In the 21st century, the capacity of Australia to provide a high quality of life for its
citizens will depend on the ability to compete in the global economy on education and innovation
(MCEETYA, 2009). Due to inclusion and increasing diversity in the school system, the nature
of teaching needs to change. Educators want to improve their students’ learning and they know
that they cannot do it alone (Scherer, 2011). Society has placed numerous demands to achieving
academic success and this cannot be fulfilled without support. Inclusion provides an appropriate
quality education for students with disabilities and integrates them among peers without
disabilities in the general education classroom. Inclusion is an attempt to establish collaborative,
supportive and nurturing learning experiences for students with disabilities that gives them the
services and accommodations that they need to learn (Hammond & Ingalls, 2003). Support is
needed in the school system because teachers believe that they do not have sufficient training for
inclusionary services (Hammond & Ingalls, 2003). There is inadequate levels of collaboration
and support from fellow teachers when problems arise in the classroom (Hammond & Ingalls,
2003). All educators should participate in the planning and implementation of inclusionary
programs in the school system (Hammond & Ingalls, 2003).
There has been a diverse range of challenges driving change in educational settings.
Since the early 1980s, educational reforms has been driven by globalization, equity and market
competitiveness (Savage & O’Connor, 2014). Global pressures in education were exemplified
by an increase of international comparisons through standardized testing programs such as the
Organization for Economic Cooperation and Development‘s (OECD) Program for International
Student Assessment (Savage & O’Connor, 2014). There is an assumption that students’ test
scores reflect their future capacity to compete in the global market (Savage & O’Connor, 2014).
In the early 1990s, there was a strong drive towards collaboration between the Commonwealth
and all the States and Territories to establish a national policy for the development of Curriculum
Statements and Profiles for each of the eight subjects- English, Studies of Society and
Environment, Mathematics, Science, Technology, Art, Health and Physical Education and
Languages Other Than English (Bruniges, 2005). There was a large gap between high-
performing and low-performing students, failure to meet national goals of schooling,
deteriorating infrastructure of school buildings and an outflux of retiring teachers (Bruniges,
2005). Educational systems are akin to ecosystems where there are interactions between
teachers, students, parents and community members (Bruniges, 2005). They are influenced by
social, economic, political and cultural drivers (Bruniges, 2005). Advances in technology,
economic prosperity, equality, cultural diversity and changing student needs helped to modify
the curriculum (Bruniges, 2005). In 2008, the development of a national curriculum called the
Melbourne Declaration on Educational Goals for Young Australians (MCEETYA) and the
Australian Curriculum, Assessment and Reporting Authority (ACARA) was established (Savage
& O’Connor, 2014). The MCEETYA provides all students access to high-quality education that
is free from discrimination based on gender, language, sexual orientation, pregnancy, culture,
ethnicity, religion, health or disability, socioeconomic class or geographic location (MCEETYA,
2009). In Queensland, Australia, the inclusive education reforms provides an equitable
education for all students regardless of cultural, physical, socio-emotional and behavioral
differences (Bourke, 2010). This was enacted by the state government through the Department
of Education and Training (Bourke, 2010). Key policies and frameworks include inclusive
education (DET, 2017a), cultural and linguistic diversity (DET, 2017b), disability policy (DET,
2017c), student mental health and wellbeing (DET, 2016a), religious diversity (DET, 2017d) and
the learning and wellbeing framework (DET, 2015).
Schools need to review their service delivery models so they can be responsive to
changing needs of the students and to maintain an inclusive environment. Support service
professionals such as psychologists, speech and language therapists, occupational therapists
and physical therapists offer their support and expertise in the school system. In the direct
service model, services are provided directly to a student by a special education teacher or other
professional (Pacer Centre, 2018). Direct services can be provided to an individual student or
small group of students with the same needs (Pacer Centre, 2018). In the indirect service model,
services are not provided directly to the student (Pacer Centre, 2018). Professionals provide
services to others who are working directly with a student such as consultation (Pacer Centre,
2018). Students benefit when therapy is provided as both direct and indirect services (Case-
Smith & Holland, 2009). An integrated service delivery model allows schools to be flexible,
responsive to the students’ needs, promotes collaboration and supports students in achieving
their educational goals (Brown, 2016). The integrated service delivery model is the most
effective way of achieving these educational goals for students in an inclusionary environment.
