Effectiveness of Special Education: Is Placement The Critical Factor?
Effectiveness of Special Education: Is Placement The Critical Factor?
Effectiveness of
Special Education:
Is Placement the
Critical Factor?
Anne M. Hocutt
                                                 Abstract
      Research indicates that various program models, implemented both in special educa-
      tion and general education, can have moderately positive academic and social impacts             Anne M. Hocutt, Ph.D.,
      for students with disabilities. However, no intervention has been designed that elimi-           is a research associate
      nates the impact of having a disability. With few exceptions, students with disabilities         professor at the School of
      have not achieved commensurately with their nondisabled peers; even students with                Education, Department
      learning disabilities as a group have not been able to achieve at the level of low-achiev-       of Educational and
      ing nondisabled students.                                                                        Psychological Studies at
                                                                                                       the University of Miami.
      In general, the most effective interventions for students with disabilities, whether in
      special education or general education settings, have employed intensive and reason-
      ably individualized instruction, combined with careful, frequent monitoring of stu-
      dent progress.
      There is no compelling evidence that placement rather than instruction is the critical
      factor in student academic or social success. Further, studies have indicated that typi-
      cal practice in general education is substantially different from practice in the model
      programs that showed greatest success for students with disabilities. The interventions
      that were effective in improving academic outcomes for students with disabilities
      required a considerable investment of resources, including time and effort, as well as
      extensive support for teachers.
      The research does not support full-time inclusion for all students with disabilities. On the
      contrary, it appears that there is a clear need for special education. At the same time, given
      adequate resources, schools should be able to assist more students to be more successful
      in general education settings.
R
         ecently, both The Wall Street Journal (“Special Ed’s Special Costs”)1
         and U.S. News and World Report (“Separate and Unequal: How
         Special Education Programs Are Cheating Our Children and
Costing Taxpayers Billions Each Year”)2 accused special education of being
costly, ineffective, and perhaps even immoral (for example, it promotes
The Future of Children SPECIAL EDUCATION FOR STUDENTS WITH DISABILITIES Vol. 6 • No. 1 – Spring 1996
78                                                   THE FUTURE OF CHILDREN – SPRING 1996
     Current Placement and                         boards, parents, and advocacy groups for the
                                                   disabled) on the question of how placement
     Constituent Groups                            should be determined for students with dis-
     To understand the relationship between spe-   abilities.
     cial education and general education, one
     must know the definitions of key terms, be    Definitions: “Mainstreaming”
     aware of where special education students     and “Inclusion”
     currently spend the school day, and under-    Both mainstreaming and inclusion are con-
     stand the positions taken by various con-     cepts and movements, rather than precisely
     stituencies (including teachers, school       defined programs. Within this article, main-
Effectiveness of Special Education: Is Placement the Critical Factor?                                                           79
Box 1
       Source: Deno, E. Special education as developmental capital. Exceptional Children (1970) 37:229–37. With modifications
       by A. Hocutt for this publication. Originally termed the “cascade of services.”
   streaming and inclusion will be defined as                       Programs (OSEP) show that a variety of
   described below.                                                 placements are used (see Figure 1). The per-
                                                                    centage of students with disabilities served in
       “Mainstreaming” is the integration of                        the various placements has changed very lit-
   children with disabilities with their peers in                   tle over the past decade.6 Approximately
   general education based on individual                            one-third of special education students
   assessment. The term is associated with the                      spend 80% or more of their school day in
   least restrictive environment (LRE) man-                         the general education classroom. Another
   date in the Individuals with Disabilities Act                    one-third spend 40% to 79% of their day in
   (IDEA) and with the “full continuum of ser-                      general education. Approximately one-quar-
   vices”4 (see Box 1). That is, mainstreaming                      ter spend 0% to 39% of their time in gener-
   occurs when an interdisciplinary team                            al education, but their special education
   (including parents) determines that, given                       classrooms share a building with the general
   all available placement options, a specific                      education classes. The remaining 5% to 6%
   child should participate in general educa-                       of special education students are served in
   tion for some part of the school day.                            separate schools, residential programs, hos-
                                                                    pitals, or their own homes.
       “Inclusion” goes beyond mainstreaming
   in that it implies that most children with dis-                  Positions on Inclusion
   abilities will be educated in the general edu-                   Many constituencies, representing people
   cation classroom for most, if not all, of the                    with widely differing disabilities, as well as
   school day. “Full inclusion” means that all                      professional organizations of teachers,
   children with disabilities, regardless of the                    school administrators, and professionals
   nature or severity of the disability, will be                    who work with students with disabilities,
   educated in general education: in a full                         have issued position statements on inclusion
   inclusion system, separate special education                     through their professional or advocacy orga-
   placements would no longer exist. Both                           nizations. These positions have been catego-
   inclusion and full inclusion imply that other                    rized as follows:7
   placement options would be severely cur-
   tailed or abolished.                                             ■ unqualified enthusiasm for full inclusion
                                                                    and elimination of the continuum of special
   Current Placement Patterns                                       education services;8
   Data from the most recent annual report to                       ■ enthusiasm for the philosophy of inclu-
   Congress5 of the Office of Special Education                     sion but support for the continuum of ser-
80                                                                       THE FUTURE OF CHILDREN – SPRING 1996
Figure 1
                                           Residential Facility
                                                 0.9%
                                                               Home/Hospital Environment
                                Separate School
                                                                       0.5%
                                    3.9%
              Separate Class
                 23.5%                                                                                Regular Class
                                                                                                        34.9%
                                               Resource Room
                                                   36.3%
       Source: Office of Special Education Programs. Implementation of the Individuals with Disabilities Education Act: Sixteenth
       annual report to Congress. Washington, DC: U.S. Department of Education, 1994, p. 12.
