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Tipping Points: Teachers’ Reported Reasons for Referring Primary School Children for Excessive Anxiety

Published online by Cambridge University Press:  11 December 2015

Kaitlin J. Hinchliffe  and
Marilyn A. Campbell
Kaitlin J. Hinchliffe
Affiliation:
Queensland University of Technology, Brisbane, Queensland, Australia
Marilyn A. Campbell*
Affiliation:
Queensland University of Technology, Brisbane, Queensland, Australia
*
address for correspondence: Professor Marilyn Campbell, School of Cultural and Professional Learning, Faculty of Education, A Block, Queensland University of Technology, Victoria Park Road, Kelvin Grove, QLD, 4059, Australia. Email: [email protected]
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Abstract

The current study explored the reasons that primary school teachers reported were tipping points for them in deciding whether or not and when to refer a child to the school student support team for excessive anxiety. Twenty teachers in two Queensland primary schools were interviewed. Content analysis of interview transcripts revealed six themes reflecting teachers’ perceived reasons for deciding to refer anxious children: (1) impact on learning; (2) atypical child behaviour; (3) repeated difficulties that do not improve over time; (4) poor response to strategies; (5) teachers’ need for support; and (6) information from parents/carers. Teachers considered different combinations of reasons and had many different tipping points for making a referral. Both teacher- and system-level influences impacted referral decisions. Implications and future research are discussed.

Keywords

teachers’ perceptionsreferralanxietyinternalising problemsmiddle childhood
Type
Articles
Information
Journal of Psychologists and Counsellors in Schools , Volume 26 , Issue 1 , June 2016 , pp. 84 - 99
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Copyright
Copyright © The Author(s) 2015 

