Integrated Learning Systems and pupils with low attainments in reading

Ann Lewis, Senior Lecturer in Education in the Institute of Education at the University of Warwick, considers the research evidence from UK evaluations of Integrated Learning Systems, discusses the value of these systems for pupils with learning difficulties, and focuses on their effects on the reading attainments of lower achieving pupils.     

Foreign Languages and Special Needs: Implications for Teacher Support

Marie-Madeleine Kenning, Lecturer in French and Linguistics at The University of East Anglia, reviews recent developments in modern language teaching for pupils with special educational needs, describes a course mounted by Suffolk LEA for non-specialists involved in the teaching of French and outlines the forms of support currently available.     

Overcoming Obstacles: Approaches to Dealing with Problem Pupils

Hayley Martin, Teacher of Physical Education at Beacon Community College, Crowborough, and Sid Hayes, Senior Lecturer in Physical Education, Faculty of Education, Sports and Leisure, University of Brighton, consider the effects of feedback to pupils, and identify successful strategies for dealing with problem behaviour.     

Teaching Education about Sexuality: a Scottish Regional Case Study

This article examines the efficacy of policy and practice, within one Scottish region, of education about sexuality in secondary schools. The primary focus is on teaching sexuality to pupils with recorded learning difficulties, with a particular emphasis on the concepts of inclusion, normalisation and integration. The authors are Sheila Watt, Lecturer in the School of Education, University of Dundee; Elizabeth Horn, a teacher of pupils with special educational needs; and Cassie Higgins, a research assistant also based in the School of Education at the University of Dundee.     

Bridging the Communication Gap (for Pupils with Profound and Multiple Learning Difficulties)

Tina Detheridge, a Senior Lecturer at Westminster College, Oxford, suggests that, by using information technology, some pupils are able to generate unambiguous signals which, used in social contexts, stimulated interaction and enhanced communication. The work undertaken further highlighted criteria for the successful use of IT in such contexts.     

Including students with attention-deficit/hyperactivity disorder in mainstream schools

Around 80% of pupils with attention deficit disorders are educated in mainstream schools. The difficulties relating to inattention, impulsivity and hyperactivity experienced by such pupils present mainstream educators with a unique set of challenges and opportunities. In this article, Neil Humphrey, Senior Lecturer in the Psychology of Education at the University of Manchester, presents and discusses key evidence-based strategies and approaches to facilitate the inclusion of pupils affected by attention deficit/hyperactivity disorder (AD/HD). These include the need to reframe AD/HD, to understand the role of medication, to minimise distractions, to provide predictability, structure and routine, and to apply cognitive and behavioural strategies.     

Pupils with Severe Learning Difficulties as Personal Target Setters

Richard Rose, Senior Lecturer at University College, Northampton, and Will Fletcher and Gaynor Goodwin, Watling View School, St Albans, argue that although many schools have attempted to enable pupils with special educational needs to play an active part in their own planning procedures and assessment, few have identified and analysed the skills required by both pupils and teachers. Theydescribe a one-year small-scale action-research project, in a school for children with severe learning difficulties, which resulted in the development of procedures for the assessment of 'pupil readiness' for full involvement in the target-setting process.     

Skills without understanding: a critique of a competency-based model of teacher education in relation to special needs

Rita Jordan, Lecturer in Autism at the University of Birmingham, and Stuart Powell, Reader in Educational Psychology at the University of Hertfordshire, consider the implications of the move towards a skills-based model in teacher education. They take as their focus pupils with autism and offer an alternative perspective on the nature of teacher education in relation to special needs.     

Multidisciplinary assessment: a case study

Ann Starr, Curriculum Co-ordinator, Rosehill School, Worcester, and Penny Lacey, Lecturer in Special Education, The University of Birmingham, discuss aspects of the assessment of children with complex disabilities by professisonals from a variety of disciplines. Some of the problems and possibilities of working together are presented in a case study from a special school for pupils with physical and complex disabilities.     