Effectiveness of Special Education: Is Placement the Critical Factor?                                  81
   vices and individual decision making;9,10            Middle and high school teachers moni-
   ■ reduction of the special education system      tor the work of nondisabled students at high-
   in size;11                                       er rates than they do the work of students
   ■ support for “appropriate” (individually        with disabilities.22 Research suggests that
   determined) inclusion, including a full con-     teachers are more concerned about whether
   tinuum of placement options and services;12      students demonstrate interest in a lesson
   ■ concern that inclusion does not provide        and do not create discipline problems than
   appropriate services for students with learn-    they are about whether a particular student
   ing disabilities, vision impairment/blind-       experiences difficulty learning.22
   ness, or hard-of-hearing/deafness;13–18 and
   ■ concern about responsibilities of gener-           Research also indicates that general edu-
   al education teachers and effects of inclu-      cators do not usually adapt lesson plans in
   sion on all students,19 with recognition that    response to individual student confusion or
   diversity of placement options and teach-        low achievement.21,23 When surveyed, teach-
   ing approaches is a strength of the current      ers do not perceive themselves as having the
   system.20                                        skill for adapting instruction in ways that
   Experiences of Children in
   General and Special                              From 3% to 5% of the school-age popula-
   Education                                        tion is referred in any given year, 92% of
   To answer the question “What’s ‘special’         those referred are tested, and 74% of those
   about special education,”3 it is necessary to    tested are placed in special education.
   compare special education with general
   education (see Box 2). This section sum-
   marizes OSEP-funded research, including:         facilitate individual or small-group instruc-
   (1) descriptive studies of general education;    tion.24 When teachers modify instruction,
   (2) descriptive studies and data about spe-      they may be more likely to make adaptations
   cial education; and (3) student outcomes.        (for example, providing reinforcement and
                                                    encouragement, establishing appropriate
   Common Practices in General                      routines, and adapting classroom manage-
   Education                                        ment activities and/or test situations) that
   Recent studies have described typical prac-      do not require preplanning.22,25 They may
   tice in general education, emphasizing those     be less likely to develop individual objectives,
   factors that are critical for students with      adapt curricular materials, use alternative
   disabilities, such as classroom instruction,     materials, and/or adjust scoring and grad-
   teacher attitudes and referral decisions, and    ing criteria for individual students.22
   schoolwide issues. The results of these stud-
   ies apply to all grades unless otherwise         Teacher Attitudes and Referral
   noted.                                           Decisions
                                                    The decision by the general education
   Classroom Instruction                            teacher to refer a given student for possible
   Numerous practices in the typical general        placement in special education is critical. In
   education classroom conflict with known          general, from 3% to 5% of the school-age
   effective interventions for students with        population is referred in any given year, 92%
   special learning needs. Undifferentiated         of those referred are tested, and 74% of
   large-group instruction appears to be the        those tested are placed in special educa-
   norm in general education.21 Individual          tion.26,27 There may be biases in teacher
   assignments, small-group work, and stu-          referrals: males and African-American stu-
   dent pairing occur, but much less frequent-      dents are referred more often than other
   ly than whole-class instruction.21,22 Teachers   students.28 However, referred students have
   typically follow the sequence of lessons out-    considerably lower reading achievement
   lined in teachers’ manuals21 and focus on        than those who are not referred.28
   content coverage.22 Students with disabili-
   ties in these classes may be expected to            In deciding which children to refer for
   cover the same content at the same pace as       possible placement in special education,
   nondisabled students.22                          research shows that teachers consider their
82                                                                                  THE FUTURE OF CHILDREN – SPRING 1996
Box 2
       GENERAL EDUCATION
            Class size: Average class size is larger (24 elementary, 21 high school) than in special education (15).
            Teacher training: Teachers’ preservice training is likely to focus either on content (for example, history or
            math) or on a developmental stage (for example, kindergarten). General educators may have received
            an introductory course describing children with special needs, resulting in limited information about
            and limited opportunity to practice teaching techniques effective in meeting special needs. Such cours-
            es have been called “inherently superficial” by the National Association of State Boards of Education
            Study Group on Special Education.a
            Accountability: Teachers are working in a climate of higher standards and raised expectations. They are
            expected to cover a set curriculum over the course of the year, raise student test scores, and maintain
            order in the classroom.
            Classroom practices: Common practices are those which support average learners. Large-group instruction
            is the norm, although individual and small-group assignments also occur.
            Monitoring of students involves brief informal checking on what students are doing (as opposed to
            extended observations and data collection), with limited direct feedback to students (as opposed to
            extended, frequent one-on-one feedback about student progress).
