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Thomas J. Kampwirth Kristin M. Powers


Collaborative Consultation in the Schools


Effective Practices for Students with Learning and Behavior Problems


FIFTH EdITIon


Collaborative Consultation in the Schools


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Collaborative Consultation in the Schools


Effective Practices for Students with Learning and Behavior Problems


F i f t h E d i t i o n


Thomas J. Kampwirth Professor Emeritus, California State University, Long Beach


Kristin M. Powers California State University, Long Beach


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Library of Congress Cataloging-in-Publication Data


Kampwirth, Thomas J. Collaborative consultation in the schools : effective practices for students with learning and behavior problems /


Thomas J. Kampwirth, Professor Emeritus, California State University, Long Beach, Kristin M. Powers, California State University, Long Beach.—Fifth edition.


pages cm Includes bibliographical references and index. ISBN 978-0-13-382713-2 (alk. paper) — ISBN 0-13-382713-5 (alk. paper) 1. Educational counseling—United States. 2. Group work in education—United States. 3. Learning disabled


children—Services for—United States. 4. Problem children—Services for—United States. 5. School management and organization—United States. I. Powers, Kristin M. II. Title.


LB1027.5.K285 2016 371.4’220973—dc23


2014035167


10 9 8 7 6 5 4 3 2 1


http://www.pearsoned.com/permissions

I dedicate this text to my wife Frieda; our children, Kathy, Tom, and Ed; and our grandchildren, Alyssa, Shane, Conor, Elise, and Addie Lu,


and our great grandson, Asher.


—T.K.


I dedicate this text to my husband, Mark, and our children Jordan, Cassidy, and Felix.


—K.P.


ABouT ThE AuThorS


Thomas J. Kampwirth is Professor Emeritus in the Advanced Studies in Education and Counseling Department at California State University, Long Beach. He taught in the areas of special education and school psychology from 1971 through 2004 and was coordinator of the school psychology program for 25 years. From 1980 through 2009 he was a consulting school psychologist for the special education programs operated by the Orange County Department of Education. Dr. Kampwirth served as a special education teacher and school psychologist in numerous districts in Illinois, Arizona, and California. His research interests include aptitude– treatment interactions and consultation processes. He received his doctorate in school psychol- ogy from the University of Illinois in 1968. In 2003, he was given the Lifetime Achievement Award by the National Association of School Psychologists.


Kristin M. Powers is Professor of School Psychology and Director of the Community Clinic for Counseling and Educational Services at California State University, Long Beach. Her research on transition planning, instructional consultation, and disproportional representation in special e ducation has been published in state and national journals. She is Co-Project Director of two Office of Special Education Program (OSEP) grants focused on advanced training in instruc- tional consultation and multi-tiered systems of support. She is a founding board member of the Consortium to Promote School Psychology in Vietnam (CASP-V). She worked as a school p sychologist and administrative assistant for the Long Beach Unified School District (LBUSD). She received her doctorate in educational psychology from the University of Minnesota school psychology program in 1998.


vi


PrEFACE


Collaborative Consultation in the Schools: Effective Practices for Students with Learning and Behavior Problems was written with two different audiences in mind: university students and practitioners in the schools. University students are likely to be doing advanced work in special education, school psychology, school counseling, or educational administration. Practitioners in schools are currently employed in these professions and are being asked increasingly to help oth- ers, usually teachers or parents, solve learning and behavior problems. In this book, we present the consultation process as a collaborative, problem-solving endeavor designed to assist consult- ees in their work with students who have, or are at risk for, behavioral or learning problems. A key focus is on consultants bridging the gap between research and practice in schools. Whether it is designing an intensive academic intervention, assisting a teacher in improving his classroom management, or developing a transition plan for a student with a low incidence disability, the consultant should strive to initiate evidence-based practices whenever possible. A second key theme to this consultation text is providing interventions that are proportional to the students’ needs. Through data-based system change, schools are redistributing their resources along multi- tiered systems of support (MTSSs), so those in greatest need receive the most intensive help. MTSS (which includes response to intervention [RtI] and schoolwide positive behavior support [SWPBS]) requires collaborative consultation to be successful.


