Childhood acquired brain injury: the knowledge and training needs of special educational needs coordinators

The aim of this study was to further explore Special Educational Need Co-ordinators' (SENCos) knowledge of childhood acquired brain injury (ABI) and if they have received training on how to effectively support children and young people (CYP) with an ABI in school. SENCos from Nottinghamshire were asked to complete a survey face-to-face or online. Data reported by Howe and Ball (Support for Learning, 32, 1, 85–100), was also used to allow comparisons between different counties in the UK for knowledge of childhood ABI. Results indicated that SENCos from Nottinghamshire hold numerous uncertainties about childhood ABI, although less uncertainties than SENCos from the West Midlands. A majority SENCos from Nottinghamshire had not received training about childhood ABI. Additional challenges in supporting CYP with an ABI were also identified. The findings show a clear need for more training on childhood ABI across UK schools. It is also apparent that obtaining funding for CYP with an ABI can be a challenge for SENCos. However, further research is needed to determine what these barriers to funding are.     

Return to school after acquired brain injury in the UK – the educators' perspectives

Childhood acquired brain injury (ABI) is associated with poorer life outcomes. Increasing numbers of children and young people are surviving severe brain injury and returning to mainstream schools with multiple impairments. It is widely acknowledged that for these children, their school becomes by default their rehabilitation centre. International studies of this transition and a recent UK government report criticize educators' inconsistent implementation of support strategies, lack of educator training and poor communication between clinicians, educators, child and family. The educators' perspectives of the return-to-school are, however, not well represented in the literature. This study therefore explored the experiences of educators in the UK (N = 10) who had recently facilitated a return-to-school of a child with ABI aged 8–12 (N = 5) using semi-structured interviews analysed by data-driven thematic analysis. The findings highlight common experiences: a continuum of intensive problem-solving with heavy reliance on the Special Educational Needs Coordinator; educators valuing collaboration with clinical specialists in context over general ‘training’; uncertainty over the validity of implementing support strategies from prior teaching experience; uncertainty about how to support the child's emotional needs; and frustration with UK statutory processes for Special Educational Needs and Disabilities. Recommendations are made for changes to practice and future research.     

Classroom behaviour management strategies in response to problematic behaviours of primary school children with special educational needs: views of special educational needs coordinators

Children identified with special educational needs (SEN) and behavioural difficulties present extra challenges to educators and require additional supports in school. This paper presents views from special educational needs coordinators (SENCos) on various strategies used by educators to support children identified with SEN and problematic behaviours. The data were collected from telephone interviews with six SENCos from the UK’s South West Peninsula. The SENCos were invited to participate because their school was participating in a cluster-randomised trial of a teacher classroom management course (Incredible Years). Using thematic analysis to analyse the data, this paper illustrates strategies deemed by SENCos to be successful in the support of children identified with SEN. The management strategies generated by participating SENCos were then mapped onto those taught as part of the classroom management course for comparison. Findings indicate that strategies from the training programme appear to be appropriate for children identified with both SEN and behavioural difficulties.     

Young people's views of multi‐agency working

This article outlines the findings from an Economic and Social Research Council funded research project that investigated the impact of multi‐agency working on children and their families. It explored the ways in which young people experience multi‐agency working and it investigated whether young people perceive any benefits from a coordinated approach to frontline service delivery. The in‐depth, qualitative study focused on a cross‐section of five local authorities and collected data through semi‐structured interviews with young people and their parents. The study found that where multi‐agency working is effectively integrated and where different professional services are streamlined, there is evidence of a positive impact on young people and their families.     

The role of the inspirational practitioner in ensuring creativity in the national training for new professionals in the children's workforce

This paper is based on the experience of working alongside new practitioners with the role of learning mentor as they engage in a national training programme. It considers the issues raised by evaluation at a range of times within and beyond the training. The main factors that emerge from the data focus on the role of inspiration, creativity, active learning and modelling in engendering the maximum impact of in-post education. This is a significant message for those currently engaged in planning programmes that seek to ensure that the children's workforce of the future is well-qualified and committed to the children and young people they represent.     

