Early intervention in emotional and behavioural difficulties: the role of Nurture Groups

ABSTRACT

This paper reports on the use of Nurture Groups (NGs) in mainstream infant schools as a promising example of an approach to early intervention for children with emotional and behavioural difficulties. The paper describes the philosophy and nature of NGs and offers empirical evidence supporting their effectiveness. It also describes a diagnostic tool designed to assist in the identification and monitoring of children requiring placement in NGs. In addition, the paper provides a brief account of an empirical study of staff attitudes towards and beliefs about NGs.     

Disproportionality in special education: identifying children with emotional behavioural difficulties in Irish primary schools

Within categories of special educational needs, emotional and behavioural difficulties have received much attention in recent years, particularly in relation to their definition and identification by parents and teachers. This paper stems from previous research which highlights how children from disadvantaged backgrounds and those attending schools designated as socio-economically disadvantaged are significantly more likely than their peers to be identified as having a special educational need of a non-normative type such as emotional behavioural difficulty (EBD). Using data from the Growing Up in Ireland study, it examines whether the EBD identified by teachers or within certain schools is matched by the child’s own performance on an internationally validated emotional and mental health measure – the Piers–Harris. Findings show that overall self-reported social emotional well-being bears a strong relationship to the probability of being identified with an EBD. However, boys, children from economically inactive and one-parent households and children attending the most disadvantaged school contexts are more likely to be identified with having an EBD, even after taking into account their social background characteristics and their scoring on the Piers–Harris measure. These findings suggest that the subjective nature of EBD identification is resulting in a disproportionate number of these children being identified with EBD. The implications of this study are explored for existing disability/SEN classification systems, school-wide intervention models and the impact on individual students labelled as EBD. Overall, the findings pose searching questions about the validity of employing SEN classification systems in deciding eligibility and types of appropriate provision.     

Changing attitudes: supporting teachers in effectively including students with emotional and behavioural difficulties in mainstream education

Pupils with emotional and behavioural difficulties (EBD) are often considered the most challenging group to manage within mainstream education. The challenges perceived by teachers may be due, in part, to negative attitudes towards this cohort of pupils, which may exacerbate feelings of inadequacy and impact negatively upon direct interactions with pupils. The current study comprised a combination of implicit (i.e. the Implicit Relational Assessment Procedure, IRAP) and explicit (The Opinions Relative to Mainstreaming Scale, ORMS) technologies to assess the attitudes of teachers (N = 25) and teachers in training (N = 20) towards pupils with EBD. When these attitudes proved to be negative (relative to typically developing pupils), the utility of a combined behaviour intervention (BI) and stress-management intervention (SMI), in conjunction with a series of pre and post measures, was examined. The IRAP results for teachers indicated that the SMI enhanced their implicit positivity towards pupils with EBD (EBD PUPIL) to a considerable extent (0.025-0.175), and this was greater than the impact recorded with the BI. The teachers in training showed implicit negativity towards EBD PUPIL (0.13) and this decreased, albeit marginally, at post-BI (0.05) and post-SMI (0.06). Significant differences were recorded in teachers’ general attitudes towards inclusion (p < 0.001) and efficacy (p < 0.008). Significant effects were recorded for teachers in training in relation to their attitudes towards having a child with EBD and having a previously excluded child with EBD in their classrooms (all ps < 0.001). For this latter group, reductions were also recorded in their levels of depression, anxiety and stress (p < 0.001) and there was an increase in their psychological flexibility (p < 0.001). The current results indicate that a range of positive implicit and explicit outcomes was associated with the current BI and SMI package in terms of fostering more effective inclusion of pupils with EBD in mainstream education.     

Challenges and management frameworks of residential schools for students with severe emotional and behavioural difficulties in Hong Kong

This study by Stella Suk‐Ching Chong, an assistant professor, and Ka‐wai Leung, a teaching fellow, both at the Hong Kong Institute of Education, focuses on the perspectives of hostel staff from six residential schools for students with severe emotional and behavioural difficulties. Individual or focus group interviews were conducted to explore the range of challenges perceived by staff and the strategies they employed to address the needs of the students. The software N‐Vivo was used to analyse both qualitative and quantitative data. This study finds that staff met a multiplicity of challenges, of which 67.9% were management‐related rather than student‐related (32.1%). In relation to effective strategies for staff, co‐ordinated and concerted efforts are frequently used between different stakeholders, such as intra‐hostel‐staff‐student collaboration (84%), inter‐hostel‐community collaboration (8.6%), inter‐hostel‐home collaboration (5.1%), and finally inter‐hostel‐school collaboration (2.2). In summing up the findings of various approaches deemed favourable by different residential staff, a residential school management framework is conceptualised and presented in this article. Implications and future research directions are also highlighted.     

