Do more comprehensive psychoeducational evaluations promote TBI educational diagnosis?

Students with traumatic brain injury (TBI) sometimes experience impairments that can adversely affect educational performance. Consequently, school psychologists may be needed to help determine if a TBI diagnosis is warranted (i.e., in compliance with the Individuals with Disabilities Education Improvement Act, IDEIA) and to suggest accommodations to assist those students. This analogue study investigated whether school psychologists provided with more comprehensive psychoeducational evaluations of a student with TBI succeeded in detecting TBI, in making TBI-related accommodations, and were more confident in their decisions. To test these hypotheses, 76 school psychologists were randomly assigned to one of three groups that received increasingly comprehensive levels of psychoeducational evaluation embedded in a cumulative folder of a hypothetical student whose history included a recent head injury and TBI-compatible school problems. As expected, school psychologists who received a more comprehensive psychoeducational evaluation were more likely to make a TBI educational diagnosis, but the effect size was not strong, and the predictive value came from the variance between the first and third groups. Likewise, school psychologists receiving more comprehensive evaluation data produced more accommodations related to student needs and felt more confidence in those accommodations, but significant differences were not found at all levels of evaluation. Contrary to expectations, however, providing more comprehensive information failed to engender more confidence in decisions about TBI educational diagnoses. Concluding that a TBI is present may itself facilitate accommodations; school psychologists who judged that the student warranted a TBI educational diagnosis produce more TBI-related accommodations. Impact of findings suggest the importance of training school psychologists in the interpretation of neuropsychology test results to aid in educational diagnosis and to increase confidence in their use.