Inside IES Research

Notes from NCER & NCSER

Delivering Mental Health Supports to Adolescents in School Settings

Mental Health Awareness Month was established in May of 1949 to increase awareness of the importance of mental health and wellness in Americans’ lives and to celebrate improvements in mental health treatment. Nearly 75 years later as we honor mental health awareness in this country, we are confronted with an alarming rise in mental health needs among America’s youth that the U.S. Surgeon General advises could be helped in part with school-based prevention and intervention supports.

One approach to school-based mental health is being tested in an IES-funded efficacy replication study called School Adolescent Mood Project: Efficacy of IPT-AST in Schools. This project is being led by Dr. Jami Young, associate chair of research in the Department of Child and Adolescent Psychiatry and Behavioral Sciences, faculty member in the PolicyLab at the Children’s Hospital of Philadelphia (CHOP), and professor of psychiatry at the University of Pennsylvania Perelman School of Medicine. Dr. Young was interviewed by Rebecca Sun, IES Intern, to help us learn more about conditions on the ground in her study and how telehealth-delivered Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) is working in these schools.

Tell us about the schools you are working in and the different mental health needs you are seeing. How do you think the pandemic influenced what you are seeing now? 

In the School Adolescent Mood Project (SAM project), we have been working closely with 16 schools in Pennsylvania and New Jersey that serve 9th and 10th grade students. Over the past three years, what we are seeing in these 16 schools is very different than what we are used to seeing in our past two decades of school-based depression prevention work. Compared to our earlier studies (see this one for example), in the current SAM project, the rate of teens with elevated scores on our depression screening has more than doubled, as has the percentage of students with scores indicating more significant depression.

The increases we have seen in the SAM project mirror increases in depression and anxiety that have been reported by others during the pandemic, including the most recent findings reported by the CDC. Our still unpublished screening data from the SAM project suggest that there are a substantial number of adolescents who are experiencing mental health difficulties and would benefit from services in schools and/or the community. There is much work that needs to be done, including increases in funding and workforce expansion, to grow and sustain school-based services to support these students. Additionally, establishing connections between schools and mental health agencies is essential, so students who need more intensive services can receive timely care.

What do the youth in your study say are their biggest concerns? 

We are seeing many adolescents who are reporting significant issues with depression and anxiety. Unfortunately, we have also seen an increase in adolescents who report suicidal thoughts and behaviors. The pandemic was difficult for many adolescents as they experienced school closures, loss of loved ones to COVID-19, and feelings of loneliness and social isolation. Even with the return to in-person learning and afterschool activities in the 2021-2022 school year that allowed many students to regain a sense of normalcy, other adolescents found the return to school to be a challenging adjustment. In the SAM project, we saw an increase in the number of adolescents who reported serious thoughts of wanting to kill themselves or who had made a suicide attempt from the 2020-2021 school year when most schools were virtual or hybrid to the 2021-2022 school year when schools were back to in person learning. Unfortunately, we have continued to see an increase in the percentage of adolescents reporting thoughts of wanting to kill themselves this academic year.      

Our school partners have also noted a significant increase in students with suicide-related concerns. One school counselor shared, “I think we have done more suicide risk assessments this year than the past 5 years combined.” This points to a critical need to fund and implement evidence-based screening, assessment, and prevention initiatives for youth suicide.

What have you learned so far about the feasibility and effectiveness of providing the IPT-AST intervention in a telehealth format?

We needed to think creatively about how to ensure that students received the support that they needed and to consider how we could promote continuity of care if schools needed to close again. We made the decision to deliver IPT-AST through telehealth. We thought the COVID pandemic was an important opportunity to capitalize on the recent growth and innovations in digital health and to study the acceptability and efficacy of IPT-AST when delivered through telehealth.

We’ve interviewed a subset of adolescents who participated in our IPT-AST groups to get their feedback about the program, including how they felt about IPT-AST being delivered through telehealth. We are still analyzing these interviews and looking at our other data on acceptability and feasibility, including attendance and satisfaction data. Anecdotally, we have noticed a change in the acceptability of telehealth over the course of our study. In our first year, providing our group online meant that students could receive services and interact with their peers even when school was closed. As we have moved further from school closures, more adolescents have expressed a desire to return to in-person groups. Several adolescents have suggested we consider hybrid models that incorporate both in-person and virtual sessions. One positive benefit of running IPT-AST groups online is that we have been able to include students from different schools in the same group. If we find positive benefits of telehealth-delivered IPT-AST, it will be interesting to see whether some schools and districts prefer to continue this approach as it will enable providers to deliver these services outside of the school day.