Emotional and behavioural difficulties among middle school students in Oman: an examination of prevalence rate and gender differences

Children with emotional and behavioural difficulties (EBDs) began to receive considerable attention in several countries in the Middle East and North Africa region including Oman. In the Omani context, there is lack of valid assessment instruments which can be used to obtain information on EBDs in schools. The current study used the Arabic self-report version of the Strengths and Difficulties Questionnaire (A-SDQ) to examine EBDs in a sample of middle school students. 816 middle school students from both genders, who were randomly selected from different schools in two big cities in Oman, filled out the A-SDQ. Results provided initial evidence of good psychometric properties of the A-SDQ reflecting that it can be a valid tool for use in schools in Oman. Further, the participants reported moderate to high rates of EBDs as measured by the different subscales of the A-SDQ. Significant gender differences were found in students self-report of EBDs. Compared to boys, girls reported more emotional symptoms, less conduct and peer problems. Implications of the study findings for the identification of students with EBDs in schools in Oman are presented.     

The inclusion of pupils perceived as having social and emotional behavioural difficulties in mainstream schools: a focus upon learning

This article focuses upon the relationship between social and emotional behavioural difficulties (SEBD) and learning. It argues that, while inclusion is desirable in principle, it can be highly problematic in practice. Further, it explores the contested nature of the concept of SEBD and the nature of support for pupils categorised as such. The article draws upon a case study which evaluates a group work approach devised by the author to support pupils experiencing SEBD within a mainstream secondary school, within a deprived area. The study (N = 69) established benchmark measures relating to pupil attendance, discipline sanctions, attainment and pupil attitudes and followed the progress of the pupils until one to two years after completion of the intervention. The findings indicate that the intervention did not reduce the differential in performance in National Tests between the Support Group pupils and comparator groups but it did impact positively upon dispositions towards learning.     

The forgotten schools. Current status of special schools for pupils with social,emotional and behavioural difficulties in Germany: a complete national survey

The article reports on a survey of special schools for children with social, emotional, and behavioural difficulties (SEBD) in Germany. The schools were asked by standardised mail questionnaire about their organisational structures. The rate of return was 77% and a total of 397 schools were included in the interpretation of data. The questionnaire asked for several items to analyse the structural elements and organisational compositions of the schools. Rather than measuring the effects of instruction and treatment in the separate school settings, the present study is basic research aiming at stocktaking of the current organisational status of these schools that have barely been the focus of research. The number of structural problems that SEBD schools in Germany have to face is enormous, according to the findings. It is arguable whether optimal service delivery and support to the pupils is possible under the general conditions revealed by the present study, e.g., inadequate number of teachers and other staff members (and thus insufficient staff for child guidance), only a few schools offering full‐time schooling services, and in only a few instances do we find inter‐agency collaboration.     

Emotional and behavioural development in Glasgow primary schools

Studies examining the well-being of British children find that about 5–10% are at risk of developing problems. This study aimed to examine the emotional and behavioural development of six to eight year olds in an area of socio-economic deprivation in Glasgow (Scotland) and compare this with UK norms. Furthermore, it aimed to look at overlap between the problems children had. It was a population-based survey involving parents and teachers of 1658 children. The study found that the overall emotional and behavioural development in this deprived population was surprisingly similar to UK norms. There was however a small group of children with overlapping problems. There is an emphasis within Glasgow on supporting young people's social, emotional and behavioural needs, particularly with regard to nurture and attachment. Implications of Glasgow initiatives are discussed, and their potential role in helping children from deprived backgrounds maintain levels of emotional and behavioural development in line with UK norms and, in particular, this group with overlapping problems is explored.     

Perceptions of sleep duration,patterns and emotional and behavioural difficulties: a study of Greek adolescents

The study investigated adolescent students’ perceptions of sleep duration and patterns, and the way they relate to emotional and behavioural difficulties. Five hundred and two students from public schools in Greece completed the Sleep Questionnaire and the Strengths and Difficulties Questionnaire (SDQ). It was demonstrated that consistency in sleep duration and quality in sleep patterns were associated with a reduction in adolescents’ reports of emotional and behavioural difficulties. Sleep duration was similarly distributed across gender, while sleep patterns were gender‐specific. Distinct differential effects of gender, sleep duration and patterns to adolescents’ emotional and behavioural difficulties were also found. These findings and their implications for research and practice are discussed, within the scope of the biopsychosocial framework in education.     