Direct and indirect services will be analyzed and an integrated service delivery model such as
collaborative consultation will be explored with an example.
The provision of direct and indirect support services in education is complex and
involves many stakeholders including parents, teachers, support service professionals,
community and the government. Direct services can occur in a private area of the school or a
natural, interactive classroom (CCRESA, 2004). Direct services may include an assessment of
student performance, student observation and how it occurs in the natural setting (CCRESA,
2004). There are “pull-out” or “push in” direct services. Pull-out service removes a student to
another setting on a schedule (CCRESA, 2004). Push in service are services that occur in the
student’s natural school environment such as the general education classroom or playground
(CCRESA, 2004). A term used in direct services is collaboration. Cook and Friend (1991)
defined collaboration as “a style for direct interaction between at least two co-equal parties
voluntarily engaged in shared decision making as they work toward a common goal” (p.25).
Communication and collaboration among school staff is increased and students do not miss
instruction time in the classroom (CCRESA, 2014). Direct service delivery is not a stand-alone
method since it is not sufficient to meet the high demands for educational support (Case-Smith &
Holland, 2009). In indirect services, there are ongoing progress reviews, consultation, crisis
intervention, demonstration teaching, counselling of parents or teachers and curriculum
modification (CCRESA, 2014). Consultation is a form of indirect service delivery and is a
triadic helping process (File & Kontos, 1992). The consultant provides services to a student
indirectly through a mediator or consultee (File & Kontos, 1992). The consultee attempts to
change the behavior of the student whereas the consultant is the professional who has the
expertise regarding the strategies to change the behavior (Cohen, Thomas, Sattler & Morsink,
1997). Effective consultation is conceptualized as understanding the teacher’s concerns,
reframing the student’s behavior, using the teacher’s learning and teaching style, and
collaborating to determine how strategies are implemented in the classroom (Case-Smith &
Holland, 2009). Students benefit in an integrated service delivery model consisting of both
direct and indirect services because students’ behaviour constantly changes, curricular demands
increase, the environment is dynamic and there needs to be consultation to effectively contribute
to the student’s educational program (Case-Smith &Holland, 2009).
There are advantages and disadvantages to the direct service model and indirect service
model. In the direct services model, push-in services happen in the general education classroom
(Morin, 2018). The general education teacher, special education teacher and other professionals
work collaboratively and provide instruction directly to the student (Morin, 2018). Services can
be provided through IEPs, response to interventions and informal supports (Morin, 2018). The
advantages of push-in services are that students miss less instructional time, the student’s
schedule has less disruption and it occurs in the least restrictive environment (Morin, 2018). The
disadvantages of push-in services are that there are differences in teaching styles and more
distractions in the general education classroom (Morin, 2018). In the pull-out services,
specialists work with students outside of the general education classroom. Services are provided
through IEPs, RTI and informal supports (Morin, 2018). The advantages of pull-out services are
that students get more direct instruction suited to their needs, more emotional support and fewer
distractions. The disadvantages of pull-out services are that there is less opportunity for
specialists and teachers to collaborate and the student misses general education classroom time
(Morin, 2018). The advantages of the indirect service model (consultation model) are that
teachers’ attitudes and skills improve (Coben et al, 1997). The specialists and teachers work
cooperatively and have a problem-solving relationship. There is mutual trust, communication
and shared responsibilities when identifying problems, strategies and conducting evaluations
(Coben et al, 1997). The disadvantages to the consultation model is that there is a lack of time to
consult and funding is a barrier (File & Kontos, 1992). There is a lack of professional
preparation in consultation and roles need to be clarified (File & Kontos, 1992). Strategies may
be rejected if they do not conform to the professionals’ conceptual framework (File & Kontos,
1992). The consultant and the consultee may have difficulty maintaining a relationship based on
parity and a sense of hierarchy may arise (File & Kontos, 1992). The consultant may have
unrealistic expectations of the consultee and this may cause resistance (File & Kontos, 1992).
Consultation models recognize the interrelatedness between individuals and their social
environments. The Mental Health Consultation model was developed as a preventive approach
to psychological disorders and was identified by Gerald Caplan (Brown, Pryzwansky & Schulte,
2011). It has been accepted in the design of school-based services. Schools use a three-tier
model paired with a response-to-intervention approach from universal instructional practices to
more individualized and intensive services (Brown et al, 2011). Teachers are asked to
implement interventions at each tier. In the Behavioral Consultation model, schools use
collaborative functional behavioral analysis to treat students with disabilities (Brown et al, 2011).
