This study was designed to evaluate a parent training curriculum: Helping Our Toddlers Developing Our Children's Skills (HOT DOCS© ) using archival data collected between August 2006 and April 2007. The evaluation studied the impact of specific components of the parent training program on both participants' knowledge and attitudes and their perceptions of targeted children's behavior. One-hundred-forty-six caregivers of children between the ages of 14 months and ten years of age participated in the parent training program and were included in the analyses. Measures included a pre/post knowledge test, rating scales of child problem behavior, weekly progress monitoring forms for caregiver behavior at home, and a program evaluation survey. Results indicated significant increases in caregiver knowledge following participation in the program. Prior to participation, caregivers' perceptions of the severity of child problem behaviors and deficits in adaptive behaviors were significantly different from a normative sample. Following participation in the program, results showed significant decreases in caregiver perceptions of the severity of child problem behaviors, but no significant differences in child adaptive behaviors. Caregiver feedback indicated high levels of satisfaction with the program.

This study examined the efficacy of the Decision Model (Umbreit, Ferro, Liaupsin, & Lane, 2007) for the development of function-based interventions for young children receiving special education services in inclusive preschool settings. Findings suggested interventions using the Decision Model were effective at decreasing the disruptive behavior of 3 young boys within inclusive early childhood classrooms. On-task behavior increased for each child following intervention implementation. Largest increases were noted with a 4.9 year-old with Autism and a 4 year-old with Down Syndrome. Data also suggested that the level of on-task behavior coincided with levels of intervention implementation. On-task behavior of a 3.9 year-old with language delay, demonstrated substantial increases when the intervention was implemented properly, but not when intervention elements were left out. Implications for future research were discussed.

The evidence clearly indicates that, not only is the learning process affected by many factors including students’ mental health and social-emotional learning (SEL), but also zero tolerance methods of managing students’ problem behaviors are largely ineffective. This dissertation introduces a suggested model for supporting educators’ efforts in the implementation and sustainability of SEL programs using a response-to-intervention (RTI) model for educators. Additionally, the current study examined the effects of conjoint behavioral consultation (CBC) on (a) the role of teachers’ classroom practices, (b) the home-school partnership, and (c) the relationship these two factors have on young children’s challenging behaviors. Participants in this study were four triads, each consisting of one pre-k teacher, one preschool student with challenging behaviors, and one set of preschool students’ parents from a suburban county in the southeast. Three dependent variables were measured in this study: (1) teachers’ target behaviors were measured using direct observation; (2) students’ target behaviors were measured using direct observation (i.e., daily by teachers and parents) and ratings on the Social Skills Improvement System Rating Scale (SSIS-RS; Elliott & Gresham, 2008); and (3) the impact of the intervention on the home-school relationship was measured both pre- and post-intervention using the Parent-Teacher Relationship Scale - II (PTRS-II; Vickers & Minke, 1995). The independent variable was a multi-component intervention package that incorporated the four stages of CBC (Sheridan & Kratochwill, 2010) with a social skills intervention plan. A relationship was established between the intervention and teachers’ use of select positive behavior support (PBS) strategies. Furthermore, results indicated that the intervention package was effective in improving all students’ challenging behaviors in the school setting and for three of the four students challenging behaviors in the home setting. Finally, results from the PTRS-II indicated that parents and teachers’ perceptions of the home-school relationship actually declined. However, this outcome was unexpected because the anecdotal reactions from the participants throughout this study were very positive. Ratings on the social validity of the intervention as measured by the Treatment Evaluation Inventory – Short Form (TEI-SF; Kelley, Heffer, Gresham, & Elliott, 1989) were high.

