Examining utility and impact of social, emotional, and behavioral screening to identify and address needs.

Along with increased attention to universal screening for identifying social, emotional, and behavioral (SEB) concerns is the need to ensure the psychometric adequacy of tools available. Nearly all extant tests of universal SEB screening validity focus on traditional inferential forms with little to no study of the consequences of actions following those inferences, or consequential validity proposed under Messick's unified validity theory. This study examines one facet of consequential validity (i.e., utility) of results from one popular screening tool in six elementary schools in one large U.S. district. The schools identified students who were receiving SEB supports on a monthly form throughout one school year. Screening identified 991 students with SEB risk, of which 91 (9%) were receiving intervention prior to screening. After screening, schools provided intervention to an additional 66 students (7%). Unaddressed SEB risk remained after screening for 84% of screener-identified students. Latent profile analyses detected five patterns of risk with those students demonstrating the most risk and predominately externalizing concerns being most likely to receive intervention after screening. Study schools also provided intervention to students with elevated low risk after screening, but this profile was the largest group leaving 708 students with unaddressed SEB risk after screening. Results provide evidence of universal SEB screening interpretation to identify unaddressed SEB risk but insufficient use to provide intervention services at a rate that substantially reduced unaddressed SEB risk. Future research and practice directions for advancing the consequential validity of universal SEB screening are recommended and measurement limitations discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).