This approach involves development of a behavioral definition, observations, assessments and
performance goals (Brown et al, 2011). In the Solution-Focused model, the consultant shifts the
perspective of the consultee around skill deficiencies (Brown et al, 2011). It is based on goal-
setting and finding potential solutions to problems (Brown et al, 2011). It is applicable to
individual or group consultation with parents or teachers (Brown et al, 2011). The System’s
Theory Model of Consultation is based on interactions between clients and system in the
environment (Brown et al, 2011). Collaboration aligns the school with the community to achieve
educational goals (Brown et al, 2011). These models deliver indirect consultation services to
school settings and improves the functioning of teachers (consultees) to help their students.
A whole school approach consists of direct and indirect services in which the school
community and the broader community feel a sense of belonging (Kids Matter, 2018). The
whole school approach ensures that teaching is interactive and inclusive, the school community
is diverse and families are involved in the development of policies (Kids Matter, 2018). All
members of the school community contribute to the planning and decision-making of an
initiative (Kids Matter, 2018). For example, Schoolwide Positive Behavior Support (SWPBS) is
a whole school approach to creating a safe and supportive environment in Queensland state
schools (DET, 2016b). These schools understand that problem behavior serves a purpose and
school members need to teach appropriate ways for students to express their needs (DET,
2016b).
Students need a flexible, integrated service delivery model that consists of both direct and
indirect services. A collaborative consultation model enables professionals with different
expertise to produce solutions for effective programs for students (Idol, Paolucci-Whitcomb &
Nevin, 1995). The consultant collaborates with other professionals and shares knowledge.
There is a beneficial liaison with community agencies and parents (Idol et al, 1995).
Collaborative consultation emphasizes a student-centred approach in which students receive
instruction for academic and social problems in the least restrictive environment (Idol et al,
1995). Teachers and parents receive direct assistance in their natural environments (Idol et al,
1995). Another benefit of collaborative consultation is the promotion of staff development
opportunities (Coben et al, 1995). Professionals with different expertise share responsibility for
the design and implementation of programs for students. However, there are limitations to the
collaborative consultation model. Many consultants claim that they do not have enough time to
consult because both general and special education teachers have full-time teaching
responsibilities (Coben et al, 1995). Conflict arises when educators cannot do what they want to
do because of time constraints. There are language differences between special educators and
general educators (Coben et al, 1995). Special educators use a certain type of jargon which
makes communication difficult. There is lack of participation in team meetings which causes
problems in implementing a specialized program for students (Coben et al, 1995). Finally, there
is a lack of training for general and special educators which causes problems in implementing the
program for students (Coben et al, 1995). For instance, a collaborative consultation model can
be used to improve educational services for mainstreamed students who are hearing-impaired
(Luckner, Rude & Sileo, 1989). Teachers of students who are hearing-impaired can provide both
direct and indirect services to hearing-impaired students (Luckner et al, 1989). Teachers of
hearing-impaired students can be consultants to general education teachers by sharing
information on auditory training systems, interpreters, tutors and notetakers (Luckner et al,
1989). Speech language pathologists and guidance counsellors can provide direct services to
hearing-impaired students and consultative services to school staff and parents (Luckner et al,
1989). Team teaching lessons with general education teachers, in-service workshops and
promoting schoolwide activities for hearing-impaired students are indirect services (Luckner et
al, 1989). In Queensland, “Every student succeeding State Schools Strategy 2017-2021” is a
collaborative empowerment in which school staff work together to create inclusive environments
(DET, 2017e). Students receive the support they need in a culturally diverse environment.
Therefore, a flexible and integrated service delivery model is fundamental to improving
students’ learning in a school setting. An integrated approach consisting of direct and indirect
services is the most effective way to meet today’s complex environment. These service delivery
models emphasize an inclusionary foundation in which students are accepted and accommodated
to be with their non-disabled peers. The whole school approach allows students to have more
resources and support from their community. To make sure that no child is left behind in school,
consulting with professionals with different expertise and collaborating with administrators,
parents, colleagues, teachers and consultants is beneficial for optimal learning of students. An
integrated approach to service delivery in schools meets the increasing demands of today’s
society.
