Care Coordination for Children with Learning and Behavioral Problems in Ohio Survey Results

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Care Coordination for Children with Learning and
Behavioral Problems in OhioSurvey Results

• Valerie Lee, Ed.D
• School Psychologist Dayton Ohio Public School
• C. Erwin Johnson, MD, Ed.M, FAAP
• Assistant Professor of Pediatrics
• Ohio State University

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Total Number of Respondents590

• Profession Number ()
• School Psychologists 324 (54.9)
• Physicians 266 (45.1)

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Degree Titles of School Psychologists Respondents
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Medicine Disciplines of Ohio Chapter of AAP
Respondents
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Years of Training for Survey Respondents
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Age Distributions of Respondents
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?2 Values for Age Differences(post hoc adjusted
value reported)p0.001

• 24-29 School Psychologists ?2 3.55
• 30-35 Physicians ?2 2.08
• 36-41 Physicians ?2 3.10
• 54-59 School Psychologists ?2 2.62

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Practice Settings for All Respondents(anova
analysis)
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ADHD CME in the past 2 years Physician ?2
2.49 for YESSchool Psychologists ?2 2.49 for
NOp.02
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Behavioral Problem CME in past 2
YearsPhysicians ?2 4.58 for NOSchool
Psychologists ?2 4.58 for YESp0.001
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Learning Problems CME in Past 2 Years Physicians
?2 5.54 for NOSchool Psychologists ?2
5.54 for YESp0.0001
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Autistic Spectrum Disorders CME in Past 2
yearsNO differences in proportions for YES and
NO Responses p.36
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Child/Adolescent Depression CME in past 2 years
NO differences in proportions for YES and NO
Responses p.19
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Traumatic Brain Disorders CME in past 2 Years NO
differences in proportions for YES and NO
Responses p.41
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Family Counseling CME in past 2 Years NO
differences in proportions for YES and NO
Responses p.78
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MD When making decisions regarding psychotropic
medications SCHOOL PSYCHOLOGISTS often consult
PHYSICIANSSPWhen making decisions regarding
pyschotropic medications PHYSICIANS often consult
SCHOOL PSYCHOLOGISTS
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Question 7 X2 Values(post hoc adjustmentsp.001)
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MD PHYSICIANS should maintain a focus on
educational implications and defer the diagnostic
evaluation to the SCHOOL PSYCHOLOGISTS.
SPSCHOOL PSYCHOLOGISTS should maintain a focus
on educational implications and defer the
diagnostic evaluation to the MEDICAL PRACTITIONER.
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MD As a physician, I am expected to consult with
parents and teachers of students with diagnosed
medical conditions if (and/or when) the condition
interferes with the learning processSPMy school
administrator expects me to consult with parents
and teachers of students with diagnosed medical
conditions if (and/or when) the condition
interferes with the learning process
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MD It is important for PHYSICICANS to be
involved in consultation with SCHOOL
PSYCHOLOGISTS because of the physicians
expertise with intervention planning. SP It is
important for SCHOOL PSYCHOLOGISTS to be involved
in consultation with PHYSICICANS because of the
school psychologists expertise with intervention
planning.
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Question 10 X2 Values(post hoc
adjustmentsp.001)
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MD PHYSICICANS use a multi-disciplinary approach
to investigate referral concerns compared to
school psychologists who use a patient-centered
approach. SP SCHOOL PSYCHOLOGISTS use a
multi-disciplinary approach to investigate
referral concerns compared to physician who use a
patient-centered approach.
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Question 10 X2 Values(post hoc
adjustmentsp.001)