Restructuring Reform: choice and change in special education

Steve Rayner, Lecturer in Special Education in the School of Education at The University of Birmingham and formerly head of a residential school for pupils with emotional and behavioural difficulties, argues for a proactive response to educational reform in the management of special education. The action of choice and change is perceived as not only necessary for institutional survival but also as an opportunity for educational renewal and a revised definition of special educational need.     

'It's a Delicate Thing': Coping with a Hidden Disability in Mainstream Schools

Judith Cavet, Principal Lecturer at Staffordshire University, reports on her qualitative study exploring the experience of children and young people affected by faecal incontinence as a result of a congenital physical impairment, and highlights the significant tensions facing some pupils, who are 'invisibly disabled'. The associated taboos mean that the disability is little understood and poorly accepted. Affected children and their parents describe how school staff can play a key role in providing a suitable educational environment.     

The prevalence of psychiatric disorder in children attending a school for pupils with emotional and behavioural difficulties

The research presented in this article suggests that young people attending schools for pupils with emotional and behavioural difficulties are more likely to experience concurrent psychiatric disorders (comorbidity) than their peers in mainstream schools. Dr Cassidy (Consultant in Child and Adolescent Psychiatry), Dr James (Consultant and Honorary Senior Lecturer in Child and Adolescent Psychiatry) and Dr Wiggs (Research Psychologist) used questionnaires and interviews with parents and teachers, together with pupil self-reporting, to gather their data. The two-stage investigation suggested that 89% of the adolescents in one school for pupils with EBD met established criteria for the diagnosis of a psychiatric disorder. Conduct disorder and attention deficit hyperactivity disorder (ADHD) emerged as the most common psychiatric difficulties, but emotional disorders were also prominent in the data. These untreated problems are likely to have significant long-term implications for the psychological and educational development of the pupils concerned, and the authors speculate on some of the ways in which psychiatric and education services might work together in order to improve the outlook.     

Mental health and special educational needs: exploring a complex relationship

The relationship between mental health and special educational needs is both complex and misunderstood. In this article, Richard Rose, Professor of Special and Inclusive Education, Marie Howley, Senior Lecturer, Ann Fergusson, Senior Lecturer, and Johnson Jament, a PhD student, all from the Centre for Special Needs Education and Research directed by Richard Rose at the University of Northampton, discuss findings from a national research project which explored the perceptions of pupil mental health needs by staff working in residential special schools. Teachers and other professional colleagues often feel ill-prepared to address mental health difficulties experienced by their pupils. This is, at times, exacerbated by a wider confusion when atypical behaviours are attributed to a diagnosed learning difficulty rather than being recognised as symptomatic of a mental health problem. The article suggests a need for clarification of the relationship between complex special educational needs and mental health and for increases in training opportunities and the development of resources for teaching about and supporting mental health and emotional well-being.     

What Katy did: a case study in communication between a pupil with severe learning difficulties and non-disabled classmates

The British Journal of Special Education has contributed substantially to debates on the principles and practice of integration. Dr Ann Lewis, Senior Lecturer in Education at the University of Warwick, extends that work by providing evidence about the quality of interaction in a setting in which special and mainstream pupils worked regularly together over the school year. This case study highlights the complexity of such contexts and the difficulties in successfully fostering equal and complementary roles. She highlights the sensitivity, but dominance, of the mainstream children when working with special school work partners, who, although actively involed in the interaction, tended to take subservient roles.     

The effectiveness and rationale of the 'nurture group' approach to helping children with emotional and behavioural difficulties remain within mainstream education

Researchers, policy makers and practitioners continue to be interested in the impact of nurture groups on the inclusion of young children with emotional and behavioural difficulties in mainstream schools. Nurture groups were originally established in schools in the London Borough of Enfield in the 1980s and it is now possible to review evidence of their effectiveness in both the short and long term. In this article, Tina O'lConnor, teacher at Oakthorpe Primary School, London Borough of Enfield, and John Colwell, Senior Lecturer in Psychology at De Montfort University, compare scores on the Developmental Diagnostic Profile for a sample of pupils on entry to a nurture group; on exit; and after at least two years of mainstream reintegration. Their work reveals evidence of improvements in both the short and long term. In discussing their findings, the authors call for more in-depth, longitudinal research into nurture groups and the development and impact of whole school nurturing approaches.     

