counselors and administrators (33 school counselors, 20 principals/vice principals) employed in middle and high school settings located in the Midwest region. Among the 21 female and 12 male school counselors, 29 were certified See certification.  and 4 were provisionally pro·vi·sion·al  
adj.
Provided or serving only for the time being. See Synonyms at temporary.

n.
1. A person hired temporarily for a job, typically before having taken an examination qualifying the person for permanent
 certified. School counselors ranged in age from 31 to 65 with a mean age of 47.38 (SD = 10.9). The number of years they were employed as a school counselor ranged from 1 to 40 with a mean of 9.95 (SD = 9.5). Nine principals and 11 vice principals represented the administrator group, of which 13 were male and 7 were female. Administrators ranged in age from 30 to 57 with a mean age of 46.2 (SD = 8.4). The mean number of years that administrators reported being employed as principals and vice principals was 5.26 (SD = 4.1) with a range of 1 to 18. Participants were recruited from six school districts representing two Midwestern states. Participants completed either an online survey or a paper survey, including demographic information.

Instrumentation instrumentation, in music: see orchestra and orchestration.
instrumentation

In technology, the development and use of precise measuring, analysis, and control equipment.
 

The School Counselor Roles and Responsibilities Survey is a 25-item scale designed by the authors to gather information on participants' thoughts about the roles and competencies of school counselors and the collaborative relationships among school counselors and non-school MHPs. Respondents In the context of marketing research, a representative sample drawn from a larger population of people from whom information is collected and used to develop or confirm marketing strategy.  indicated the extent to which they agreed or disagreed with each statement using a 4-point Likert scale Likert scale A subjective scoring system that allows a person being surveyed to quantify likes and preferences on a 5-point scale, with 1 being the least important, relevant, interesting, most ho-hum, or other, and 5 being most excellent, yeehah important, etc  ranging from 1 for "disagree" to 4 for "agree." Means and standard deviations In statistics, the average amount a number varies from the average number in a series of numbers.

(statistics) standard deviation - (SD) A measure of the range of values in a set of numbers.
 are available from the first author upon request. Four open-ended questions A closed-ended question is a form of question, which normally can be answered with a simple "yes/no" dichotomous question, a specific simple piece of information, or a selection from multiple choices (multiple-choice question), if one excludes such non-answer responses as dodging a  requested participants' viewpoints regarding (a) schools contracting with non-school MHPs; (b) the perceived responsibilities of school counselors; (c) suggestions for the dialogues needed among principals, school counselors, and non-school MHPs to effectively treat the mental health needs of the student body; and (d) parameters of the contract between schools and non-school MHPs.

RESULTS

Utilizing t-test analyses, the administrator (n = 20) and school counselor (n = 33) groups were compared on each of the 25 scaled items. A Bonferroni correction In statistics, the Bonferroni correction states that if an experimenter is testing n independent hypotheses on a set of data, then the statistical significance level that should be used for each hypothesis separately is 1/n  was employed to control overall error rate and resulted in an adjusted significance level of .002. Findings revealed that school counselors agreed to a much greater extent than did school administrators that they (a) were adequately trained to provide group counseling to students (t = 3.22, p = .002, Cohen's d effect size = .67); (b) were able to identify students who are in need of mental health services (t = 3.43, p = .001, Cohen's d effect size = .66); and (c) were mental health professionals (t = 3.95, p = .000, Cohen's d effect size = 1.17). The effect sizes of these differences are of moderate to large magnitude (Cohen cohen
 or kohen

(Hebrew: “priest”) Jewish priest descended from Zadok (a descendant of Aaron), priest at the First Temple of Jerusalem. The biblical priesthood was hereditary and male.
, 1988), which means that counselors and administrators expressed a fairly large difference in their reported scores.

Responses to the four open-ended questions were sorted into categories of best fit. A simplified version of the constant comparison method was utilized (Strauss, 1987). Specifically, two raters independently sorted the responses into categories of best fit. Each response then was selected into the category of best fit by two additional raters until agreement was reached. A table summary of responses to these questions is available from the first author upon request.

