School psychologists’ interprofessional collaboration with medical providers: An initial examination of training, preparedness, and current practices: ARORA et al

Overlapping Training and Roles: An Exploration of the State of Interprofessional Practice between Behavior Analysts and School Psychologists

Board certified behavior analysts (BCBAs) working in the schools often are charged with supporting students with and without disabilities who engage in challenging behavior. Meeting the unique needs of these students often requires a collaborative approach with other school-based professionals. We specifically sought to understand how behavior analysts engage in interprofessional collaboration with school psychologists (SPs), professionals who also have training to support students who engage in challenging behavior. We disseminated a survey across the United States targeting school-based BCBAs and SPs to further understand how their training and job responsibilities overlap. We also asked respondents about the extent to which they collaborate with the other professionals, modes of their collaboration, and barriers and facilitators in effective collaboration. Our findings in this exploratory study indicate BCBAs' and SPs' training and responsibilities do indeed overlap in relevant areas. Roles diverge in the frequency each professional participates in common educational and behavioral practices. Both groups report similar barriers when engaging in interprofessional collaboration, although BCBAs are more likely to report differing philosophies as a barrier. For both groups, findings suggest that BCBAs and SPs can find common ground if their professional colleagues indicate that they also value collaboration. Recommendations for future research and study limitations are also discussed.

Exploring the care coordination experiences of professionals and caregivers of youth with acquired brain injuries in rural areas

PURPOSE

Acquired brain injuries (ABIs) can have devastating effects on children and their families. Families living in rural communities experience unique barriers to receiving and coordinating care for complex medical needs, but little research has examined those barriers for rural youth with ABIs.

MATERIALS AND METHODS

This qualitative study explored the experiences of rural adults caring for children with ABIs through interviews with six caregivers, three school staff members, and three medical professionals who had treated at least one child with an ABI.

RESULTS

Themes in their accounts include difficulty navigating complex situations, support from small communities, isolation and loneliness, the need for more professional education about ABI, and feelings of hope. Barriers to quality care coordination include navigating complex situations, access to transportation, and a lack of communication and education from healthcare agencies. Facilitators of rural care coordination include support from small communities and interagency communication.

CONCLUSIONS

The results support the need for more comprehensive coordination among rural agencies involved in ABI care. Suggestions for care improvement include providing flexibility due to transportation barriers, capitalizing on the benefits of a small and caring community, and providing healthcare and education professionals with more education about ABI interventions.