This mixed methods study surveyed 209 K-12 special education teachers about their perceptions of preparedness to teach students with mental health needs that manifest internally (e.g., quiet distress, withdrawal, excessive worry). We used a construct-modeling approach to develop the survey instrument and establish evidence of validity, reliability, and fairness, and it included both multiple-choice questions, used for descriptive and regression analyses, and open-ended items, coded to identify key themes. Results indicated that special educators generally had low perceptions of preparedness to support students with internalizing needs. In addition, we found that participants possessed critical misconceptions about research-based practices for supporting students with these needs in the school context, and that differences in perceptions of preparedness were associated with teachers’ race and the grade level at which they taught.
AlisicE. (2012). Teachers’ perspectives on providing support to children after trauma: A qualitative study. School Psychology Quarterly, 27(1), 51–59. https://doi.org/10.1037/a0028590
2.
American Educational Research Association, American Psychological Association, National Council for Measurement in Education. (2014). Standards for educational and psychological testing. American Educational Research Association.
3.
American School Counselor Association & National Association of School Psychologists. (2021). School reentry considerations: Supporting student social and emotional learning and mental and behavioral health amidst COVID-19. https://www.nasponline.org/x55825.xml
4.
AtkinsM. A.RodgerS. (2016). Pre-service teacher education for mental health and inclusion in schools. Exceptionality Education International, 26(2), 93–118. https://doi.org/10.5206/eei.v26i2.7742
5.
AtkinsM. S.CappellaE.ShernoffE. S.MehtaT. G.GustafsonE. L. (2017). Schooling and children’s mental health: Realigning resources to reduce disparities and advance public health. Annual Review of Clinical Psychology, 13(1), 123–147. https://doi.org/10.1146/annurev-clinpsy-032816-045234
6.
BaglieriS. (with Shapiro, A.). (2017). Disability studies and the inclusive classroom: Critical practices for embracing diversity in education (2nd ed.). Routledge. https://doi.org/10.4324/9781315642543
7.
BalA.Betters-BubonJ.FishR. E. (2019). A multilevel analysis of statewide disproportionality in exclusionary discipline and the identification of emotional disturbance. Education and Urban Society, 51(2), 247–268. https://doi.org/10.1177/0013124517716260
8.
BanduraA. (1991). Social cognitive theory of self-regulation. Organizational Behavior and Human Decision Processes, 50(2), 248–287. https://doi.org/10.1016/0749-5978(91)90022-L
9.
BanduraA. (1997). Self-efficacy: The exercise of control. W. H. Freeman.
10.
BanduraA. (2007). Much ado over a faulty conception of perceived self-efficacy grounded in faulty experimentation. Journal of Social and Clinical Psychology, 26(6), 641–658. https://doi.org/10.1521/jscp.2007.26.6.641
11.
BartlettL.VavrusF. (2016). Rethinking case study research: A comparative approach. Taylor & Francis.
BrownellM. T.SindelarP. T.KielyM. T.DanielsonL. C. (2010). Special education teacher quality and preparation: Exposing foundations, constructing a new model. Exceptional Children, 76(3), 357–377. https://doi.org/10.1177/001440291007600307
14.
BrunelleK.AbdulleS.GoreyK. M. (2019). Anxiety and depression among socioeconomically vulnerable students with learning disabilities: Exploratory meta-analysis. Child and Adolescent Social Work Journal, 36(4), 1–9. https://doi.org/10.1007/s10560-019-00631-w
ChuL.LakeR. (2021). The kids are (really) not alright: A synthesis of COVID-19 student surveys. The Evidence Project at Center of Reinventing Public Education. https://files.eric.ed.gov/fulltext/ED614083.pdf
17.
Cochran-SmithM.EllF.GrudnoffL.HaighM.HillM.LudlowL. (2016). Initial teacher education: What does it take to put equity at the center?Teaching and Teacher Education, 57, 67–78. https://doi.org/10.1016/j.tate.2016.03.006
18.
CompasB. E.GruhnM.BettisA. H. (2017). Risk and resilience in child and adolescent psychopathology. In BeauchaineT. P.HinshawS. P. (Eds.), Child and adolescent psychopathology (3rd ed., pp. 113–143). Wiley.
19.
ConnerK. O.CopelandV. C.GroteN. K.KoeskeG.RosenD.ReynoldsC. F.III.BrownC. (2010). Mental health treatment seeking among older adults with depression: The impact of stigma and race. The American Journal of Geriatric Psychiatry, 18(6), 531–543. https://doi.org/10.1097/jgp.0b013e3181cc0366
20.