Forty-seven participants provided responses to the following: "Please indicate your thoughts about schools contracting or hiring outside mental health professionals to deliver mental health services to students." Four meaningful categories emerged: (a) Agree with hiring outside MHPs (n = 32; 68%); (b) agree with hiring outside MHPs if they are qualified and if clear roles are defined (n = 11; 23%); (c) disagree with Verb 1. disagree with - not be very easily digestible; "Spicy food disagrees with some people"
hurt - give trouble or pain to; "This exercise will hurt your back"
 current school counselor role (n = 3; 6%); and (d) disagree with hiring outside MHPs (n = 2; 4%).

Nineteen counselors and 13 administrators indicated agreement with schools contracting or hiring MHPs. For example, one counselor wrote,
   They provided a needed service to the students
   for several reasons: (1) Volume of students
   that need counseling support; (2)
   Misunderstanding of school counselor job
   description by administrative staff always limits
   the ability of school counselors to provides
   services they are trained for and expected to
   perform by students and community; and (3)
   Counseling centers are understaffed. Clinical,
   noncounseling/administration tasks are
   always forced on school counselors.


Similarly, one administrator wrote, "A necessary development--schools are held more responsible for mental health, and counselors do not have the time nor the training."

Seven counselors and 4 administrators indicated they agreed with schools contracting or hiring MHPs if these professionals are qualified and if clear roles are defined. For example, one counselor wrote, "In my experience some have been highly qualified and others have not. Those who have been highly qualified are invaluable. Those who were not increased my workload The term workload can refer to a number of different yet related entities. An amount of labor
While a precise definition of a workload is elusive, a commonly accepted definition is the hypothetical relationship between a group or individual human operator and task demands.
 and probably damaged the students." One administrator commented, "Outside mental health professionals need to thoroughly understand how schools operate and the restrictions schools have on them."

Three counselors indicated that they disagreed with the current role as defined for school counselors, as indicated by the following response: "If school counselors were free from the clerical work they do, they could adequately deliver mental health services." Two administrators disagreed with hiring outside MHPs as indicated by the response "Not affordable."

Forty-eight participants provided their perceptions about the roles and responsibilities of school counselors, as reflected by two meaningful categories: (a) mental health and academic counseling, and (b) academic and career counseling Noun 1. career counseling - counseling on career opportunities
counseling, counselling, guidance, counsel, direction - something that provides direction or advice as to a decision or course of action
 services. Specifically, 23 counselors and 13 administrators (75%) perceived the role of school counselors to include treatment of the whole person, including academic, career, personal, and mental health issues, which include support to students in crisis as well as assessing/determining students who need mental health services outside of the school environment. Seven administrators and 5 counselors (25%) perceived the role of the counselor to focus primarily on academic, mediation mediation, in law, type of intervention in which the disputing parties accept the offer of a third party to recommend a solution for their controversy. Mediation has long been a part of international law, frequently involving the use of an international commission, , and career counseling services.

Suggestions for dialogues that are needed among principals, school counselors, and non-school MHPs included 38 responses, resulting in five meaningful categories:

1. School counselor role definition and clarification. This was indicated by 13 counselors and 5 administrators (47%) who believed that it would be helpful to negotiate noncounseling tasks such as scheduling and to have in-depth discussions with counselors and MHPs about the role and involvement of MHPs in school and student-related issues.

2. Increased opportunity for dialogue. This was reported by 6 counselors and 2 administrators (21%) who noted their limited time as a barrier to opportunities for dialogue.

3. Referral/triage procedures. This was suggested by 3 counselors and 3 administrators (16%) who expressed a need for dialogues regarding the triage triage

Division of patients for priority of care, usually into three categories: those who will not survive even with treatment; those who will survive without treatment; and those whose survival depends on treatment.
 procedures and process for addressing student issues.

4. Little dialogue is needed. This was indicated by 4 counselors (11%).

5. Turf war dialogues. This was expressed by 2 counselors (5%) who emphasized that school counselors must give up turf issues and recognize that a variety of resources are needed to best serve children and their families.

Eleven counselors and 5 administrators (55%) indicated that they were aware of parameters that define the types of non-school MHPs who are either contracted or hired in their schools, and 9 counselors and 4 administrators (45%) indicated that they were unaware of the contractual agreements/parameters.

DISCUSSION

Of considerable interest is the finding that school counselors and administrators had different perceptions regarding the competence of school counselors to provide group counseling and to identify students in need of mental health services. Historically, the primary role of the school counselor was to perform vocational assessment and provide testing on aptitude, ability, and interests to assist students (Flaherty et al., 1998). Presently, that focus has changed to a more proactive model, with an emphasis on prevention. Although the extent of training varies, it appears that many present school counselors are gaining more knowledge about providing individual and group counseling to students, using short-term models of intervention.

