Common Problem Behaviors of Children and Adolescents in General Education Classrooms in the United States

2012 ◽  
Vol 20 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Judith R. Harrison ◽  
Kimberly Vannest ◽  
John Davis ◽  
Cecil Reynolds

The majority of incidence and prevalence studies on childhood behavioral problems report the occurrence of mental health disorders under diagnostic categories. A few studies report prevalence of specific behavior problems identified through direct observation, teacher surveys, or analyses of office discipline referrals. However, each possesses limitations that may be informed by data that report the occurrence of specific behavior problems at the classroom level. The rapidly increasing use of multitiered models of prevention and intervention will benefit from data of prevalence of problem behaviors. The purpose of this study was to identify the “most common” problem behaviors in classrooms in the United States as reported by teachers on a broadband rating scale with a demographically representative sample of 3,600 children and adolescents. Results indicate 17 common problem behaviors of children and adolescents, each in four behavioral domains. Interesting findings include behaviors associated with anxiety, learning problems, and distractibility as the most commonly addressed by teachers in the classroom as opposed to the most frequently addressed by administrators, such as aggression. Implications are discussed for policy makers, teacher educators, administrators, and teachers.

2021 ◽  
Vol 12 (1) ◽  
pp. 1911080
Author(s):  
Emma Grace ◽  
Shanelle Sotilleo ◽  
Rosalind Rogers ◽  
Renee Doe ◽  
Miranda Olff

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0024
Author(s):  
Tyler B. Hall ◽  
Max J. Hyman ◽  
Neeraj M. Patel

Background: A number of surgical options are available for sizeable articular cartilage lesions of the knee. These include osteochondral autograft (OAU) or allograft (OAL) transfer, or autologous chondrocyte implantation (ACI). In the pediatric population, there is little data on the patients undergoing these procedures or evidence to support one technique over another, which may lead to variation in preferred practice. Hypothesis/Purpose: The purpose of this study is to analyze the epidemiology of children and adolescents undergoing OAU, OAL, and ACI in the United States, with attention to variation along the lines of demographic and geographic factors. Methods: The Pediatric Health Information System, a national database consisting of 49 children’s hospitals, was queried for all patients undergoing OAU, OAL, and ACI between 2012 and 2018. Demographic information was collected for each subject. United States Census guidelines were used to categorize hospitals geographically into regions. Univariate analysis was followed by purposeful entry multivariate regression to adjust for confounding factors. Results: A total of 809 subjects with a mean age of 15.4±2.4 years were included in the analysis. Of these, 393 (48.6%) underwent OAL, 339 (41.9%) underwent OAU, and 77 (9.5%) underwent ACI. The most common diagnosis at the time of surgery was osteochondritis dissecans in 360 patients (44.5%) followed by an associated cruciate ligament injury in 126 (15.6%) and patellar instability in 98 (12.1%). After adjusting for confounders in a multivariate model, ACI was more 3.4 times more likely to be performed in patients with private insurance than those that were publicly insured (95% CI 1.5-7.5, p=0.002). Furthermore, a patient in this Northeast was 29.3 times more likely to undergo ACI than in the West (95% CI 4.0-217.4, p=0.001). OAU was performed most frequently in the West and Midwest (52.4% and 51.8% of the time, respectively; p<0.001). Univariate analysis also revealed differences along the lines of race, but these findings did not maintain statistical significance in multivariate analysis. Conclusion: In the United States, there is substantial variation in the procedures performed for cartilage restoration in children and adolescents. Though ACI is the least commonly selected operation overall, it is significantly more likely to be performed on patients with private insurance and those in the Northeast. OAU is the most commonly performed procedure in the West and Midwest.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Casey K. McCluskey ◽  
Margaret J. Klein ◽  
Sarah C. Steward ◽  
Alexandre T. Rotta

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