IES Blog

Institute of Education Sciences

Daily Report Cards to Enhance Individual Education Plans for Students with Attention Deficit Hyperactivity Disorder

In honor of Attention Deficit Hyperactivity Disorder (ADHD) Awareness Month, we would like to share an interview with Dr. Gregory Fabiano, who has been investigating the enhancement of Individual Education Programs (IEPs) for children with ADHD using daily report cards (DRC). The DRC provides a way to provide feedback to students, parents, and teachers on behavioral and social IEP goals on a daily basis. In the interview below, Dr. Fabiano shares how ADHD impacts student outcomes and how linking the DRC to IEP goals can improve social and academic outcomes above and beyond what an IEP alone can do.

What do we already know about how ADHD impacts academic and social outcomes in children in elementary school? How does this motivate your own research?

Like all people, individuals with ADHD have areas of strengths and weaknesses. If you wanted to create a situation where a person with ADHD is more likely to demonstrate weaknesses, you would likely construct a situation like an academic classroom—long periods of time where individuals are asked to complete rote tasks, attend to lectures, and follow strict rules about where they should be, what they can say, and when they can say it. The situation is highly likely to exacerbate challenges with staying on task and being productive. Through our team’s work with so many children with ADHD, we have seen first-hand how hard their caregivers and teachers work to support them and the good they can do when they are successful. That is why we are motivated to develop approaches to help every child with ADHD who may struggle in school.

The DRC has been used with students with ADHD for a while now. What can you tell us of the history of this intervention?

The DRC has been around since the 1960s when it was used by scholars such as Jon Bailey and colleagues at the University at Kansas and then by Dan and Sue O’Leary and their graduate student Bill Pelham at Stony Brook University. Since that time, the DRC has been disseminated to schools. It has the advantage of being practical and easy to understand across caregivers, educators, and the child. Throughout its use over the past 50 years, it has always included the same active ingredients: (1) clearly specified behavioral goals with objective criteria for meeting goals (for example, completes assigned work within time given, has no more than three instances of interruptions during the science lesson); (2) provision of progress feedback throughout the day; (3) daily communication between the teacher, caregiver, and child by sending the report home; and (4) contingent rewards provided at home for goals achieved.

What does a DRC introduce to a child’s IEP that can improve academic and social outcomes relative to an IEP without a DRC? 

Research, including our own work, has suggested that IEPs for children with ADHD may under-represent social/behavioral goals and objectives. They are even less effective at providing specific, ongoing evidence-based interventions for a student with ADHD. When the DRC is linked to IEP goals and objectives on a daily basis, educators and others are better able to focus their own attention on the most important areas of need. Further, it is flexible enough to quickly add worthy goals that may not have been on the IEP.

We think that the DRC is especially important at the elementary school level, where school is a particularly formative educational experience. We emphasize positive daily goals and contingent rewards for meeting goals. And because the DRC is implemented just for the one day, students start with a clean slate at the onset of each school day.

What impact do you hope that your study of the DRC intervention will have on the field, and for students with ADHD and their IEPs in particular?

One of the sobering findings of our IES-funded study was that the comparison group, which included special education as usual, did not improve in the main outcomes assessed at the end of the year. This leads our team to believe that we need to do much more to support students with ADHD on a daily and ongoing basis, beyond simply drafting an IEP. Because most students with ADHD spend the majority of their day in general education settings, even if they have an IEP, the DRC serves as a bridge to promote continuity and consistency of behavioral support across school personnel and across school days.

Is there anything else you would like to share about your project? 

It is important to note that some children with ADHD progress through school and find their footing successfully in college and/or career. Yet, we know from long-term follow-up studies that the educational outcomes for many with ADHD are poor. These outcomes do not occur suddenly, but instead are caused by the accumulation of negative school experiences. It is important to acknowledge that establishing an IEP alone is unlikely to influence these negative outcomes. It is the everyday support and intervention received by the child with ADHD in the classroom that makes the difference. Caregivers, educators, and the child must work together daily to make progress, celebrate successes, and problem solve to address any continued areas of need. The DRC is one way to do this and we are hopeful the field will continue to develop innovative ways to support individuals with ADHD using a competency-building approach.