Educator understanding of childhood traumatic brain injury: a New Zealand perspective

ABSTRACT

Approximately 15% of New Zealand children will experience a traumatic brain injury during their school years. Given that educators play an important role in facilitating the successful school re-entry and recovery of these students, it is paramount that educators have adequate knowledge of childhood traumatic brain injury. This study used an online questionnaire to assess knowledge traumatic brain injury among 20 New Zealand educators. It also identified what services educators were aware of within their schools and communities that could assist with the management of students with brain injury, and what further training or information educators required to feel confident in supporting these students in the school environment. Results indicated that although educators possessed sound general understanding of traumatic brain injury, they had some misconceptions regarding the implications and recovery trajectories of these injuries during childhood. Educators reported the need for training relating to diagnostic criteria and strategies for supporting students with traumatic brain injury in the classroom. Providing educators with information and training on how to identify traumatic brain injury and manage the needs of students with traumatic brain injury will allow them to facilitate inclusive and supportive educational opportunities, leading to improved outcomes for these students.     

PSYCHOANALYTIC PSYCHOTHERAPY WITH CHILDREN WITH EBD

For the purposes of this paper, I am defining children with EBD as those who, for reasons of emotional disturbance, cannot make use of their educational opportunities and are difficult to manage. Children with EBD usually have parallel difficulties within their families and communities and much of what I want to say here is based on the experience of working with children and young people who are at the end of the line in more than one area of their lives. Prior to training as a Child Psychotherapist, I worked as a teacher in a variety of mainstream schools and special education settings. The points I want to make and the issues I want to raise, arise out of that experience and have a bearing on the way I now think about working psychotherapeutically with this same client group.     

Herding cats or getting heard: The SENCo–teacher dynamic and its impact on teachers' classroom practice

This article is based on two key findings of doctoral research into the impact that Special Educational Needs Coordinators (SENCos) in England have on teachers' skills when addressing the needs of children with SEN in mainstream primary schools. I use data from questionnaires and interviews with SENCos, teachers and headteachers to argue that key indicators for successful teaching of children with SEN include SENCos skilling teachers in their roles as ‘agents of change’ in relation to SENCos' views of their teaching colleagues, as well as the evolving nature of their own professional identity.     

Glue ear – a common but complicated childhood condition

The changes in the Special Educational Needs and Disability Code of Practice extends the provision for those people aged 0–25 years and focuses more on disabilities, such as hearing difficulties. There is a particular focus on anticipating needs rather than waiting for ‘special educational’ needs to develop. This paper considers the implications of these changes for educators in providing appropriate support for young people with glue ear. This common condition affects about 80% of children under 7 years of age when they are developing their social and language skills and can result in permanent hearing impairment. This paper draws upon research which adapted and combined the methodologies of Photovoice and Interpretative Phenomenological Analysis to encourage a small sample of young people, and their mothers, to reflect upon their experience of chronic glue ear. The participants in this research explained that there were few adaptations made in the classroom to help minimise the impact of their hearing loss. Educational professionals appear to have a low awareness about the social, behavioural and cognitive effects of the condition on pupils. This may indicate that they would benefit from training in the potential impacts of it for their pupils.     

A Study of the Relationship Between Child Care Providers' Use of HIV/AIDS Information Sources, Knowledge of HIV/AIDS, and Attitudes Toward Caregiving Policies

The human immunodeficiency virus (HIV), the virus that leads to acquired immunodeficiency syndrome (AIDS), has been a part of American society for over two decades. Today, HIV/AIDS touches all demographic groups, including young children. It is for this reason that child care providers need to be informed about HIV/AIDS and related policies that impact their work with young children. The purpose of this study was to examine child care providers' use of different HIV/AIDS information sources in relationship to their knowledge about HIV/AIDS and their response to common childhood behaviors and classroom situations involving an HIV-infected child. Results suggest that different types of information sources are associated with different aspects of providers' knowledge about and response to pediatric HIV/AIDS. Implications for the planning and delivery of HIV/AID training involving child care providers are discussed.     

