This week’s blog was contributed by Carrie Champ Morera, PsyD, lead project and content director, and Theo Miron, PsyS, regional manager–educational assessments.
Why should psychologists and other clinicians assess for emotional disturbance (ED) in the school setting? Parents and caregivers of 8.3 million school-aged children (ages 4 to 17 years) have sought help from school staff or mental health professionals about their child’s emotional or behavioral difficulties. Approximately 7.5% of children ages 6 to 17 years used prescribed medication during the past 6 months for emotional or behavioral difficulties. Assessment of ED is necessary in the school setting to help children obtain the emotional and behavioral support services they need to be successful.
Over the past 20 years, the number of students served within special education has steadily increased, while the number of students being served under ED eligibilities has steadily decreased. For example, during the 2000–2001 school year, 6.29 million students received special education services with 7.6% of those students identified as having an ED. Although the population of students receiving special education services grew by almost one million children to 7.13 million over the next 18 years, only 5% were identified as having an ED during the 2018–2019 school year.
How can we improve ED identification and help children obtain the services they need to be successful in school? It is the school’s responsibility and a school psychologist’s professional role to find children who are struggling emotionally and behaviorally, identify them through the evaluation process, and then connect them with appropriate services and interventions so they can begin to heal and make educational, social, emotional, and behavioral progress.
When completing assessments for ED, we need to carefully consider and adhere to specific eligibility criteria while distinguishing the difference between social maladjustment (SM) and ED. Practitioners also need to consider DSM-V-related diagnoses as well as the impact of trauma, adverse childhood experiences (ACES), and the pandemic on the child’s functioning. It is also imperative to be cognizant of racial disproportionality in determining eligibility for ED services (see NASP Position Statement: Racial and Ethnic Disproportionality in Education).
Assessments of ED need to be comprehensive and include multiple tests and information from a variety of sources. Clinical interviews with the student, caregivers, and teachers, as well as observations of the student in the natural environment are paramount. Trauma, ACES, and the pandemic also need to be considered in the assessment of ED. Childhood adversity is a broad term that refers to a wide range of circumstances or events that pose a serious threat to a child’s physical or psychological wellbeing, including child abuse, neglect, divorce, bullying, poverty, and community violence. Adverse experiences can have profound consequences, particularly when they occur early in life, are chronic, and accumulate over time. Trauma is an outcome of exposure to adversity while adversities are the cause of trauma. Trauma affects everyone differently, depending on individual, family, and environmental risk, as well as protective factors.
Repeated or prolonged trauma in addition to the effects of the pandemic can have a litany of adverse outcomes on our children in the areas of cognition, brain development, behavior, emotions, mental health, physical health, and relationships. These factors need to be considered in a comprehensive evaluation for ED.
Since the start of the pandemic, we have seen a significant increase in kids struggling with both emotional and behavioral difficulties. This increase may lead to an uptick in the number of ED-related assessment referrals that come across our desks and the number of students who require special education services. This leads us into how we assess children for an ED and the benefits of using the Emotional Disturbance Decision Tree (EDDT).
Dr. Bryan Euler, the author of the EDDT, has worked as a school counselor, diagnostician, lead school psychologist, and a clinical psychologist. While working in the Albuquerque public schools, Dr. Euler teamed up with PAR to create the EDDT to provide a standardized approach to the assessment of ED. It was designed to directly address the framework of the federal ED eligibility criteria; for every component of the federal ED criteria, there’s a corresponding EDDT scale or cluster. The scales within the assessment are written to address these broad domains thoroughly, then help school psychologists apply the specific criteria to make informed decisions on both eligibility and programming.
The EDDT includes all the relevant aspects of the federal ED criteria. It contains scales and clusters that address each of the specific ED criteria. The structure of the EDDT walks the practitioner through each area of the federal ED criteria.
Bryan Euler, PhD, describes the benefits of the EDDT and the importance of multiple informants, including the student’s perspective, here.
