Recognising and managing pupils with mental health difficulties: teachers' views and experiences on working with educational psychologists in schools

The role and future directions of the educational psychology services are being re‐examined and there is a drive to build a more integrated system of services for children and young people that incorporates education, health and social care. This qualitative study examines teacher’s perspectives on their professional involvement with educational psychology services. The results indicate that while it was clear that educational psychologists are highly valued by teachers, there are a number of issues that teachers believe constrain service provision. We suggest that greater cross‐system consultation is needed in order to more closely examine how the roles of professionals working in education, health and social care services impact on each other.     

Development of the ‘Museum Health and Social Care Service’ to promote the use of arts and cultural activities by health and social care professionals caring for older people

ABSTRACT

It is well documented that engagement in arts and cultural activities contributes to improving and maintaining the health and well-being of older people. Despite this, many health and social care professionals do not recognize or accept arts and cultural activities as relevant to their care remit. To address this, a team of 17 individuals comprising older service users, and staff from a range of health and social care, arts, and museum and archive services in North East England worked collaboratively to design and develop the Museum Health and Social Care Service (MHSCS). MHSCS is a resource and training package that reinforces the care and clinical benefits of arts and cultural activities to older people’s health and wellbeing, aimed at supporting health and social care professionals to acknowledge and use these activities as integral to care delivery.     

Older adult entrepreneurs as mentors of young people neither in employment nor education and training (NEETs). Evidences from multi-country intergenerational learning program

ABSTRACT

Population aging is exacerbating the loss of competences in the workforce and simultaneously young people neither in employment nor in education and training (NEETs) are struggling to be reengaged in employment. These issues, which are deemed priorities for the European policy agenda, could be addressed by triggering active aging dimensions, valuing and exploiting older adult entrepreneurs’ knowledge for enhancing youngsters’ entrepreneurial attitudes, through mentoring. This paper reports the results of a study based on an intergenerational learning program, carried out in 2018 in Germany, Italy and Slovenia. The study was aimed at developing and testing one training on mentoring addressing 41 older adult entrepreneurs (55 and over), and two intergenerational learning trainings aiming at boosting entrepreneurial competences of 33 NEETs (aged 18–29). The impact of the program on older adult entrepreneurs and NEETs was assessed through a pre and post-evaluation using qualitative and quantitative tools. Findings at country level were treated as national case-studies and then the latter were compared by considering them as a multiple embedded case-study. Results indicated that, to different extent in the study countries, mentors learned and enhanced mentoring competences, e.g. active listening and the capability of orienting, improved well-being and self-esteem, social inclusion and active aging attitude. Moreover, NEETs acquired entrepreneurial and socio-relational competences by benefiting from the full exploitation of mentors’ know-how and the trust relationship with them. Companies, trade unions, educational and voluntary organizations should cooperate to adopt intergenerational learning programs as good practices for older adults and NEETs’ lifelong learning promotion.     

The Engagement of Older People in Civil Society Organizations

This article reviews recent international literature on the opportunities and restrictions experienced by older people to act as volunteers in civil society organizations. Our aim was to develop a conceptual framework applicable to the European ageing society. This aim was pursued through a computerized database search focused on studies analyzing the individual, organizational, and/or societal levels. Findings show that senior volunteers are characterized by “younger” age, good health, and a high level of both educational and socioeconomical status. Volunteers are involved mainly in religious organizations as well as in social and personal care, while main barriers are represented especially by ageist practices. The review shows that the debate on this topic has been barely developed in Europe, both from an individual and societal point of view. Therefore, European countries might take advantage from experiences made in other contexts, but the identification of how this can occur requires further and more specific cross-national research.     

Challenges in planning transition to adulthood for young people who have special educational needs and disabilities: professional and managerial perspectives

This study reviewed perceived changes to planning and management of transitions to adulthood for young people with special educational needs and disabilities in three local authorities in England, following implementation of the Children and Families Act (2014). Wenger's ‘community of practice’ theoretical framework was used to examine how groups of professionals and managers working in education, health and social care in three areas, set about implementing selected radical changes required by the legislation. Telephone interviews with sixteen participants were transcribed and subjected to thematic analysis. Themes identified related to professional activity, planning and organisation, implications for young people and families and outcomes. There were indications of shifts in professional conceptualisations and reported practices as a result of the Act. Participants described enhanced cross‐service communication and co‐ordinated working practices, achieved though service restructuring, co‐location and changed lines of accountability. An increased emphasis on long‐term planning and involving young people in planning and decision‐making was evident with regard to defining outcomes, and living and working as an adult. The results are considered in relation to the extent that mandated change can influence attitudes and cultures within communities of practice, contributing to the contemporary theoretical debate to incorporate issues relating to power.     