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References

Abidin, R.R., & Robinson, L.L. (2002). Stress, biases or professionalism: What drives teachers’ referral judgments of students with challenging behaviors? Journal of Emotional and Behavioral Disorders, 10, 204–212. Retrieved from http://ebx.sagepub.com/Google Scholar
Ajzen, I. (2005). Attitudes, personality and behaviour (2nd ed.). Maidenhead, England: Open University Press.Google Scholar
Barrett, P.M., & Pahl, K.M. (2006). School-based intervention: Examining a universal approach to anxiety management. Australian Journal of Guidance & Counselling, 16, 55–75. doi:10.1375/ajgc.16.1.55Google Scholar
Bell, H.D., & McKenzie, V. (2013). Perceptions and realities: The role of school psychologists in Melbourne, Australia. The Australian Educational and Developmental Psychologist, 30, 54–73. doi:10.1017/edp.2013.1Google Scholar
Bittner, A., Egger, H.L., Erkanli, A., Costello, E.J., Foley, D.L., & Angold, A. (2007). What do childhood anxiety disorders predict? Journal of Child Psychology and Psychiatry, 48, 1174–1183. doi:10.1111/j.1469-7610.2007.01812.xGoogle Scholar
Briesch, A.M., Ferguson, T.D., Volpe, R.J., & Briesch, J.M. (2013). Examining teachers’ perceptions of social-emotional and behavioral referral concerns. Remedial and Special Education, 34, 249–256. doi:10.1177/0741932512464579Google Scholar
Campbell, M.A. (2003a). Prevention and intervention for anxiety disorders in children and adolescents: A whole school approach. Australian Journal of Guidance and Counselling, 13, 47–62. Retrieved from http://journals.cambridge.org/action/displayJournal?jid=JGCGoogle Scholar
Campbell, M.A. (2003b). An innovative multidisciplinary approach to identifying at-risk children in primary schools. Australian Journal of Guidance and Counselling, 13, 159–166. Retrieved from http://journals.cambridge.org/action/displayJournal?jid=JGCGoogle Scholar
Cartwright-Hatton, S., McNicol, K., & Doubleday, E. (2006). Anxiety in a neglected population: Prevalence of anxiety disorders in pre-adolescent children. Clinical Psychology Review, 26, 817–833. doi:10.1016/j.cpr.2005.12.002Google Scholar
Cole, D.A., Peeke, I.G., Martin, J.M., Truglio, R., & Senczynski, A.D. (1998). A longitudinal look at the relation between depression and anxiety in children and adolescents. Journal of Consulting and Clinical Psychology, 66, 451–460.Google Scholar
Costello, E.J., Egger, H.L., & Angold, A. (2005). The developmental epidemiology of anxiety disorders: Phenomenology, prevalence, and comorbidity. Child and Adolescent Psychiatric Clinics of North America, 14, 631–648. doi:10.1016/j.chc.2005.06.003CrossRefGoogle ScholarPubMed
Creswell, J.W. (2012). Educational research: Planning, conducting, and evaluating quantitative and qualitative research. Boston: Pearson.Google Scholar
Cunningham, J.M. (2011). Accuracy of educator nominations in identifying students with elevated levels of anxiety and depression (Doctoral dissertation). University of South Florida, Tampa, FL. Retrieved from http://scholarcommons.usf.edu/etd/3719/Google Scholar
Duchesne, S., Vitaro, F., Larose, S., & Tremblay, R.E. (2007). Trajectories of anxiety during elementary-school years and the prediction of high school noncompletion. Journal of Youth and Adolescence, 37, 1134–1146. doi:10.1007/s10964-007-9224-0Google Scholar
Eklund, K., & Dowdy, E. (2013). Screening for behavioral and emotional risk versus traditional school identification methods. School Mental Health, 6, 40–49. doi:10.1007/s12310-013-9109-1Google Scholar
Emslie, G.J. (2008). Pediatric anxiety: Under-recognized and undertreated. The New England Journal of Medicine, 359, 2835–2836. Retrieved from http://www.nejm.org/Google Scholar
Fantuzzo, J., Stoltzfus, J., Lutz, M.N., Hamlet, H., Balraj, V., Turner, C., & Mosca, S. (1999). An evaluation of the special needs referral process for low-income preschool children with emotional and behavioral problems. Early Childhood Research Quarterly, 14, 465–482. Retrieved from http://www.journals.elsevier.com/early-childhood-research-quarterly/Google Scholar
Green, M.T., Clopton, J.R., & Pope, A.W. (1996). Understanding gender differences in referral of children to mental health services. Journal of Emotional and Behavioral Disorders, 4, 182–190. doi:10.1177/106342669600400305CrossRefGoogle Scholar
Grover, R.L., Ginsburg, G.S., & Ialongo, N. (2007). Psychosocial outcomes of anxious first graders: A seven-year follow-up. Depression and Anxiety, 24, 410–420. doi:10.1002/da.20241Google Scholar
Headley, C.J., & Campbell, M.A. (2011). Teachers’ recognition and referral of anxiety disorders in primary school children. Australian Journal of Educational and Developmental Psychology, 11, 78–90. Retrieved from http://www.newcastle.edu.au/journal/ajedpGoogle Scholar
Headley, C., & Campbell, M.A. (2013). Knowledge of anxiety and identification of excessive anxiety in children. Australian Journal of Teacher Education, 38, 48–66. doi:10.14221/ajte.2013v38n5.2Google Scholar
Kingsley, S.J. (2011). Preschool teachers’ perceptions of factors influencing their referral decisions for young children with severe behavior problems (Doctoral dissertation). University of North Carolina at Chapel Hill, NC. Retrieved from http://dc.lib.unc.edu/cdm/singleitem/collection/etd/id/4354/rec/1Google Scholar
Kirk, M.R.R. (2013). Screening for social emotional difficulties among elementary students: A comparison of screening methods and teacher perceptions (Doctoral dissertation). Available from ProQuest Dissertations & Theses Global (1476403318). Retrieved from http://search.proquest.com/docview/1476403318?accountid=13380Google Scholar
