Children`s outcomes 2012/13 Primary schools

Making a lifetime of difference to children in schools
Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT
Tel: 020 7923 5500 Email: [email protected]
Children’s outcomes 2012/13
Primary schools
L. Herlitz, J. White and N. Naag
2 December 2013
In the school year 2012/13, Place2Be delivered services to children from nursery to year 6 in 164
primary schools and four ‘all-through’ schoolsi in England, Scotland and Wales, reaching a total
school population of 65,047 children. Most schools had a School Project Manager (SPM) and
volunteer counsellors for either 2.5-days (50%) or 3-days a week (27%).
Place2Be provides a range of interventions for children in schools:
•
Place2Talk is a lunchtime drop-in service with a counsellor open to all pupils in the school
through self-referral.
•
One-to-one counselling is provided on a weekly basis for children with considerable social,
emotional and/or behavioural difficulties.
•
Group counselling is provided on a short-term basis to address particular issues, for example,
children’s concerns about moving on to secondary school, friendship and self-esteem.
This report describes the service use and characteristics of children attending Place2Talk, one-toone and group counselling, and presents children’s outcomes for one-to-one counselling.
I)
Place2Talk
Number of visits
23,867 children attended Place2Talk in a total of 80,425 visits, 37% of the total school population –
a similar proportion to the previous two years. The pattern of attendance was almost identical to
2011/12 (see figure 1), with around one third of children visiting once (34%), a fifth visiting twice
(19%), and around half visiting three or more times (47%)ii.
i
ii
‘All-through’ schools teach pupils from age three to the end of secondary school.
1,189 children attended 10 or more times (4.8%).
Children’s outcomes in primary schools 2012/13 Page 1 of 13
www.place2be.org.uk
Registered office address: Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT Tel: 020 7923 5500.
Registered charity number 1040756 (England and Wales) SC038649 (Scotland). Registered Company number 02876150.
Figure 1: Number of times children visited Place2Talk
9000
8000
Number of children
7000
6000
5000
2011/12
4000
2012/13
3000
2000
1000
0
1
2
3
4
5
6
7
8
9
10
11
12 13+
Number of visits to Place2Talk
Gender differences
63% of children who attended Place2Talk were girls, identical to the percentage for 2011/12. Boys
were more likely to attend the service only once (43% boys versus 29% girls) and girls were more
likely to attend on 5 or more occasions (30% girls versus 16% boys). Girls were more likely than
boys to discuss most subjects, in particular friendships (74% girls versus 56% boys) and family
relationships (25% girls versus 19% boysiii). They were also more likely to attend to support their
friends (20% girls versus 14% boys). Boys were more likely to attend out of curiosity about the
service (18% boys versus 14% girls).
Ethnicity
46% of children were White British, 19% were Black/Black British, 13% were Asian/Asian British
and 22% were of other ethnicities, almost identical figures to 2011/12. The representation of ethnic
groups was broadly similar to the local population in which schools were basediv (see figure 2).
iii
Figures are for ‘other family issues’ and do not include divorce/separation which is recorded separately.
Local population data for comparison is made up of the following local authorities: Durham,
Northumberland, Lancashire, Manchester, Leeds, Nottingham, Essex, Greenwich, Lewisham, Southwark,
Hackney, Tower Hamlets, Wandsworth, Brent, Croydon, Ealing, Enfield, Medway, Salford, Cardiff, East
Lothian, Edinburgh, and Glasgow.
iv
Children’s outcomes in primary schools 2012/13 Page 2 of 13
www.place2be.org.uk
Registered office address: Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT Tel: 020 7923 5500.
Registered charity number 1040756 (England and Wales) SC038649 (Scotland). Registered Company number 02876150.
Figure 2: The ethnicity of children attending Place2Talk compared to the local population
White British
Black/Black British
Asian/Asian British
White Irish/Other
Local population
Place2Be
Mixed ethnicity
Chinese or any other ethnic group
Preferred not to say/unknown
0%
10%
20%
30%
40%
Percentage of children
50%
60%
Issues discussed
The most frequent issue discussed was friendships discussed by two thirds of children (67%, see
figure 3). The second most common issue was emotional problems, raised by 31% of children.
20% of children came to talk about school issues and 12% came to discuss bullying. The
percentage of children raising different issues was very similar to 2011/12.