Young people’s relationship to education: the case of Greek youth

The aim of this study is to explore how Greek youth understands their relationship to education, and how this understanding might change as a result of the interplay between participation in different educational/social arrangements and structural factors such as gender, socio‐economic background and area of residence. In total, 800 young people (i.e. four groups—students in upper‐secondary school, tertiary education, vocational education and training and working young people) were surveyed. The results yield an impressive homogeneity of the young people’s views corresponding to a ‘pragmatic’ image of schooling, though they are partially differentiated with respect to attitudes and practices. Moreover, boundaries are discerned between the young people following academic and non‐academic educational trajectories, and between the learning opportunities provided within and outside the formal educational system. Finally, females appear to be more mobilized, but less satisfied by educational services. These findings are contextualized and discussed against a background of relevant trends in other European countries, as well as of wider social, historical and political forces affecting Greek society.     

Child Welfare,Education, Inequality,and Social Policy in Comparative Perspective

Using international data on child well-being and educational attainment, this article compares child well-being in the United States to member countries in the Organisation for Economic Co-operation and Development (OECD). Multiple measures of child well-being are analyzed, such as material well-being (including poverty, unemployment, and income inequality), child health and safety (birth weight, infant mortality, health care, and childcare), educational attainment, and family and peer relationships (including generational cleavages). Using Bronfenbrenner's ecological systems theory as an organizational framework, the impact and interrelatedness of these systems on educational attainment are examined, with parallels drawn between a nation's social policies, child well-being, and educational attainment. The author asserts that social policy in the United States is more comprehensive than is commonly believed, although the redistributive benefits of social policies are allocated much differently compared to OECD countries. Explanations for comparative differences in social policy include differences in political culture and political development as well as racial and class conflict. The author concludes that it is difficult to ignore the role of race and socioeconomic class in explaining differences in social welfare expenditures between the United States and European countries because the pattern of social welfare distribution (broadly conceived—including programs, tax breaks, and incentives) falls largely along racial and class lines.     

Development and validation of the Attitudes toward Education for Older Adults (AEOA) scale

The purpose of this study is to validate a multidimensional measure assessing attitudes toward education for older adults. As the elderly population and the demands of education among older adults have increased, the engagement of social workers in educational settings for older adults has also increased. Therefore, assessing social workers’ attitudes toward education for older adults is critical to better understand the appropriate circumstances for successfully providing and expanding educational programs for older adults. Using a sample of 227 social work students, a multidimensional scale consisting of 38 items was developed by focusing on the three subconstructs of attitudes: cognition, emotion, and behavior. Across various statistical analyses such as the examination of coefficient α and the confirmatory factor analysis (CFA), this scale consistently demonstrated strong reliability and validity. This new reliable and valid scale may contribute to the quality of educational programs for older adults by providing for social workers and other helping professionals with an opportunity to examine their attitudes toward educational services for older adults.     

Learning,using and exchanging global competence in the context of international postgraduate mobility

The paper offers a theoretically grounded analysis of international postgraduate students’ perspectives on the importance and development of global citizenship knowledge and competences while they are studying, and how these are valued and enacted afterwards. It draws on a series of interviews with non-Western international postgraduates during their studies in the UK and upon return to their home countries. It uses the concepts of social and cultural cosmopolitan competences as a framework to discuss the perceived benefits of educational mobility, and the possibilities and limits of social connectedness and openness in the internationalised university environment.     

ICT,education and older people in Australia: A socio-technical analysis

People over 65 (or older people) are a growing proportion of the population in many developed countries including Australia. In the last 10 to 12 years interest from this group in the use of Information and Communication Technologies (ICT) and the Internet has also grown considerably. ICT has much to offer older people as a means of keeping in touch with family, perhaps in other parts of the world, to obtain information about health and financial matters, for entertainment and to further their education. It also offers possibilities for intergenerational cooperation with, for example, children coaching their grandparents. This paper concentrates on older people’s use of ICT for education, some of this being formal but mostly informal, and adopts a socio-technical framework based on actor-network theory (ANT) to investigate this.     

Enhancing care for older people living in nursing homes in rural Australia using action learning as a catalyst for change

The implementation of action learning workshops in three nursing homes in rural Victoria, Australia has been critical in the re-visioning of how care can be enhanced for residents. The workshops were designed with the intent of improving quality of care for residents by providing health care staff with opportunities to learn together and effect cultural change. Valuing what was accomplished well in these nursing homes was the starting point. The project was funded by a Commonwealth Government Rural Education Grant and was based on ‘My Home Life’ a popular programme that promotes quality of life and delivers positive change in care homes for older people across the United Kingdom. This paper provides an account of the project including key components of the action learning workshops and subsequent evaluation of the programme conducted in Australia. The lessons learnt throughout this project have provided the impetus to continue using appreciative inquiry and action learning to involve participants in reflecting on their practice, valuing what they do well while identifying areas that require change. Working together in a safe and respectful space provides participants with opportunity to harness their own collective wisdom and as the health professionals in this project experienced, also learn valuable skills that support progressive action that makes a difference to older people’s lives.     

