Internalizing behaviors are directed inward toward the child and are frequently overlooked in classrooms compared with externalizing behaviors. When internalizing behaviors are identified, cognitive-behavioral interventions (CBIs) are typically the intervention of choice; however, CBIs are time-consuming and require considerable skill and experience for successful implementation. An efficient and time-effective targeted intervention for children with internalizing behavior problems is needed. Check In/Check Out (CICO) has been shown to be an effective targeted intervention for children with externalizing behavior problems, but this intervention has not been implemented directly targeting children with internalizing behavior patterns. The purpose of the present study was to evaluate CICO as a targeted intervention for children with internalizing behavior problems. Four elementary school students with internalizing behavior problems received a CICO intervention. Results showed that ratings of prosocial replacement behaviors increased as a result of the CICO intervention, and students’ levels of internalizing behaviors decreased.
AchenbachT. M.RescorlaL. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
2.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
3.
BradshawC.BuckleyJ.IalongoN. (2008). School-based service utilization among urban children with early onset educational and mental health problems: The squeaky wheel phenomenon. School Psychology Quarterly, 23, 169–186. doi:10.1037/1045-3830.23.2.169
4.
CheneyD.StageS.HawkenL.LynassL.MielenzC.WaughM. (2009). A 2-year outcome study of the Check, Connect, and Expect intervention for students at risk for severe behavior problems. Journal of Emotional and Behavioral Disorders, 17, 226–243. doi:10.1177/1063426609339186
5.
ColvinG.SugaiG.GoodR.LeeY. (1997). Using active supervision and precorrection to improve transition behaviors in an elementary school. School Psychology Quarterly, 12, 344–363. doi:10.1037/h0088967
6.
ComptonS.BurnsB.EggerH.RobertsonE. (2002). Review of the evidence base for treatment of childhood psychopathology: Internalizing disorders. Journal of Consulting and Clinical Psychology, 70, 1240–1266. doi:10.1037/0022-006X.70.6.1240
7.
CookC.RasetshwaneK. B.TruelsonE.GrantS.DartE. H.CollinsT. A.SpragueJ. (2011). Development and validation of the student internalizing behavior screening: Examination of reliability, validity, and classification accuracy. Assessment for Effective Intervention, 36, 71–79.
8.
CooperJ. O.HeronT. E.HewardW. L. (2007). Applied behavior analysis (2nd ed.). Upper Saddle River, NJ: Pearson.
9.
CroneD. A.HawkenL. S.HornerR. H. (2010). Responding to problem behavior in schools: The behavior education program (2nd ed.). New York, NY: Guilford.
10.
De PryR.SugaiG. (2002). The effect of active supervision and pre-correction on minor behavioral incidents in a sixth grade general education classroom. Journal of Behavioral Education, 11, 255–267. doi:10.1023/A:1021162906622
11.
DrummondT. (1994). The Student Risk Screening Scale (SRSS). Grants Pass: Oregon Social Learning Center.
12.
ElliotS. N.BusseR. T.GreshamF. M. (1993). Behavior Rating Scales: Issues of use and development. School Psychology Review, 22, 313–321.
13.
FilterK.McKennaM.BenedictE.HornerR.ToddA.WatsonJ. (2007). Check in/Check out: A post-hoc evaluation of an efficient, secondary-level targeted intervention for reducing problem behaviors in schools. Education & Treatment of Children, 30(1), 69–84. doi:10.1353/etc.2007.0000
14.
GreenbergM.DomitrovichC.BumbargerB. (2001). The prevention of mental disorders in school-aged children: Current state of the field. Prevention & Treatment, 4(1), 1–59. doi:10.1037/1522–3736.4.1.41a
15.
GreshamF. M.ElliottS. N. (2008). Social Skills Improvement System Rating Scales. Minneapolis, MN: Pearson Assessments.
16.
GreshamF. M.KernL. (2004). Internalizing behavior problems in children and adolescents. In RutherfordR. B.QuinnM. M.MathurS. R. (Eds.), Handbook of research in emotional and behavioral disorders (pp. 262–281). New York, NY: Guilford.
17.
HawkenL. S.HornerR. (2003). Evaluation of a targeted intervention within a schoolwide system of behavior support. Journal of Behavioral Education, 12, 225–240. doi:10.1023/A:1025512411930
18.