Figure 3: A high percentage of children discussed friendships and relationships at
Place2Talk
Friendships / relationships
Emotional issues
Other issues discussed
Other family issues
School issues
Support friend
Curiosity about the service
Bullying / cyber bullying
Loss / bereavement
Transition issues
Parental separation / divorce
Personal achievement
Academic issues
Cultural / racial issues
Environmental
Physical / puberty
Personal substance misuse
Violence in the home
Community tensions/issues
Sexuality / sexual issues
Parental substance misuse
Eating disorders
0%
10%
20%
30%
40%
50%
60%
70%
Percentage of children
Children’s outcomes in primary schools 2012/13 Page 3 of 13
www.place2be.org.uk
Registered office address: Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT Tel: 020 7923 5500.
Registered charity number 1040756 (England and Wales) SC038649 (Scotland). Registered Company number 02876150.
Actions following the Place2Talk session
No further action was needed for 7 out of 10 children who visited Place2Talk (71%). 19% of
children were offered an additional session. 2% of children were referred on to receive Place2Be
one-to-one or group counselling. For 12% of children, school staff were informed of the issue
discussed. School staff were often informed when children raised the issues of bullying, violence in
the home, parental substance misuse, sexuality/sexual issues and community tensions/issues. A
child protection (CP) concern was raised for 2.6% of children (n=596).
II)
Children’s characteristics and service use - one-to-one and group
counselling
•
•
2,991 children attended one-to-one counselling, 204 more children than in 2011/12
681 children attended group counselling, 215 fewer than in 2011/12
71% of children were in year groups 3/P4 to 6/P7, with almost an equal proportion of children seen
in each year group. 13% were in year 2/P3, 11% were in year 1/P2, 5% were in Reception, and
0.2% were in nursery. The majority of children were referred by a teacher (46%), their Head or
Deputy Head teacher (21%), or the Special Educational Needs Co-ordinator (SENCO, 21%)v (see
figure 4).
Figure 4: Referrals to Place2Be
Teacher
Head or Deputy Head teacher
SENCO
Parent
SPM/ASPM
Inclusion Manager
Pastoral support
Other
Self-referral
External agency
Behavioural Management Officer
Teaching assistant
0%
10%
20%
30%
40%
50%
Percentage of children
45% of children seen were girls, identical to the previous year. Children’s ethnicity was similar to
the local population in which schools were based (see figure 5)1 – though Place2Be saw slightly
fewer children of mixed ethnicity (9% Place2Be compared to 15% of the local population).
Compared to the local population, Place2Be saw fewer children with a first language other than
English – 19% Place2Be compared to 34% for the local population (see figure 6)vi2.
v
vi
Children could be referred by up to three individuals.
Local population data on English as an Additional Language was not available for Wales or Scotland.
Children’s outcomes in primary schools 2012/13 Page 4 of 13
www.place2be.org.uk
Registered office address: Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT Tel: 020 7923 5500.
Registered charity number 1040756 (England and Wales) SC038649 (Scotland). Registered Company number 02876150.
Figure 5: Ethnicity of children receiving Place2Be counselling compared to the local
population
60%
Place2Be
Local population
Percentage of children
50%
40%
30%
20%
10%
0%
White British
White Irish/Other
Asian/Asian
British
Black/Black
British
Mixed ethnicity
Chinese or any
other ethnic group
Over half of children seen were in receipt of free school meals (52%) compared to 26% of the local
school population (see figure 6)3, similar to last year. 44% of children were living in lone parent
households compared to 23% in the local areas4. Over a third lived with both biological parents
(37%), 11% were living with a parent and step-parent, and 4.4% were living with other relatives or
adoptive parents. 2.6% of children were looked after by the local authority or fostered compared to
0.9% in the local population5. A high number of children were the subject of a child protection plan
compared to children locally - 9.2% for Place2Be compared to 0.9% for the local population6.
More than 4 out of 10 children had special educational needs (SEN, 44%) compared to 2 out of 10
of the local population (20%)7. Of Place2Be children with SEN, 5% had a full statement (n=82) and
50% were at school action plus (n=766).
Figure 6: Circumstances of the children seen by Place2Be compared to the local population
60%
Place2Be
Percentage of children
50%
Local population
40%
30%
20%
10%
0%
Receiving free
Special
Child subject of a Looked after by
First language
school meals educational needs child protection local authority or other than English
plan
fostered
Children’s outcomes in primary schools 2012/13 Page 5 of 13
www.place2be.org.uk
Registered office address: Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT Tel: 020 7923 5500.
Registered charity number 1040756 (England and Wales) SC038649 (Scotland). Registered Company number 02876150.
Half of children’s families had contact with another agency in the previous year (50%). A quarter of
children’s families had been in contact with social care (24%), 8% had had contact with Child and
Adolescent Mental Health Services (CAMHS) and 9% had been involved with the police and
criminal justice system (see figure 7). These figures were similar to the previous year.
