This section of the web site presents interventions - or strategies
- you can use to help students with mental health conditions to succeed
at school. The interventions may be used in mainstream classrooms,
classrooms for children with special needs, and during the time before
or after school.
Many of the interventions are appropriate even if a student does
not have a formal diagnosis, or does not qualify for special education
services. Even minor interventions can adjust the school experience
so that a student’s strengths outweigh his or her learning
or behavioral challenges.
How to Find Appropriate Interventions on this Site
The following steps
will help you find appropriate interventions:
Step 1: Select a Mental Health Condition
From the list of conditions in the School-Based
Interventions section of the site, click on the student’s primary mental
health condition. If you do not know the diagnosis, or if the student
does not have a formal diagnosis, you can click on each mental
health condition to learn about typical symptoms and see whether
the child exhibits any symptoms associated with that mental health
condition.
Step 2: Select Target Symptoms
Select the symptoms that
you want to address. Symptoms are presented by mental health condition,
as shown below.
| Mental Health
Condition |
Associated
Symptoms |
| General Anxiety and Panic |
Worry, Emotionality |
| Separation Anxiety |
Separation Difficulty |
| Social Anxiety |
Social Fears |
| Obsessive-Compulsive Disorder |
Obsessive Thoughts, Compulsions |
| Post-Traumatic Stress Disorder |
Hypervigilance |
| Depression |
Sad Mood, Irritable Mood, Appetite Changes,
Sleep Changes, Social Withdrawal, Fatigue/Energy Loss |
| Suicidality |
Suicidal or Self-Harm Thoughts |
| Bipolar Disorder (Manic-Depression) |
Manic Mood (Mania), Depressed Mood |
| Psychosis |
Hallucinations, Delusions |
| Attention Deficit/Hyperactivity Disorder |
Inattention, Hyperactivity, Impulsivity |
| Conduct Disorder/Oppositional Behavior |
Opposition |
| Autism Spectrum Disorders |
Communication Difficulties, Difficulties with
Social Interaction, Restrictive Routines or Interests, Sensory
Issues |
| Nonverbal Learning Disability |
Cognitive Difficulties, Social and Emotional
Difficulties, Motor Difficulties |
| Eating Disorders |
Anorexia, Bulimia |
Step 3: Select Appropriate Interventions
From
the intervention strategies provided, select those that
seem most promising and least disruptive to carry out.
Note that for each
symptom, interventions are presented in four categories: accommodations,
modifications, specialized instruction, and behavioral
planning.
These categories represent a range of approaches, from relatively
simple changes made in the classroom to more complex plans implemented
by specialists.
At one end of the spectrum, accommodations require a minimal degree
of intervention and can be provided by a regular education teacher
to help the student meet curriculum requirements. At the other
end, specialized instruction is usually delivered by school staff
with specialized training to address more significant mental health
concerns.
Accommodation: A change to the way a student
receives regular curriculum content – usually delivered
by a regular classroom teacher. Detailed definition
Modification: A change in teaching strategies
or in expectations concerning content the student will
master – usually
delivered by a regular classroom teacher. Detailed
definition
Specialized instruction: A change to the content,
performance expectations, and method of instruction – usually
delivered by staff with special training. Detailed definition
Behavioral planning: Developing and applying
a protocol to address specific behaviors that interfere
with the learning environment – usually
developed by a specialized team.
Detailed
definition top
Step 4: Apply the Interventions
It would not be
feasible or appropriate to institute every intervention listed
for a particular symptom. Instead, consider which symptoms interfere
most with a student's school success, and prioritize interventions
accordingly.
What to Keep in Mind
Keep in mind these
considerations when deciding which interventions might work best
for a particular student:
- Can the intervention be made in a way that does not call
attention to the student’s being “different”?
If not, can the intervention be made for the entire class or
a group of students so no student is publicly singled out?
- Will the student feel the intervention is helpful? If the
student refuses to accept it, can you show the student how it will
be helpful or how it will help the student meet his/her own goals?
- Will the school be able to provide the intervention consistently
over time? If not, can you select more realistic interventions?
Cautions
Also keep in mind the following cautions:
- The effectiveness of these interventions for any individual
does not confirm or rule out a diagnosis.
- Diagnoses should be made only by a trained clinician after
a thorough evaluation.
- Symptoms suggestive of suicidal or harmful behaviors warrant
immediate attention by a trained clinician. top
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