            When surveyed, teachers report lack of training to adapt the curriculum to individual students’ special
            needs. They may be reluctant to adjust scoring and grading criteria for individual students.
            Disruptive student behavior is a major concern of teachers (many would prefer to have disruptive stu-
            dents removed from the class). Further, when observed, teachers demonstrate a limited range of tech-
            niques to modify disruptive behavior.
            Students do not generally receive instruction to help them acquire appropriate behaviors or social skills.
            Teachers who have the greatest success at raising the academic achievement of the whole class may also
            have the least tolerance for students with impaired skills or with maladaptive behavior.
       SPECIAL EDUCATION
            Class size: Average class size (15) is smaller than in general education.
            Teacher training: Teachers are somewhat more likely to have advanced degrees. However, because of per-
            sonnel shortages nationwide, about 10% of special education personnel are not certified for the position
            they hold.b
            Accountability: Each student in special education has an individualized education program (IEP), and
            teachers are expected to help each student advance toward his or her individual goals.
            Classroom practices: A minority of studies have found few differences between general and special educa-
            tion in terms of instructional practices. However, the majority of studies have found differences, sum-
            marized below.
            Special education teachers are likely to use a wider variety of teaching strategies.
            Special education teachers are also more likely to monitor student behavior frequently, praise students,
            and provide answers to their own questions if student response is inadequate.
            Special education teachers collect more data to monitor student progress and are more knowledgeable
            about individual students.
            Materials are covered at a slower pace.
            Teachers have a wider repertoire of responses to manage students’ disruptive behavior or inattention.
        a   National Association of State Boards of Education. Winners all: A call for inclusive schools. The report of the NASBE Study
            Group on Special Education. Alexandria, VA: NASBE, October 1992, p. 25.
        b   Office of Special Education Programs. Implementation of the Individuals with Disabilities Education Act: Sixteenth annu-
            al report to Congress. Washington, DC: U.S. Department of Education, 1994, p. 20.
Effectiveness of Special Education: Is Placement the Critical Factor?                                   83
   perception of the child’s “teachability,” the      teacher engages other children in the class
   overall diversity of the classroom, and the        in small-group work. Students engaged in
   philosophy and policies of the school dis-         individual seatwork receive minimal assis-
   trict. Research also suggests that some teach-     tance or corrective feedback while working,
   ers who are most effective at raising overall      increasing the likelihood of failure and con-
   academic standards may have a lower toler-         sequent referral.30
   ance for students with special needs.
                                                      ■ Effective Teachers and Special Education
   ■ Student Teachability. “Teachability” refers to   Referrals. Researchers34 have found effective
   the extent to which a student is alert, sustains   teaching behaviors to include: reviewing and
   attention in the classroom, and begins and         checking the previous day’s work, and
   completes work on time. A teacher’s percep-        reteaching if necessary; promoting initial
   tion of a student’s teachability plays a major     student practice of new content and skills,
   role in the decision to refer.28,29 Other child
   characteristics that are related to this deci-
   sion include language difficulties26,30 and        Teachers who are most effective at raising
   behavioral problems, particularly aggres-          overall academic standards are likely to
   sion, opposition, and hostility.26,29 General
   education teachers will not tolerate disrup-       have a lower tolerance for students with
   tive and/or dangerous behavior.25,31               special needs.
   ■ Classroom Diversity. General education
   instruction appears to be aimed at a relative-     and checking for understanding; providing
   ly homogeneous group of students as teach-         corrective feedback; giving students an
   ers try to reduce “the sheer cognitive             opportunity for independent practice; and
   complexity of planning and instruction asso-       conducting weekly and monthly reviews of
   ciated with broad ranges of student charac-        progress. In theory, such close monitoring
   teristics and abilities.”29 Thus, teachers refer   and feedback-intensive practice should be
   difficult-to-teach children who have serious       well suited to the needs of special education
   academic and behavioral problems28 and             students, as well as to the needs of the gen-
   who are markedly different from other stu-         eral student body. Unfortunately, research
   dents in the class.32 Not surprisingly, many       on teacher attitudes suggests that some
   teachers are skeptical of proposals to return      effective teachers may not be willing to
   all children with disabilities to general edu-     accept students with disabilities.35,36
   cation classrooms because coping with the
   difficulties these children present may take           For instance, data from one study34
   time the teacher now uses for instruction.33       showed that elementary general education
                                                      teachers who were considered most effective
   ■ School District Factors. Teachers refer at       were also the least likely to accept students
   different rates depending partly upon              with maladaptive behavior or disabilities into
   contextual factors such as sources of avail-       their classroom, and those teachers had a
   able assistance,29 the way in which the            lower sense of responsibility for dealing with
   teacher is evaluated by administrators, the        students’ problem behaviors. Data from two
   restrictiveness of special education eligibil-     other studies indicated that teachers with the
   ity criteria used in the school district, and      most effective instructional and classroom
   district requirements regarding prereferral        management techniques had the lowest tol-
   intervention.26                                    erance for maladaptive behavior and the
                                                      highest expectations for behavior and
   ■ Classroom Environment. A child’s school          achievement, and would be most likely to
   failure and likelihood of being referred to        resist placement of a disabled student in their
   special education are influenced not only by       classroom,35 especially if the student were
   the child’s own characteristics, but also by       deficient in self-help skills, required adapted
   the manner in which the classroom oper-            materials, or had impaired language ability.36
   ates. Research suggests that the classroom
   environment most conducive to school fail-         Schools and School Systems
   ure is one in which a student in academic          The description of general education to this
   trouble does individual seatwork while the         point has focused on classroom instruction
84                                                                   THE FUTURE OF CHILDREN – SPRING 1996
               and on reasons teachers refer students for          ratios. Small classes facilitate more individ-
               special education. However, research also           ual attention and small-group instruction.