Do you think the pandemic has eased the stigma surrounding seeking mental health?

We do not measure stigma specifically in our study but hope that all the attention around mental health has been beneficial. As May is Mental Health Awareness Month, we think it is important to emphasize that mental health is health. If we can continue to spread this message, stigma around mental health will continue to decrease. We are hopeful that the increased focus on youth mental health, decreases in stigma, and proposed policy solutions to increase access to mental services will mean that more adolescents will be able to get the care they need.


This blog was produced by Emily Doolittle (Emily.Doolittle@ed.gov), NCER team lead for social behavioral research.

 

Integrating Intervention Systems to Address Student Mental Health and Social-Emotional-Behavioral Functioning

In honor of Mental Health Awareness Month, NCSER is featuring an IES-funded study on student behavioral supports and interventions that best address the mental health needs of students. Positive Behavioral Interventions and Supports (PBIS) and school mental health (SMH) are both evidence-based interventions that provide student mental health support independent of one another. For this blog, we interviewed Dr. Brandon Schultz, principal investigator of a current study investigating the integration of both PBIS and SMH into a comprehensive school intervention. In the interview below, he discusses the differences between PBIS and SMH, how this research contributes to equity and inclusion in the classroom, and his research journey.

Your study is comparing schools that integrate PBIS and SMH into the enhanced version of the Interconnected Systems Framework (ISF) to schools that implement these as separate, parallel systems. Can you describe PBIS and SMH, and explain the key differences between the integrated framework and parallel systems?

Headshot of Dr. Brandon Schultz

PBIS is a tiered prevention system that addresses student behavioral needs. It provides universal support (Tier 1) to all students, including clear schoolwide behavioral expectations and a rewards system for desired behaviors. For students who do not respond to these efforts, Tier 2 provides targeted help through classroom-level or small group interventions, such as teacher consultation or student mentoring/counseling. For students who need intensive support, Tier 3 provides specialized one-to-one behavioral services. SMH, in contrast, focuses specifically on mental illnesses (for example, anxiety, trauma, depression) and, in some cases, involves community-based therapists working contractually with schools. Typically, PBIS and SMH function separately as co-located services, but there is a growing recognition that student needs are best met when these efforts are meaningfully integrated. Integration, however, is challenging because it requires educators to rethink their teaming and progress monitoring practices and include different stakeholders in critical decision-making processes. This study tests innovations to the ISF model, designed by my co-PI, Dr. Mark Weist (University of South Carolina), to meet the challenges of integrating these systems in two diverse school districts.

How did you become interested in this area of research?

My previous research was mostly focused on school-based interventions for students with ADHD, but it became clear that without systems-level change, interventions meant to help students with ADHD are unlikely to be implemented or sustained effectively, no matter how well they are designed. So, I became interested in understanding school systems and identifying the elements, processes, and resources that are critical for student support services of all kinds. 

How does your research contribute to equity and inclusion in education?

Part of my current study is focused the degree to which innovations to the ISF model can reduce racial inequities in school disciplinary actions. Research shows that Black students receive higher rates of exclusionary punishments (for example, suspensions and expulsions) than their White counterparts, even after controlling for the type of infraction. The modified ISF model aims to reduce the overall need for exclusionary punishments, especially among students of color. By improving team functioning, ISF allows educators to identify systemic problems that lead to racial inequities in disciplinary referrals and to generate new strategies to address student needs in a fair and equitable manner. With this model, we anticipate increased support for students of color that obviates disciplinary referrals. We are working with school districts now to examine disciplinary data before, during, and after the implementation of the enhanced ISF. Our hope is to identify strategies that close race-related gaps and share the lessons learned broadly.

Have you encountered any challenges in studying this integrated framework in elementary schools?

Yes, absolutely. Systems-level change in general is difficult, as it requires change agents to overcome structural inertia rooted in local norms, routines, and expectations. Those challenges have been exacerbated by the COVID-19 pandemic and preexisting trends in childhood mental illnesses. 

