About You
I am the child’s:
· Regular classroom teacher
· Other teacher
· CIS worker
· Social worker
· Counselor
· Other student services staff
· Other school staff
School Performance
1. What grade is the student currently in?
· 1st grade
· 2nd grade
· 3rd grade
· 4th grade
· 5th grade
· 6th grade
2. How many grades has the child repeated in school?
· None
· 1 grade
· 2 grades
· 3 or more grades
3. How would you describe the student’s current academic performance in each subject area? (If the student has been retained‚ answer in relation to his/her current grade placement.)
Below grade level‚ At grade level‚ Above grade level
a. Reading/Language
b. Math
4. What grade did the student receive in each subject on his/her last report card? If It Is the beginning of the school year and no report cards have gone out yet‚ what grade is the student currently earning? if letter grades are not used to evaluate children in your school‚ choose the response that is closest to the grading scheme used.
a. Reading/Language: A‚ B‚ C‚ D‚ F
b. Math: A‚ B‚ C‚ D‚ F
5. What is the highest level of work you believe the student is capable of In each Subject area? (If the student has been retained‚ answer in relation to his/her current grade placement.)
Below grade level‚ At grade level‚ Above grade level
a. Reading/language
b. Math
6. Indicate If the student has been identified as eligible for any of the following special programs this school year.
NO‚ YES
a. Services for children with learning disabilities (LD)
b. Services for children with behavioral/emotional handicaps (BEH)
c. Services for children with other health impairments (OHI) [includes Attention Deficit Disorder (ADD)‚ and Attention Deficit Hyperactivity Disorder (ADHD)]
d. Gifted or talented program
School Performance
7. In a typical month‚ how many days is the child absent from school?
· 0 days
· 1-2days
· 3-4 days
· 5 or more days
8. In the past 30 days‚ how often has the child’s parent(s) received a warning from school staff about the child’s attendance?
· Never
· Once
· Twice
· More than twice
9. In the past 30 days‚ how often has the child’s parent(s) received a warning from school staff about the child’s grades or academic performance?
· Never
· Once
· Twice
· More than twice
10. In the past 30 days‚ how often has the child’s parent(s) received a warning from school staff about the child’s behavior at school?
· Never
· Once
· Twice
· More than twice
Social Behavior
11. For the following statements‚ choose the response that best describes the student in the past 30 days.
Never‚ Rarely‚ Sometimes‚ Often‚ Very Often‚ Always
The Student:
a. Is liked by classmates.
b. Is friendly.
c. Initiates interactions with others.
d. Plays with others.
e. Plays with prosocial peers.
f. Is accepted by prosocial peers.
12. For the following statements‚ choose the response that best describes the student in the past 30 days.
a. Thinks before acting.
b. Can give suggestions and opinions without being bossy.
c. Can calm down When excited or all wound up.
d. Is helpful to others
e. Controls temper when there is a disagreement.
f. Has trouble accepting authority.
g. Is very good at understanding other people’s feelings.
h. Breaks rules.
i. Is stubborn.
13. For the following statements‚ choose the response that best describes the student in the past 30 days.
a. Completes assignments.
b. Learns up to ability.
c. Is eager to learn.
d. Stays on task
e. Concentrates.
f. Works hard
g. Pays attention.
h. Is self-reliant.
14. For the following statements‚ choose the response that best describes the student in the past 30 days.
a. Physically fights
b. Harms others.
a. C. Plays aggressively (rough).
c. Hits others on purpose
Family
Never‚ Sometimes‚ Often‚ Always
15.How often do the adults the child lives with:
a. Have transportation to get to the school when needed
b. Go to the school for parent-teacher conferences
c. Volunteer at the school or in the classroom
d. Go to the school when parents are invited to fun events
e. e‚ Contact you or other school staff about the child’s school progress or behavior
f. Go to the school for information sessions for parents (such as workshops on behavior‚ testing special programs‚ or homework help)
g. Go to parent-teacher association (PTA) meetings.
16. How would you describe the educational expectations of the adults the child lives with (answer for the adult with the highest expectations)?
· Low expectations
· Average expectations
· High expectations
· Don`t know
17. How would you describe how involved the adults in the child’s home are In the child’s education and learning at home?
· Not involved
· Low level of involvement
· Average level of involvement
· High level of involvement
· More About You
18. What is your race/ethnicity?
· Native American or Alaskan Native
· Asian
· Native Hawaiian or Other Pacific Islander
· Black/African American
· Hispanic/Latino
· White
· Multiracial
· Other
19. How many years have you been teaching elementary school?
This instrument can be found at: https://www.schoolsuccessonline.com/ & Fischer‚ Joel.‚ Corcoran‚ Kevin J. (2007). Measures for Clinical Practice and research: A sourcebook. (4th ed.). NY. Oxford University Pr. Vol. 1‚ Page (s): 510-528.
Bowen‚ G. L.‚ Richman‚ J.M.‚ Bowen‚ N. K. The School Success Profile: A results management approach to assessment and intervention planning. In: Roberts‚ AR.; Greene‚ GJ.‚ editors. Social workers’ desk reference. New York: Oxford University Press; 2002. p. 787-793.
Bowen‚ N.K.‚ Bowen‚ G. L.‚ (2004). Woolley‚ M. E. Constructing and validating assessment tools for school based practitioners: The Elementary School Success Profile. In: Roberts‚ AR.; Yeager‚ KR.‚ editors. Evidence-based practice manual: Research and outcome measures in health and human services. New York: Oxford University Press;. p. 509-517.
Bowen‚ G. L.‚ Rose‚ R‚ A.‚ Bowen‚ N. K. The reliability and validity of the School Success Profile. Philadelphia: Xlibris; 2005.
Bowen‚ N.K.‚ Powers‚ J. D. (2005). Knowledge gaps among school staff and the role of high quality ecological assessments in schools. Research on Social Work Practice‚ 15‚ 491–500.
Bowen‚ N.K. (2006). Psychometric properties of the Elementary School Success Profile for Children. Social Work Research.; 30(1)‚ 51–63.
Bowen‚ G. L.‚ Rose‚ R. A.‚ Powers‚ J. D.‚ & Glennie‚ E. J. (2008). The joint effects of neighborhoods‚ schools‚ peers‚ and families on changes in the school success of middle school students. Family Relations‚ 57 ‚ 504–516.
Bowen‚ N. K. (2005). Elementary School Success Profile (ESSP). In Fischer‚ Joel.‚ Corcoran‚ Kevin J. (2007). Measures for Clinical Practice and research: A sourcebook. (4th ed.). NY. Oxford University Pr. Vol. 1‚ Page (s): 510-528.
Bowen‚ N.K. (2008). Psychometric properties of the Elementary School Success Profile for Parents. Unpublished paper presented at the Society for Social Work Research; Washington‚ DC. 2008 January.
Bowen‚ N.K. (2008). Cognitive Testing and the Validity of Child-Report Data from the Elementary School Success Profile. for Social Work Research‚ 32(1): 18.
Wegmann‚ Kate M.‚ Thompson‚ Aaron M. and Bowen‚ Natasha K. (2011). A Confirmatory Factor Analysis of Home Environment and Home Social Behavior Data from the Elementary School Success Profile for Families. Social Work Research‚ 35(2)‚ 117-127.