Consultation as a service delivery system in the public schools has increased in popularity since the late 1990s. Prior to 1990, most special and general educators were still expected to deal on their own with whatever problems they experienced in their teaching or management of chil- dren; indeed, those who sought help may have been regarded as unable to deal with the job of teaching and subtly, or overtly, rejected by their peers or supervisors. To a lesser extent, this iso- lationism continues today in our schools and can be a formidable barrier for school consultants. Good interpersonal, problem-solving, and communication skills; the building of trust; and a change in the school culture to be more collaborative can reduce these barriers, as we discuss at length in this text. The goal of collaborative consultation is synergism, wherein the dyad or team produce better results than if each person works in isolation. Adhering to the problem-solving process, including data-based goal setting and evaluation, is critical to achieving synergism.


Since the Education for all Handicapped Children Act of 1977, teacher assistance teams, student study teams, transition planning teams, and individualized education programming teams and a host of other formal and semiformal team arrangements have been developed to meet the needs of students who require some degree of assistance to be successful in school. Indeed, it would be surprising to find a school today that did not depend on its student study team to dis- cuss and develop interventions for students at risk of school failure. These team interactions also meet the needs of parents in their efforts to understand and support their children.


Beyond what takes place in team meetings is a real need for everyday assistance for both special education teachers, who are providing direct teaching services to students with disabili- ties, and general educators, who are charged with teaching students with disabilities in addition to a large cadre of other vulnerable and marginalized students. This text is primarily devoted to helping those who assist special and general educators and support services personnel to deal with the everyday, ongoing challenges presented by underperforming students. Most school per- sonnel are involved in problem-solving student problems case by case, whether formally or informally. Some believe that greater efficiencies and a larger impact can be made by changing how the school operates. MTSSs can happen in a school only when school personnel have learned the value of collaborative problem solving as opposed to isolated work. In an MTSS school, school personnel have a shared sense of responsibility to the students and frequently examine data and discuss how to improve student outcomes. Job descriptions and expectations have changed accordingly. Special education teachers are increasingly leaving their resource room and special day classes to consult with general education teachers. School psychologists are embracing more intervention-based assessments and are taking increased responsibility for assisting in the development and evaluation of appropriate interventions. School counselors are more likely to see if they can be of assistance with some referrals through consultation with teachers and parents in conjunction with individual or group counseling efforts. Mentor teachers,


vii


viii Preface


vice principals, and others are also seeing their roles expand to include consultation, particularly when engaged in school reform. We hope that the combination of scientifically based practices, practical advice, and case studies presented in this text will assist the reader in providing effec- tive consultation to colleagues and families.


New to this editioN


The fifth edition has been updated significantly. It includes a new chapter (Chapter 8) on transi- tion planning for students with disabilities preparing for adulthood (this chapter is co-authored by Edwin Achola). The main thrust of this revision has been to update the evidence-based prac- tices based on current research and to add video clips to the text and activities to provide addi- tional details and dimensions to the concepts. We also replaced the term response to intervention (RtI) with the more encompassing term multi-tiered systems of support (MTSS) in order to emphasize the parallels between RtI and school-wide positive behaviour support (SWPBS). The fifth edition also provides more information on serving students with autism spectrum disorder (ASD), including a detailed case-study in Chapter 10. Finally, we provide more coverage on how technology can be used in consultation and professional development.


Some additional updates include the following:


• A description and possible implications of the Common Core State Standards for consult- ants (Chapters 1 and 7)


• More information on working with paraprofessionals (Chapter 2) • A list of do’s and don’ts in using electronic communications in consultation (Chapter 4) • Tips for providing legal testimony (Chapter 5) • Information and activities on the Family Educational Rights and Privacy Act (FERPA) and


the Health Insurance Portability and Accountability Act (HIPPA; Chapter 5) • Changes included in the fifth edition of the Diagnostic and Statistical Manual of Mental


Disorders (Chapter 6) • The theory and research on microaggressions experienced by cultural and language minor-


ities (Chapter 4) • An expanded treatment fidelity section has been included, along with a treatment fidelity


assessment observation form (Chapter 3) • An effective instruction observation/feedback form for school-based consultants (Chapter 7)


We think one of the most valuable additions to the text has been the insertion of video clips. Short, 2- to 3-minute video clips introduce the reader to important concepts. Longer clips are contained in the activities. Course instructors or staff members involved in professional devel- opment can show these clips and engage in highly nuanced, relevant discussions. Thus, the fifth edition of Collaborative Consultation in the Schools is an interactive text that prepares students for the demands of school-based consultation like no other text before. In addition, we examined the Educational Testing Services (ETS) study companions for (a) School Psychology, (b) Professional School Counselor, (c) Special Education: Core Knowledge, (d) Special Education: Core Knowledge Mild to Moderate Applications, and (e) Educational Leadership: Administration and Supervision to confirm that the content of this text, including its activities, will support students in acquiring knowledge of many of the topics covered by these exams.