With the high prevalence of mental health disorders among children, there is a growing need for effective mental health interventions that will enhance overall wellness and functioning while meeting the developmental needs of children (Stagman & Cooper, 2010). In addition, there are increasing demands from policymakers, managed-care organizations, and educators to implement evidence-based interventions (EBIs), or treatments that are supported by strong research (Kratochwill & Shernoff, 2004). One treatment that shows promise as an effective, developmentally-appropriate intervention that meets the mental health needs of children is play therapy (Bratton, Ray, Rhine, & Jones, 2005; Landreth, 2002; Ray, 2011). Although results of play therapy studies have shown some significance in improving a variety of issues for children, the body of research has been criticized, primarily due to inconsistent or inconclusive results across studies or compromised research designs and methods (Phillips, 1985; 2010; Read, Hunter, & McMillan, 1999). In addition, the field also lacks differentiation among various theoretical play therapy approaches across the research base (Phillips, 2010). To address these gaps in the literature, this study utilized a strong research design to examine the effectiveness of child-centered play therapy (CCPT) on the challenging behaviors of three kindergarten students. A single-case multiple baseline design was used to maintain a high level of control with rigorous data collection methods (Kennedy, 2005; Ray and Schottelkorb, 2010). Research methods were designed to meet the What Works Clearinghouse pilot standards for single-case designs, which use stringent criteria in evaluating quality of research (U.S. Department of Education, 2014). The integrity of the CCPT intervention was assessed to ensure accurate implementation. Results from direct observational data suggested a relationship between CCPT and the improvement of classroom behaviors. In contrast to direct observational data, teacher ratings did not indicate improvements in behavior. Ratings by parents yielded significant results for improving behaviors at home. This study made valuable contributions to the literature by utilizing a strong research design and demonstrating promising findings for CCPT. Practical implications include using as few as eight sessions of CCPT as a behavioral intervention at school and engaging in ongoing teacher consultation to supplement CCPT.

The aim of this study is to examine what social workers consider as ‘challenging behaviour’ among adolescents, but also to examine the connection between investigation and intervention in cases where such behaviour is being displayed. The questions of the study are to examine what social workers think of the instrument of assessment BBIC (Children’s Needs in Focus) and how the usage of BBIC affect social workers understanding of challenging behaviour. Moreover, it is a qualitative study and the respondents are all social workers with various length of professional experience who work with making decisions in juvenile welfare cases. The social workers’ opinion about which behaviours among adolescents that were important to intervene in could be understood with what was considered as moral panic for some behaviour. The social workers use of and opinion towards BBIC could be understood in relation to practical theory, tacit knowledge and naïve theories.

This thesis is a critical reflection of the author’s time as a Principal of an Indigenous state school from 2003-2004. The purpose is to reassess the impact of her principalship in terms of the staff, students and Community change that affected learning outcomes at the school and to reanalyse to what actions and to whom positive changes could be attributed. This thesis reflects and identifies, in light of the literature, strategies which were effective in enhancing student learning outcomes. The focus of this thesis was the Doongal State School*, its students, staff and facilities. The author will attempt to draw out theoretical frameworks in terms of: (1) what changed educationally in Doongal State School, (2) what seemed to be important in the Principal’s role, (3) the processes that took place, and (4) the effect of being non- Indigenous and a female. Overall, the author undertook this critical reflection in order to understand and embrace educational practices that will (a) lessen the gap between the academic outcomes achieved by Indigenous and non-Indigenous students, and (b) enhance life choices for Indigenous children. The findings indicate that principal leadership is critical for success in Indigenous schools and is the centrepiece of the models developed to explain improvement at Doongal State School. School factors, Principal Leadership factors, Change factors and factors relating to being a non-Indigenous female principal, which, when implemented, will lead to improved educational outcomes for Indigenous students, have evolved as a result of this thesis. Principal Leadership factors were found to be the enablers for the effective implementation of the key components for success.

