Therapeutic support for young people with learning difficulties: what enables effective practice?

Supporting children and young people’s mental health is a central aim of the UK government policy, with those with learning difficulties a particularly vulnerable group. This systematic review of research uses published literature to explore how access and participation in therapy might be facilitated for young people with learning difficulties. Twelve studies published 2000-2019 were identified, which described the experiences of access to, and participation in therapy for people with learning difficulties, although notably most of these involved adults. Findings indicated eight themes: pre-therapy, careful contracting, therapy is hard, idiosyncratic needs, therapeutic relationship, group therapy, reviewing therapy and it changed my life. These were organized into three chronological stages: setting up of therapy; therapeutic processes; and therapeutic outcomes. A number of strategies that can promote access and participation are suggested for professionals working therapeutically with young people with learning difficulties, around contracting, clear communication, the therapeutic alliance and the ending of therapy.     

The real implications of ‘benevolent’ SEN reform

Consultation of the DfE's Green Paper, Support and Aspiration: A New Approach to Special Educational Needs, provoked considerable debate among public and private sector professionals, parents and young people over the planned special educational needs reform. Since then, publication of the Children and Families Bill in 2013 indicates definitive changes in law, while the revised SEN Code of Practice, which will provide professional guidance, is awaited. There are implications to this reform beyond those which have already been published, although alluded to in the Green Paper. This article will explore the influence of language in the deconstruction of disability, the implications of raising the threshold before a categorisation of SEN applies, concerns arising from implementation of the Single Assessment Process and, finally, how funding reforms will negate some of the anticipated benefits for parents and their children.     

How can action learning contribute to social capital?

This paper explores the contribution that action learning can make to the formation of social capital via experiences of action learning projects in NHS Pathology Services in the UK. The paper describes the development of action learning practice in recent years, reviews the notion of social capital and considers how action learning might contribute to its formation. A case study of action learning in the development of a locally unified pathology service is used to illustrate the processes by which actions and learnings may be transferred and extended from sets to contribute to organisational learning in wider systems and networks.