               describes the context in which schools and          Also, more special education teachers have
               school systems operate.                             advanced degrees, with nearly 55% having a
                                                                   master’s degree and 11% having an educa-
               ■ Schools’ Capacity for Teaching Behavior           tional specialist or doctoral degree in com-
               Management Skills. Many students with dis-          parison with 40% and 6%, respectively, for
               abilities have very poor social skills, and         general education teachers.3 The special
               some have behavioral and/or emotional dis-          education curriculum is more oriented
               orders. Public schools often do not address         toward the development of functional skills,
               social skills, and teachers have not been           and the pace at which students cover mate-
               trained to use positive behavior manage-            rials is slower.40
               ment strategies rather than punishment.
               Mental health and other services are usually            As noted earlier, approximately 95% of
               not available or, if available, are not integrat-   special education students are educated in
               ed into the regular program.37                      the public schools; these students spend an
                                                                   average of 70% of their time in general edu-
               ■ Higher Standards for Academic Performance.        cation settings5 (see Figure 1). Younger stu-
               Further, schools and school systems are             dents are more likely than older students to
               operating in a climate of increased account-        be placed in integrated settings (that is, set-
               ability.38 Many reports and studies have            tings which have both general and special
               accused the U.S. educational system of being        education students).5
               mediocre.38 These reports have resulted in a
               national drive for excellence in education,         Comparison of Instruction in
               generally interpreted as higher standards,          General and Special Education
               more courses, and more homework. The                Although a majority of studies comparing
               focus is now on student outcomes, for exam-         instruction in general and special education
               ple, higher scores on tests and increased           have found numerous differences, a minori-
                                                                   ty of studies have found few differences. For
                                                                   instance, one study comparing special edu-
     Approximately 95% of special education                        cation, resource-room instruction with typi-
                                                                   cal classroom instruction in reading and
     students are educated in the public schools;                  math found no significant differences in a
     these students spend an average of 70% of                     variety of instructional practices, including
     their time in general education settings.                     teacher modeling, opportunity for student
                                                                   responses, amount of guided and indepen-
                                                                   dent practice, and pacing of lessons.41 Other
               high school graduation rates. Some states           studies have indicated that general and spe-
               are using enrollments in advanced courses,          cial education teachers perform similar
               the amount of homework given or complet-            instructional tasks.42,43
               ed, and SAT scores as measures of school
               performance. These raised expectations              Teaching Strategies and Interventions
               occur in a climate of large classes and large       For the most part, research shows differ-
               teacher loads (for example, 150 students per        ences between general and special educa-
               day per teacher in secondary education).38          tion instruction, though findings have not
               Consequently, it is not surprising that many        been consistent across studies. Some com-
               special educators doubt that general educa-         parison studies have focused on the differ-
               tion will be able to successfully educate more      ences in the teaching strategies and inter-
               students with disabilities for more hours dur-      ventions used by general and special
               ing the school day.39                               education teachers, and this literature con-
                                                                   sistently shows differences. One study, which
               Common Practices in Special                         compared teacher planning and adaptation
               Education                                           for students with learning disabilities, found
               Current data from the U.S. Department of            that general educators preferred to use
               Education show that class size in special edu-      manipulative and audiovisual activities,
               cation averages 15 students per teacher,5           while the special educators preferred
               smaller than typical general education              detailed intervention programs designed for
Effectiveness of Special Education: Is Placement the Critical Factor?                                                                85
Box 3
       It should be noted that these older stud-         concluded that placement in special educa-
   ies were done so long ago that their rele-            tion worked best for students with hearing
   vance to today’s classroom practices and              impairments and worked well for students
   student characteristics is questionable.54            with mild retardation; however, it was not
   There have been historical changes in such            successful for students with learning disabili-
   classifications as educable mental retarda-           ties. (It should be noted that Wang and
   tion (EMR), so that results of older efficacy         Baker analyzed outcomes for students with
   studies of students with EMR may not be               hearing impairments only in terms of atti-
   generalizable to the current population of            tudes toward school and toward other stu-
   students with EMR.55                                  dents. They analyzed outcomes for students
                                                         with mild retardation primarily in terms of
       Both Carlberg and Kavale56 and Wang               attitudes, but measured outcomes for learn-
   and Baker57 conducted meta-analyses of a              ing disabled students in terms of academic
   number of efficacy studies comparing gen-             performance.)