This blog was authored by Skyler Fesagaiga, a Virtual Student Federal Service intern for NCSER and graduate student at the University of California, San Diego. Jackie Buckley, NCSER program officer, manages this grant.

Spotlight on FY 2023 Early Career Grant Awardees: Self-Regulation for High School Students with Disabilities

This final post in our series of NCSER blogs highlighting the recently funded Early Career Development and Mentoring Grants Program principal investigators features an interview with Sara Estrapala, assistant research professor in special education at the University of Missouri, Columbia. Dr. Estrapala is conducting research aimed at improving self-regulation of high school students with disabilities and challenging behavior.

How did you become interested in research on self-regulation among high school students with disabilities? 

Headshot of Dr. Sara Estrapala

I worked in a high school as a special education paraeducator prior to my doctoral program and really enjoyed working with that student population. I was responsible for helping students manage themselves in their general education classes. This experience led me to wonder whether there were ways to teach students—particularly those with challenging behaviors— to be more self-sufficient. When I started my doctoral program, I worked on an IES-funded project to develop a self-monitoring app and witnessed the incredible impact that self-monitoring can have on student classroom behaviors. My classroom and research experiences merged into a line of research on self-regulation development for high school students with disabilities.

What is the broader challenge in education that you hope your study will address?

High schools are notoriously difficult settings in which to conduct behavior intervention research, due to increased demands on student and teacher time for academics, organizational complexity (for example, multiple teachers, classrooms, academic departments), and misconceptions about behavior supports for high school aged students. As such, there is a relatively limited literature base for researchers and practitioners related to behavior interventions or supports for high school students. I hope to develop an effective intervention specifically for this context and developmental level while also learning how to effectively conduct rigorous research in this complex and challenging environment. Ultimately, I aim to contribute to our collective knowledge about how to help support high school students with disabilities and challenging behavior. 

What sets apart your self-regulation intervention from other interventions that have been studied?

The most unique aspect of the self-regulation intervention that I am developing is that students have ownership over their self-regulation plan. Typically, students are provided with a self-regulation or self-management plan that is developed by an adult—such as their teacher, counselor, or behavior specialist—with very little opportunity for input. Because self-regulation interventions involve a lot of decisions (such as identifying target behaviors, goals, self-monitoring, and self-evaluation plans), there are numerous opportunities to ask students what they think will improve their classroom behavior. My goal is to develop a framework for teaching students how to identify and define their own behaviors that might be reducing their learning or classroom performance as well as replacement behaviors that will enable them to achieve greater academic success. I believe that including students in the decision-making process will help them better learn why self-regulation is important and how it can help them reach meaningful goals.

What advice do you have for other early career researchers?

Network. Network. Network. Find a variety of colleagues to work with, including those with similar and advanced years of research and practice. I find working with other researchers helps prevent feeling isolated and increases my motivation to keep pushing forward. Joining professional organizations and attending their social events has helped me meet peers with similar research experience and create a network for collaboration. This process also created opportunities for me to meet the faculty mentors of my peers, which, in turn, has helped me establish a larger network of mid- and late-career researchers.

Sara Estrapala demonstrates passion and insight in her research promoting self-regulation among high school students with disabilities. NCSER looks forward to following her career trajectory and the development of this exciting project.

This blog was produced by Emilia Wenzel, NCSER intern and graduate student at University of Chicago. Katherine Taylor is the program officer for NCSER’s Early Career Development and Mentoring program.

Behavior and School Discipline for Students with Disabilities

Schoolwide discipline policies are meant to reduce disruptions to student learning. However, research reveals that the use of exclusionary discipline policies and practices, involving in- and out-of-school suspension and expulsion, could lead to long-term harmful outcomes for students who are frequently excluded from learning environments. Exclusionary discipline increases the risk of academic failure, school dropout, and socioemotional and mental health problems. Importantly, research also indicates that students with disabilities are disproportionately likely to be subject to exclusionary policies. According to 2017-18 data from the Department of Education’s Office of Civil Rights, students with disabilities comprised approximately 13% of total school K-12 enrollment, yet receive about 25% of one or more out-of-school suspensions and 23% of all school expulsions. This pattern of school discipline demonstrates a pressing concern in modern education, requiring educators to explore systematic changes in current practice.