ConnorD. J.FerriB. A.AnnammaS. (Eds.). (2016). DisCrit: Disability studies and critical race theory in education. Teachers College Press.
21.
CoocN. (2022). Disparities in general education inclusion for students of color with disabilities: Understanding when and why. Journal of School Psychology, 90, 43–59. https://doi.org/10.1016/j.jsp.2021.10.002
22.
CorbinJ.StraussA. (2014). Basics of qualitative research: Techniques and procedures for developing grounded theory. SAGE.
23.
CreswellJ. W. (2014). A concise introduction to mixed methods research. SAGE.
24.
CruzR. A.FirestoneA. R.LoveM. (2022). More than a seat at the table: Reimagining educational equity through critical inclusion [Manuscript submitted for publication]. School of Education, Johns Hopkins University.
25.
DemboM. H.GibsonS. (1985). Teachers’ sense of efficacy: An important factor in school improvement. The Elementary School Journal, 86(2), 173–184. https://doi.org/10.1086/461441
26.
Donahue-KeeganD.Villegas-ReimersE.CresseyJ. M. (2019). Integrating social-emotional learning and culturally responsive teaching in teacher education preparation programs. Teacher Education Quarterly, 46(4), 150–168.
27.
DrayJ.BowmanJ.CampbellE.FreundM.WolfendenL.HodderR. K.McElwaineK.TremainD.BartlemK.BaileyJ.SmallT.PalazziK.OldmeadownC.WiggersJ. (2017). Systematic review of universal resilience-focused interventions targeting child and adolescent mental health in the school setting. Journal of the American Academy of Child & Adolescent Psychiatry, 56(10), 813–825. https://doi.org/10.1016/j.jaac.2017.07.780
28.
DuongM. T.BrunsE. J.LeeK.CoxS.CoifmanJ.MaywormA.LyonA. R. (2021). Rates of mental health service utilization by children and adolescents in schools and other common service settings: A systematic review and meta-analysis. Administration and Policy in Mental Health and Mental Health Services Research, 48(3), 420–439. https://doi.org/10.1007/s10488-020-01080-9
29.
EbbertA. M.KumarN. L.LutharS. S. (2019). Complexities in adjustment patterns among the “best and the brightest”: Risk and resilience in the context of high achieving schools. Research in Human Development, 16(1), 21–34. https://doi.org/10.1080/15427609.2018.1541376
30.
EiraldiR.MazzucaL.ClarkeA.PowerT. (2006). Service utilization among ethnic minority children with ADHD: A model of help-seeking behavior. Administration and Policy in Mental Health and Mental Health Services Research, 33(5), 607–622. https://doi.org/10.1007/s10488-006-0063-1
31.
EvansC.WeissS. L.CullinanD. (2012). Teacher perceptions and behavioral strategies for students with emotional disturbance across educational environments. Preventing School Failure: Alternative Education for Children and Youth, 56(2), 82–90. https://doi.org/10.1080/1045988X.2011.574170
32.
FirestoneA. R.CruzR. A. (2018). Special educator perceptions of preparedness to teach students with internalizing needs (SEPP).
33.
FirestoneA. R.CruzR. A.RodlJ. E. (2020). Teacher study groups: An integrative literature synthesis. Review of Educational Research, 90(5), 675–709. https://doi.org/10.3102/0034654320938128
34.
FishR. E. (2019). Standing out and sorting in: Exploring the role of racial composition in racial disparities in special education. American Educational Research Journal, 56(6), 2573–2608. https://doi.org/10.3102/0002831219847966
35.
FreemanJ.SimonsenB.BriereD. E.MacSuga-GageA. S. (2014). Pre-service teacher training in classroom management: A review of state accreditation policy and teacher preparation programs. Teacher Education and Special Education, 37(2), 106–120. https://doi.org/10.1177%2F0888406413507002
36.
GartlandD.RiggsE.MuyeenS.GialloR.AfifiT. O.MacMillanH.HerrmanH.BulfordE.BrownS. J. (2019). What factors are associated with resilient outcomes in children exposed to social adversity? A systematic review. BMJ Open, 9(4), Article e024870. https://doi.org/10.1136/bmjopen-2018-024870
37.
GialloR.LittleE. (2003). Classroom behaviour problems: The relationship between preparedness, classroom experiences, and self-efficacy in graduate and student teachers. Australian Journal of Educational & Developmental Psychology, 3(1), 21–34.
38.
