Motivational factors in discussing sexual health with young people with chronic conditions or disabilities

The objective of this study was to identify determinants of professionals’ intention to use the new board game SeCZ TaLK to facilitate sexual health discussions with young people with chronic health conditions and disabilities, and to gauge whether intention led to actual use. A cross-sectional web-based survey of 336 professionals before they received the game sought to measure their intention to use SeCZ TaLK, their attitudes towards discussing sexuality, social professional environment, self-efficacy, opinion on the feasibility of using the game and experience discussing sexuality. Actual use of SeCZ TaLK was assessed at follow-up (N = 105). Professionals with higher self-efficacy and more experience in discussing sexual health were more likely to intend to use the game. At follow-up, intention to use explained 21% of the variance in actual use. SeCZ TaLK fits easily into the daily practice of professionals working in assisted-living and day-care facilities; other professionals experienced greater difficulty integrating the game into their practice. Despite this, SeCZ TaLk was also used across a wide range of settings including in psycho-educational groups, group consultations in hospitals and group therapy in rehabilitation centres. Professionals appreciated the board game SeCZ TaLK, but actual use depended on their own motivation and skills and compatibility with work routines.     

The usefulness of motivational interviewing as a consultation and assessment tool for working with young people

Previous case‐study research has explored the efficacy of motivational interviewing (MI) as a therapeutic approach for supporting young people in schools. This article considers how MI may additionally be used as an assessment and consultation tool for ascertaining the needs of disaffected young people and identifying appropriate support strategies. Here, the approach is used with three pupils aged 13–15 years, using visual stimuli to involve them explicitly in the process of MI. Findings indicate that in general MI was felt by the young people to be helpful in allowing them to think about issues relating to their behaviour. The article also indicates that MI may be useful both as an initial assessment tool and in providing supporting adults with practical ideas for assisting disaffected young people in making positive changes to their behaviour. The authors acknowledge limitations in terms of the usefulness of this approach for pupils who may be less ready for change, have difficulty in identifying aspirational goals or have language and communication difficulties. Further larger scale research is recommended, including other vulnerable groups, such as excluded pupils or school refusers.     

Reflections on interviewing children and young people as a method of inquiry in exploring their perspectives on integration/inclusion

There has been increasing interest in eliciting the views of children and young people; one arena for this has been the integration/inclusion context. However the increasing emphasis on the right of children to be heard has tended to emphasise the fact of production over the complexities of elicitation and interpretation. Ethical considerations in interviewing children about integration/inclusion include issues relating to confidentiality, anonymity, protocols, consent, assent and intrusion. Sampling issues include access, mode of communication and selection of data for analysis. This paper also discusses the use of various interview strategies applicable in this context. They include the merits of various ways of initiating (e.g. use of statements rather than questions) and sustaining (e.g. use of pause, interviewer phrasing) the dialogue. It is concluded that researchers in this field need to be rigorous in acknowledging and probing the complexities of child interviews in the integration/inclusion context.     

Special education and minority ethnic young people in England: continuing issues

ABSTRACT

In countries that have developed special education (SE) provision, whether in segregated settings or ‘included’ in mainstream, racial, ethnic and immigrant minorities continue to be disproportionately represented. Explanations for placement in SE programmes continue to centre round assumptions of deficiencies in student abilities to learn and ‘behave’, their family backgrounds and communities. Many policy-makers, politicians, schools and teachers ignore or are ignorant of the historical background and social contexts in which these students are expected to learn. The article overviews some of this history and policy responses concerned with SE, low attainment and troublesome school behaviour in England, including recent evidence and current explanations for the placement of the students. A premise here is that research, policy and literature are still separating what is happening in ‘special’ education from other areas of education. This cannot continue, as world-wide moves towards inclusive education have meant that mainstream schools and colleges now incorporate (or still exclude) a range of students regarded as having learning difficulties or disabilities, and all young people are now expected to acquire some kind of qualification or be prepared for independent living.     

