Intervening Early A ‘snapshot’ of approaches primary schools can use to help children get the best from school. Contents Foreword Introduction 2 1. Step One: Is the School a Happy Place? Checking if the school is a nurturing place for everyone 5 2. Step Two: Are There Children Who Need Extra Help? The symptoms and causes of distress in children 7 3. Step Three: Is Intervention a Good Idea? What children think and checking how many children would benefit from extra help 11 4. Step Four: What Needs to be in Place to Support an Intervention? A checklist of what is needed before introducing any early interventions 14 5. Step Five: Which Intervention? Information on four different approaches to early intervention, with details of ten intervention programmes, how they work and what kinds of differences they can make 17 Appendix 1: Research 54 Appendix 2: Useful Addresses 57 Appendix 3: References and Further Reading 61 Appendix 4: Costs 64 Acknowledgements 67 Foreword The Government’s drive to achieve high standards in all schools is aimed at meeting the needs of all children and enabling them to realise their potential. We have made great progress but there is more we can do for those children who are more at risk of underachievement than their peers. Children with emotional and behavioural needs and children who experience other barriers to learning – whether they have English as an additional language or learning difficulties, or are disaffected – all deserve the same chances to reach their potential. Where staff have the skills, confidence and support that they need to develop and maintain a well ordered and positive learning environment the quality of teaching and learning improves for all children. We are developing measures to support schools in intervening early to help those children who are not getting the most out of their time at school – to support them in building positive behaviour throughout the school and developing pro-active policies on bullying and discrimination of all kinds. Schools that maintain and develop strong links with parents and the wider community are able to share responsibility for children’s behaviour and their social and emotional well being, in and outside the school. Helping schools to build and maintain those relationships is a key part of our plans. This report from Coram Family is timely. It provides a “snapshot” of the kinds of work that primary schools are currently doing, in partnership with other organisations in their communities, to intervene early and help make school a positive experience for all their pupils. I am sure that schools will find the report interesting and helpful as a source of ideas, in reviewing their practice, and considering different approaches to early intervention. 1 Introduction what will be suitable in different kinds of situation for different children Q. Who is this report for? 1. 2. This short report is for primary schools. It looks at ways in which they can help children who are finding it difficult to get the best out of their time at school. It will help schools to assess their present situation, identify the issues that may be contributing to the difficulties children face, and explore different approaches to helping them overcome those difficulties. Q. What does it contain? 3. what kinds of effect may be expected from an intervention. Q. What is early intervention and why might it be necessary? 5. Children need to develop the social and emotional competence that will help them to understand the rules that govern the relationships between people. 6. Fortunately there is evidence that appropriate intervention can help children to develop these competencies. The skills of interaction can be acquired. Where children have formed positive relationships in their schools and communities, this has provided them with an element of protection against involvement in offending and other anti-social behaviour. 7. Schools can make a difference by introducing experiences and activities that can help children cope with difficulties and enable them to profit from their school experience. By intervening at an early stage, the downward spiral where difficulties The report describes four types of intervention in detail, and gives some indication of where each is most appropriately used. The four types are: The Whole School Approach Small Groups One-to-One Work with Parents 4. The report also examines: how schools have intervened successfully to help children in difficulties what is available to enable a school to intervene 2 behavioural support services can offer a range of specialist advice and help to individual children and families and to schools. get worse, become harder to address, and lead to failure, can be prevented. 8. Schools and parents may have concerns that selecting children for special support can be seen as labelling or stigmatising. But the anecdotal evidence from the schemes discussed in this report, and from the children interviewed, suggests that being selected is seen as a positive experience. Q. What is this report designed to do? 11. Intervening Early provides a framework to help schools assess how well they are responding to children experiencing difficulty and information about a range of interventions available. It aims to help schools in thinking and planning how to support children with particular needs. 12. There are no standard ‘off the shelf’ solutions that are right for every situation. 