Utilising the Boxall Profile within the Scallywags service for children with emotional and behavioural difficulties

In this article, Moira Broadhead, Roy Chilton and Victoria Stephens offer an in‐depth analysis of a targeted intervention, Scallywags, aimed at children with emotional and behavioural difficulties. Scallywags, based in Cornwall, offers an early intervention package for children and their families based upon an initial Boxall Profile analysis. Moira Broadhead is a senior educational psychologist for the Scallywags service and both Roy Chilton and Victoria Stephens held split posts as assistant psychologists and support workers within the intervention service. Moira, Roy and Victoria offer practitioners new to the Boxall Profile a compelling account of how it can be used to inform practice for learners with emotional and/or behavioural difficulties and conclude with a series of insightful questions about the use of the Boxall Profile and the role of interventions of this nature.     

The role of vignettes in the research of emotional and behavioural difficulties

Abstract

The study of teachers’ perceptions, attributions and feel-KEYW ORDS ings could be best served by the use of the vignette technique. This follows from a methodological review of educational research, comparison of the vignette with other techniques and consideration of both the advantages and the pitfalls of the technique. A presentation to teachers of brief hypothetical scenarios, which constitute unobtrusive approximations of realistic situations, could elicit useful information about their thought processes, relevant to aspects of educating children with emotional and behavioural difficulties and to professional and educational development generally.     

The roles of specialist provision for children with specific speech and language difficulties in England and Wales: a model for inclusion?

Children with specific speech and language difficulties pose a challenge to the education and health systems. In addition to their language difficulties they are also at risk of literacy and social, emotional and behavioural difficulties. The main support for children with more severe difficulties has been enhanced provision in mainstream schools (language units or integrated resources) and special schools. The move to an inclusive education system challenges this tradition. This paper reports the results of interviews with heads of language units/integrated resources and head teachers of special schools (n = 57) as part of a larger study within England and Wales. Their views are considered with reference to criteria for entry to specialist provision, the development of collaborative practice between teachers, teaching assistants and speech and language therapists, and the implications for inclusive education.     

The social,emotional and behavioural difficulties of primary school children with poor attendance records

Two complementary studies of poor and better attenders are presented. To measure emotional and behavioural difficulties (EBD) different teacher-completed rating scales were employed, and to determine social difficulties, the studies used sociometry and some items from the scales. One study had a longitudinal design. It revealed that, after controlling for social class, gender and EBD in Year 2, poor attendance between Years 2 and 6 had the effect of significantly increasing EBD in Year 6. Both studies also had a cross-sectional design element which gave an indication of some of the poor attenders’ social difficulties and confirmed the longitudinal findings. The rating scales also provided measurements of “neurotic” and “antisocial” disorders. These suggested that a “neurotic” disorder may have played a bigger part than an “antisocial” disorder in the poor attenders’ EBD. The article ends with a list of recent references dealing with intervention issues.     

Supporting the inclusion of pupils with social, emotional and behavioural difficulties in the primary school: the role of teaching assistants

During the past ten years in the UK there has been a considerable increase in the number of teaching assistants (TAs) appointed to work alongside teachers in schools. A significant number of these colleagues are appointed to support pupils with special educational needs (SEN), including those with social, emotional and behavioural difficulties (SEBD). This paper reports on the ways in which the role of the teaching assistant in supporting pupils with SEBD has been developed in schools for pupils aged 7–11 years in one English Local Education Authority (LEA). It suggests that there are several models of support emerging and that the role of the teaching assistant is perceived as crucial to the effective inclusion of pupils with SEBD in mainstream classrooms.     

The influence of occupational socialisation upon the teaching of pupils experiencing social and emotional behavioural difficulties (SEBD) in physical education