NCSER has been funding research projects that address school discipline for students with or at risk for disability, either directly or indirectly through interventions aimed at improving behavior. This blog features some examples of this work in elementary school, ranging from more focused student-level interventions to schoolwide efforts.

Headshot of Timothy Lewis

Timothy Lewis (University of Missouri, Columbia) and his colleagues are currently conducting a study aimed at evaluating the effectiveness of a behavioral intervention program called Check-in/Check-out. This intervention works to improve the social, emotional, and academic behavior of students at risk for emotional behavior disorder (EBD). Previous studies on Check-in/Check-out evaluated the intervention using single-case design research and small n group designs. This study expands the evidence base on Check-in/Check-out by employing a randomized controlled trial and assessing cost-effectiveness. Taking place in midwestern elementary schools, selected students at risk of EBD “check-in” with an intervention facilitator about daily behavioral goals. Students receive feedback and points (derived from a preestablished point system) from their teachers throughout the day about the extent to which they are meeting these goals. “Check-out” occurs at the end of the day, when points are recorded and the student takes this information home in a daily progress report. Results from this research project may offer insight on ways Check-in/Check-out can redirect student behavior at early stages, thus harboring the potential to decrease discipline rates among students with disabilities.

Headshot of Carl Sumi

Carl Sumi at SRI International and his colleagues at the University of Florida evaluated the effectiveness of the Tools for Getting Along intervention, which focuses on educators rather than on individual students. Tools for Getting Along is designed to help teachers enhance social problem solving in their classrooms so that students and teachers can work together to improve behavior and decrease disciplinary action. Prior research revealed that among this intervention’s positive effects, some of the strongest impacts were on behavior regulation and problem-solving knowledge for students with or at risk for disabilities, specifically those with behavioral needs. This effectiveness study expanded upon this research by incorporating more locations with more diversity and using an independent evaluation team to conduct the randomized controlled trial within the context of a routine school environment. The research team recently concluded the study, reporting preliminary findings of significant positive impact of the intervention on teacher report of student social skills, behavioral regulation, emotional regulation, cognitive regulation, and executive functions, as well as student self-report of problem-solving knowledge. Ultimately, these changes in student behavior can lead to decreases in referrals for student discipline.

Headshot of Jeong Hoon Choi

On broader, systems-level, Jeong Hoon Choi (University of Kansas) is testing a program, Resources Aligned and Integrated for Student Equity, that may help combat disproportionate exclusionary disciplinary practices. This intervention helps educator teams use data to better align and integrate general and special education resources to help students whose needs are not met through the universally and additionally provided instruction of the school. Embedded within a multi-tiered system of supports model, the intervention helps systematize team processes and decisions for those students with the most complex needs. Grade-level educator teams will participate in training, practice, and coaching to implement the practices, and the school district will receive technical assistance to help them sustain the intervention in their schools. The randomized controlled trial aims to determine whether schools receiving this intervention have better student academic and well-being outcomes, including reduced office discipline referrals and suspensions.

Headshot of Kent McIntosh

Kent McIntosh and Erik Girvan (University of Oregon) are addressing disproportionate disciplinary practices through more of a racial equity lens with a training targeting implicit bias among teachers. Project ReACT is a professional development program in which teachers are trained and coached over time to (a) identify specific situations where implicit bias likely occurred in discipline decisions by examining their own school discipline data with school leadership, (b) revise current discipline processes to better meet the needs of students from underserved and over-excluded groups, and (c) design strategies for teachers to minimize implicit bias in school discipline decisions. The research team assessed how exclusionary discipline rates changed in racially and ethnically diverse urban and rural elementary schools in several districts across the country. Using a randomized controlled trial, matching schools based on existing levels of inequities, the research team found that schools receiving the intervention experienced significant decreases in racial disparities in school discipline and office referrals for Black students.

NCSER investments in these projects demonstrate the commitment to finding effective, evidence-based solutions for improving behavior problems, and therefore reducing school discipline rates, for students with disabilities. While research continues to strive toward improving equity in this area, school leaders can also follow the guidelines issued by the Department of Education Office of Civil Rights and Office of Special Education and Rehabilitative Services to ensure fair treatment and access to services for students with disabilities regarding disciplinary measures.