Background: Stress and burnout is often reported within the ‘human service’ professions. A systematic review aimed to ascertain the prevalence of stress and burnout within clinical psychologists, and the coping strategies utilised by members of this profession. Specifically, the role of clinical psychologists that work with people with intellectual disabilities and behaviour that challenges may, arguably, be particularly challenging, given the risks inherent in behaviour that challenges. Previous work has found that paid and family carers for this population experience substantial levels of stress. However, little is known about the experiences of clinical psychologists who may play a pivotal role in the multi-disciplinary team supporting individuals and their carers. Methods: The systematic review explores the prevalence of stress, burnout and coping in clinical psychologists. An electronic review and hand search of the literature was completed. The quality of all eligible articles was assessed, and themes within the findings were discussed using a narrative synthesis approach. The subsequent empirical article explores the perspectives of 14 female clinical psychologists. Thematic analysis was utilised to derive themes from their interview transcripts. Results: Eight studies met inclusion criteria for the review; findings suggest that a large proportion of clinical psychologists experience symptoms of stress and burnout. Nevertheless, most psychologists also experience high levels of personal achievement in their role. Within the empirical study, two overarching themes were apparent across participants. These included difficult and positive experiences. Participants reported barriers to influencing change and feelings of stress, worry, anxiety, self-doubt and frustration within the role. However, supervision and support from colleagues appeared to moderate difficult emotions. All conveyed a sense of reward within their role. Conclusions: Comparable to other ‘human service’ professionals, clinical psychologists experience symptoms of stress and burnout. With regard to clinical psychologists working with people with intellectual disabilities and behaviour that challenges, it appears that supervision and support from colleagues is key in managing difficult emotions. Based on the findings, provisions that are believed to improve clinical psychologists’ experiences are considered.

The University of ManchesterSandra TaylorDoctor of PhilosophyThe Reciprocal Influence Of Person Centred Counselling Students And Trainers2013This research has explored the reciprocal influence of counselling students and trainers in the UK, through the researcher’s lens of being a Person Centred trainer. The methodology evolved into relational heuristic research, an adaptation of heuristic research which is itself a contribution to knowledge. It is a qualitative approach that holds the researcher/trainer’s heuristic experience as its core whilst including and valuing the experience of others. Six pairs of former counselling students and trainers were interviewed together, followed by eight interviews between the researcher and her former students. The interviews provided the opportunity for the co-creation of a coherent story of their reciprocal influence and enabled clarification, corroboration, disagreement, memory jogging, and the emergence of surprises. Participants in the six interviews were gained through the researcher’s professional networks and so were convenience sampling. The eight former students were from the 22 invited whom the researcher had worked with two years previously. As is typical of heuristic research the analysis was a long, iterative and creative process of incubation and illumination.The main finding, available only because of the former students and trainers being interviewed together, is the uniqueness, complexity and richness of counselling student-trainer relationships. The three other substantial findings are: the huge impact of the transferential/countertransferential relationship between students and trainers; the nuances of liking and favouritism between students and trainers; and an invaluable insight into challenges and difficulties within the student-trainer relationship and their impact.In addition to the findings and discussion the researcher also offers a creative synthesis and a summary of learning, not to be turned into general principles and procedures but for each reader to resonate with their own experiences and see what does and doesn’t fit. This is in keeping with the complexity and uniqueness of experience found in the research. Specific contributions of this research for past, present and future counselling students and trainers as well as for course development are also discussed.

This thesis explored attachment in individuals with intellectual disability (ID). It investigated the role attachment may have in presenting difficulties such as challenging behaviour, which is an area much researched within other populations. It also considered parental well-being in the early years following diagnosis and the implications this may have for attachment development. Paper 1 describes a systematic review of the literature on parental response and adaptation to a child’ diagnosis of an ID in the early years. The news of a child’s diagnosis can be met with a range of intense emotions however, existing research reports conflicting outcomes regarding the nature of parental reactions and the psychological impact that may result. 12 studies were reviewed with one study demonstrating a strong methodology. The review found that the comparison groups used within studies had an important bearing on how effectual parental response and adaptation appeared. Due to the limited literature available and the methodological variation within the reviewed studies, no clear conclusions could be drawn. Paper 2 describes an empirical study which investigated the contribution of attachment behaviour to engagement in challenging behaviour, whilst considering other variables, in adults with ID. 22 service staff completed assessment questionnaires which examined service user attachment behaviour, level of adaptive ability, challenging behaviour and other variables. The relationships between particular variables were analysed. Results showed that level of adaptive ability was significantly related to attachment behaviour and challenging behaviour. Attachment behaviour was also significantly related to challenging behaviour, particularly social withdrawal and lethargy. However, when adaptive behaviour was controlled for the significance of these relationships disappeared. Therefore attachment behaviour did appear to contribute to challenging behaviour but less significantly than level of adaptive ability. The nature of the interaction between these three key variables is unclear and requires further research. Findings support the implementation of effective attachment based interventions alongside evidence based behavioural strategies. This would be particularly important for those at high risk of attachment and behavioural difficulties, which current and previous findings suggest may be those with ASD and those with lower levels of ability. Paper 3 describes the strengths and limitations of the systematic review and empirical paper. The research process, findings and clinical implications from each of the previous papers are discussed and reflected upon.

