Section snippets School-based supports and accommodations among anxious youth in treatmentĪnxiety disorders are the most common mental health problem in childhood and adolescence with lifetime prevalence rates ranging from 10 % to 30 % (Costello et al., 2005, Costello et al., 2003, Merikangas et al., 2010). Discussion considers the need for observations in schools to further address the merits/demerits of anxiety-related SBS. Overall, the present study characterizes types of SBS being received by anxious youth and finds that SBS recommended to anxious youth vary in type and quality. Analyses revealed (a) approach and (b) avoidance promoting SBS were differentially associated with diagnostic status: youth with social anxiety disorder were more likely to be recommended SBS promoting avoidance and youth with a specific phobia were more likely to be recommended SBS promoting approach.
School documents were coded for the presence of SBS and each SBS received a (a) total approach and (b) total avoidance score. SBS were rated by a panel of youth anxiety experts on the degree to which each SBS promoted (a) approach or (b) avoidance. The present study, using school documents provided at treatment, examined the types of SBS provided to youth (N = 76 ages 7–17 mean age 11.07 47.4 % female) diagnosed with an anxiety disorder.
In schools, accommodation refers to school-based supports (SBS) placed to increase academic success for students with disabilities. Within pediatric anxiety, accommodation describes ways caregivers modify their behavior in an effort to alleviate distress shown by anxious youth.
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