Educating children and young people with medical needs: effective provision and practice

In December 2001 the Department for Education and Skills (DIES) published the Access to Education document setting out minimum standard guidelines for the education of children and young people with medical needs Following this they commissioned a research project that aimed to identify examples of effective practice in this area and provide recommendations for local education authority (LEA) officers and for staff in mainstream and hospital schools/services In this article Karen Harris and Peter Farrell present the main findings of this research project and discuss its implications for improving services for this potentially marginalised group of young people.     

Understanding of epilepsy by children and young people with epilepsy

There is a striking dearth of studies focusing sensitively and in depth on the mainstream educational experiences of children with epilepsy, as viewed by those children themselves. The one‐year project (2006–7) reported here addresses that gap. Children’s perceptions about mainstream teachers’ understanding of epilepsy and school‐based needs are particularly interesting and this work breaks new ground in that connection. The authors report findings from two complementary qualitative methods of data collection: (1) an e‐survey of 44 self‐selected children and young people with epilepsy, and (2) interviews (mainly individual) in mainstream schools with 22 children/young people with epilepsy. Overall, the children and young people (aged 7–18) were clear about the nature of their condition, including seizures. For many, there was an implicit reluctance in accepting epilepsy as a “part of them”; self‐reported feelings of secrecy, stigma and shame abounded. This had repercussions for how schools were seen to need to respond with sensitivity and knowledge‐based understanding. Taking a qualitative methodological approach revealed important insights into complex concepts like stigma in the school context. This was illustrated in children and young people’s readiness to talk about their feelings of “difference” in relation to others when given the opportunity to do so sensitively. The findings have important implications for how schools and services work in a genuinely fully inclusive way with children and young people who have epilepsy.     

Images of the family: on interviewing young children about their social concepts

The empirical study explores children's perceptions of the family and family membership. 300 four‐, six‐ and eight‐year‐old children were interviewed with a semi‐structured ‘Family Concept Interview’. Interview strategies and research findings are presented and discussed. Establishing field entry rituals and determining appropriate modes and levels of discourse are important factors for creating an interview situation in which children are continuously attentive and motivated. Findings indicate that children do have a generalised and complex image of the family. The majority construct relatively large families with two or more children; over half the children include grandparents (father and mother)’, but one‐parent‐households are also accepted as ‘a family’, regardless of the child's own family situation. ‘Common residence’ is an important but not a necessary criterion for family membership. The findings show significant age differences concerning some aspects of children's family concepts.     

Cyberbullying: through the eyes of children and young people

The topic of cyberbullying is raising international debate and concern. Through the development and dissemination of a questionnaire 12 student researchers were supported in surveying 325 UK students across Years 7, 8 and 9 to gain further knowledge of this area, in relation to children and young people. Results were analysed and comparisons made between gender and age, allowing conclusions to be drawn about the area of cyberbullying and its many elements. Conclusions acknowledge that bullying has entered a “digital era” and professionals and adults require the knowledge and skills to help young people to further understand the issues involved and to protect themselves in this area.     

Compassionate communication with parents of children and young people with learning disabilities

Abstract

This article describes the various changes in beliefs and practice that have occurred in relation to children's learning and recall of basic number facts. The writer also reports results from a survey involving the assessment of basic number knowledge of 2297 primary school children in South Australia. A comparison was made between their results and the results obtained when similar children were assessed on the same tests twenty years earlier. Children's overall performance in the recent testing was inferior to that assessed in 1975. The differences between the average scores in 1975 and in 1995 reached statistical significance (p < .01) in twenty‐three of the thirty‐two comparisons made. The decline in rapid recall of simple addition and subtraction facts was relatively minor, but poorer performance in recall of multiplication and division facts was more significant at all age levels. An argument is put forward that it is still very important for children to develop automaticity in recall of number facts in order to facilitate higher‐order processing in problem solving.