‘The teacher said I'm thick!’ Experiences of children with Attention Deficit Hyperactivity Disorder within a school setting

Children and young people who have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) can often experience difficulties within an education setting. ADHD can impact upon their educational achievements and subsequent future employment. This paper draws upon data gathered from a small scale study and has sought to elicit the ‘voice’ of young people who have ADHD and their experience within a school setting. Findings of this study indicate that there is a need for teachers to be more informed about the impact that ADHD can have on a pupil and teachers need to develop positive strategies to support these individuals within the classroom. Ideally, adequate training around ADHD should begin within initial teacher training prior to entering the teaching profession.     

Mentoring empowers gifted/Learning disabled students to soar!

The Wings Mentor Program, established by the Division of Accelerated and Enriched Instruction of Maryland's Montgomery County Public Schools, was developed to provide additional support to students with gifts who also have learning disabilities (GAD) and highly able students who were not succeeding in the classroom. Students realize their creative and intellectual potential when paired with mentors who nurture them by increasing their knowledge and skills in an area of interest. The mentors, who have a background in education and/or experience working with children, are carefully screened and selected based on their knowledge in a specific field, and their ability to share their skills with young people. Mentors communicate with the classroom teachers so that the successful strategies can be transferred and applied to the classroom setting. The article includes an analysis of the program's components, the mentor/student/teacher partnership, and training practices.     

The Acquisition of Communication Skills by People with Brain Injury: Some comparisons with children with autism

This research identifies the extent to which different contexts shape and modify the language and behaviours of four people with acquired brain injury. Comparisons are made with factors which can influence the language acquisition of children with autism because it is postulated that children with autism also have a particular brain injury. The comparison does not end there as the criteria for effective management necessary to nourish the communication skills of both groups appears similar. The four contexts used to shape and evaluate the language of people with brain injury include their own home, a residential camp with maximum support and enriched activity, a post camp period with comparable support, followed by a return to their own home with very limited support. Measures of communication skills demonstrate the success of the enriched camp facility. This was characterised by planning, structured support, and expectation of success from the participants. Their motivation and ability to communicate generally far exceeded the communication skills that each person with brain injury demonstrated when organised activity and sustained support is not available.     

An exploration of how selective mutism training informs teachers' understanding and practice

This small-scale research project explored the perceived impact which selective mutism (SM) training, delivered by an educational psychologist (EP), had on school practitioners' understanding of the condition and their subsequent professional practice. Three teachers were interviewed and a thematic analysis elicited four superordinate themes. Participants recognised that they had little previous knowledge of SM and many misconceptions; they also identified key ways in which their understanding of SM, and their practice as school professionals, had developed. In addition, staff highlighted central challenges which nevertheless remained, one of which involved working with parents. This research highlights the limited knowledge which teachers have of SM, whilst demonstrating how staff training and school development might contribute to improved outcomes for children with the condition. Implications for teacher training programmes and future research are considered.     

The prevalence and impact of child maltreatment and other types of victimization in the UK: Findings from a population survey of caregivers,children and young people and young adults

Objectives

To measure the prevalence of maltreatment and other types of victimization among children, young people, and young adults in the UK; to explore the risks of other types of victimization among maltreated children and young people at different ages; using standardized scores from self-report measures, to assess the emotional wellbeing of maltreated children, young people, and young adults taking into account other types of childhood victimization, different perpetrators, non-victimization adversities and variables known to influence mental health.

Methods

A random UK representative sample of 2,160 parents and caregivers, 2,275 children and young people, and 1,761 young adults completed computer-assisted self-interviews. Interviews included assessment of a wide range of childhood victimization experiences and measures of impact on mental health.

Results

2.5% of children aged under 11 years and 6% of young people aged 11–17 years had 1 or more experiences of physical, sexual, or emotional abuse, or neglect by a parent or caregiver in the past year, and 8.9% of children under 11 years, 21.9% of young people aged 11–17 years, and 24.5% of young adults had experienced this at least once during childhood. High rates of sexual victimization were also found; 7.2% of females aged 11–17 and 18.6% of females aged 18–24 reported childhood experiences of sexual victimization by any adult or peer that involved physical contact (from sexual touching to rape). Victimization experiences accumulated with age and overlapped. Children who experienced maltreatment from a parent or caregiver were more likely than those not maltreated to be exposed to other forms of victimization, to experience non-victimization adversity, a high level of polyvictimization, and to have higher levels of trauma symptoms.

