The combination of USAER professionals and regular teaching working in the same classroom has caused some issues for educational integration. Specifically, there is confusion about the roles of USAER professionals who work in regular classrooms. A study of USAER members found that regardless of urban or rural contexts, professionals had four common concerns. First, USAER professionals felt that they lacked preparation for working in the classroom. The second issue was feeling like their role had changed due to more demands being placed on them. The last two concerns were the lack of communication and collaboration between teachers and USAER professionals. Although the two work in the same classroom, they often work independently. However, this creates problems when adjusting the curriculum for special needs students.