During the pandemic, student progress in mathematics and reading have dramatically declined. Meeting these academic needs, a priority for teachers, can divert attention away from student mental health needs. For example, all teachers in one of our states are required to take a year-long online course in reading instruction, partly to address student learning loss. Although commendable, this requirement creates a significant burden for teachers that can leave little room for other concerns. 

Preexisting mental health trends demonstrate that mental illness was increasing sharply among school-age children; by 2018, nearly 15% of all K-12 students experienced a psychiatric condition each year. Then, with the onset of the pandemic, indicators of childhood mental illness (for example, emergency room visits for suicidal behavior) spiked. Childhood anxiety and depression doubled worldwide from pre-pandemic estimates, and it is unclear whether those rates will return to baseline.

Together, these events have created real challenges, not just for our research, but for student support services in general.

What is currently the greatest area of need in studying school-based systems that support student mental health, particularly for those students with or at risk for emotional and behavioral disorders?

Perhaps the greatest area of need for supporting students with emotional and behavioral disorders is understaffing in critical school mental health positions. There is a significant shortage of school psychologists, counselors, social workers, and nurses nationwide. In North Carolina, the current ratio of school psychologists to students is 1:2,527, five times higher than recommended. This understaffing hinders schools’ ability to provide high-quality services and complicates efforts to test and refine innovative practices because field-based practitioners are unable to collaborate on research efforts. Researchers have had to hire individuals to fulfill critical roles, such as behavioral consultants, that might otherwise have been assigned to district-employed staff. Trained personnel then exit the school district when the research project ends and that skillset is lost. We hope that states prioritize the hiring of school mental health practitioners in the coming years to ensure optimal student support services and that university-school research collaborations can reliably lead to sustainable innovations.

NCSER looks forward to seeing the results of this efficacy trial and will continue to fund research aimed at supporting the mental health and social-emotional-behavioral needs of students with or at risk for disabilities.

This blog was authored by Isabelle Saillard, student volunteer for NCSER and undergraduate at the University of Virginia.

Graduate Student Reflections on Engaging Research Opportunities

Engaging students in research can enrich their knowledge and support their future confidence to pursue research careers. In this interview blog, Dr. Allen Ruby, Associate Commissioner for the Policy and Systems Division at NCER, asked four doctoral graduate students at Montclair State University, Melissa Escobar, Taylor Walls, Hannah Thomas, and Marline Francois, to reflect on what attracted them to an IES-funded research project led by Dr. Carrie Masia. The project aims to improve education outcomes for Black American high school students with anxiety attending urban public schools through the development of culturally-responsive interventions.

What are your research interests, and how does this project align with your interests?

Melissa Escobar (ME): My research interests focus on optimizing access to evidence-based treatments for racial minority youth by training frontline providers in community and primary care settings to deliver them. I distinctly remember when I decided to pursue a career in psychology. I was working at a community youth center when the struggles of a Latinx mother deeply impacted me. Her husband's deportation to Mexico significantly altered her son's mood and schoolwork. She tearfully confided in me about her difficulties accessing mental health services for her son. She struggled to find a qualified provider who she believed understood their family's concerns, and the high cost of services and transportation prevented her from seeking care. Seeing the combination of cultural and structural barriers that influence mental health disparities within marginalized groups, I now align myself with research that advocates for high-quality depression and anxiety treatments in accessible locations for minority youth. This is why I found Dr. Masia's project a perfect fit for me. The project links the behavioral health and education sector to improve the mental health and academic achievement of historically marginalized youth with impairing anxiety.

Taylor Walls (TW): My research interests center around developing, implementing, and evaluating culturally sensitive interventions for children and adolescents with internalizing disorders in schools. A primary goal of this project is to use a school-based group intervention that has been shown to be effective in reducing social anxiety and revise it to address the unique needs of Black American students. It aims to consider the context of urban public schools and the culture of Black American adolescents. I have read about the importance of cultural adaptations to improve the quality and availability of these interventions for racial and ethnic minorities, and I welcome the opportunity to work closely on a project like this firsthand.