Figure 7: Children’s families contact with agencies in the past year
Social care
Other agencies
Police and criminal justice
CAMHS
Educational psychologist
Home school liaison
Speech and language…
Domestic violence project
Drug and alcohol support…
Child psychologist or…
Mentoring schemes
Family mediation
Bereavement services
Youth Offending Team
Refugee support services
Systemic family therapy
0%
5%
10%
15%
20%
25%
30%
Percentage of families
III)
One-to-one counselling
a. Children’s mental health before counselling
Teachers, parents and children were asked to complete the Strengths and Difficulties
Questionnaire (SDQ8) before counselling. The return rate was 94% for pre-intervention teacher
SDQs, 88% for parent SDQs, and 82% for self-report SDQs.
The average SDQ total difficulties score before counselling was in the ‘medium risk – borderline’
clinical range according to teachers (m = 15.4), parents (m = 16.8), and children (m = 16.5)vii. 49%
of children were in the ‘high risk – abnormal’ clinical range according to teachers, slightly less than
the 53% in the previous year. 51% and 33% were in the abnormal range according to parents and
children respectively, almost identical to the previous year. Figure 8 presents the percentage of
children in each clinical category as rated by teachers in comparison to the child population4.
vii
The risk refers to the likelihood of a child having difficulties severe enough to warrant a diagnosis.
The abnormal clinical range for teacher SDQs is 16 – 40, for parent SDQs is 17 – 40, and child SDQs 20 –
40.
Children’s outcomes in primary schools 2012/13 Page 6 of 13
www.place2be.org.uk
Registered office address: Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT Tel: 020 7923 5500.
Registered charity number 1040756 (England and Wales) SC038649 (Scotland). Registered Company number 02876150.
Figure 8: A high proportion of children were in the abnormal clinical range prior to
counselling (teacher SDQs)
90%
Percentage of children
80%
70%
60%
50%
Place2Be
40%
Community sample
30%
20%
10%
0%
Normal
Borderline
Abnormal
The proportion of children in the abnormal range for different SDQ domains was very similar to the
previous year. Figure 9 shows that slightly fewer children were in the abnormal range in 2012/13
for all domains except emotional problems, where the number was slightly higher this year.
Figure 9: The proportion of children in the abnormal range in each SDQ domain in 2012/13
was similar to the previous year (teacher SDQs)
Prosocial
Peer relationships
Hyperactivity
2011/12
2012/13
Conduct
Emotional
0%
10%
20%
30%
40%
50%
60%
Percentage of children
Teachers thought that almost half of children seen had had difficulties for more than a year (48%)
and over two thirds of children had difficulties that considerablyviii affected their classroom learning
(69%). 45% of children had difficulties that put a burden on the teacher or class.
As with the previous years’ results, girls had higher emotional problems while boys had greater
conduct problems and hyperactivity (see figure 10). Girls displayed more positive, pro-social
behaviour than boys (m=6.7 for girls versus m=5.2 for boys).
viii
“Quite a lot” or “A great deal”
Children’s outcomes in primary schools 2012/13 Page 7 of 13
www.place2be.org.uk
Registered office address: Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT Tel: 020 7923 5500.
Registered charity number 1040756 (England and Wales) SC038649 (Scotland). Registered Company number 02876150.
Figure 10: Gender differences in domains of the SDQ (teacher SDQs)
7.0
Mean SDQ score
6.0
5.0
4.0
Boys
Girls
3.0
2.0
1.0
0.0
Emotional
Conduct
Hyperactivity
Peer
relationships
b. Improvement in wellbeing
2,991 children were supported in one-to-one counselling in 2012/13 of which 2,109 completed the
intervention in 2012/13; the remainder will continue counselling in 2013/14ix. Teachers, parents
and children were asked to complete the SDQ after counselling. The return rates for pre- and postintervention SDQs were 87% for teachers, 68% for parents and 75% for children (see appendix 1).
The mean length of the intervention was 7.9 months (sd 4.7) and the mean number of sessions
was 22 (sd 11), almost identical to 2011/12. 17% had short-term counselling for up to 3 months,
20% had counselling for between 4 and 6 months, 49% were supported for between 7 and 12
months, and 14% attended for over a year. The mean number of parent partnership sessions was
2.6 (median = 2).
Improvement rates were very similar to previous years (see figure 11):
•
•
•
67% according to teachers, compared to 66% in 2011/12
74% according to parents, compared to 73% in 2011/12.