   eral versus special class placement. Carlberg
   and Kavale,56 who examined the results of 50              Other researchers reviewed studies of
   studies, found that placement in general              outcomes associated with various types of
   rather than special education classes result-         placements. One review of the research
   ed in better outcomes for students with mild          literature58 reached the same conclusion
   retardation but poorer outcomes for stu-              as Carlberg and Kavale, that is, that stu-
   dents with learning disabilities or behav-            dents with learning disabilities or emo-
   ioral/emotional problems. Similarly, Wang             tional/behavioral problems were better off
   and Baker,57 who meta-analyzed 11 studies,            in special education resource rooms than in
88                                                                  THE FUTURE OF CHILDREN – SPRING 1996
               general education classrooms. A second             there is a wide range of severity, with and
               review59 found “weak evidence” of improved         without co-occurring conditions.
               educational and emotional outcomes in less
               restrictive environments, although these               Though caution is appropriate, it is nec-
               reviewers, as well as the authors of a third       essary to consider some broad groupings of
               review,52 stated that the intervention itself,     students with somewhat similar conditions
               rather than the setting in which it is imple-      to understand their needs and the services
               mented, is related to student academic             they require.
               progress.
                                                                  ■ Students with Learning Disabilities. Students
                   Although these older meta-analyses and         with learning disabilities (LD) constitute the
               literature reviews are still presented as evi-     largest single category of children with dis-
               dence that special education is ineffective, in    abilities. (See the Child Indicators article by
               fact the authors of the meta-analyses con-         Lewit and Baker in this journal issue.) In
               cluded that special education was preferable       general, studies conducted since 1980 indi-
                                                                  cate slightly better academic outcomes for
                                                                  students with learning disabilities who are
     Generalized efforts to improve instruction                   served in special education settings. When
     for all students may do little to meet the                   these same students are served in general
                                                                  education settings, they have poorer self-
     special academic needs of students with                      concepts. The latter finding may be relat-
     disabilities.                                                ed to data showing that students with learn-
                                                                  ing disabilities have one of the highest
                                                                  dropout rates of any group of students with
               for students with learning disabilities or         disabilities. (See the article by Wagner and
               emotional disorders. It is also important to       Blackorby in this journal issue.)
               remember that the research on which these
               studies are based cannot be assumed to                 Special education settings appear to be
               reflect current teaching practices and cur-        superior in two recent studies,60,61 which
               rent student populations.                          compared academic outcomes for students
                                                                  with learning disabilities who were placed at
                                                                  different times in general and special educa-
               Recent Studies of Outcomes in
                                                                  tion settings. A time-series analysis allowed
               Special Education and in                           researchers to compare the performance of
               Effective Schools                                  the same students in each of the settings.
               First, this section examines outcomes for stu-     One study60 of 11 poor readers who subse-
               dents with specific disabilities (summarized       quently were diagnosed as having learning
               in Box 3). Then, this section considers stud-      disabilities showed that these students
               ies of students without disabilities when stu-     gained nearly twice as many new reading
               dents with disabilities are included in the        words per week in special education as they
               classroom, concluding that no negative             had in general education. A separate study61
               impacts have been indicated, though the            of 21 students with learning disabilities who
               research base is small. Finally, a discussion of   had been in special education classes and
               generalized efforts to improve instruction         returned to general education showed that
               for all students (the “school effectiveness”       the students made small but steady gains
               movement) concludes that improving the             while in special education, but made no
               effectiveness of schools may do little to meet     gains in general education.
               the special academic needs of students with
               disabilities.                                         While most research on the perfor-
                                                                  mance of students with learning disabilities
               Effectiveness of Special Education for             has taken place in elementary schools, some
               Students with Disabilities                         has been done at the high school level. A
               It is not possible to reach broad conclusions      study62 comparing the performance of sec-
               about all students with disabilities, and even     ondary students with learning disabilities
               within groupings, caution should be exer-          and their low-achieving nondisabled peers
               cised. Distinctions between categories of dis-     found that ninth-grade students with learn-
               ability are not absolute. Within categories,       ing disabilities who were taught in general
Effectiveness of Special Education: Is Placement the Critical Factor?                                 89
   education had an average grade point aver-         tional/behavioral disorders (EBD) or seri-
   age (GPA) of 0.99, significantly lower than        ous emotional disturbance (SED) have sig-
   the already low 1.38 GPA of the nondisabled        nificant difficulty in these areas.
   students who were classified as low achiev-
   ing. Additionally, 20% of the students with            An article describing the characteristics
   learning disabilities failed the ninth grade;      and outcomes of children with serious emo-
   during their ninth-grade year, 79% earned a        tional disturbance appeared in the sum-
   D or less in social studies, 69% earned a D or     mer/fall 1995 issue of this journal.69 The
   less in science, and 63% earned a D or less in     author concluded that improved long-term
   health. These results corroborate earlier          outcomes (employment, postschool educa-
   studies23,63 showing that most secondary stu-      tion, and residential independence) for stu-
   dents with learning disabilities pass their        dents with serious emotional disturbance
   classwork, although one study23 indicated          were associated with parental involvement,
   that general educators give students with          vocational education, and social integration
   learning disabilities a grade of D simply for      into the school through participation in
   attending class. Thus, it is not known how
   much actual learning was taking place, but it
   is clear the students with learning disabilities   Lower functioning students (those with more
   placed in general education were not achiev-       course failures) were more likely to drop out
   ing even at the level of nondisabled, low-
   achieving students.                                of school altogether when placed in general
                                                      education.