 

Hannah Thomas (HT): My research interests include optimizing evidence-based interventions for children and adolescents and the role of risk and protective factors in the development of internalizing disorders. My interest in these areas began when I worked at a summer program focused on bringing high school-aged student athletes, often from underserved communities, to learn leadership and sport psychology skills. This was a transformative experience, ultimately solidifying my interest to work with youth and interventions that teach skills to handle adversity. I was drawn to this IES project because it provides the opportunity to work with youth in a meaningful and impactful way.

 

Marline Francois (MF): My research interest is in exploring the psychological well-being of adolescent Black girls that experience racial and gender discrimination in education spaces. Furthermore, I am interested in creating gender and race-specific interventions for Black adolescent girls. My interest began after spending 15 years working as a therapist and recognizing the lack of interventions specifically for Black youth. I was also affected by the lack of adequate mental health services for Black youth coupled with their alarming increase in suicide rates. What I love about this project is that it aligns with my research interests and directly involves adolescents, which provides opportunities to learn from them and have them share their lived experiences.

 

What has been the most exciting aspect of this project for you?

ME: The most attractive part has been the opportunity to hear directly from students and parents on how to best address the needs of racial-ethnic minority families and develop culturally sensitive assessments and treatment strategies. Fully engaging with the community makes the work more meaningful to me. Also, the chance to have a hands-on approach in the research process from collecting qualitative data to developing interview guides and coding schemes makes me feel like my contributions are making a difference.

TW: As a fourth-year graduate student, this project is particularly exciting for me because I will be analyzing a portion of the data for my dissertation. It has expanded my research skills to formulate my own research questions to contribute information that is novel and of interest to my field. Furthermore, I enjoyed the aspects of this project that mirror my work as a clinician — speaking with children and their parents in one-on-one and small group settings to hear about their experiences and their feedback on how this program may be better tailored to their community. Having conversations with the individuals we want to impact makes this work particularly meaningful.

HT: The most exciting aspect of this project is the ability to be involved in multiple roles. I started at the beginning of the summer, and so far, I have been involved in conducting focus groups and developing a coding scheme for interview transcriptions. This excites me because I am able to diversify my skills as a researcher and gain experience in various research methods that may be useful for my dissertation.

MF: As a 3rd-year doctoral candidate, it has been exciting to see the process of this project from the beginning and being able to interview and interact with students and parents. I enjoyed the recruitment process and conducting focus groups and individual interviews. As a qualitative researcher, I appreciate the hands-on experience of learning how to conduct and the in-depth experiences shared by the students and parents, which will aid us in creating a more culturally sensitive intervention for Black youth.

What do you look for in a research supervisor or mentor?

ME: In addition to similar research interests, I look for a mentor who is respectful of personal boundaries. As graduate students, we have a lot of different responsibilities and having a mentor that shows you how to balance those roles is vital in keeping students engaged and successful. I have been fortunate to have a mentor who ensures that all work is evenly spread across all research team members. I also appreciate mentors who considers their students' personal goals and finds opportunities that align with them. For example, at the beginning of my graduate program, my mentor asked me what my goals were for the year, the program, and what type of work setting I saw myself in after graduation. This conversation has been beneficial in finding research opportunities, grants/scholarships, and clinical experiences that will help me meet my goals outside of working on research. Lastly, I take into consideration how available the mentor is. It is essential to maintain good communication through regular meetings and/or emails. This way, regular communication and feedback can happen in appropriate time frames, and any issues that arise are resolved quickly.

TW: It's important to me that a mentor has both interest in and time to support me in fostering my competence as a research professional and advancing my short- and long-term goals. This can be demonstrated in a number of ways, including recommending academic and professional development activities that will build my skills, providing constructive feedback in a respectful and supportive manner, and helping me manage challenges as they arise. I also prefer that my mentor shares in my passion for child-focused research and is eager to connect me with collaborators for projects or networking. Over the years, I've learned that I work best with mentors who grant me autonomy in my work, but I also benefit from frequent check-ins and strict deadlines. Finally, I appreciate a research mentor that provides encouragement and flexibility and acknowledges the importance of self-care and well-being.

HT: I looked for a research supervisor/mentor whose research interests aligned with mine. I found this to be important because not only are they knowledgeable in the area of research that I am interested in, but they also provide the right research opportunities to develop me on the road to an independent career.