68% according to children, compared to 71% in 2011/12
Parents reported the greatest overall change – a mean change of 4.4 points and a medium effect
size (ES) of 0.64. The mean change score reported by children was 3.5 (ES = 0.6) and for
teachers was 3.3 (ES = 0.5). Effect sizes are presented in appendix 2 comparing figures for
2012/13 with the previous year and SDQ domains by respondent.
ix
Of these children, 1,600 were aged 7 or older.
Children’s outcomes in primary schools 2012/13 Page 8 of 13
www.place2be.org.uk
Registered office address: Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT Tel: 020 7923 5500.
Registered charity number 1040756 (England and Wales) SC038649 (Scotland). Registered Company number 02876150.
Figure 11: Improvement rates over the past six years
100%
Teacher
90%
Parent
80%
Child
70%
60%
50%
40%
30%
20%
10%
0%
2007/8
2008/9
2009/10
2010/11
2011/12
2012/13
The proportion of children in the abnormal range dropped by around half after counselling,
according to parents and children (see figure 12).
Figure 12: Improvement in the number of children in the abnormal clinical range following
counselling
60%
50%
40%
Before counselling
30%
After counselling
20%
10%
0%
Teacher
Parent
Child
Improvements for children who started counselling in the abnormal clinical range were greater and
slightly improved on 2011/12:
•
•
•
80% according to teachers, compared to 77% in 2011/12
84% according to parents, compared to 82% in 2011/12
88% according to children, compared to 87% in 2011/12
Children’s outcomes in primary schools 2012/13 Page 9 of 13
www.place2be.org.uk
Registered office address: Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT Tel: 020 7923 5500.
Registered charity number 1040756 (England and Wales) SC038649 (Scotland). Registered Company number 02876150.
The greatest improvement was in emotional symptoms for all respondents, a reduction in the
mean score of 1.1, 1.5 and 1.4 according to teachers, parents and children respectively. This
equates to a medium effect size (see appendix 2). The next best improvements were in peer and
conduct problems, reducing by an average of 0.8 across respondents, followed by hyperactivity,
dropping on average by 0.7 points. Parents noticed larger improvements in all three areas
compared to teachers and children.
The impact of children’s difficulties improved: 59% of children had an improved impact score
according to teachers, 65% according to parents and 57% of children reported improvements.
•
•
70% of teachers, 86% of parents, and 88% of children thought that children were better
after coming to Place2Bex.
79% of children whose difficulties upset them considerably before counselling improved
according to parents, and 83% of children reported they had improved.
65% of children whose difficulties interfered with their classroom learning and 70% of children
whose difficulties were a burden on the teacher or class improved, according to teachers. These
are very similar to improvements in 2011/12 whereby 63% of children had improved classroom
learning and 68% had a reduced burden on the teacher or class.
Conclusion
In 2012/13 Place2Be’s services were established in 168 schools, 13 more than the previous year.
Nearly 24,000 children attended at least one counselling session through the self-referral service
Place2Talk, approximately 37% of the total school population, indicating the continuing need for
universal services.
Almost 3,000 children were supported in one-to-one counselling, many of whom had considerable
needs. As with previous years, a high proportion of children accessing counselling were receiving
free school meals. In comparison to the local population, a high proportion were looked after by
the local authority or fostered and many were the subject of a child protection plan. More than 4
out of 10 children had special educational needs. Almost half of children had overall difficulties –
emotional, behavioural and social problems – in the abnormal clinical range, with difficulties likely
to be severe enough to warrant a diagnosis. As with previous years, girls had higher emotional
problems while boys had greater conduct problems and hyperactivity.
Over two thirds of children had improved wellbeing following counselling – 67% according to
teachers, and 74% and 68% according to parents and children respectively. This relates to a
medium effect size of between 0.5 and 0.6. Children with the severest difficulties made greater
improvements – around 10% more children improved. The greatest improvement was in emotional
symptoms for all respondents, though children improved in all domains of the SDQ.
These findings highlight the consistently positive impact of Place2Be’s services in primary schools.
Without a control group, it is not possible to definitively quantify the scale of improvement in
outcomes, as some improvement could be expected to occur naturally. In order to provide a
benchmark for its services, Place2Be is a member of the CAMHS Outcomes Research
Consortium (CORC), a collaboration of mental health specialists from 70 Child and Adolescent
Mental Health Services (CAMHS) across the UK and Scandinavia. In 2011/12, children seen by
Place2Be and their parents rated problem improvement and helpfulness of the service significantly
more positively than service users from rest of CORC, and improvements in wellbeing were
similarly positive to the rest of CORC9.
x
26% of teachers, 11% of parents and 10% of children thought children were about the same. 2-4% of
teachers, parents and children thought that children were worse after coming to Place2Be.
