The document discusses instructional consultation and mental health consultation, outlining different models like consultee-centered case consultation. It covers culturally responsive considerations and newer developments in consultation, such as solution-focused consultee-centered consultation. The document also discusses working with parents using social learning theory and stages of change models to improve coping and family interactions.

1. SPSY 6450
Class 3

2. Review from last time
● Instructional Consultation
We will go over it in more detail 9/22
●3-part assessment method
Select material
Find instructional level of student
Intervene with an instructional match (task
demand & ability to process and learn new
information)
Role-play with 4th graders
●From Chapter 2 “child’s difficulties due to a
mismatch somewhere in the instructional
triangle of student skill level, teacher
instruction, and classroom tasks” p. 35

3. Topics
● Go over rubric for Observation
● Types of mental health
consultations
● Highlight Consultee-Centered Case
Consultation from Caplan
○ Areas that lack when consultees
have difficulty
● Partner work with 2.3 on pg 28
● Solution-Focused Consultee
Centered Consultation (SFCC)

4. ●Community or Preventative
●Improves coping
●Originally a MH Service
Delivery Model
Historical BG of MH
Consultation

5. Roles MH Consultation
Interaction between 2 professionals in
which the consultee seeks help from a
specialist, but both are experts in their
own areas
➢ In area of specialized competence
Increasing the skills of the consultee
regardless of whether the difficulty stems
from administration or an overall
improvement in the consultees’ problem
solving capacity

6. Assumptions MH Consultation
●Coordinate / Nonhierarchical relationship
●Focus is on the intrapsychic variables
Feelings, attitudes, beliefs which are
important for behavior change
●Communication between the dyad
●Skill level of consultee
●Factors in the organization
●Consultee perceptions and concerns
●Organic interactions lead to formal relationship
●Confidential and nonjudgmental
INTERVENTION IS COMPLETED BY
CONSULTEE

7. Types of MH Consultation
Client-Centered Case Consultation
Consultee-Centered Case Consultation
Program-Centered Administrative
Consultation
Consultee-Centered Administrative
Consultation

8. ●Lack of knowledge (continuing ed, supervision, and
group consultation)
●Lack of skill (supervision and seeking supports to
develop skills)
●Lack of confidence (professional support groups)
●Lack of objectivity (direct personal involvement, simple
identification, transference, characterological distortion
Consultee-Centered
Case Consultation

9. Types of MH Consultation
Turn to page 28
Read it
Answer 3 questions in pairs
Choose: Verbal focus on client, parable or
nonverbal foci as a method of dealing with
improving problem solving capacity or
increasing objectivity of nurse in scenario

10. Newer Developments in MH
Consultation
Question: from pg. 34
Should decision-making power be
equal across domains for the teacher
and mental health professional?
Caplan focused on defenses around
anxiety, but constructivist and cognitive
perspectives altered this approach
● Dialogue and active participation
● Helps get view of problem, introduce
viewpoints & can reframe the problem

11. Newer Developments in MH
Consultation (con’t)
● Help consultees see that difficulties
being experienced by clients may be
enhanced by confronting assumptions
● Stages
a. Orderly reflection
b. Hypothesis generation
c. Exchange of information in the
context of a supportive, egalitarian
relationship
● Using the consultee-centered
approach helps work shift from
consultation to collaboration

12. Culturally Responsive
Considerations
● Home culture
● Language in home
● Cross-cultural interactions
● Inst. Cons. decrease minority referrals
As the consultant, you can gently point
out how usual interventions are
inappropriate for this child, and filter
through teacher stereotypes while
maintaining confidentiality and
nonjudgmental interactions.
➢ Can also reframe (new information)

13. Culturally Responsive
Considerations (con’t)
Caplan (2004)
Mental health consultation with those from
diverse cultural backgrounds can adapt
the model to fit the needs and belief
systems, and some settings today pose
challenges that were different than those
when he was originally promoting mental
health consultation

14. Solution-Focused Consultee
Centered Consultation
Modern versus postmodern (social constructivism)
Observable and objective versus environmental and
subjective
Cause and effect versus laws and principles
governing human behavior are not valid
Based in work of deShazer who did not use diagnosis, or did
he engage in taking a complex history of problems
Change in consultation is instead evaluated through client
self-report on attainment of goals
This approach is specifically relevant for Caplan’s Consultee-
Centered Case Consultation

15. Solution-Focused Consultee
Centered Consultation (con’t)
★ This approach is based in the improvement of consultee
information, skills, or enhance the ability of that consultee
to work with specific groups of clients
★ Culturally Competent SFCC
■ Ensuring that language, worldview and social
patterns are similar when engaging in this
particular model of consultation service delivery
★ Role is that of a:
■ Coach, Facilitator or a Cheerleader
■ Language usage should also be matched
★ Questions: “What makes this a problem for you?”
“What would your life be like w/o
this prob?”
★ Assessment: “What have you done to solve this
problem?” and “What would a teacher observing you

16. Case Study
Pg. 77 in text
Look for how social constructivism is
followed.
Where could it go forward?

17. ●Sanders & Burke (2014)
●Community or Preventative
●Improves coping
●Use of social Learning Theory: Bandura
Working with
Parents

18. Working with Parents (con’t)
Goal is autonomy and independence
Promotion of positive family interaction and
managing difficult child behavior
❖ Modeling
❖ Behavioral Rehearsal
❖ Feedback
❖ Can be done through self-report
❖ Can also be done through
videotape

19. Working with Parents (con’t)
Goal is working collaboratively with parents
Work is based in self-efficacy
Resistance via Sanders and Burke (2014)
Table 1 (p. 1292)
“Changing for Good”
Stages of change: Precontemplation,
Contemplation, Preparation, Action &
Maintenance

20. The end
Four phases:
1. Initial engagement
2. Assessment
3. Behavior Change
4. Termination
Table 2 (p. 1294)