GoforthA. N.PhamA. V.ChunH.Castro-OlivoS. (2017). Acculturation and sociocultural factors in children’s mental health services: Applying multicultural consultation frameworks. Journal of Educational and Psychological Consultation, 27(3), 239–244. https://doi.org/10.1080/10474412.2016.1275650
39.
GoldinP. R.ZivM.JazaieriH.WernerK.KraemerH.HeimbergR. G.GrossJ. J. (2012). Cognitive reappraisal self-efficacy mediates the effects of individual cognitive-behavioral therapy for social anxiety disorder. Journal of Consulting and Clinical Psychology, 80(6), 1034–1040. https://doi.org/10.1037/a0028555
40.
GoldsteinS.DeVriesM. (Eds.). (2017). Handbook of DSM-5 disorders in children and adolescents. Springer.
41.
GolembiewskiK. (2016). Disparate treatment and lost opportunity: Courts’ approach to students with mental health disabilities under the IDEA. Temple Law Review, 88, 473–506.
42.
GreensteinA. (2016). Radical inclusive education: Disability, teaching, and struggles for liberation. Routledge.
KazdinA. E.BootzinR. R. (1972). The token economy: An evaluative review. Journal of Applied Behavior Analysis, 5, 343–372. https://doi.org/10.1901/jaba.1972.5-343
KesslerR. C.AvenevoliS.CostelloE. J.GeorgiadesK.GreenJ. G.GruberM. J.HeJ.KoretzD.McLaughlinK. A.PetukhovaM.SampsonN. A.ZaslavskeyA. M.MerikangasK. R. (2012). Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adol-escent Supplement. Archives of General Psychiatry, 69(4), 372–380.
47.
Kramarczuk VoulgaridesC. (2018). Does compliance matter in special education? IDEA and the hidden inequities of practice. Teachers College Press.
48.
LarsonS.ChapmanS.SpetzJ.BrindisC. D. (2017). Chronic childhood trauma, mental health, academic achievement, and school-based health center mental health services. Journal of School Health, 87(9), 675–686. https://doi.org/10.1111/josh.12541
49.
MartinezA. G.PiffP. K.Mendoza-DentonR.HinshawS. P. (2011). The power of a label: Mental illness diagnoses, ascribed humanity, and social rejection. Journal of Social and Clinical Psychology, 30(1), 1–23. https://doi.org/10.1521/jscp.2011.30.1.1
50.
MastenA. S. (2015). Ordinary magic: Resilience in development. Guilford Publications.
51.
MaxwellJ. A. (2013). Qualitative research design: An interactive approach (3rd ed.). SAGE.
52.
McLeskeyJ.BarringerM-D.BillingsleyB.BrownellM.JacksonD.KennedyM.LewisT.MaheadyL.RodriguezJ.ScheelerM. C.WinnJ.ZieglerD. (2017). High-leverage practices in special education. Council for Exceptional Children.
53.
McLeskeyJ.BillingsleyB.BrownellM. T.MaheadyL.LewisT. J. (2019). What are high-leverage practices for special education teachers and why are they important?Remedial and Special Education, 40(6), 331–337. https://doi.org/10.1177%2F0741932518773477
54.
MilesM. B.HubermanM. A.SaldanaJ. (2020). Qualitative data analysis: A methods sourcebook (4th ed.). SAGE.
55.
MojtabaiR.OlfsonM.HanB. (2016). National trends in the prevalence and treatment of depression in adolescents and young adults. Pediatrics, 138(6), e20161878. https://doi.org/10.1542/peds.2016-1878
56.
MorganD. (2007). Paradigms lost and pragmatism regained: Methodological implications of combining qualitative and quantitative methods. Journal of Mixed Methods Research, 1(1), 48–76. https://doi.org/10.1177/2345678906292462
OberleE.Schonert-ReichlK. A. (2016). Stress contagion in the classroom? The link between classroom teacher burnout and morning cortisol in elementary school students. Social Science & Medicine, 159, 30–37. https://doi.org/10.1016/j.socscimed.2016.04.031
59.
OnwuegbuzieA. J.SlateJ. R.LeechN. L.CollinsK. M. (2007). Conducting mixed analyses: A general typology. International Journal of Multiple Research Approaches, 1(1), 4–17. https://doi.org/10.5172/mra.455.1.1.4
PerryB.SzalavitzM. (2007). The boy who was raised as a dog: And other stories from a child psychiatrist’s notebook. Basic Books.
62.