References
Bourke, P.E. (2010). Inclusive education reform in Queensland: Implications for policy and practice. The International Journal of Inclusive Education, 14(2), 183-193.
Brown, D., Pryzwansky, W.B., & Schulte, A.C. (2011). Psychological consultation and collaboration: Introduction to theory and practice. Upper Saddle River, NJ: Pearson Education Inc.
Brown, Z. (2016). Inclusive education: Perspectives on pedagogy, policy and practice. New York, Routledge.
Bruniges, M. (2005). What is driving curriculum reform in Australia? Curriculum & Leadership Journal, 3(40), Retrieved from http://www.curriculum.edu.au/leader/
Case-Smith, J., & Holland, T. (2009). Making decisions about service delivery in early childhood programs. Language, Speech and Hearing Services in Schools, 40(4). Doi: 10.1044/0161-1461
CCRESA. (2004). Direct, Indirect and Consultation Services. Retrieved from www.ccresa.org/Files/Uploads/42/Clarification-on-Direct-Indire.pdf
Coben, S.S., Thomas, C.C., Sattler, R.O., & Morsink, C.V. (1997). Meeting the Challenge of Consultation and Collaboration: Developing Interactive Teams. Journal of Learning Disabilities, 30(4), 427-432.
Cook, L., & Friend, M. (1991). Consultation in special education: Coming of age in the 1990s. Preventing School Failure, 35(2), 24-27.
Department of Education and Training (DET). (2017a). Inclusive education policy statement. Retrieved from http://education.qld.gov.au/schools/inclusive/
Department of Education and Training (DET). (2017b). Culture and linguistic diversity. Retrieved from http://education.qld.gov.au/schools/inclusive/cultural-linguistic-diversity.html
Department of Education and Training (DET). (2017c). Disability Policy. Retrieved from http://education.qld.gov.au/schools/disability/index.html
Department of Education and Training (DET). (2017d). Religious diversity. Retrieved from http://education.qld.gov.au/schools/healthy/religious-diversity.html
Department of Education and Training (DET). (2017e). Every student succeeding State Schools Strategy 2017-2021. Retrieved from http://education.qld.gov.au/corporate/about/pdfs/State-scgiiks-strategy-2017-2021.pdf
Department of Education and Training (DET). (2016a). Student Mental Health and Wellbeing. Retrieved from http://education.qld.gov.au/studentservices/protection/mentalhealth/index.html
Department of Education and Training (DET). (2016b). Positive Behaviour for Learning. Retrieved from http://behaviour.education.qld.gov.au/positive-behaviour/whole-school/Pages/shy.aspx
File, N., & Kontos, S. (1992). Indirect Service Delivery Through Consultation: Review and Implications for Early Intervention. Journal of Early Intervention, 16(3), 221-233.
Hammond, H., Ingalls, L. (2003). Teacher’s attitudes toward inclusion: survey results from elementary school teachers in three southwestern rural school districts. Rural Special Education Quarterly, 22, 24-31.
Idol, L., Paolucci-Whitcomb, P., & Nevin, A. (1995). The Collaborative Consultation Model. Journal of Educational and Psychological Consultation, 6(4), 329-346.
Kids Matter. (2018). A Whole School Approach. Retrieved from https://www.kidsmatter.edu.au/primary/a-whole-school-approach
Luckner, J.L., Rude, H., & Sileo, T.W. (1989). Collaborative Consultation: A Method for Improving Educational Services for Mainstreamed Students Who Are Hearing Impaired. American Annals of the Deaf, 134(5), 301-304.
Ministerial Council on Education, Employment, Training and Youth Affairs (MCEETYA). (2009). The Melbourne Declaration on Educational Goals for Young Australians. Melbourne, Australia: Curriculum Corporation
Morin, A., (2018). The Difference Between Push-in and Pull-out Services. Retrieved from https://www.understood.org/services/the-difference-between-push-in-and-pull-out
Pacer Center. (2018). Direct and Indirect Services. Retrieved from www.pacer/org/parent/php/PHP-c180.pdf
Savage, G.C., & O’Connor, K. (2015). National agendas in global times: curriculum reforms in Australia and the USA since the 1980s. Journal of Education Policy, 30(5), 609-630. doi: 10.1080/02680939.2014.969321
Scherer, M. (2011). No School’s an Island. Educational Leadership, 68(8), 7.
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