Perhaps school administrators are keenly aware of the school counselor's assigned duties and large caseloads and, in recognizing the growing mental health needs of students, are more comfortable with utilizing non-school MHPs to provide such necessary and time-consuming student services. We believe it is possible that the continued confusion regarding role definition and clarification of all participants affects the school administrator's understanding of the pivotal role the school counselor must play in such collaborations. It is often the school counselor who is most knowledgeable about the students and their families, including treatment histories. Moreover, the school counselor's roles of liaison, referral participant, and intervention partner might be unrecognized or underutilized.

In addition, it is interesting that school counselors see themselves as MHPs to a much greater extent than do their administrators. Perhaps this difference is accounted for by the many counseling degree programs in which school counseling students may be required to complete the same core course work as students who intend to become licensed counselors and both are awarded the same counseling degree.

Interestingly, only two participants expressed disfavor with schools hiring outside MHPs to deliver mental health services to students. We interpret the high percentage of participants who support this hiring decision to mean that both counselors and administrators are well aware of the growing mental health needs of students and, therefore, value the benefit of collaboration when clear roles are defined and prescribed pre·scribe  
v. pre·scribed, pre·scrib·ing, pre·scribes

v.tr.
1. To set down as a rule or guide; enjoin. See Synonyms at dictate.

2. To order the use of (a medicine or other treatment).
.

As indicated by the open-ended questions within the survey, 75% of the sample of participants defined the school counseling role as a combination of both mental health and academic counseling. This finding suggests that it is important for school counselors and their administrators to reach agreement regarding the school counselor's roles and work responsibilities, which should be informed by the ASCA ASCA American School Counselor Association
ASCA Australian Shepherd Club of America
ASCA Arab Society of Certified Accountants
ASCA American Swimming Coaches Association
ASCA American Society of Consulting Arborists
ASCA Association of State Correctional Administrators
 National Model[R] (American School Counselor Association, 2005).

Our sample participants regarded role definition as an important dialogue that needs to occur. In defining these roles, we recommend that focus be placed on the complementary nature of the goals for each professional. Moreover, a description of the responsibilities of the different disciplines and examples of how interdisciplinary teams interdisciplinary team,
n a group that consists of specialists from several fields combining skills and resources to present guidance and information.
 can operate effectively and in the students' best interest would prove helpful (Weist et al., 2001). Providing such clarification augments service delivery by allowing all parties to share in the responsibility of the collaborative relationship.

Dialogue focusing on an agreed-upon procedure for referring students to non-school MHPs was considered necessary by some participants. Porter, Epp, and Sharronne (2000) suggested that school counselors and non-school MHPs meet on a weekly basis to establish and review a triage and referral process, to discuss interventions, and to work through critical issues of confidentiality and mandated reporting.

Leaders and service providers from school and community mental health agencies should be involved in developing the parameters of the contract for the collaboration. The contract should describe provider roles and responsibilities, including any legal and ethical responsibilities that might arise through record keeping or service delivery. Most importantly Adv. 1. most importantly - above and beyond all other consideration; "above all, you must be independent"
above all, most especially
, all parties must recognize that a degree of flexibility and adaptability a·dapt·a·ble  
adj.
Capable of adapting or of being adapted.



a·dapta·bil
 is necessary in maintaining the collaborative relationship.

CONCLUSION

To conclude, schools are in need of myriad services in order to address the emotional, behavioral, and social needs of their student body, and the collaborative partnerships of schools and mental health agencies appear to be a step in the right direction. We believe that the success of this needed collaboration is contingent upon Adj. 1. contingent upon - determined by conditions or circumstances that follow; "arms sales contingent on the approval of congress"
contingent on, dependant on, dependant upon, dependent on, dependent upon, depending on, contingent
 leaders and supervisors from within the school and community mental health agency who can model effective collaboration and leadership. Fiester, Nathanson, Visser, and Martin (1996) emphasized that support from principals and other key school leaders helps to encourage collaboration among school staff. Furthermore, it is helpful when the school principal lends aid in resolving any logistical lo·gis·tic   also lo·gis·ti·cal
adj.
1. Of or relating to symbolic logic.