       Research suggests that the self-concept of
   students with learning disabilities improves
   the most in the most segregated settings,          sports or other groups. Another critical
   despite the assertion by some proponents of        factor was appropriate placement: higher-
   inclusion that children with mild handicaps        functioning students with serious emotional
   will improve in their self-perceptions when        disturbance benefitted socially and held
   placed full time in general education.64           constant in academic achievement when
   Various studies have found that (1) children       returned to general education. However,
   with learning disabilities in general educa-       lower-functioning students (those with more
   tion classes had significantly poorer self-per-    course failures) were more likely to drop out
   ceptions of academic competence and                of school altogether when placed in general
   behavior than their nondisabled class-             education.
   mates,65 (2) students with learning disabili-
   ties who spent part of the day in resource             Students with serious emotional distur-
   room programs thought of themselves as             bance who have the most severe problems
   more competent academically than did sim-          may be taught in a separate school or resi-
   ilar students who spent all day in general         dential treatment program. Logically, these
   classes,66 and (3) the self-concept of students    students are more likely to be accepted in a
   with learning disabilities who spent all day in    less restrictive environment if teachers in
   special education classes was higher than          both the special and general schools are able
   that of similar students who spent one or two      to devote time and resources to planning
   hours per day in special education resource        and carrying out the transition.
   classes.67
                                                          That, indeed, was the finding of one
   ■ Students with Emotional/Behavioral Disorders     recent study involving the resource-inten-
   and/or Serious Emotional Disturbance. As noted     sive reintegration of 10 students with emo-
   earlier, research consistently finds that gen-     tional/behavioral disorders from a self-
   eral education teachers will not tolerate dis-     contained day school into neighborhood
   ruptive, aggressive, oppositional, defiant, or     schools.70 The intervention consisted of
   dangerous behaviors.68 Both elementary and         18 weeks of planning and intervention.
   secondary teachers are concerned that stu-         Research staff spent an average of 20 hours
   dents follow classroom rules, listen to and        per week for 18 weeks working with school
   comply with teacher directives, and carry out      personnel, while special and general edu-
   decisions—in short, behave in an orderly           cation teachers spent 10 and 8 hours,
   fashion. By definition, students with emo-         respectively, on transition activities. This
90                                                                 THE FUTURE OF CHILDREN – SPRING 1996
Box 4
                    Studies Based on School Effectiveness            eliminate the need for special education.
                    Literature                                       Two studies discussed below have demon-
                    Theoretically, “effective schools” should be     strated only modest gains for special educa-
                    well matched to the classroom needs of spe-      tion students in effective schools, while
                    cial education students. Characteristics of      another has shown a negative impact.
                    effective schools include improved academ-
                    ic achievement, strong educational leader-           One project,45 studying 2,604 students in
                    ship, an orderly school climate, high            grades 1 through 6 at 32 schools, indicated
                    achievement expectations, systematic moni-       that effective schools facilitate inclusion of
                    toring of student performance, and an            special education students. Researchers
                    emphasis on basic skills. While the literature   found that students with mild disabilities in
                    on effective schools is large, few studies       integrated programs in effective schools had
                    examine the outcomes of special education        better academic achievement and better
                    students. However, research suggests that        social behavior than did similar students in
                    making schools more “effective” will not         special education classes in similar effective
Effectiveness of Special Education: Is Placement the Critical Factor?                                93
   schools. However, these students consistent-         However, there is limited evidence of the
   ly did more poorly than their low-achieving      effectiveness of prereferral interventions.
   but nondisabled classmates. Another study        Research has generally looked only at
   of 758 students (255 in special education,       whether the intervention succeeded in
   the remainder low achieving) showed some         avoiding referral, not at student outcomes in
   positive academic impact for students with       general education. One review of research
   mild disabilities attending effective schools    between 1961 and 1989 found that only 32
   but not enough to bring the special educa-       of 119 studies used student academic
   tion students to the level of the low-achiev-    achievement to determine the success of the
   ing nondisabled students.45
       On the other hand, a study of 58 effec-      Most of these interventions show some
   tive schools81 showed a negative relation-       promise, though none show dramatic or
   ship between general education students’
   reading performance (on the California           consistent success for all or even most
   Achievement Test) and that of special edu-       students.
   cation students (on the Basic Academic
   Skills Sample).
                                                    intervention.83 Further, much of the
   Interventions Designed to                        research discussed below may have shown
   Facilitate Increased                             positive outcomes because of extra, some-
                                                    times intensive, assistance from the investi-
   Placement in General                             gators. Results from these studies may be
   Education                                        difficult or expensive to duplicate.