Children’s outcomes in primary schools 2012/13 Page 10 of 13
www.place2be.org.uk
Registered office address: Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT Tel: 020 7923 5500.
Registered charity number 1040756 (England and Wales) SC038649 (Scotland). Registered Company number 02876150.
Appendix 1: Return rates
•
The return rates for teacher and child data were similar to the previous year and an
improvement on parent data which was 63% in 2011/12.
•
There was no difference in teacher SDQ return rate by child gender, receipt of FSM, and
SEN.
•
More parent SDQs were returned for children without FSM (65% versus 74% for nonFSM). There was no difference in parent SDQ return rate by child gender or SEN.
•
More girls returned self-report SDQs than boys (79% versus 72% for boys) and children
without SEN were more likely to complete SDQs (78% for nil or school action versus 70%
for school action plus or full statement). There was no difference in child SDQ return rate
by FSM.
Appendix 2: Effect sizes
Effect sizes were calculated using Cohen’s d10 – difference between the means (M1 – M2) divided
by the pooled standard deviation – sq. root of ((SD1)2 + (SD2)2/2).
Effect sizes for 2012/13 dataset by respondent
Total difficulties
Emotional symptoms
Conduct problems
Hyperactivity
Peer problems
Pro-social behaviour
Teacher
Parent
0.47
0.43
0.27
0.26
0.31
0.30
0.64
0.57
0.42
0.36
0.43
0.18
Child
0.56
0.53
0.36
0.26
0.40
0.11
Comparing effect sizes for 2012/13 with 2011/12
Teacher SDQs
2012/13
Total difficulties
Emotional symptoms
Conduct problems
Hyperactivity
Peer problems
Pro-social behaviour
2011/12
0.47
0.43
0.27
0.26
0.31
0.30
0.45
0.34
0.29
0.29
0.29
0.32
Children’s outcomes in primary schools 2012/13 Page 11 of 13
www.place2be.org.uk
Registered office address: Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT Tel: 020 7923 5500.
Registered charity number 1040756 (England and Wales) SC038649 (Scotland). Registered Company number 02876150.
Parent SDQs
2012/13
Total difficulties
Emotional symptoms
Conduct problems
Hyperactivity
Peer problems
Pro-social behaviour
Child SDQs
2012/13
Total difficulties
Emotional symptoms
Conduct problems
Hyperactivity
Peer problems
Pro-social behaviour
2011/12
0.64
0.57
0.42
0.36
0.43
0.18
0.62
0.53
0.46
0.37
0.36
0.21
2011/12
0.56
0.53
0.36
0.26
0.40
0.11
0.61
0.60
0.41
0.25
0.39
0.09
1
Department for Education (2013). Schools, pupils and their characteristics: January 2013. Local authority
and regional tables: SFR21/2013 (Table 9a). [Online].
<https://www.gov.uk/government/publications/schools-pupils-and-their-characteristics-january-2013>
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2
Department for Education (2013). Schools, pupils and their characteristics: January 2013. Local authority
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<https://www.gov.uk/government/publications/schools-pupils-and-their-characteristics-january-2013>
[Accessed 31 July 2013]
3
Department for Education (2013). Schools, pupils and their characteristics: January 2013. Local authority
and regional tables: SFR21/2013 (Table 9a). [Online].
<https://www.gov.uk/government/publications/schools-pupils-and-their-characteristics-january-2013>
[Accessed 31 July 2013]
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and Language [Online]. <https://statswales.wales.gov.uk/Catalogue/Education-and-Skills/Schools-andTeachers/Schools-Census/Local-Authorities/Ethnicity-National-Identity-andLanguage/EthnicityNationalIdentityLanguageInMaintainedSchools-by-LocalAuthority> [Accessed 1 August
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4
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constituency [Online] http://www.ons.gov.uk/ons/about-ons/what-we-do/FOI/foi-requests/people-andChildren’s outcomes in primary schools 2012/13 Page 12 of 13
www.place2be.org.uk
Registered office address: Place2Be, 13/14 Angel Gate, 326 City Road, London EC1V 2PT Tel: 020 7923 5500.
Registered charity number 1040756 (England and Wales) SC038649 (Scotland). Registered Company number 02876150.
places/lone-parent-families-with-dependent-children-by-constituency/index.html [Accessed 8 November
2012].
5
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6
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August 2013].
7
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Children’s outcomes in primary schools 2012/13 Page 13 of 13
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