Conclusions

The past year maltreatment rates for children under age 18 were 7–17 times greater than official rates of substantiated child maltreatment in the UK. Professionals working with children and young people in all settings should be alert to the overlapping and age-related differences in experiences of childhood victimization to better identify child maltreatment and prevent the accumulative impact of different victimizations upon children's mental health.     

Teaching Assistants Talking

Local Authorities (LAs) in Britain traditionally employ Visual Impairment (VI) teams as integrative statutory Special Educational Needs and Inclusion (SENI) provision. Teaching Assistants (TAs) work alongside Qualified Teachers (QTs) in VI teams to support children and young people (CYP) with VI. The VI TA has a broad role in covering early years, primary, secondary and special school settings and their key duties can include implementing visual targets, providing sensory support, delivering touch typing lessons, to name a few. Based on systemic and work‐based learning theories, this article explores the learning stories of seven VI TAs who volunteered to participate in professional development focus group discussions between September 2014 and November 2015. The seven participants all work in the VI team of one LA in Cambridgeshire. The focus of the fortnightly focus group discussions were to explore the impact which eye conditions had on the education and learning of CYP. Participants were encouraged to engage in reflective writing about their new knowledge and how this may have changed their VI practice. Findings from qualitative data generated for analysis and interpretation demonstrated that most participants did improve their knowledge and understanding of specific eye conditions. Some participants benefited and changed their practice based on their newly acquired knowledge whereas some were not aware of any impact on their practice. Themes also highlighted constructive comments on how future professional learning for TAs can be improved. There are currently no mandatory training requirements for specialist VI TAs.     

Parents as adult learners in family-centered early education

Several concepts from the adult learning literature are described that relate to working with parents of young children who are deaf. It is proposed that an adult learner perspective makes an important contribution to the family-centered philosophy and knowledge base that guide the development of practice in early intervention. Three areas are discussed: the context for adult learning, that is, the life situation of adults, including their social roles and responsibilities and experience; learning related to transitions in the adult life cycle; and transformative learning, which examines the ways people make changes in how they understand their experience. Implications for practice in early childhood education are presented.     

Reconsidering the role of the primary special educational needs co-ordinator: policy, practice and future priorities

This article considers the impact of recent policy designed to define the roles and responsibilities of special educational needs co-ordinators (SENCos). The international drive towards the inclusion of children with special educational needs within the mainstream has led many schools to reconsider their structures and practices. In the UK, the SENCo role lies at the heart of these structures and the Government has sought to define this role both within a revised Code of Practice for special educational needs and in a set of national standards. In this article, Christine Szwed, Director of Studies for Initial Teacher Education at the University of Birmingham, reports the findings of a survey examining the context of SENCo role management within a group of primary schools. The findings indicate that the role cannot be generalisd and that SENCos are operating in increasingly complex contexts within very different management structures. Christine Szwed argues that, to be effective, SENCos must be enabled to work at a whole-school level and that the co-ordination of special needs is a development issue for the whole staff.     

Maltreatment of children with disabilities: training needs for a collaborative response

PROBLEM STATEMENT: There is a dearth of research on how to respond to children with disabilities who have been maltreated. The literature that does exist recommends a collaborative team approach, with each team member possessing a broad understanding of the special considerations of working with children with disabilities. The literature does not define current understanding levels of response team members in comparison to essential knowledge levels. METHOD: The current study used a needs assessment instrument tailored to each of three key groups: parents, educators, and investigators. Respondents were asked about their knowledge level, experience with, and training interests on maltreatment of children with disabilities. RESULTS: While respondents seemed to have a cursory awareness in some of the topic areas, their knowledge levels were not extensive in most of the survey areas. A majority of respondents were willing to attend training, and all three groups ranked the recognition of maltreatment of children with disabilities as a top training priority. CONCLUSIONS: It was concluded that these integral players in the response to maltreatment of children with disabilities are receptive to becoming more effective partners, by attending training to bridge the knowledge gaps they possess. The current study helps document the nature of those knowledge gaps and, thereby informs the development of training programs for building a more coordinated and informed response to maltreatment of children with disabilities.     

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.