   A variety of interventions have been devel-
   oped to facilitate increased placement of stu-       Several models of prereferral interven-
   dents with disabilities in general education.    tions have been tried that involve consulta-
   The goal of each of these interventions is to    tion between two or more teachers (and
   provide an appropriate education for the         sometimes specialists), followed by class-
   special education student in the general         room changes targeted toward the problems
   education setting. All of the promising inter-   of the identified student. Interventions
   ventions require significant resources for       range widely and are not described in the
   implementation, such as smaller class sizes,     research literature. However, in this author’s
   extensive consultation with specialists,         experience, prereferral interventions may
   added planning time for teachers, teacher’s      include individualized behavior-modification
   aides, and ongoing, intensive training.          programs, changed seating arrangements,
                                                    teaching in small steps, or increased moni-
       Most of these interventions show some        toring of student progress.
   promise, though none show dramatic or
   consistent success for all or even most stu-         In the Teacher Assistance Team (TAT)
   dents. However, some of the caveats dis-         model, a team of general education teachers
   cussed earlier also apply to this body of        plan classroom modifications for students
   research, especially the lack of random          with special needs; a recent review found
   assignment. Therefore, the research must be      that only 21% of students focused on by
   interpreted with care.                           TATs were referred for special education.84
                                                    In another study, referrals were low (7% of
      These models are briefly described and        targeted students), and teachers had an
   conclusions summarized in Box 4.                 increased tolerance for a range of student
                                                    abilities, though not for a wider range of
   Prereferral Interventions                        student behaviors.85
   Efforts to avoid referring students to special
   education by making instructional accom-             Studies of Mainstream Assistance Teams,
   modations and adaptations for them in gen-       in which general education teachers con-
   eral classrooms are reasonably widespread.       sulted with special education teachers to
   As of 1989, some 23 states required and 11       design interventions, showed that teach-
   states recommended some form of prerefer-        ers initially complained that extensive
   ral intervention.82                              consultations leading to individualized pro-
94                                                                THE FUTURE OF CHILDREN – SPRING 1996
               grams for selected students were too com-        than comparison schools on measures of
               plex and demanded too much time;86 a             achievement.92
               shorter, less complex form of consultation
               was equally effective in achieving positive      Alternative Instructional
               outcomes.87 Students on average achieved         Methods
               between 66% and 72% of daily goals set by        Alternative instructional methods in the
               teachers.                                        general classroom involve classwide changes,
                                                                not individualized modification. As a group,
               Postreferral Teacher                             they require lengthy (often multiyear)
               Consultation                                     teacher training, teacher planning time,
               The goal of postreferral consultation is to      administrative support, and sometimes addi-
               enable the general educator to deliver spe-      tional instructional staff. However, research
               cial education services in the general educa-    indicates that these models of instruction
               tion classroom rather than sending special       are promising for improving outcomes for
               education students to a “resource room” for      students with disabilities.
               part of the day. A special educator consults
               with the general educator regarding the spe-     Direct Instruction
               cial needs of some students and suggests         Direct instruction (DI) is a comprehensive
               modified teaching techniques such as behav-      curriculum, classroom management, and
               ior management strategies or modified read-      teaching system that includes teaching skills
               ing instruction.                                 in small sequenced steps, providing immedi-
                                                                ate feedback, and offering frequent student-
                   There are relatively few data-based stud-    teacher interaction. It is designed to be a
               ies of these consultation programs that          complete curriculum, rather than a supple-
               examine outcomes for special education stu-      ment to an existing curriculum, and it
               dents.83 These studies are not conclusive:       requires the use of trained supervisors who
               reported outcomes may be more related to         work in the classroom.
               initial differences among students than to
               the intervention itself. Two studies88,89 com-       A meta-analysis of 25 experimental stud-
                                                                ies of direct instruction involving students
                                                                with mild, moderate, and severe disabili-
     Data support the effectiveness of direct                   ties found that 53% of the academic and
     instruction for students with disabilities and             social outcomes favored direct instruc-
                                                                tion, while no outcome measures favored
     also for low-achieving students who might be               the comparison treatment.93 Outcomes
     referred for special education.                            were assessed in reading, math, language,
                                                                spelling, writing, health, and social skills.
                                                                Research suggests that learning under
               paring consultative services in general class-   direct instruction appears optimal for stu-
               rooms against pull-out services in resource      dents with disabilities when they respond
               rooms showed no differences in outcomes.         to many questions during the course of a
               A third study90 in which the special educator    lesson and the teacher provides step-by-
               provided both consultation and direct ser-       step instruction.94 Data support the effec-
               vices in the general class showed slight         tiveness of direct instruction for students
               improvement over outcomes achieved in            with disabilities and also for low-achieving
               resource rooms.                                  students who might be referred for special
                                                                education.
                  Other studies suggest that the consult-
               ing model may hold promise for all stu-          Cooperative Learning
               dents (including nondisabled students) if        In cooperative learning approaches, teach-
               the model involves additional teaching           ers assign students to heterogeneous teams
               resources. One study91 of consultation at        of four or five to achieve common academic
               the first-grade level, where schools added       goals.95 Cooperative learning appears to
               27% more staff, showed increased achieve-        have potential for assisting students with
               ment across all levels of IQ. Another study      mild disabilities; they progress academically
               found that students in schools using the         and are perhaps better accepted by their
               consulting teacher approach scored higher        nondisabled peers.
