The present investigation addressed elementary teachers' perceptions r
egarding their referral practices by examining certain aspects of Gerb
er and Semmel's teacher-as-test conceptualization of student referral.
More specifically, teachers' perceptions regarding the students they
refer, as well as the criteria and resources they use to make referral
decisions were addressed. Twenty-four high and low referring elementa
ry teachers were interviewed, and the resulting data were analysed usi
ng qualitative methods. Results revealed that these groups of teachers
differed with respect to interventions they described which were init
iated prior to referral; resources used to make the referral decision;
and factors considered when deciding whether to refer. In general, hi
gh referring teachers tended to view referral as an initial source of
support when student difficulties arose, while low referring teachers
tended to adapt instruction in their classrooms and 'exhaust all instr
uctional options' before seeking to refer a student for possible speci
al education services. The implications of these findings for educatio
nal practice are discussed.