22 Chapter 2 • Consultation Models and Professional Practices


To view a video of this type of negative and positive reinforcement, also known as coer- cive pain control (Rhode & Jensen, 2010) see https://www.youtube.com/ watch?v=OxdtMVww2q0. Because student’s noncompliance or work avoidance is negatively reinforced when teachers remove their demands, Rhode and Jensen (2010) recommend that teachers use precision commands in which compliance is immediately reinforced, and the stu- dent receives a punishment after failing to comply with a request that has been repeated once. Punishment is the delivery of some aversive stimulus or removal of a desired stimulus in order to decrease a behavior (Alberto & Troutman, 2013). While punishment can be effective, it should never be humiliating or painful. Reinforcing positive and competing behaviors (i.e., work completion or compliance) is often both more productive and humane than punishing undesired behaviors.


In some cases, an action designed to be reinforcing, like delivering verbal praise, could be felt as a punishment (the student does not want any attention called to her). This case raises the question, “How does one know whether an adult or peer response to a targeted behavior is reinforcing or punishing?” The answer lies only in a careful study of the data. Is the targeted behavior decreasing as a function of the consequences it elicits? If so, then these consequences are probably best interpreted as aversive or punishing. Are behaviors increasing as a result of the responses that follow these behaviors? If so, then the consequences are probably positively reinforcing the behavior.


Activity 2.3


Watch the tutorial on how to conduct an antecedent, behavior, and consequence (ABC) analysis at https://www.youtube.com/ watch?v=GxcIM8klHuY and complete the


ABC analysis found on the video clip for the target behavior: yelling in the classroom.


Activity 2.4


A teacher tells you that she is concerned about a student who is anxious. What else do you, as a behaviorally oriented consultant, want to know about the child? What are the behaviors


of anxiety? Which can be treated, the anxiety or the behaviors? How might a traditional behaviorist differ from a cognitively oriented behaviorist in his approach to this problem?


BAsic Beliefs undeRlying A BehAvioRAl APPRoAch to consultAtion The behavioral tradition focuses on behaviors that are either observable to the teacher or parent or reportable by the student; it contrasts with the medical-model approach, which focuses on pathology or sickness within the child. Hypothetical constructs and pseudo-explanatory con- cepts and labels, such as attention deficit hyperactivity disorder (ADHD), conduct disorder, or others listed in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2013), are not regarded as constructive except for purposes of communication among professional staff members and parents. The behaviorist does not say that a student is out of her seat and running around the room because she has ADHD. Rather, the behaviorist is inclined to say that the student engages in an excessive amount of out-of-seat behavior (operationally defined and usually determined in relation to a norm for a given class- room or other setting) and will help to develop an intervention to change the behavior by changing either the antecedent (adjust difficulty of seatwork, move desk to quiet corner, etc.) and/or consequence events (provide short breaks contingent on work completion, implement a self-monitoring program with a highly desired reward for improved on-task behavior, etc.). To learn if the intervention has been successful, a behaviorist charts the occurrence and dura- tion of out-of-seat behavior or some other targeted behavior. The behaviorist’s goal is to reduce the frequency of symptoms because, as the behaviorist believes, the symptom is the disease (Ullmann & Krasner, 1965).


M02_KAMP7132_05_SE_C02.indd Page 22 08/11/14 7:44 AM Aptara /203/PH01900/9780133827132_KAMPWIRTH/KAMPWIRTH_COLLABORATIVE_CONSULTATION_IN_THE_ ...