HawkenL. S.VincentC. G.SchumannJ. (2008). Response to intervention for social behavior. Journal of Emotional and Behavioral Disorders, 16, 213–225.
19.
HermanK. C.OstranderR. (2007). The effects of attention problems on depression: Developmental, academic, and cognitive pathways. School Psychology Quarterly, 22, 483–510. doi: 10/1037/1045-3830.22.4.483
20.
KazdinA. E. (1982). Single-case research designs: Methods for clinical and applied settings. New York, NY: Oxford University Press.
21.
KazdinA. E.KopelS. A. (1975). On resolving ambiguities of the multiple-baseline design: Problems and recommendations. Behavior Therapy, 6, 601–608.
22.
KazdinA. E.WeiszJ. R. (2003) Evidence-based psychotherapies for children and adolescents. New York NY: Guilford.
23.
KlermanG. L.WeissmanM. M.RounsavilleB. J.ChevronE. S. (1984). Interpersonal psychotherapy of depression. New York, NY: Basic Books.
24.
LewisT.ColvinG.SugaiG. (2000). The effects of pre-correction and active supervision on the recess behavior of elementary students. Education & Treatment of Children, 23(2), 109–121.
25.
MaagJ.SwearerS. (2005). Cognitive-behavioral interventions for depression: Review and implications for school personnel. Behavioral Disorders, 30, 259–276.
26.
MerrellK. W.GueldnerB. A. (2010). Preventive interventions for students with internalizing disorders: Effective strategies for promoting mental health in schools. In ShinnM. R.WalkerH. M. (Eds.), Interventions for achievement and behavior problems in a three-tier model including RTI (pp. 799–824). Bethesda, MD: National Association of School Psychologists.
27.
MufsonL.DortaK. P. (2003). Interpersonal therapy for depressed adolescents. In KazdinA. E.WeiszJ. R. (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 148–164). New York, NY: Guilford.
28.
ParkerR.Hagan-BurkeS.VannestK. (2007). Percentage of all non-overlapping data (PAND): An alternative to PND. Journal of Special Education, 40, 194–204.
29.
ScruggsT. F.MastropieriM. A. (1998). Summarizing single-subject research: Issues and applications. Behavior Modification, 22, 221–242. doi:10.1177/01454455980223001
30.
ShadishW. R.RindskopfD. M.HedgesL. V. (2008). The state of the science in the meta-analysis of single-case experimental designs. Evidence Based Communication Assessment and Intervention, 2, 188-196. doi:10.1080/17489530802581603.
31.
SimonsenB.MyersDBriereD. E.III. (2011). Comparing a behavioral check/in/check-out (CICO) intervention to standard practice in an urban middle school setting using an experimental group design. Journal of Positive Behavior Interventions, 13, 31–48.
32.
SouranderA.HelstelaL. (2005). Childhood predictors of externalizing and internalizing problems in adolescence: A prospective follow-up study from age 8 to 16. European Child & Adolescent Psychiatry, 14, 415–423. doi:10.1007/s00787-005-0475-6
33.
SprickR.BorgmeierC. (2010). Behavior prevention and management in three tiers in secondary schools. In ShinnM. R.WalkerH. M. (Eds.), Interventions for achievement and behavior problems in a three-tier model including RTI (pp. 435–468). Bethesda, MD: National Association of School Psychologists.
34.
ToddA.CampbellA.MeyerG.HornerR. (2008). The effects of a targeted intervention to reduce problem behaviors. Journal of Positive Behavior Interventions. 10, 46–55.
35.
U.S. Department of Education, National Center for Education Statistics, Common Core of Data. (2009). Public elementary/secondary school universe survey, 2009-10, v.1a. Retrieved from http://nces.ed.gov/ccd/
36.
VasaR. A.PineD. S. (2006). Anxiety disorders. In EssauC. A. (Ed.), Child and adolescent psychopathology: Theoretical and clinical implications (pp. 78–112). New York, NY: Routledge.
37.
WatsonP. J.WorkmanE. A. (1981). The non-concurrent multiple baseline across-individuals design: An extension of the traditional multiple baseline design. Journal of Behavior Therapy and Experimental Psychiatry, 12, 257–259.
38.
WittJ. C.ElliottS. N. (1985). Acceptability of classroom management strategies. In KratochwillT. R. (Ed.), Advances in school psychology (Vol. 4, pp.251–288). Hillsdale, NJ: Lawrence Erlbaum.