There are several best practices to keep in mind with the EDDT: Include the viewpoint of multiple raters (teacher, parent, and/or self) from different settings (school, home, and community). Use the EDDT as part of a comprehensive evaluation to determine ED eligibility. In addition to the EDDT, be sure to include qualitative information such as interviews (from the student, parents, and/or teachers) and observations across school settings to supplement the data received on the EDDT.
Carrie Champ Morera, PsyD and Theo Miron, PsyS will present on the EDDT at the National Association of School Psychologists (NASP) annual convention in February. In their presentation, Assessing Emotional Disturbance in Schools Using the Emotional Disturbance Decision Tree (EDDT), they will explore the features and trends in ED and investigate the structure and use of the EDDT. If you attend NASP, feel free to stop by the PAR booth to learn more about how PAR can meet your assessment needs.
Let the EDDT family of products help you find the way when navigating the challenging path of an emotional disturbance diagnosis. The EDDT family of products offer school/clinical professionals a standardized approach to gathering information from parents, teachers, and the student him or herself about the individuals functioning in the areas that make up the federal ED criteria. Now training on how to use the EDDT products is available on the PAR Training Portal.
Whether you are a long-time user and want a greater understanding of the products or are considering purchasing for the first time, this course will give you greater insight into the assessment of emotional disturbance, the decisions made when developing the EDDT, and how the different components work together to promote a comprehensive assessment of the student across school and home environments.
The PAR Training Portal is a free, on-demand resource available 24/7.
Visit partrainingportal.com today!
Simply use your parinc.com account to log in. Don’t have a free account? It’s easy to register.
Students with an emotional disturbance (ED) can be difficult to assess and identify due to the unique and diverse nature of the disorder.
A new white paper discusses social–emotional evaluations with experts in the field, helping you to identify emotional disturbance using a variety of PAR products. The white paper will help you make more confident and informed decisions about eligibility for an ED diagnosis.
This free white paper discusses the Behavior Rating Inventory of Executive Function, 2nd Ed. (BRIEF2), the Pediatric Behavior Rating Scale (PBRS), the Adolescent Anger Rating Scale (AARS), and the Emotional Disturbance Decision Tree (EDDT).
Download your copy today!
Assessment of emotional disturbance (ED) just got faster and more convenient.
Administration and scoring for the Emotional Disturbance Decision Tree Self-Report Form (EDDT-SR) and a new EDDT Multi-Rater Summary Report are now available on our online platform, PARiConnect.
From 2011 to 2018, the number of students who received special education services in U.S. public schools increased from 6.4 to 7 million—about 14% of enrollment. Of that number, 5% have been identified as having ED, a condition that has historically been difficult to assess and identify.
Gathering information from multiple perspectives is an important component of ED assessment. The EDDT, EDDT Parent Form, and EDDT-SR are designed to be used together to help professionals develop a more thorough and well-rounded picture of student functioning. These standardized assessment tools map directly onto the Individuals with Disabilities Education Act (IDEA) criteria for ED to help professionals determine and document student eligibility for special education services.
Administer and score all three EDDT tests online and generate the Multi-Rater Summary Report at no additional cost for a limited time! This new report provides significant score discrepancies, discrepancies between raters, and profiles of ED scales and indicates if scores meet the IDEA criteria for an ED diagnosis to help you get students the help they need.
Learn more about the EDDT.
The Emotional Disturbance Decision Tree (EDDT) family of instruments gives you insight from three distinct viewpoints—teacher (EDDT), parent (EDDT-PF), and self (EDDT-SR).
Though each form can be used individually, the full potential of the EDDT family is realized by garnering a trio of perspectives. See the advantages gained by in a case study presented in our new white paper by Jennifer A. Greene, PhD, and EDDT author Bryan L. Euler, PhD. You’ll also get information about the EDDT Multi-Rater Summary Form, a tool that can help you interpret statistically significant discrepancies between raters.
Learn more about the EDDT family.