2. Of or relating to logistics.



[Medieval Latin logisticus, of calculation
 conflicts (Flaherty et al., 1998).

Leaders from the school and the community agency should spearhead meetings among professionals to establish procedures (e.g., referral process, record keeping, and program evaluation Program evaluation is a formalized approach to studying and assessing projects, policies and program and determining if they 'work'. Program evaluation is used in government and the private sector and it's taught in numerous universities. ) and to encourage opportunities for interdisciplinary in·ter·dis·ci·pli·nar·y  
adj.
Of, relating to, or involving two or more academic disciplines that are usually considered distinct.


interdisciplinary
Adjective
 training. Cross training helps in developing a common language and often evens any hierarchy that might exist (Porter et al., 2000). Such cross training also could enhance trust among professionals and provide a mutual understanding about the legal and ethical challenges for each discipline (Weist et al., 2001). We encourage future research to consider both qualitative and quantitative investigations designed to reassess reassess
Verb

to reconsider the value or importance of

reassessment n

Verb 1. reassess - revise or renew one's assessment
reevaluate
 the extent to which participant roles Noun 1. participant role - (linguistics) the underlying relation that a constituent has with the main verb in a clause
semantic role

linguistics - the scientific study of language
 have been clearly defined, and the extent to which schools and community mental health agencies are successfully implementing their collaborative partnerships.

References

American School Counselor Association. (2005). The ASCA national model: A framework for school counseling programs (2nd ed.). Alexandria, VA: Author.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences behavioral sciences,
n.pl those sciences devoted to the study of human and animal behavior.
 (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.

Fiester, L., Nathanson, S. P., Visser, L., & Martin, J. (1996). Lessons learned from three violence prevention projects. Journal of School Health, 66, 344-346.

Flaherty, L.T., Garrison, E. G., Waxman, R., Uris, P. F., Keys, S. G., Glass-Siegel, M., et al. (1998). Optimizing the roles of school mental health professionals. Journal of School Health, 68, 420-424.

Porter, G., Epp, L., & Sharronne, B. (2000). Collaboration among school mental health professionals: A necessity, not a luxury. Professional School Counseling, 3, 315-322.

Strauss, A. L. (1987). Qualitative analysis Qualitative Analysis

Securities analysis that uses subjective judgment based on nonquantifiable information, such as management expertise, industry cycles, strength of research and development, and labor relations.
 for social scientists. New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
: Cambridge University Press Cambridge University Press (known colloquially as CUP) is a publisher given a Royal Charter by Henry VIII in 1534, and one of the two privileged presses (the other being Oxford University Press). .

U.S. Department of Health and Human Services. (1999). Mental health: A report of the Surgeon General The U.S. Surgeon General is charged with the protection and advancement of health in the United States. Since the 1960s the surgeon general has become a highly visible federal public health official, speaking out against known health risks such as tobacco use, and promoting disease . Rockville, MD: Author.

Walsh, M. E., & Galassi, J. P. (2002). An introduction: Counseling psychologists and schools. The Counseling Psychologist psy·chol·o·gist
n.
A person trained and educated to perform psychological research, testing, and therapy.


psychologist 
, 30, 675-681.

Weist, M. D., Lowie, J. A., Flaherty, L.T., & Pruitt, D. (2001). Collaboration among the education, mental health, and public health systems to promote youth mental health. Psychiatric psy·chi·at·ric
adj.
Of or relating to psychiatry.


psychiatric adjective Pertaining to psychiatry, mental disorders
 Services, 52, 1348-1351.

Chris Brown Chris Brown may refer to:'''
  • Chris Brown (baseball player) (1961-2006)
  • Chris Brown (American football) (born 1981)
  • Chris Brown (footballer) (born 1984), English
  • Chris Brown (soccer) (born 1977), American
  • Chris Brown (musician), Canadian
, Ph.D., # an associate professor and David T. Dahlbeck is a graduate student with the University of Missouri-Kansas City. E-mail: brownchr@umkc.edu Lynette Sparkman-Barnes is a clinical psychologist with the University of Saint Mary, Leavenworth, KS.
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No portion of this article can be reproduced without the express written permission from the copyright holder.
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Title Annotation:PERSPECTIVES FROM THE FIELD
Author:Sparkman-Barnes, Lynette
Publication:Professional School Counseling
Geographic Code:1USA
Date:Apr 1, 2006
Words:2769
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