Theorising the relationship between older people and their immediate social living environment

This article presents a theoretical framework for exploring the dynamics between older people and their immediate social living environment. After introducing a gerontological perspective that goes beyond microfication, a literature review presents findings from studies that have explored the role of place and locality for older people. Next, this contribution seeks to broaden the conceptual field by introducing key dimensions of the relationship between older people and their social environment. A critical investigation of underlying assumptions and constructions of older people within certain research traditions that address the social environment is presented. In conclusion, the role of the social environment is underlined as a dynamic, multi-dimensional, historically and spatially contextualized process that both shapes and is shaped by the experiences and practices of older people.     

Meeting health,mental health,and housing needs of older adults: A case review of the congregational social work education initiative

This article presents results from an innovative social work field education program, which prepares BSW and MSW students to work in interdisciplinary teams with congregational nurses as they serve persons age 55+ or older. The Congregational Social Work Education Initiative is a field education project based on an applied interdisciplinary model, whereby social work students at the graduate and undergraduate level partner with congregational nurses to serve at-risk members of congregations and religious affiliated organizations (RAOs). Students and nurses provide free health, mental health, and wellness services to address individual, family, group, and community health, mental health, and housing issues. Funded by community health foundations, it trains BSW and MSW students for professional practice in congregational and community religious affiliated settings through interdisciplinary and collaborative methods. Information on the development of the model and case illustrations are provided so other social work educational programs and congregational nurse programs might duplicate its success.     

Interprofessional education in gross anatomy: Experience with first‐year medical and physical therapy students at Mayo Clinic

Interprofessional education (IPE) in clinical practice is believed to improve outcomes in health care delivery. Integrating teaching and learning objectives through cross discipline student interaction in basic sciences has the potential to initiate interprofessional collaboration at the early stages of health care education. Student attitudes and effectiveness of IPE in the context of a combined gross anatomy course for first‐year students in Doctor of Physical Therapy (DPT) and Doctor of Medicine (MD) degrees curricula were evaluated. Integrated teams of MD and DPT students participated in part of the gross anatomy dissection course at Mayo Medical School. A survey was administered to 42 MD and 28 DPT students that assessed their attitudes toward IPE and cooperation among health care professionals. Pre‐ and post‐experience surveys were evaluated. Positive comments were related to opportunities for developing a better understanding of the nature and scope of each other's programs, encouraging teamwork and communication, mutual respect, and reducing the perceptual divide between disciplines. Ninety‐two percent of the students agreed that interprofessional learning would help them in becoming a more effective member of the health care team. This initial experience with IPE in gross anatomy provides a basis for continued development of interdisciplinary educational strategies. Anat Sci Ed 1:258–263, 2008. © 2008 American Association of Anatomists.     

Improving teaching capacity to increase student achievement: The key role of communication competences in Higher Education

The educational model based on competences established under the unifying framework of the European Higher Education Area (EHEA), has brought new challenges and threats for educational institutions at university level, who now have to adapt, update and face up to this new educational paradigm. This paper addresses the competences from two different perspectives; the first relating to the level reached by the student through university training received; and the second concerning the level required by labour market in the profession studied. The empirical analysis was performed using nonparametric statistics on a sample of 236 individuals, following the methodology of the Tuning project. The results support the existence of differences between the two blocks of analysed competences, as well as the importance of communication competences and the relationships of competences related to communication with all other competences with highest differences. This point to a course of action based on these competences, especially communication competences, as a way for working on improving the competence results in higher education.     

Design of an evidence-based diversity workshop to support participation of older people in their community care

Diversity is what makes a person unique, with the intersection of diversity characteristics potentially a strength or a barrier to accessing healthcare, and thereby affecting health and well-being outcomes. Many older people with diverse needs are not accessing appropriate services to meet their needs, leading to suboptimal health and well-being. Community aged care workers are at the frontline, working with diverse older people with complex needs; yet there is a dearth of training available in this sphere. This paper outlines the development and pilot evaluation of a diversity training workshop for managers and frontline community aged care workers. The aim of the workshop was to empower the workforce to support increased participation of older people with diverse needs in their own care, to ultimately lead to their improved health and well-being.

