This article examines the effectiveness of an evidence-based behavioral treatment package for children with inattentive and disruptive behavior problems when delivered in the context of a school-based mental health program. Child symptomatology and functioning are assessed in a treatment group (n = 30) and a waitlist control group (n = 12) across multiple time points (fall, winter, and spring). Treatment includes a daily report card procedure, year-long teacher consultation, and parenting sessions. According to the parent report, treated children show marked reductions in hyperactive and impulsive, oppositional or defiant and aggressive behavior, and marked improvement in peer relationships. Teachers observe treatment-related group differences in inattention, academic functioning, and the student-teacher relationship. Feasibility and acceptability data have implications for transporting evidence-based treatments to community settings and for integrating mental health services into the culture of the school community.
Achenbach, T. M. (1999). The Child Behavior Checklist and related instruments. In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (2nd ed., pp. 429-466). Mahwah, NJ: Lawrence Erlbaum.
2.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
3.
Barkley, R. A. (1997). Defiant children: A clinician’s manual for assessment and parent training (2nd ed.). New York: Guilford.
4.
Blechman, E. A., Kotanchik, N. L., & Taylor, C. J. (1981). Families and schools together: Early behavioral intervention with high risk children. Behavior Therapy, 12, 308-319.
5.
Bryk, A. S., & Raudenbush, S. W. (1992). Hierarchical linear models: Applications and data analysis methods. Thousand Oaks, CA: Sage.
6.
Chorpita, B. F. (2003). The frontier of evidence-based practice. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 42-59). New York: Guilford.
7.
Cohen, P., Cohen, J., Kasen, S., Velez, C. N., Hartmark, C., Johnson, J., et al. (1993). An epidemiological study of disorders in late childhood and adolescence: I. Age- and gender-specific prevalence. Journal of Child Psychology and Psychiatry, 34, 851-867.
8.
Comprehensive Treatment for Attention Deficit Disorder. (2004). Retrieved December 1, 2004, from http://summertreatmentprogram.com/ctadd/index.html
9.
Cunningham, C. E., Bremner, R., & Secord, M. (1996). COPE: The Community Parent Education Program. A school-based family systems oriented workshop for parents of children with disruptive behavior disorders. Hamilton, Ontario, Canada: COPE Works.
10.
DuPaul, G. J., Power, T. J., McGoey, K. E., Ikeda, M. J., & Anastopoulos, A. D. (1998). Reliability and validity of parent and teacher ratings of attention-deficit/hyperactivity disorder symptoms. Journal of Psychoeducational Assessment, 16, 55-68.
11.
Evans, S. E., Raggi, V., Thompson, J. M., & Garland, B. H. (2004). Clinical utility of the parent version of the Impairment Rating Scale for Children. Manuscript submitted for publication.
12.
Fabiano, G. A., Pelham, W. E., Gnagy, E. M., Kipp, H., Lahey, B. B., Burrows-MacLean, L., et al. (1999, November). The reliability and validity of the children’s impairment rating scale: A practical measure of impairment in children with ADHD. Poster presented at the annual meeting of the Association for the Advancement of Behavior Therapy, Toronto, Ontario, Canada.
13.
Fuchs, D., Fuchs, L. S., & Bahr, M. W. (1990). Mainstream assistance teams: A scientific basis for the art of consultation. Exceptional Children, 57, 128-139.
14.
Hamel-Lambert, J., Owens, J. S., & Evangelista, N. (2005, March). Lessons learned at school: Strategies for successful collaboration. Paper presented at the 7th All-Ohio Institute on Community Psychiatry, Cleveland.
15.
Henggeler, S. W., Schoenwald, S. K., Liao, J. G., Letourneau, E. J., & Edwards, D. L. (2002). Transporting efficacious treatments to field settings: The link between supervisory practices and therapist fidelity in MST programs. Journal of Clinical Child and Adolescent Psychology, 31, 155-167.
16.
Hollingshead, A. B. (1975). Four factor index of social status. New Haven, CT: Yale University, Department of Sociology.
17.
Kazdin, A. E. (1997). Parent management training: Evidence, outcomes, and issues. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1349-1356.
18.
Kelley, M. L. (1990). School-home notes: Promoting children’s classroom success. New York: Guildford.