Tourette Syndrome: a Training Day for Teachers

Recent research indicates that Tourette syndrome is more prevalent than was once thought and that teachers in most mainstream schools are likely to encounter pupils displaying the characteristics of Tourette syndrome. Research also indicates that these characteristics, and the range of responses that may be appropriate, are not well understood by school staff. In this article, Dr Uttom Chowdhury, Consultant Child Psychiatrist at the CAMHS Academic Unit in Dunstable and Honorary Child Psychiatrist at the Neurodevelopmental Disorders Clinic at Great Ormond Street Hospital, London, and Dr Deborah Christie, Consultant Clinical Psychologist and Honorary Senior Lecturer at the Department of Child and Adolescent Psychological Services at University College London and Middlesex Hospitals, describe a training day for teachers facilitated by members of the Tic Disorders Clinic at Great Ormond Street Hospital. The day provided a mix of information–giving and discussion of current practice. Uttom Chowdhury and Deborah Christie relate the outcomes of the day to their own professional knowledge and experience and offer an interesting agenda for further developments.     

Promoting the greater involvement of pupils with special needs in the management of their own assessment and learning processes

Richard Rose, General Inspector (Special Educational Needs), Northants Inspection and Advisory Service, Sylvia McNamara, Lecturer in Education, the University of Leicester and John O'Neil, Lecturer in Education Management, Massey University, Palmerstone, New Zealand discuss the initial findings of the QUEST Project.     

Exploring the Association Between Integrated Therapy and Inclusive Education

Sue Mackey (Lecturer and Course Co-ordinator, Child Health Therapy Programme) and Jill McQueen (Lecturer and Research Fellow, Rehabilitation Research Unit) at the University of Southampton, consider the terms 'integrated therapy' and 'inclusive education' (as indicators of emerging philosophies in education and therapy), explore the links between them, and assess the extent of their success in practice.     

UK: The changing image of charity advertising

Jenny Corbett, Lecturer in Special Education at the University of East London, and Sue Ralph, Lecturer in Education and the Mass Media at The University of Manchester, consider ways in which Mencap, a British charity created to give help to people with learning disabilities and their families, has changed its image. The tensions between the need to sell an image which attracts financial support and the campaign for equal rights and dignity are also explored.     

Understanding nurturing practices — a comparison of the use of strategies likely to enhance self-esteem in nurture groups and normal classrooms

Nurture groups are now being established in many parts of the UK, as research evidence continues to confirm both their effectiveness and cost-efficiency in helping children with emotional and behavioural difficulties to remain within mainstream schools. Their conceptual framework is based on Bowlby's attachment theory, in which impaired early care is seen to have led to low self-esteem, mistrust of others and behaviour that impedes success in school. The nurture group provides the opportunity to re-experience early nurturing in a warm and accepting environment, which fosters positive self-regard and the development of secure relationships with the nurture group staff. The study reported in this article sought to determine a reason for the effectiveness of this early intervention by focusing on the enhancement of self-esteem. John Colwell, Senior Lecturer in Psychology at De Montfort University, and Tina O'Connor, a teacher at Oakthorpe Primary School in the London Borough of Enfield, conducted an observational study of nurture groups and normal classrooms in order to compare climates in terms of self-esteem enhancement strategies. Results confirmed that teachers' verbal and non-verbal communications in the nurture group were much more positive and more likely to enhance the self-esteem of pupils. In contrast, the communications of normal classroom teachers were found to be less likely to create an environment conducive to fostering positive self-esteem. The authors conclude that their evidence supports conceptual explanations of the effectiveness of nurture groups and propose that mainstream schools could become more inclusive if whole-school nurturing approaches were adopted.