MF: It was important for me to find a mentor with a research background that aligns to my research interests. I wanted to have someone that cared about my research interests and professional growth. Furthermore, it was important for me to find someone who was not afraid to give me constructive criticism on my ideas but also assist me with strategically planning for my future. As someone who values balance, it is also important for me to have a mentor who values my well-being.

What challenges have you faced when trying to find research projects that appeal to you, and what feedback would you give to graduate programs or faculty to better engage students in research? 

ME:  As a first-generation student, I did not know how to navigate finding research opportunities or emailing professors about potential opportunities. I quickly learned that most research opportunities aren't advertised and finding a role on a research team usually comes from word of mouth. I would encourage programs and faculty to do more to advertise research opportunities. I would also recommend that faculty welcome the involvement of undergraduate students in their labs. My research career began during the sophomore year of my undergraduate education. I would not have the experience I have today if that professor had not given me a chance. Even if the roles are small like doing audio transcription or data entry, all experience is valuable. Another suggestion would be to create a mentorship model within the lab with more senior students mentoring newer students. When relationships like this are built, students may feel more comfortable to try out new roles in the lab.

TW: In order to find research projects that appeal to me, I am diligent about seeking out faculty who are already doing work that interests me and are open to bringing on a collaborator. I appreciated that my graduate master's program hosted an open house at the beginning of each semester where students could meet faculty and be oriented to the research labs that were available to them. What helped me first want to get engaged in research was meeting faculty who were outwardly passionate about their work and created unique avenues for their students to get involved.

HT: I feel that I have been fortunate in obtaining research projects that appeal to me, and I attribute that to aligning myself with the right mentors. My past and current mentors are collaborative with other faculty and labs, which have allowed me to participate in a variety of research opportunities, further refining my research interests.  My suggestion for graduate programs and faculty to better engage students in research is to encourage collaboration across faculty and labs. 

MF: When I initially started my doctoral program, it was challenging to find the right research project that aligned with my interests. However, I believe it is important as a doctoral student to be flexible and adaptable to learning from other mentors. Furthermore, I found myself connecting with scholars and students from other disciplines and universities that had similar interests as myself. This has allowed me to learn to properly advocate for my needs and find a research lab that was more suitable for me. The advice I would give to graduate programs is to create more opportunities for graduate students across departments and disciplines tailored to various research needs. I also believe that universities can create more professional development training opportunities to better engage students in research, such as how to apply for competitive fellowships and grant opportunities during their studies.  


This blog was produced by Allen Ruby (Allen.Ruby@ed.gov), Associate Commissioner for Policy and Systems Division, NCER. 

 

Investing in Next Generation Technologies for Education and Special Education

The Department of Education’s (ED) Small Business Innovation Research (SBIR) program, administered by the Institute of Education Sciences (IES), funds entrepreneurial developers to create the next generation of technology products for students, teachers, and administrators in education and special education. The program, known as ED/IES SBIR, emphasizes an iterative design and development process and pilot research to test the feasibility, usability, and promise of new products to improve outcomes. The program also focuses on planning for commercialization so that the products can reach schools and end-users and be sustained over time.

In recent years, millions of students in tens of thousands of schools around the country have used technologies developed through ED/IES SBIR, including more than million students and teachers who used products for remote teaching and learning during the COVID-19 pandemic.

ED/IES SBIR Announces 2022 Awards

IES has made 10 2022 Phase I awards for $250,000*. During these 8 month projects, teams will develop and refine prototypes of new products and test their usability and initial feasibility. All awardees who complete a Phase I project will be eligible to apply for a Phase II award in 2023.

IES has made nine 2022 Phase II awards, which support further research and development of prototypes of education technology products that were developed under 2021 ED/IES SBIR Phase I awards. In these Phase II projects, teams will complete product development and conduct pilot studies in schools to demonstrate the usability and feasibility, fidelity of implementation, and the promise of the products to improve the intended outcomes.

IES also made one Direct to Phase II award to support the research, development, and evaluation of a new education technology product to ready an existing researcher-developed evidence-based intervention for use at scale and to plan for commercialization. The Direct to Phase II project is awarded without a prior Phase I award. All Phase II and the Direct to Phase II awards are for $1,000,000 for two-years. Across all awards, projects address different ages of students and content areas.