This blog was authored by Isabelle Saillard, student volunteer for NCSER and undergraduate at the University of Virginia. Jackie Buckley is the program officer for NCSER’s Social, Emotional, and Behavioral Competence portfolio.

Integrating Intervention Systems to Address Student Mental Health and Social-Emotional-Behavioral Functioning

In honor of Mental Health Awareness Month, NCSER is featuring an IES-funded study on student behavioral supports and interventions that best address the mental health needs of students. Positive Behavioral Interventions and Supports (PBIS) and school mental health (SMH) are both evidence-based interventions that provide student mental health support independent of one another. For this blog, we interviewed Dr. Brandon Schultz, principal investigator of a current study investigating the integration of both PBIS and SMH into a comprehensive school intervention. In the interview below, he discusses the differences between PBIS and SMH, how this research contributes to equity and inclusion in the classroom, and his research journey.

Your study is comparing schools that integrate PBIS and SMH into the enhanced version of the Interconnected Systems Framework (ISF) to schools that implement these as separate, parallel systems. Can you describe PBIS and SMH, and explain the key differences between the integrated framework and parallel systems?

Headshot of Dr. Brandon Schultz

PBIS is a tiered prevention system that addresses student behavioral needs. It provides universal support (Tier 1) to all students, including clear schoolwide behavioral expectations and a rewards system for desired behaviors. For students who do not respond to these efforts, Tier 2 provides targeted help through classroom-level or small group interventions, such as teacher consultation or student mentoring/counseling. For students who need intensive support, Tier 3 provides specialized one-to-one behavioral services. SMH, in contrast, focuses specifically on mental illnesses (for example, anxiety, trauma, depression) and, in some cases, involves community-based therapists working contractually with schools. Typically, PBIS and SMH function separately as co-located services, but there is a growing recognition that student needs are best met when these efforts are meaningfully integrated. Integration, however, is challenging because it requires educators to rethink their teaming and progress monitoring practices and include different stakeholders in critical decision-making processes. This study tests innovations to the ISF model, designed by my co-PI, Dr. Mark Weist (University of South Carolina), to meet the challenges of integrating these systems in two diverse school districts.

How did you become interested in this area of research?

My previous research was mostly focused on school-based interventions for students with ADHD, but it became clear that without systems-level change, interventions meant to help students with ADHD are unlikely to be implemented or sustained effectively, no matter how well they are designed. So, I became interested in understanding school systems and identifying the elements, processes, and resources that are critical for student support services of all kinds. 

How does your research contribute to equity and inclusion in education?

Part of my current study is focused the degree to which innovations to the ISF model can reduce racial inequities in school disciplinary actions. Research shows that Black students receive higher rates of exclusionary punishments (for example, suspensions and expulsions) than their White counterparts, even after controlling for the type of infraction. The modified ISF model aims to reduce the overall need for exclusionary punishments, especially among students of color. By improving team functioning, ISF allows educators to identify systemic problems that lead to racial inequities in disciplinary referrals and to generate new strategies to address student needs in a fair and equitable manner. With this model, we anticipate increased support for students of color that obviates disciplinary referrals. We are working with school districts now to examine disciplinary data before, during, and after the implementation of the enhanced ISF. Our hope is to identify strategies that close race-related gaps and share the lessons learned broadly.

Have you encountered any challenges in studying this integrated framework in elementary schools?

Yes, absolutely. Systems-level change in general is difficult, as it requires change agents to overcome structural inertia rooted in local norms, routines, and expectations. Those challenges have been exacerbated by the COVID-19 pandemic and preexisting trends in childhood mental illnesses. 

During the pandemic, student progress in mathematics and reading have dramatically declined. Meeting these academic needs, a priority for teachers, can divert attention away from student mental health needs. For example, all teachers in one of our states are required to take a year-long online course in reading instruction, partly to address student learning loss. Although commendable, this requirement creates a significant burden for teachers that can leave little room for other concerns. 