19.
Lahey, B. B., Gendrich, J. G., Gendrich, S. I., Schnelle, J. F., Gant, D. S., & McNees, M. P. (1977). An evaluation of daily report cards with minimal teacher and parent contacts as an efficient method of classroom intervention. Behavior Modification, 1, 381-394.
20.
Loeber, R., Wung, P., Keenan, K., Giroux, B., Stouthamer-Loeber, M., Van Kammen, W. B., et al. (1993). Developmental pathways in disruptive child behavior. Developmental Psychopathology, 5, 103-133.
21.
Moffitt, T. E., & Lynam, D. (1994). The neuropsychology of conduct disorder and delinquency: Implications for understanding antisocial behavior. In D. C. Fowles, P. Sutker, & S. H. Goodman (Eds.), Progress in experimental personality and psychopathology research (pp. 233-262). New York: Springer.
22.
Multimodal Treatment Study of Children With ADHD Cooperative Group. (1999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56, 1073-1086.
23.
Owens, J. S., & Hoza, B. (2003). Diagnostic utility of DSM-IV-TR symptoms in the prediction of DSM-IV-TR ADHD subtypes and ODD. Journal of Attention Disorders, 7, 11-27.
24.
Owens, J. S., & Murphy, C. E. (2004). Effectiveness research in the context of school-based mental health. Clinical Child and Family Psychology Review, 7, 195-209.
25.
Pelham, W. E. (1996). Children’s summer treatment program: 1996 program manual. Unpublished manuscript.
26.
Pelham, W. E., Gnagy, E. M., Greenslade, K. E., & Milich, R. (1992). Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 210-218.
27.
Pelham, W. E., Gnagy, E. M., Greiner, A. R., Hoza, B., Hinshaw, S. P., Swanson, J. M., et al. (2000). Behavioral versus behavioral and pharmacological treatment in ADHD children attending a summer treatment program. Journal of Abnormal Child Psychology, 28, 507-525.
28.
Pelham, W. E., Wheeler, T., & Chronis, A. (1998). Empirically supported psychosocial treatments for attention-deficit hyperactivity disorder. Journal of Clinical Child Psychology, 27, 190-205.
29.
Pisterman, S., Firestone, P., McGrath, P., Goodman, J. T., Webster, I., Mallory, R., et al. (1992). The effects of parent training on parenting stress and sense of competence. Canadian Journal of Behavioural Science, 24, 41-58.
30.
Richters, J. E., Arnold, L. E., Jensen, P. S., Abikoff, H., Conners, C. K., Greenhill, L. L., et al. (1995). The NIMH collaborative mulitmodal treatment study of children with attention-deficit/hyperactivity disorder (MTA): Background and rationale. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 987-1000.
31.
Roberts, R. E., Attkisson, C. C., & Rosenblatt, A. (1998). Prevalence of psychopathology among children and adolescents. American Journal of Psychiatry, 155, 715-725.
32.
Rones, M., & Hoagwood, K. (2000). School-based mental health services: A research review. Clinical Child & Family Psychology Review, 3, 223-241.
33.
Snyder, J., Prichard, J., Schrepferman, L., Patrick, M. R., & Stoomiller, M. (2004). Child impulsiveness-inattention, early peer experiences, and the development of early onset conduct problems. Journal of Abnormal Child Psychology, 32, 579-594.
34.
U.S. Department of Health and Human Services. (2001). Report of the Surgeon General’s conference on children’s mental health: A national action agenda. Retrieved March 20, 2004, from http://www.surgeongeneral.gov/topics/cmh
35.
Webster-Stratton, C., & Reid, M. J. (2003). The incredible years parents, teachers, and children training series. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 224-240). New York: Guilford.
36.
Wechsler, D. (1999). Manual for the Wechsler Abbreviated Scale of Intelligence. San Antonio, TX: The Psychological Corporation.
37.
Weist, M. D. (1997). Expanded school mental health services: A national movement in progress. Advances in Clinical Child Psychology, 19, 319-352.
38.
Weisz, J. R. (2000). Agenda for child and adolescent psychotherapy research: On the need to put science into practice. Archives of General Psychiatry, 57, 837-838.
