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IDEA could change psychologists' focus
(October 2005 Issue)

By Ami Albernaz

Psychologists who work with elementary and secondary schools may see their roles shift from assessment to intervention while working with children with learning disabilities. The shift is a result of changes to the Individuals with Disabilities Education Act, or IDEA, that went into effect July 1. And while it's too early to know exactly how these changes will play out, psychologists may need training in order to acquire new methods with which to do their work.

Under IDEA, which guarantees public education to school-age and pre-school-age children with disabilities, determining if a student was learning disabled had rested, until now, on an IQ-achievement discrepancy model. IQs were compared to achievement test scores, and if the discrepancy was deemed large enough, the child qualified. Under the updated law - signed by President Bush last December to be more consistent with the No Child Left Behind Act of 2001 - school districts no longer need to use the discrepancy model, opening the door for new, intervention-focused approaches for helping students who are struggling.

"People have long known that the discrepancy model is problematic, that it's not a sound model," says Bob Lichtenstein, Ph.D., NCSP, consultant for school psychology at the Connecticut State Department of Education who represented the National Association of School Psychologists at the Learning Disabilities Roundtable in making recommendations for the revised IDEA. On a theoretical level, he says, the discrepancy model does not work equally in all children. "The kinds of dysfunctional processing that are the hallmark of a child with a learning disability can affect a child at any ability level," he says. "The discrepancy approach creates a bias such that the pattern is readily identifiable for high-ability students, and obscured or not documentable for low-ability students."

One of the problems with the model in practice, he adds, is that assessments of ability measure various types of cognition - including those that are compromised by a learning disability - so that the discrepancy detected between ability and achievement is reduced. Two main alternatives to the discrepancy assessment method have arisen. One, a cognitive assessment model, calls for analyzing cognitive strengths and weaknesses along with standardized test data and other background information to make a determination. The other method, which has received a good deal of attention, is known as "response to intervention," or RTI, is a process through which research-based interventions are tried with children before they are placed in special education classes. One such intervention may be having the child work in small groups, for instance. "With RTI, we're saying, 'Let's be sure we have good education practices in place, and if kids are not making progress, then they are candidates for having a learning disability," Lichtenstein says.

Yet there are questions about how each of these methods would work in practice; for instance, how long to wait to determine if an intervention is succeeding? Additionally, since the departments of education in each state will ultimately decide on which methods schools will use, it is uncertain how children who move from one state to another will be affected.

In addition, it is uncertain when exactly state directives will be in place.

"Until the states get guidelines, we're in a holding pattern. It could be months," says Melissa Pearrow, Ph.D., president of the Massachusetts School Psychologists Association. She adds that people working in schools "see the changes as potentially positive, because they will take resources from assessment and put them into intervention."

Kate Salvati, NCSP, a school psychologist in Somersworth, N.H., agrees. "People are really seeing this as an opportunity to intervene at earlier levels and to branch out of special education and into the whole education community," she says. "It's exciting, but we'll see how it goes."

Even with the uncertainties, now is a good time for psychologists to begin training in new methods, says Lichtenstein, who also heads the school psychology program at the Massachusetts School of Professional Psychology in Boston, Mass.

Some of the areas in which school psychologists will need to upgrade their expertise in order to work with an RTI approach include curriculum-based assessment, progress monitoring and identifying and implementing "evidence-based practices." Psychologists will also need to be familiar with the latest research on learning disabilities and acquisition of early literacy skills, he adds.

To this end, workshops in RTI methods are being held around the country and throughout New England, at schools including the Massachusetts School of Professional Psychology and the Professional Development Center at the University of Southern Maine.