The list of all 2022 awards is posted here. This page will be updated with the two additional Phase I awards after the contracts are finalized.

 

 

The 2022 ED/IES SBIR awards highlight three trends that continue to emerge in the field of education technology.

Trend 1: Projects Are Employing Advanced Technologies to Personalize Learning and Generate Insights to Inform Tailored Instruction

About two-thirds of the new projects are developing software components that personalize teaching and learning, whether through artificial intelligence, machine learning, natural language processing, automated speech recognition, or algorithms. All these projects will include functionalities afforded by modern technology to personalize learning by adjusting content to the level of the individual learner, offer feedback and prompts to scaffold learning as students progress through the systems, and generate real-time actionable information for educators to track and understand student progress and adjust instruction accordingly. For example:

  • Charmtech Labs and Literably are fully developing reading assessments that provide feedback to inform instruction.
  • Sirius Thinking and studio:Sckaal are developing prototypes to formatively assess early grade school students in reading.
  • Sown To Grow and xSEL Labs are fully developing platforms to facilitate student social and emotional assessments and provide insights to educators.
  • Future Engineers is fully developing a platform for judges to provide feedback to students who enter STEM and educational challenges and contests.
  • Querium and 2Sigma School are developing prototypes to support math and computer science learning respectively.
  • ,Soterix is fully developing a smart walking cane and app for children with visual impairments to learn to navigate.
  • Alchemie is fully developing a product to provide audio cues to blind or visually impaired students learning science.
  • Star Autism Support is developing a prototype to support practitioners and parents of children with autism spectrum disorder.

Trend 2: Projects Focusing on Experiential and Hands-On Learning
Several new projects are combining hardware and software solutions to engage students through pedagogies employing game-based, hands-on, collaborative, or immersive learning:

  • Pocketlab is fully developing a matchbox-sized car with a sensor to collect physical science data as middle school students play.
  • GaiaXus is developing a prototype sensor used for environmental science field experiments.
  • Mind Trust is a developing a virtual reality escape room for biology learning.
  • Smart Girls is developing a prototype science game and accompanying real-world hands-on physical activity kits.
  • Indelible Learning is developing a prototype online multi-player game about the electoral college.
  • Edify is fully developing a school-based program for students to learn about, create, and play music.

Trend 3: Projects to Advance Research to Practice at Scale

Several new awards will advance existing education research-based practices into new technology products that are ready to be delivered at scale:

  • INSIGHTS is fully developing a new technology-delivered version to ready an NIH- and IES-supported social and emotional intervention for use at scale.
  • xSEL Laband Charmtech Labs (noted above) are building on prior IES-funded research-based interventions to create scalable products.
  • Scrible is developing an online writing platform in partnership with the National Writers Project based on prior Department of Education-funded research. 

 


*Note: Two additional 2022 Phase I awards are forthcoming in 2022. The contracts for these awards are delayed due to a back-up in the SAM registration process.

Stay tuned for updates on Twitter and Facebook as IES continues to support innovative forms of technology.

Edward Metz (Edward.Metz@ed.gov) is the Program Manager of the ED/IES SBIR program.

Michael Leonard (Michael.Leonard@ed.gov) is the Program Analyst of the ED/IES SBIR program.

 

Checking Up: School Transition Support for Students at Risk for Behavioral Problems and Their Families

In recognition of Mental Health Awareness Month, we spoke with Dr. Elizabeth Stormshak (University of Oregon) about her intervention, the Family Check-Up (FCU), which addresses emotional and behavioral challenges during times of transition for students with or at risk for disability. Dr. Stormshak has been testing the efficacy of FCU during different student transitions, from its initial iteration focused on the middle to high school transition, to implementation during the transition to kindergarten, to a “booster” intervention to support in the transition to middle school. The FCU intervention now includes an online version for middle school students, which is especially suited to the transition from virtual to in-person learning.

Let’s start off with the transition for young children. What are some challenges facing children at risk for behavioral problems and their families as children transition into kindergarten?