Preexisting mental health trends demonstrate that mental illness was increasing sharply among school-age children; by 2018, nearly 15% of all K-12 students experienced a psychiatric condition each year. Then, with the onset of the pandemic, indicators of childhood mental illness (for example, emergency room visits for suicidal behavior) spiked. Childhood anxiety and depression doubled worldwide from pre-pandemic estimates, and it is unclear whether those rates will return to baseline.

Together, these events have created real challenges, not just for our research, but for student support services in general.

What is currently the greatest area of need in studying school-based systems that support student mental health, particularly for those students with or at risk for emotional and behavioral disorders?

Perhaps the greatest area of need for supporting students with emotional and behavioral disorders is understaffing in critical school mental health positions. There is a significant shortage of school psychologists, counselors, social workers, and nurses nationwide. In North Carolina, the current ratio of school psychologists to students is 1:2,527, five times higher than recommended. This understaffing hinders schools’ ability to provide high-quality services and complicates efforts to test and refine innovative practices because field-based practitioners are unable to collaborate on research efforts. Researchers have had to hire individuals to fulfill critical roles, such as behavioral consultants, that might otherwise have been assigned to district-employed staff. Trained personnel then exit the school district when the research project ends and that skillset is lost. We hope that states prioritize the hiring of school mental health practitioners in the coming years to ensure optimal student support services and that university-school research collaborations can reliably lead to sustainable innovations.

NCSER looks forward to seeing the results of this efficacy trial and will continue to fund research aimed at supporting the mental health and social-emotional-behavioral needs of students with or at risk for disabilities.

This blog was authored by Isabelle Saillard, student volunteer for NCSER and undergraduate at the University of Virginia.

Why School-based Mental Health?

In May 2021, we launched a new blog series called Spotlight on School-based Mental Health to unpack the why, what, when, who, and where of providing mental health services in schools. This first post in the series focuses on the why by discussing three IES-funded projects that highlight the importance of these services.

Increasing access to needed services. A primary benefit of school-based mental health is that it can increase access to much-needed services. A 2019 report from the Substance Abuse and Mental Health Services Administration (SAMSHA) indicates that 60% of the nearly 4 million 12- to 17-year-olds who reported a major depressive episode in the past year did not receive any treatment whatsoever. What can be done to address this need? One idea being tested in this 2019 efficacy replication study is whether school counselors with clinician support can provide high school students a telehealth version of a tier-2 depression prevention program with prior evidence of efficacy, Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST). Through individual and group sessions, the IPT-AST program provides direct instruction in communication and interpersonal problem-solving strategies to decrease conflict, increase support, and improve social functioning.   

Improving access to services for Black youth. Social anxiety (SA) is a debilitating fear of negative evaluation in performance and social situations that can make school a particularly challenging environment. The connection between SA and impaired school functioning is likely exacerbated in Black youth who often contend with negative racial stereotypes. In this 2020 development and innovation project, the research team aims to expand Black youth’s access to mental health services by improving the contextual and cultural relevance of a promising school-based social anxiety intervention, the Skills for Academic and Social Success (SASS). Through community partnerships, focus groups, and interviews, the team will make cultural and structural changes to SASS and add strategies to engage Black students in urban high schools who experience social anxiety.

Reducing stigma by promoting well-being. The second leading barrier cited by adolescents for not seeking mental health treatment include social factors such as perceived stigma and embarrassment. One way to counteract these barriers is to frame intervention in more positive terms with a focus on subjective well-being, a central construct in positive psychology. In this 2020 initial efficacy study, the research team is testing the Well-Being Promotion Program in middle schools in Florida and Massachusetts. In 10 core sessions, students low in subjective well-being take part in group activities and complete homework assignments designed to increase gratitude, acts of kindness, use of signature character strengths, savoring of positive experiences, optimism, and hopeful or goal-directed thinking.

These three projects illustrate why we need to carefully consider school-based mental health as a logical and critical part of success in school, particularly as we navigate the road to helping students recover from disengagement and learning loss during the coronavirus pandemic.  

Next in the series, we will look at the what of school-based mental health and highlight several projects that are developing innovative ways to support the mental health of students and staff in school settings.


Written by Emily Doolittle (Emily.Doolittle@ed.gov), NCER Team Lead for Social Behavioral Research at IES