AckNowledgmeNts


We would like to acknowledge Edwin Achola’s contributions to Chapter 8. As a co-author of this chapter, his insights and expertise on transition planning are essential to the final product. We would also like to thank the following reviewers of the fifth edition: John D. Hall, Arkansas State University, Cindy Topdemir, University of South Florida, Elena Zaretsky, University of Massachusetts, Boston.


https://www.youtube.com/watch?v=GxcIM8klHuY

https://www.youtube.com/watch?v=GxcIM8klHuY

Brief Contents


Chapter 1 Overview of School-Based Consultation 1


Chapter 2 Consultation Models and Professional Practices 19


Chapter 3 Problem-Solving Consultation in a Multi-Tiered System of Support 50


Chapter 4 Communication and Interpersonal Skills 83


Chapter 5 Legal and Ethical Issues in School Consultation 124


Chapter 6 Consulting About Students with Social, Emotional, and/or Behavioral Problems 137


Chapter 7 Consulting About Students with Academic Skill Problems 173


Chapter 8 Transition Planning 198


Chapter 9 Systems-Level Consultation: The Organization as the Target of Change 214


Chapter 10 Case Studies in Collaborative Consultation 236


Index 251


ix


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ConTEnTS


chapter 1 overview of school-BAsed coNsultAtioN 1 Learning Outcomes 1


Consultation and Collaboration: Definitions, Distinctions, and Characteristics 1


Collaborative Consultation as an Indirect Service 2


Defining Characteristics and Expectations of Collaborative Consultation 5


The Triadic Nature of Consultation 7


The Role of Process and Content Expertise in Consultation 7


Consultation at Different Levels of Problem Severity 8


Recent Changes in Education Affecting School Consultation 9


Common Core Standards 9


No Child Left Behind 10


Individuals with Disabilities Education Act 10


Response to Intervention/Multi-Tiered System of Services 13


The Present Status of Collaborative Consultation in Schools 14


Research on the Effectiveness of School Consultation 15 Summary    16    •    References    17


chapter 2 coNsultAtioN models ANd ProfessioNAl PrActices 19 Learning Outcomes 19


A Rationale for a Model 19


Two Theoretical Traditions 20


Behavioral Paradigm 20


Mental Health Paradigm 25


Functional Consultation Models 29


Conjoint Behavioral Consultation 29


Instructional Consultation 30


Ecobehavioral Consultation 31


Consultee-Centered Consultation 31


Consultation Configurations and Settings 32


Beginning Teacher Support Consultation 32


Professional Learning Communities 33


Collaborating with Paraprofessionals 34


Coteaching for Inclusion 34


Individualized Education Program Team 35


Student Study Teams 37


Roles, Skills, and Activities of School-Based Consultants 44 Summary    47    •    References    47


chapter 3 ProBlem-solviNg coNsultAtioN iN A multi-tiered system of suPPort 50 Learning Outcomes 50


xi


Steps to Follow in the Consultation Process 51


Establish Rapport 52


Problem Identification 52


Problem Analysis 54


Intervention Development and Implementation 56


Evaluate the Effectiveness of the Interventions and Recycle If Necessary 58


Multi-Tiered System of Support 58


Tier 1: Universal Prevention 59


Tier 2: Targeted Intervention 61


Tier 3: Intensive Interventions 68


Assessment 69


Planning or Modifying Interventions 72


Treatment Integrity 74


Treatment Acceptability 75


Performance Feedback 75


Assessing Treatment Integrity 77 Summary    79    •    References    80


chapter 4 commuNicAtioN ANd iNterPersoNAl skills 83 Learning Outcomes 83


Communication Skills 84


Attending 84


Active (Reflective) Listening 84


Reframing 85


Empathy 86


Keeping a Goal Orientation 86


Asking Questions 88


Potential Difficulties in Communication 90


Evaluating Your Communication Skills 91


Communication Technologies 92


Interpersonal Skills 93


Forging Positive Relationships 94


Conveying Competence and Confidence 94


Projecting the Idea That the Situation Is Going to Improve 95


Following through with Enthusiasm 95


Developing and Maintaining Trust 96


Treating Consultees as Adults 96


Power in the Consultative Relationship 96


Referent Power 97


Expert Power 97


Informational Power 98


The Dominance Debate 99


Resistance 100


Types of Resistance 101


Causes of Resistance 102


Overcoming Resistance 107


xii Contents


Gaining and Delivering Information 111


The Interview 111


Taking Notes and Keeping Track 113


Delivering Feedback 113


Consulting with Parents and Families 114


Resistance by Parent-Consultees 117


Consultation in Culturally and Linguistically Diverse Settings 117 Summary    121    •    References    121


Chapter 5 LegaL and ethiCaL issues in sChooL ConsuLtation 124 Learning Outcomes 124