Photo of Elizabeth Stormshak

Our work has focused on family challenges and contextual stressors that impact the successful transition to schools, such as parent mental health, stress, and parenting skills. Our approach to intervention has focused on providing support to families as they transition with their children to elementary school through brief, strength-based, adaptive interventions to reduce problem behavior and enhance academic outcomes.

How does Family Check-Up address these challenges?

First, the FCU helps parents assess their own strengths and their child’s strengths, building on “what is going well” as they consider ways to focus on areas that need support. This strength-based approach to intervention helps motivate caretakers to consider different ways to manage child behavior and emotional problems in the home, which has implications for the transition to school.

Second, the FCU is a brief intervention that is adapted to the needs of families. No family receives the exact same intervention content because the focus is always derived from an individualized assessment that is norm-referenced and guides intervention delivery.

Why was it important to build the FCU to support the transition to middle school?

Middle school is a difficult time for youth and families. Caretakers tend to “disengage” during this time, which can lead to mental health and behavioral problems for youth. The FCU focuses on “re-engaging” parents during this critical transition. The intervention was originally focused on reducing risk during the transition from middle to high school. Interestingly, the FCU is an ideal intervention for all transitions that a child and family might experience (school entry, middle school, and high school). Therefore, extending FCU to help families with the transition from elementary to middle school seemed like a natural and critical extension of our work using FCU to support school adjustment during the other periods of transition. 

What have you found so far? Has FCU been found to improve student outcomes?

Our work at kindergarten entry has clearly linked the FCU intervention with a variety of important school-based outcomes, including reduced problem behavior and enhanced parenting skills and home–school engagement. In our primary outcome paper from this research, we found that engagement in the intervention led to improvements in parenting skills—including limit setting, parent self-efficacy, and parental warmth—which then led to reductions in child behavior problems from kindergarten to second grade.

Our work supports the FCU model as an effective intervention for children and families during the transition to school. We continue to follow this sample of children and families into the middle school years. Our data collection for this project will end during the 2022-2023 school year. At that time, we will be able to examine the impact of the kindergarten and middle school intervention combined and compare this group of children to a control condition with no FCU as well as groups that received intervention only during kindergarten entry and only during middle school entry.

Your latest project is part of a new competition, Research to Accelerate Pandemic Recovery in Special Education. How has the FCU been adapted to address the needs of students following the disruptions of COVID-19?

I am excited to pursue this work and apply my interest in child and family mental health to the pandemic recovery. My whole career has been focused on the mental and behavioral health of children and families, and I hope to make a difference during this stressful time in society where mental health challenges for youth and their families have escalated.

We are eager to provide the FCU Online to schools in our area (Portland, Oregon) to address the recovery of students and families after the pandemic. Our work on the FCU Online began in 2015, well before the pandemic. Initial results of a randomized trial (supported by postdoctoral fellows funded through a postdoctoral training grant) supported the online approach for reduction of child emotional problems and improvement of parenting skills, especially for at-risk youth and parents. We expanded the model during COVID-19 in multiple ways, including adaptations that make the online model more accessible to families from a variety of backgrounds. The FCU Online can be delivered in both Spanish and English, is available on smartphones, and is easily delivered by schools because it can be supported by a range of providers, such as school counselors or behavioral health specialists.

The FCU Online has also been adapted with new content since the COVID-19 pandemic, including a module on Healthy Behaviors for Stressful Times that provides support to caretakers focused on healthy routines, coping, listening skills with youth, and management of depression and anxiety. We are excited to partner with schools in Oregon to implement this online approach to service delivery.

What are the next steps for your research?

The next steps in our work involve a focus on implementation and dissemination of the FCU Online model in schools. We have conducted focus groups and data collection with school providers over multiple grants and projects and have integrated this feedback into the FCU Online content and process. We look forward to continuing to build on this work in our new grant and to adapt the FCU Online to our changing times. We know that mental health and behavioral problems are going to persist for children and families, and evidence-based solutions that can be disseminated widely are going to be critical for helping us recover from the long-term mental health impacts of the pandemic. 

Dr. Elizabeth Stormshak is the Knight Chair and Professor of Counseling Psychology and Human Services at the College of Education at the University of Oregon, 

This interview was produced and edited by Julianne Kasper, Virtual Student Federal Service Intern at IES and graduate student in Education Policy & Leadership at American University.