Layne, A.E., Bernstein, G.A., & March, J.S. (2006). Teacher awareness of anxiety symptoms in children. Child Psychiatry and Human Development, 36, 383–392. doi:10.1007/s10578-006-0009-6Google Scholar
Liljequist, L., & Renk, K. (2007). The relationships among teachers’ perceptions of student behaviour, teachers’ characteristics, and ratings of students’ emotional and behavioural problems. Educational Psychology, 27, 557–571. doi:10.1080/01443410601159944Google Scholar
Loades, M.E., & Mastroyannopoulou, K. (2010). Teachers’ recognition of children's mental health problems. Child and Adolescent Mental Health, 15, 150–156. doi:10.1111/j.1475-3588.2009.00551.xGoogle Scholar
Luke, V. (2009). Associations between student referrals to the student support team and teacher efficacy, teacher tolerance, and teaching experience (Doctoral dissertation). Available from ProQuest Dissertations & Theses Global (305076922). Retrieved from http://search.proquest.com/docview/305076922?accountid=13380Google Scholar
McLoone, J., Hudson, J.L., & Rapee, R.M. (2006). Treating anxiety disorders in a school setting. Education and Treatment of Children, 29, 219–242. Retrieved from http://www.educationandtreatmentofchildren.net/contents/29_2.htmlGoogle Scholar
Montague, M., Enders, C., & Castro, M. (2005). Academic and behavioral outcomes for students at risk for emotional and behavioral disorders. Behavioral Disorders, 31, 84–94. Retrieved from http://www.ccbd.net/behavioraldisorders/Journal/index.cfmGoogle Scholar
Mychailyszyn, M.P., Beidas, R.S., Benjamin, C.L., Edmunds, J.M., Podell, J.L., Cohen, J.S., & Kendall, P.C. (2011). Assessing and treating child anxiety in schools. Psychology in the Schools, 48, 223–232. doi:10.1002/pits.20548Google Scholar
Papandrea, K., & Winefield, H. (2011). It's not just the squeaky wheels that need the oil: Examining teachers’ views on the disparity between referral rates for students with internalizing versus externalizing problems. School Mental Health, 3, 222–235. doi:10.1007/s12310-011-9063-8Google Scholar
Patton, M.Q. (2002). Qualitative research and evaluation methods. (3rd ed.) Thousand Oaks, CA: Sage.Google Scholar
Pearcy, M.T., Clopton, J.R., & Pope, A.W. (1993). Influences on teacher referral of children to mental health services: Gender, severity, and internalizing versus externalizing problems. Journal of Emotional and Behavioral Disorders, 1, 165–169. doi:10.1177/106342669300100304Google Scholar
Powell, D., Fixsen, D., Dunlap, G., Smith, B., & Fox, L. (2007). A synthesis of knowledge relevant to pathways of service delivery for young children with or at risk of challenging behavior. Journal of Early Intervention, 29, 81–103. doi:10.1177/105381510702900201Google Scholar
Reinke, W.M., Stormont, M., Herman, K.C., Puri, R., & Goel, N. (2011). Supporting children's mental health in schools: Teacher perceptions of needs, roles, and barriers. School Psychology Quarterly, 26, 1–13. doi:10.1037/a0022714Google Scholar
Rickwood, D. (2005). Supporting young people at school with high mental health needs. Australian Journal of Guidance and Counselling, 15, 137–155. doi:10.1375/ajgc.15.2.137Google Scholar
Rickwood, D., Deane, F.P., Wilson, C.J., & Ciarrochi, J. (2005). Young people's helpseeking for mental health problems. Australian e-Journal for the Advancement of Mental Health, 4 (Suppl.), 1–34. Retrieved from http://search.informit.com.au/browseJournalTitle;res=IELHEA;issn=1446-7984Google Scholar
Sawyer, M.G., Arney, F.M., Baghurst, P.A., Clark, J., Graetz, B.W., Kosky, R.J., . . . Zubrick, S.R. (2001). The mental health of young people in Australia: Key findings from the child and adolescent component of the national survey of mental health and well-being. Australian and New Zealand Journal of Psychiatry, 35, 806–814. doi:10.1046/j.1440-1614.2001.00964.xGoogle Scholar
Stake, R.E. (1995). The art of case study research. Thousand Oaks, CA: Sage.Google Scholar
Strauss, A.L. (1987). Qualitative analysis for social scientists. Cambridge, UK: Cambridge University Press.Google Scholar
Tilly, W.D. (2008). The evolution of school psychology to science-based practice: Problem-solving and the three-tiered model. In Thomas, A. & Grimes, J.P. (Eds.), Best practices in school psychology V (pp. 17–36). Bethesda, MD: National Association of School Psychologists.Google Scholar
Trout, A.L., Epstein, M.H., & Nelson, R. (2006). Profiles of young children teacher-identified as at risk for emotional disturbance: A pilot study. Behavioral Disorders, 31, 162–175. Retrieved from http://www.ccbd.net/publications/behavioraldisordersGoogle Scholar
Trudgen, M., & Lawn, S. (2011). What is the threshold of teachers’ recognition and report of concerns about anxiety and depression in students? An exploratory study with teachers of adolescents in regional Australia. Australian Journal of Guidance and Counselling, 21, 126–141. doi:10.1375/ajgc.21.2.126Google Scholar
Walsh, K., Rassafiani, M., Mathews, B., Farrell, A., & Butler, D. (2010). Teachers' attitudes toward reporting child sexual abuse: Problems with existing research leading to new scale development. Journal of Child Sexual Abuse, 19, 310–336. doi:10.1080/10538711003781392Google Scholar
Walsh, K., Rassafiani, M., Mathews, B., Farrell, A., & Butler, D. (2012). Exploratory factor analysis and psychometric evaluation of the teacher reporting attitude scale for child sexual abuse. Journal of Child Sexual Abuse, 21, 489–506. doi:10.1080/10538712.2012.689423Google Scholar