The Purpose, Sources, and Importance of Ethical Practice 124


Principles of Ethical Behavior 125


Principle 1: Competence 125


Principle 2: Protecting the Welfare of Clients 125


Principle 3: Maintaining Confidentiality 126


Principle 4: Social and Moral Responsibility 127


Principle 5: Integrity in Professional Relationships 127


Codes of Ethics and Standards for Professional Practice 127


Legal Issues 128


Providing Legal Testimony 129


The Family Educational Rights and Privacy Act and the Health Insurance Portability and Accountability Act 129


A Problem-Solving Model for Dealing with Legal and Ethical Issues 130


An Example 130


Areas of Potential Ethical Conflict 133


Ethical Competencies, Confrontations, and Advocacy 134 Summary    135    •    Four Scenarios for Additional Practice in Ethical  Problem Solving    135    •    References    136


Chapter 6 ConsuLting about students with soCiaL, emotionaL, and/or behavioraL ProbLems 137 Learning Outcomes 137


Introduction to Social, Emotional, and Behavioral Problems 137


Behavior Problems: Reasons and Suggested Interventions 139


Family and Community 139


Classroom and Schools 141


Within-Child Reasons for Behavior Problems 143


Individuals with Disabilities Education Improvement Act 145


Autism Spectrum Disorder 146


Emotional Disturbance 148


Traumatic Brain Injury 149


Attention Deficit Disorder with Hyperactivity 149


Diagnostic and Statistical Manual of Mental Disorders 149


IDEA versus the DSM-V 150


IDEA Mandates on Assessment, Intervention, and Discipline of Students with Behavior Problems 151


Contents xiii


Functional Behavioral Assessment and Analysis of Behavior 151


Functional Behavioral Assessment 151


Review of Records 153


Interviews 153


Rating Scales 157


Classroom Observations 158


Applied Behavior Analysis 159


Intervention Evaluation 161


Schoolwide Positive Behavior Support 162


Universal Behavioral Interventions 162


Targeted Behavioral Interventions 165


Intensive Behavior Interventions 168 Summary    169    •    References    169


Chapter 7 Consulting about students with aCademiC skill Problems 173 Learning Outcomes 173


Introduction 173


Universal Effective Instruction (Tier 1) 175


Qualities of Effective Instruction 175


Effective Instruction for English Language Learners 177


Effective Instruction for Culturally Diverse and Low Income Students 179


High-Poverty, High-Performing Schools and RtI/MTSS 180


High Expectations and Differentiated Instruction 180


Interventions to Improve Study Skills and Learning Strategies 181


Improving Motivation 182


Targeted Interventions for Academic Problems (Tier 2) 185


Intensive Interventions for Academic Problems (Tier 3) 187


Interventions for Intellectual Disabilities and Language Delays 187


Supporting Students with Health and Sensory Impairments 188


Interventions for Students with ADHD 189


Supporting Students with Mental Health and Behavioral Disturbances 190


Identification and Interventions for Students with Learning Disabilities 191


Data-Based Special Education Eligibility Assessment 192 Summary    195    •    References    195


Chapter 8 transition Planning 198 Learning Outcomes 198


Postsecondary Outcomes for Students with Disabilities 198


Legal Mandates 200


Transition Planning with Students and Families 202


Maximizing the Participation of Students and Families 202


The Transition Planning Process 204


Appropriate Transition Assessments 204


xiv Contents


Development of Present Levels of Academic Achievement and Functional Performance 205


Measurable Postsecondary and Annual Goals 205


Transition Services 206


Transition Outcomes 207


Collaborative Consultation with Stakeholders 208


Consultation with School Personnel 208


Consultation with Community Members 208


Collaborative Consultation Transition Planning in Action 209 Summary    211    •    References    211


chapter 9 systems-level coNsultAtioN: the orgANizAtioN As the tArget of chANge 214 Learning Outcomes 214


Why Systems-Level Consultation? 215


Macrosystemic Influences on School Innovation 215


Common Core State Standards 216


Statewide Technical Assistance 217


High-Poverty, High-Performing Schools 218


Value-Added Models of Evaluating Teacher Performance 220


Microsystemic Influences on School Innovation 221


School Characteristics 221


Leadership Characteristics 223


Who Initiates Systems Change, and Where Does It Come From? 224


Implementation Teams 224


Professional Development 225


Professional Development and Technology 226


Coaching and Mentoring 226


Data-Team Discussions 228


Professional Development to Promote and Sustain an MTSS 228


System-Change Phases: The MTSS Example 229


Determining a Need and Creating Readiness 229


Determining a Long-Term Vision and Desired Alternative Practices 230


Installation and Initial Implementation 232


Institutionalization 233


Ongoing Evolution 233 Summary    234    •    References    234


chapter 10 cAse studies iN collABorAtive coNsultAtioN 236 Learning Outcomes 236


Introduction to the Cases 236


Case One: Academic Difficulties for Maria 237 Case Two: System Change and Inclusion of Student (Don) with Autism Spectrum Disorder 242


