Experiences of Elementary School Counselors and Students in Using Reality Art Therapy to Address Chronic Conditions

Abstract

Elementary school counselors are frequently called on to provide counseling services for children with chronic conditions. However, counselors’ training and professional development in this area is lacking. Myriad behavioral, social, and academic issues can result from a child’s chronic condition. This qualitative study examined elementary school counselors’ and students’ perceptions of an integrated reality therapy and art therapy intervention and revealed four themes. We discuss implications for elementary school counselors.

Keywords

art chronic illness reality therapy

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References

American Counseling Association. (2014). ACA code of ethics. Alexandria, VA: Author.

American School Counselor Association. (2012). ASCA National Model: A framework for school counselor programs (3rd ed.). Alexandria, VA: Author.

American School Counselor Association. (2016a). ASCA ethical standards for school counselors. Alexandria, VA: Author. Retrieved from https://www.schoolcounselor.org/asca/media/asca/Ethics/EthicalStandards2016.pdf

American School Counselor Association. (2016b). The school counselor and students with disabilities. ASCA position statements. Retrieved from https://schoolcounselor.org/asca/media/asca/PositionStatements/PS_Disabilities.pdf

Bastemur

Dursun-Bilgin

Yildiz

Ucar

(2016). Alternative therapies: New approaches in counseling. Social and Behavioral Sciences, 217, 1157–1166. doi:10.1016/j.sbspro.2016.02.135

Beebe

Gelfand

E. W.

Bender

(2010). A randomized trial to test the effectiveness of art therapy for children with asthma. Journal of Allergy & Clinical Immunology, 126, 263–266. doi:10.1016/j.jaci.2010.03.019

Bitonte

R. A.

De Santo

. (2014). Art therapy: An underutilized, yet effective tool. Mental Illness, 6, 18–19. doi:10.4081/mi.2014.5354

Boles

(2017). School attendance for children with chronic illnesses. Pediatric Nursing, 43, 305–306.

Bradley

E. L.

(2014). Choice theory and reality therapy: An overview. International Journal of Choice Theory and Reality Therapy, 34, 6–13. Retrieved from https://www.wglasserinternational.org/wp-content/uploads/bsk-pdf-manager/18_IJCTRTFALL2014.PDF

10.

Braun

Clarke

(2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. doi:10.1191/1478088706qp063oa

11.

Centers for Disease Control and Prevention. (2012). Mental health and chronic diseases. Retrieved from https://www.cdc.gov/workplacehealthpromotion/tools-resources/pdfs/issue-brief-no-2-mental-health-and-chronic-disease.pdf

12.

Centers for Disease Control and Prevention. (2016). About chronic diseases. Retrieved from https://www.cdc.gov/chronicdisease/overview/

13.

Centers for Disease Control and Prevention. (2017). Chronic health conditions and academic achievement. Retrieved from https://www.cdc.gov/healthyschools/chronic_conditions/pdfs/2017_02_15-CHC-and-Academic-Achievement_Final_508.pdf

14.

Cook

Mayorga

M. G.

Ball

(2016). Mandala mornings: A creative approach for elementary school counselors. Journal of School Counseling, 14. Retrieved from http://jsc.montana.edu/articles/v14n6.pdf

15.

Creswell

J. W.

(2013). Qualitative inquiry and research design. Choosing among five approaches (3rd ed.). Thousand Oaks, CA: Sage.

16.

Davis

E. S.

(2011). Drawing out the child: Combining the WDEP method with drawing to work with children. International Journal of Choice Theory and Reality Therapy, 31, 48–52. Retrieved from https://www.wglasserinternational.org/wp-content/uploads/bsk-pdf-manager/24_IJCTRT_FALL2011.PDF

17.

Davis

E. S.

(2018). Elementary school counselors’ experiences counseling students with chronic illness. Journal of Child and Adolescent Counseling, 4, 239–252. doi:10.1080/23727810.2017.1422661

18.

Davis

E. S.

Clark

M. A.

(2012). Elementary school counselors’ perceptions of reality play counseling in students’ relationship building and problem-solving skills. Journal of School Counseling, 10. Retrieved from http://jsc.montana.edu/articles/v10n11.pdf

19.

Davis

E. S.

Pereira

J. K.

(2013). Combining reality therapy and play therapy in work with children. International Journal of Choice Theory and Reality Therapy, 32, 78–86.

20.

Davis

E. S.

Pereira

J. K.

Dixon

A. D.

(2015). Introducing reality play therapy: Reactions and perceptions from elementary school counselors. Journal of Creativity in Mental Health, 10, 402–422. doi:10.1080/15401383.2015.1093984

21.

Emerson

N. D.

Distelberg

Morrell

H. E. R.

Williams-Reade

Tapanes

Montgomery

(2015). Quality of life and school absenteeism in children with chronic illness. The Journal of School Nursing, 32, 258–266. doi:10.1177/10598405151615401

22.

Gan

L. L.

Lum

Wakefield

C. E.

Nandakumar

Fardell

J. E.

(2017). School experiences of siblings of children with chronic illness: A systemic literature review. Journal of Pediatric Nursing, 33, 23–32. doi:10.1016/j.pedn.2016.11.007

23.

Glasser

(1998). Choice theory: A new psychology of personal freedom. New York, NY: Harper Collins.

24.

Gonzalez-Dolginko

(2018). Status report on art therapists in public schools: Employment and legislative realities. Art Therapy, 35, 19–24. doi:10.1080/07421656.2018.1459116

25.

Grbich

(2007). Qualitative data analysis: An introduction. London, England: Sage.