Första linjechefer inom LSS-bostäder ansvarar enligt arbetsmiljölagen, 1977:1160(AML) för att säkerställa arbetsmiljön för medarbetare, samtidigt som de skasäkerställa att insatser enligt lag 1993:387, om stöd och service för vissafunktionshindrade (LSS) är av god kvalité och möter stödanvändares behov.Detta, tillsammans med förekomst av utmanande beteende hos de boende, antyderatt första linjechefer har en komplex arbetssituation. Syftet med studien var därföratt undersöka hur första linjechefer inom LSS-bostäder, där det förekommerutmanande beteende, upplever relationen mellan arbetsmiljöåtgärder och detpedagogiska arbetet. Studiens fokus var att identifiera faktorer som verkarfrämjande respektive hindrande i arbetsmiljöarbete och pedagogiskt arbete.Empiri för studien samlades in med hjälp av semistrukturerade intervjuer med sjuförsta linjechefer. Genom tematisk analys har två huvudteman identifierats:upplevelser av yrkesrollen och upplevelsen av relationen mellan arbetsmiljö ochpedagogik. Resultatet har analyserat utifrån Michael Lipsky teori, Street-levelBureaucrats. Resultatet visar att praktiknära ledarskap upplevs centralt för attupprätthålla god kvalité i det pedagogiska arbetet, som i sin tur bidrog till bättrearbetsmiljö. Studien identifierar komplexitet och utmaningar i relationen mellanarbetsmiljöarbetet och det pedagogiska arbetet inom tre kategorier: (1)organisatoriska faktorer; (2) första linjechefens yrkesroll; och (3) bristandekunskap hos personalen. Vidare forskning kan därför behövas om hur praktiknäraledarskap påverkar kunskapsnivån i verksamheten och bemötandet avstödanvändare, samt hur det påverkar både arbetsmiljön och första linjechefersyrkesroll och arbetsuppgifter. / Frontline managers for LSS-housing are responsible according to the WorkEnvironment Act, 1977: 1160 (AML) to ensure adequate the workingenvironment for employees, and at the same time ensure the work provided are ofgood quality and meets the needs of the clients according to Act 1993: 387concerning Support and Service for Persons with Certain Functional Impairments(LSS). This, together with the presence of challenging behavioramong residents, this is suggested to be complex work situation for frontlinemanagers. The purpose of the study was therefore to investigate how frontlinemanagers for LSS-housing, where challenging behavior occur, experience therelation between work environment and the pedagogical work. The focus of thestudy was to identify factors that appear to promote and obstruct the efforts toensure adequate work environment and pedagogical work. The empirical data forthe study were collected using semi-structured interviews with seven frontlinemanagers. Through thematic analysis, two main themes have been identified:experiences of the professional role and the experience of the relation betweenwork environment and pedagogy. The result has been analyzed with MichaelLipsky theory, Street-level Bureaucrats. The result shows that practice leadershipis perceived as being vital to maintain good quality in the pedagogical work,which in turn contributed to a better working environment. The study identifiescomplexity and challenges in the relation of work environment and pedagogicalwork in three categories: (1) organizational factors, (2) frontline managersprofessional role; and (3) lack of knowledge of the staff. Further research istherefore needed on how practice leadership influences the level of knowledge inthe organization and how it affects the support work with the clients, as well as itaffects, the work environment and the frontline managers professional role andduties.