Workshop development was underpinned by sound education principles, a competency framework and research evidence. First iteration of the workshop underwent pilot testing with three groups, two in metropolitan Melbourne (n = 31) and one in regional Victoria (n = 10), Australia. Feedback was gathered via an independent observer (field notes), pre- and post-workshop surveys, and phone interviews with participants 3-month post-workshop. Pilot data and feedback informed changes to workshop content (type of knowledge, application of knowledge and skills), workshop structure and androgogical (adult learning) approach.

An evidence-informed diversity training workshop was developed through an iterative process, with the aim of enhancing knowledge, skills and attitudes of community aged care workers. This approach has developed a workshop that aims to better meet the needs of an aged care workforce, so that they may better support older people with diverse needs to increase engagement and participation in their care, optimizing their health and well-being.     

Letters

Conclusions One of the things particularly disturbing about managing our doctoral programs is the growing realization that our professionals must be more highly trained than those working in the traditional social or physical sciences. It takes longer (and I suspect it is more difficult) to produce the hybrid professional capable of and committed to contributing to educational practice. Our students must be as knowledgeable as the doctoral candidate in (for example) psychology and in addition must acquire a set of skills that deal with enhancing practice in a great variety of settings. It also is disturbing to realize that our doctoral students probably won’t acquire this capability unless faculty members begin to model the skills and approaches they expect their students to acquire. I have consciously ignored a number of areas (curriculum, focus for courses and assessment, and delineation of desirable competencies and performances). At the moment my concern is to communicate my strong belief that we must grow away from the training of people primarily concerned with technical skills in developing instruction, evaluating programs, managing resource centers, and producing films and television programs and focus on the training of people skilled in inquiring about problems and their solutions. Presumably these people would be able to arrive at some solutions that would be useful regardless of their career choices—research, development, production, and/or administration. All student activities involving the actual development of instruction should be conducted in an atmosphere of constant inquiry and critical discussion of the usefulness of the concepts being acquired and the process being employed.     

Book reviews

Lifelong learning is recognized as an important tool to reduce social exclusion, but out of the many investigations into the provision of lifelong learning in Europe none has yet sought to examine the specific situation of mental health care service users. This study examines the provision of lifelong learning for this disadvantaged group; it identifies current policies and explores the access to, and nature of, lifelong learning practices for mental health care service users in eight European countries. Data have been collected through a literature and policy review and through questionnaires completed by mental health practitioners in the eight countries. The study found broad compliance amongst the eight countries with the Lisbon policy goals on lifelong learning, but evidence of specific lifelong learning provision for mental health care service users is patchy and sporadic. The study identified the main benefits of, and the barriers to, the participation in lifelong learning for mental health care service users from the viewpoint of mental health professionals and practitioners. The implications for practice were described, and suggestions for actions were made for improving the lifelong learning provision for the target group.     

A career transition program for older persons

The Second Careers program undertaken by the George Washington University School of Medicine and Health Sciences during 1975–1976 was designed to help older persons seeking second careers in the health care field make realistic career decisions. The program grew out of an awareness that persons over 45 are not adequately served by American educational institutions and frequently are denied opportunities to embark upon second careers in which they can make significant contributions. The age group 45–65 now makes up 20% of the American population. This group of persons is increasingly well educated, politically active, and relatively healthy; many are not inclined to settle for retirement or continued participation in jobs they may have outgrown. This population includes the early retiree; the homemaker returning to the marketplace either from choice or necessity; and the individual who seeks counseling, training, and education to support a midlife change to a new career. Second Careers was established for this large and educationally underserved group. This article describes a model program, conducted over a one year period, which combined classroom work and field experience with individual and group counseling. It involved twelve part-time students, all of whom made significant career decisions by the end of the year. Although this effort focused primarily on exploring career opportunities in the health care field, the model can be adapted to almost any educational setting. This paper is offered as a guide for individuals and organizations involved in or contemplating similar educational, counseling, and/or service programs for older persons.This article reprinted with permission fromEducational Gerontology An International Quarterly Vol. 4(1) Hemisphere Publishing Company.     

Media education for older people - views of stakeholders

ABSTRACT

This study is a part of an ongoing design-based research (DBR) project aimed at designing, piloting, and assessing a digital study module focused on older people’s media education. In order to gain a better understanding of older people’s media literacy and develop the teaching of adult educators, participatory creative workshops for a total of thirty-one stakeholders (older people and professionals who work with them) were conducted. Research data was collected from these workshops through a case exercise from stakeholders and a questionnaire from older people during the year 2019. According to the stakeholders, older people need more training in all the dimensions of media literacy, which is understood as competence in accessing, using, understanding, creating, and critically analyzing different media texts. However, use dimension was the most featured dimension in the data. In addition, older people are a heterogeneous group and it is essential that media education is tailored to meet the current needs of older people. The results indicate that media education should be designed especially to address the needs and individuality of older people.