26.

Grothaus

(2013). School counselors serving students with disruptive behavior disorders. Professional School Counseling, 16, 245–255. doi:10.1177/2156759X12016002S04

27.

Hamlet

H. S.

Gergar

P. G.

Schaefer

B. A.

(2011). Students living with chronic illness: The school counselor’s role. Professional School Counseling, 14, 202–210. doi:10.1177/2156759X1101400304

28.

Hays

D. G.

Singh

A. A.

(2012). Qualitative inquiry in clinical and educational settings. New York, NY: Guilford.

29.

Janin

M. M. H.

Ellis

S. J.

Lum

Wakefield

C. E.

Fardell

J. E.

(2018). Parents’ perspectives on their child’s social experience in the context of childhood chronic illness: A qualitative study. Journal of Pediatric Nursing, 42, 10–18. doi:10.1016/j.pedn.2018.06.010

30.

Kaffenberger

C. J.

(2006). School reentry for students with a chronic illness: A role for professional school counselors. Professional School Counseling, 9, 223–230. doi:10.1177/2156759X0500900312

31.

Kohn-Wood

Hooper

L. M.

(2014). Cultural competency, culturally tailored care, and the primary care setting: Possible solutions to reduce racial/ethnic discrepancies in mental health care. Journal of Mental Health Counseling, 36, 173–188. doi:10.17744/mehc.36.2.d73h217l81tg6uv3

32.

Losinski

Hughley

Maag

J. W.

(2016). Therapeutic art: Integrating the visual arts into programming for students with emotional and behavioral disorders. Beyond Behavior, 25, 27–34. doi:10.1177/107429561602500105

33.

Lum

Wakefield

C. E.

Donnan

Burns

M. A.

Fardell

J. E.

Marshall

G. M.

(2017). Understanding the school experiences of children and adolescents with serious chronic illness: A systematic meta-review. Child Care, Health, and Development, 43, 645–662. doi:10.1111/cch.12475

34.

Mason

C. P.

(2016). Using reality therapy trained group counselors in comprehensive school counseling programs to decrease the academic achievement gap. International Journal of Choice Theory and Reality Therapy, 35, 14–24. Retrieved from https://www.wglasserinternational.org/wp-content/uploads/bsk-pdf-manager/IJCTRT_April2016_176.pdf

35.

Mason

C. P.

Dye

(2017). Attending to basic needs: Implementing reality therapy in school counseling programs to enhance academic achievement and career decision-making skills. International Journal of Choice Theory and Reality Therapy, 37, 46–55. Retrieved from https://www.wglasserinternational.org/wp-content/uploads/bsk-pdf-manager/IJCTRT_Fall2017_223.pdf

36.

Merianos

A. L.

Vidourek

R. A.

King

K. A.

Nabors

L. A.

(2015). Hospital, school, and community-based strategies to enhance the quality of life of youth with chronic illnesses. Applied Research Quality Life, 10, 329–342. doi:10.1007/s11482-014-9311-9

37.

Miller

G. F.

Coffield

Leroy

Wallin

(2016). Prevalence and cost of five chronic conditions in children. The Journal of School Nursing, 32, 357–364. doi:10.1177/1059840516641190

38.

Mocan

(2013). Application and efficacy of reality therapy in clinical and educational context: A brief review. International Journal of Education and Psychology in the Community, 3, 63–69.

39.

Nabors

Bartz

Kichler

Sievers

Elkins

Pangallo

(2013). Play as a mechanism of working through medical trauma for children with medical issues and their settings. Issues in Comprehensive Pediatric Nursing, 36, 212–224. doi:10.3109/01460862.2013.812692

40.

Ohrt

J. H.

Limberg

Bordonada

T. M.

Griffith

Sherrill

R. S.

(2016). Adolescents’ perceptions of their school counselors’ impact. Journal of Child and Adolescent Counseling, 2, 1–15. doi:10.1080/23727810.2015.1133996

41.

Palmer

Shepard

(2008). An art inquiry into the experiences of a family of a child living with a chronic pain condition: A case study. Canadian Journal of Counseling, 42, 7–23.

42.

Pedigo

T. W.

Robey

P. A.

Tuskenis

A. D.

(2018). Realizing health: The path of mindfulness and choice theory. International Journal of Choice Theory and Reality Therapy, 38, 63–75. Retrieved from https://www.wglasserinternational.org/wp-content/uploads/bsk-pdf-manager/IJCTRT_XXXVIII_no1_250.pdf

43.

Pielech

Sieberg

C. B.

Simons

L. E.

(2013). Connecting parents of children with chronic pain through art therapy. Clinical Practice in Pediatric Psychology, 1, 214–226. doi:10.1037/cpp0000026

44.

Quach

Barnett

(2014). Impact of chronic illness timing and persistence at school entry on child and parent outcomes: Australian longitudinal study. Academic Pediatrics, 15, 89–95. doi:10.1016/j.acap.2014.08.004

45.

Randick

N. M.

Dermer

S. B.

(2013). The relationship of school art therapy and the American School Counselor National Model. Art Therapy: Journal of the American Art Therapy Association, 30, 30–35. doi:10.1080/07421656.2013.757507

46.

Saldaña

(2013). The coding manual for qualitative researchers. Thousand Oaks, CA: Sage.

47.

Wubbolding

R. E.

(2000). Reality therapy for the 21st century. New York, NY: Routledge.

48.

Wubbolding

R. E.

(2017). Reality therapy and self-exploration: The key to client change. Alexandria, VA: American Counseling Association.