Effectiveness of Special Education: Is Placement the Critical Factor?                                95
       Studies of whole schools using coopera-      used to solve problems, and they have diffi-
   tive learning have shown positive academic       culty in spontaneously producing appropri-
   and social outcomes. An evaluation after         ate learning strategies.
   one year of implementation found that stu-
   dents with disabilities in cooperative schools       The Strategies Intervention Model
   had significantly higher achievement (a          (SIM)103 trains students with learning dis-
   10% to 100% grade equivalent higher than         abilities to use specific strategies to solve
   their matched peers in control schools)          problems and complete tasks indepen-
   with regard to reading vocabulary and read-      dently. Research suggests that the SIM can
   ing comprehension.95 Students with disabil-      assist students with learning disabilities to
   ities in the cooperative schools were also       remain in general education classrooms.104
   30% more likely to be selected as friends by     However, the general educator must use spe-
   classmates.                                      cific routines to cue the students with learn-
                                                    ing disabilities to use these strategies.
       Implementation of cooperative learning       Without this support, the students do not
   requires special curricular materials, exten-    use the strategies in the general classroom to
   sive training, substantial time for planning     the same extent they did in the special edu-
   and problem solving among teachers,100           cation resource room, where they originally
   and considerable administrative support.         learned the strategies. The developers of the
   Additional staff members are not required        SIM believe that three to five years are need-
   but may be desirable.                            ed to fully train teachers in its use.
96                                                                THE FUTURE OF CHILDREN – SPRING 1996
   disabilities, or (3) reducing referrals for spe-   ment and quality of instruction have more
   cial education.                                    impact than placement per se on the success
                                                      of students with disabilities. Unfortunately,
       However, these studies also indicate that,     descriptive research on the condition of gen-
   even when academic outcomes for students           eral education indicates that typical practice
   with disabilities are positive, no intervention    is different from the model programs that
   eliminates the impact of having a disability       showed greatest success for students with dis-
   on a student’s level of achievement. In no         abilities. There is little evidence of the capac-
   study did the students with disabilities           ity of general educators as a group to make
   achieve commensurately with their nondis-          the extensive changes that are needed to
   abled peers. Even when relationships               facilitate more, and more successful, main-
   between students with and without disabili-        streaming or inclusion, particularly if ade-
   ties are the focus, the research suggests that     quate resources are lacking.
   acceptance rather than friendship is the
   more likely outcome.                                   The research does not support inclusion
                                                      for all students with disabilities. On the con-
       Further, the interventions that were           trary, it appears that there is a clear need for
   effective in improving academic outcomes           special education to continue, through
   for students with disabilities required a con-     preservation of the continuum of services.
   siderable investment of resources. As a
   group, these interventions involved inten-
   sive retraining of teachers; ongoing support,      Inclusion is not likely to lead to savings in
   supervision, and technical assistance from         the costs of education. The interventions
   university faculty and other outside staff;
   supplementary curricular materials and             described in this article required consider-
   training manuals; and administrative sup-          able investment of expensive resources.
   port from school or district personnel, par-
   ticularly in providing time for training, plan-
   ning, and various types of meetings. Also,         At the same time, the research indicates that,
   both the intervention and descriptive              given adequate resources, more students
   research included in this article indicate that    could be assisted to become more successful
   other supports—for example, smaller class          in general education settings.
   sizes—may be required. Some researchers
   argue that, given the effort required by these     What Are the Cost Implications?
   interventions, teachers should volunteer for       Inclusion is not likely to lead to savings in the
   this work, not be forced to participate.           costs of education. Referring fewer students
   However, this could affect the proportion of       for special education and reducing the cur-
   children with disabilities who would be in         rent expensive requirement of individual
   each volunteer teacher’s classroom.                assessments should lead to some savings. It is
                                                      unclear whether or to what extent current
       This research suggests that the most           special education staffs would be reduced or
   effective interventions for students with          retained. Depending on circumstances, spe-
   disabilities have the following characteris-       cial educators might be needed to operate
   tics: a case-by-case approach to decision          pull-out resource rooms, consult with gener-
   making about student instruction and place-        al educators, or work on a regular basis in
   ment; intensive and reasonably individual-         the general classroom.
   ized instruction combined with very close
   cooperation between general and special                The interventions described in this arti-
   education teachers; and careful, frequent          cle required considerable investment of
   monitoring of student progress. All of these       expensive resources. Possible savings men-
   elements require significant teacher time          tioned above might be offset because school
   and supportive resources.                          districts might need to (1) hire more teach-
                                                      ers or more paraprofessionals to handle
   Is Placement the Critical Factor?                  increased membership in general educa-
   There is no compelling evidence that place-        tion classes and (2) provide considerable
   ment is the critical factor in student acade-      amounts of ongoing professional develop-
   mic or social success; the classroom environ-      ment activities to general educators and
98                                                            THE FUTURE OF CHILDREN – SPRING 1996
     paraprofessionals. Increased time probably             cally or socially or that it costs more than
     would be required for planning instruction             adequately educating students with disabili-
     and for problem solving about individual               ties in general education settings. Instead,
     students, which in turn would demand inno-             research supports the continuation of efforts
     vative scheduling and release time.                    to improve academic and social outcomes
                                                            for students with disabilities in both special
         In summary, research does not support              and general education settings and indicates
     assertions such as those in The Wall Street            that instruction, not setting, is the key to
     Journal or U.S. News and World Report that spe-        achievement of success as measured by stu-
     cial education is cheating students academi-           dent outcomes.
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