References    249


Index 251


Contents xv


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1


Overview of School-Based Consultation


Chapter 1


You are the newly appointed resource specialist (or school psychologist or counselor) at Whittier School, a K–6 school in the Bellflower school district. Your job includes being a consultant to teachers, parents, and others about student learning and behavior/adjustment problems. Ms. Jones, an experienced third-grade teacher, stops you in the hallway one day in early October and says, “You’ve got to do something about Johnny B. He really needs a lot of help.” How would you proceed?


Ms. Nguyen, principal of Martin Luther King Jr. High School, wants you to explain your role as a consultant to the teachers. Consider what you may include in a 5-minute presentation at the next teacher staff meeting regarding the purpose of school-based consultation.


Learning Outcomes


1.1 Define the terms consultation and collaboration.


1.2 Summarize multiple characteristics of collaborative consultation.


1.3 Recognize the unique individual roles and interactions that the consultant, consultee, and student contribute to the collaborative consultation paradigm, as well as the fluidity of the consultant/ consultee roles in schools.


1.4 Explain the need for process expertise and content expertise in the role of an effective consultant.


1.5 Distinguish among primary, secondary, and tertiary levels of intervention.


1.6 Summarize the major historical trends in education as they pertain to school-based consultation.


1.7 Describe some of the major research issues related to consultation practices.


How you proceed is a function of many variables, such as your personal philosophy of pro- fessional practice; the expectations of your supervisors and coworkers; and factors such as caseload, established precedents, your reinforcement history, and your training. We believe that a consultation-based service delivery model is, for most referrals and most constituents (that is, teachers, parents, and other consultees), an appropriate and useful approach when used with other service requirements of your position as a special education teacher, school psychologist, or school counselor.


Consultation and Collaboration: definitions, distinCtions, and CharaCteristiCs


Researchers in the field of consultation have worked to refine the definitions of collaborative consultation from the perspectives of the public schools. The definition that best reflects the focus of this text is the following: Collaborative consultation is a process in which a trained, school-based consultant, working in an egalitarian, nonhierarchical relationship with a con- sultee or as a member of a team, assists that person or team in her or their efforts to make decisions and carry out plans that will be in the best educational interests of her or their stu- dents. All the concepts in this definition are found among the definitions listed in Figure 1.1.


2 Chapter 1 • Overview of School-Based Consultation


Collaborative Consultation as an indireCt serviCe


The initial purpose of the school-based consultation is to provide improved service to a third party, the student. Through the consultation process, however, the consultee’s competence should be enhanced. Thus, consultation is a form of capacity building (Ysseldyke et al., 2012). In schools, the consultee (typically a teacher) usually does most of the in-classroom or


The terms egalitarian and nonhierarchical are important to this definition because consultees, who are usually teachers or parents, are much more likely to engage in the consultation process when they believe they have at least as much input into the planning process as the consultant (Kelleher, Riley-Tillman, & Power, 2008). This is in contrast to an expert stance, in which the consultant develops an intervention plan based on a referral and the consultee is primarily, if not solely, responsible for carrying out the recommended interventions. We do not mean to suggest that consultants and consultees engaged in collaborative consultation lack expertise. Often the consultant is well versed in consultation strategies and is knowledgeable about assessments and interventions; the consultee is often well-informed about the needs and strengths of the student in question. Through collaboration, a better intervention is developed, implemented, and maintained than if either worked in isolation (i.e., collaboration produces synergism). In schools, the roles of the consultant and consultee are not static. A special education teacher or school psychologists could find him- or herself to be a consultant in one conversation and a consultee in the next. In some cases, such as when graduate students are training to become skilled consultants, the consultant may have little knowledge about academic and behavioral assessments and interventions, but by focusing the discussion on finding solutions and documenting outcomes, the consultee arrives at a better place from which to help his or her student.

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