Research within physical education (PE) utilising the occupational socialisation framework indicates that the childhood phase of socialisation is the most powerful phase of socialisation. However, for most teachers working with pupils experiencing special educational needs (SEN), the childhood phase often lacks direct experience of SEN and thus ceases to exist as a socialising force. Consequently, the higher education and workplace phases form a ‘salvaged’ phase upon which to base pedagogical approaches (Pugach). In light of this dichotomy, the aims of this case study were to (1) examine how one PE head of department (HOD) in a specialist social and emotional behavioural difficulties (SEBD) school taught year 9 pupils games; (2) identify factors that led to such instruction and (3) consider the influence of the three phases of occupational socialisation on her pedagogical approaches. Data collection methods consisted of formal and informal interviews and lesson observations. The data were inductively analysed, and themes were drawn from this process. Using a systematic learning approach, lessons were game orientated based around pupil decision‐making and limited technical practice. Factors influencing this practice were her exploratory outdoor activity experiences and the nature of the pupils. In contrast to Pugach, this research indicates that the childhood phase of socialisation can provide an ‘apprenticeship of observation’ for those teaching PE to pupils experiencing SEBD. That such perceptions can be strongly held suggests that prior examination of the childhood biographies of those recruited to PE teacher training and/or PE teachers teaching pupils who experience SEBD appears warranted.     

‘A clash of two worlds’; disjuncture between the norms and values held by educational practitioners and parents of children with behavioural,emotional and social difficulties

This article, by Karen Broomhead of Liverpool John Moores University, discusses an exploration of the clashing norms, values and expectations of parenting behaviours between parents of children with behavioural, emotional and social difficulties (BESD) and practitioners. Semi‐structured interviews with 15 education professionals, employed in both mainstream and BESD schools, highlighted how parents of children with BESD were deemed to experience chaotic, dysfunctional home circumstances, with no boundaries in place for their children. This contrasted with the structure, routine and stability that educational practitioners perceived themselves to provide for pupils with BESD. Practitioners employed in BESD schools elaborated on the perceived norms of chaos and dysfunction held by these parents, and suggested that these were evident due to an intergenerational continuity of ineffective parenting. Problematically, educational practitioners displayed a tacit acceptance of parental norms. This questioned whether advocating for pupils with BESD was at the top of the agenda for professionals, or whether a conflict‐avoidance strategy was adopted instead.     

Children's language and behavioural,social and emotional difficulties and prosocial behaviour during the toddler years and at school entry

The ability of young children to manage their emotions and behaviours is an important prerequisite for social adjustment and school readiness. With an increase in early‐onset behavioural difficulties in children, understanding changes in child behaviour during the preschool years and the factors that influence it is a priority for policy and practice. Despite much evidence on the association between language and behavioural difficulties in children, few studies have examined longitudinally language and problem/prosocial behaviour in early years. Using a UK community‐based sample, Dimitra Hartas, from the University of Warwick, examines the association between language, gender and behavioural, social and emotional difficulties and prosocial behaviour during the toddler years and at school entry. The findings showed a moderate decline in behavioural and social difficulties during preschool, and stability in emotional difficulties. Moderate associations were found between vocabulary and problem behaviour but not prosocial behaviour, with literacy‐based language emerging as a substantive predictor of teacher‐rated behaviour. These findings have important implications for early years provision.     

Inclusion of pupils perceived as experiencing social and emotional behavioural difficulties (SEBD): affordances and constraints

This paper takes as its principal theme barriers to the inclusion of pupils perceived as experiencing social and emotional behavioural difficulties (SEBD) and how these might be overcome. It draws upon an evaluative case study of an initiative, devised by the author, to support pupils – the Support Group Initiative (SGI) – which was conducted over a five‐year period in a Scottish Secondary School situated in an area of multiple deprivation. The central focus of the discussion is the range of variables that impacted upon pupil outcomes, illustrating the ways in which these variables acted as affordances or constraints in the pursuit of inclusive practice. The paper takes as its starting point the contested nature of inclusion and introduces, briefly, the Scottish policy context as it pertains to inclusion before exploring the nature of the problem – the barriers to the inclusion of and the difficulties presented by the inclusion of pupils perceived as having SEBD, as discussed in the literature. The findings of the study are discussed in relation to central themes – the ethos of the Support Group; the process of re‐signification through which pupils are enabled to effect improvement; the classroom context; and wider variables relating to school policy, practice, ethos and the management of change. The paper concludes by exploring what inclusion has meant to the pupils involved within the intervention, summarising the affordances and constraints to its realisation, before reflecting upon the significance of the study.     

School improvement in the context of the special school for children with emotional and behavioural difficulties

Abstract

This article examines the issues which are particular to the KEYWORDS development and improvement of schools for children and young people with emotional and behavioural difficulties. Key issues such as team formation and teamwork, cooperation, problem solving capabilities and the school’s capacity to take ownership of the change process are analysed against the background of a case study of one EBD school. The process of change in this school is tracked through the evolution of the ownership of change and the dynamics involved in that process.