ReeveJ.RyanR. M.DeciE. L. (2018). Sociocultural influences on student motivation as viewed through the lens of self-determination theory. In LiemG. A. D.McInerneyD. M. (Eds.), Big theories revisited 2 (pp. 15–40). Information Age Publishing.
63.
ReinkeW. M.StormontM.HermanK. C.PuriR.GoelN. (2011). Supporting children’s mental health in schools: Teacher perceptions of needs, roles, and barriers. School Psychology Quarterly, 26(1), 1–13. https://doi.org/10.1037/a0022714
64.
RonfeldtM. (2014). Does pre-service preparation matter? Examining an old question in new ways. Teachers College Record, 116(10), 1–46.
65.
Rubie-DaviesC. M.FlintA.McDonaldL. G. (2012). Teacher beliefs, teacher characteristics, and school contextual factors: What are the relationships?British Journal of Educational Psychology, 82(2), 270–288. https://doi.org/10.1111/j.2044-8279.2011.02025.x
66.
RupparA. L.NeeperL. S.DalsenJ. (2016). Special education teachers’ perceptions of preparedness to teach students with severe disabilities. Research and Practice for Persons With Severe Disabilities, 41(4), 273–286. https://doi.org/10.1177/1540796916672843
67.
SanchezA. L.CornacchioD.PoznanskiB.GolikA. M.ChouT.CornerJ. S. (2018). The effectiveness of school-based mental health services for elementary-aged children: A meta-analysis. Journal of the American Academy of Child & Adolescent Psychiatry, 57(3), 153–165. https://doi.org/10.1016/j.jaac.2017.11.022
68.
ShifrerD.MullerC.CallahanR. (2011). Disproportionality and learning disabilities: Parsing apart race, socioeconomic status, and language. Journal of Learning Disabilities, 44(3), 246–257. https://doi.org/10.1177%2F0022219410374236
69.
SkaarN. R.EtscheidtS. L.KraayenbrinkA. (2020). School-based mental health services for students with disabilities: Urgent need, systemic barriers, and a proposal. Exceptionality, 29(4), 265–279. https://doi.org/10.1080/09362835.2020.1801437
70.
SkinnerB. F. (1966). What is the experimental analysis of behavior?Journal of the Experimental Analysis of Behavior, 9(3), 213–218. https://doi.org/10.1901%2Fjeab.1966.9-213
71.
TandonM.CardeliE.LubyJ. (2009). Internalizing disorders in early childhood: A review of depressive and anxiety disorders. Child and Adolescent Psychiatric Clinics, 18(3), 593–610. https://doi.org/10.1016/j.chc.2009.03.004
72.
TeasleyM. L. (2018). School shootings and the need for more school-based mental health services. Children & Schools, 40(3), 131–134. https://doi.org/10.1093/cs/cdy015
73.
ThompsonE. H.Trice-BlackS. (2012). School-based group interventions for children exposed to domestic violence. Journal of Family Violence, 27(3), 233–241. https://doi.org/10.1007/s10896-012-9416-6
74.
TrentS. C.ArtilesA. J.EnglertC. S. (1998). From deficit thinking to social constructivism: A review of theory, research, and practice in special education. Review of Research in Education, 23(1), 277–307. https://doi.org/10.3102%2F0091732X023001277
VannestK. (2017, April19–22). Practical interventions for internalizing conditions [Conference session]. Council for Exceptional Children, Boston, MA, United States.
77.
WeistM. D.EberL.HornerR.SplettJ.PutnamS.PeralesK.FairchildA.HooverS. (2018). Improving multitiered systems of support for students with “internalizing” emotional/behavioral problems. Journal of Positive Behavior Interventions, 20(3), 172–184. https://doi.org/10.1177%2F1098300717753832
78.
WilsonM. (2005). Constructing measures: An item response modeling approach. Lawrence Erlbaum.
79.
WongE. C.CollinsR. L.CerullyJ.SeelamR.RothB. (2017). Racial and ethnic differences in mental illness stigma and discrimination among Californians experiencing mental health challenges. RAND Corporation. https://www.rand.org/pubs/research_reports/RR1441.html
80.
YuleK.HoustonJ.GrychJ. (2019). Resilience in children exposed to violence: A meta-analysis of protective factors across ecological contexts. Clinical Child and Family Psychology Review, 22, 406–431. https://doi.org/10.1007/s10567-019-00293-1
81.
ZennerC.Herrnleben-KurzS.WalachH. (2014). Mindfulness-based interventions in schools: A systematic review and meta-analysis. Frontiers in Psychology, 5, Article 603. https://doi.org/10.3389/fpsyg.2014.00603
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