13. The report will help schools in considering their existing situation, the needs of their pupils, the resources available and what might be an appropriate response to their pupils’ needs. It offers a checklist to help schools but does not provide magic solutions. There are none. The most effective interventions will develop in response to the school’s particular circumstances and the needs of the staff and children in it. Q. What support is there? 9. 10. In many areas there are national and locally funded programmes to support children and families. They can provide advice and help in planning early interventions. These may include Sure Start programmes, Early Excellence Centres, Excellence in Cities and Education and Health Action Zones. Resources and support are targeted on selected areas through the Children’s Fund, Healthy Living Centres and the On Track Programme. The Family Literacy programme can also complement the work of an early intervention. Child and Adolescent Mental Health Services (CAMHS) and LEA educational psychology and 3 Introduction continued Q. How might it be used? 14. Schools could use the steps set out in the report to ensure that they have a systematic approach to identifying children who have difficulties and providing them with extra support. 15. The head teacher, the governing body, staff, parents and children could use the step one checklist to assess whether the overall atmosphere and culture of the school is providing the kind of supportive environment where children will feel happy and flourish. Steps two to five could then be used to plan and introduce appropriate interventions. Q. How was it compiled? 16. 4 This ‘snap shot’ is based on research carried out by Coram Family. The research looked at a range of interventions that support children in school. Information was received from120 education authorities and schemes in England and from 55 Education Action Zones. Thirty-five field visits were made to schools using some of the more commonly used interventions. 17. The report does not rank the effectiveness of the various interventions: some have been comprehensively evaluated, others have had internal evaluations and others await evaluation. Nor does it cover every possible intervention. Schools will want to draw on their own resources and their knowledge of local activities and networks and decide on an intervention that is right for them. One Step One: Check if the School is a Happy Place 1:1 1:2 1.4 The context for successful intervention is the ethos of the school. If it is a place that promotes personal, social and emotional well-being, all children and adults associated with it, including parents, will feel that they can express themselves and be heard. behavioural and other problems which are interfering with their progress and to provide them with the help they need. 1:3 When such a nurturing ethos is wellestablished, it will be easier to identify the children with emotional, To find out whether the school is a happy place, the following questions need to be answered by teachers, learning support assistants, playground and dinner staff, children, parents and governors. Checkist: Is the school a happy place? Do you agree with these descriptions? True False Don’t Know Everyone is made to feel welcome at our school. You know when you have done something wrong because there are rules, and everyone knows what happens if you break them. If something is troubling you you can talk about it and people will listen to you. If there are problems between people – arguments or fights – there are ways to help them be friends. You get lots of encouragement when you work hard. 5 1:5 6 If the answers to these questions are positive, then the general atmosphere in the school will be helping children to behave well, make friends and learn together. Children who are not flourishing in this climate may have personal difficulties that are troubling them. In a happy school, it is more likely that children, parents and staff will be able to talk about these difficulties with one another and find ways of overcoming them. Two Step Two: Are there Children who need Extra Help? 2:1 Even in schools that provide a calm, supportive environment there may be some children who do not flourish. It is difficult for schools to do the job they want to do when children are unable to learn for personal, social and health reasons. Many teachers are aware when children need help, but they may not always have the time or skills to respond. “Your experience alerts you to children who are having problems. I work from the signs that show a child is OK: alert, concentrating, meeting your gaze, able to wait their turn, smiling, – but not too good-to-be-true. If they’re not like that you notice” (Class teacher, Sunderland) Symptoms of distress 2:2 These are some of the ways teachers describe children who need help: unable to cope with or respond to instructions attention-seeking anxious and worried running out of the class (and the school) finding it difficult to communicate with adults unable to make friends or relate to other children dependent and clingy physically violent unresponsive and withdrawn unable to concentrate and ‘fidgety’ hyperactive verbally aggressive afraid to attempt anything new incontinent stealing from other children. 7 “Children cannot learn when they feel unhappy.” (Head teacher, South London) Charlotte, 7, shouts out in class and ‘back-chats’ her teacher. Her pushiness means that she is not included in games by other children and she has no friends. She often behaves inappropriately with adults, talking to them about intimate personal matters and behaving as if she is an adult herself. The school is concerned about Charlotte, but there is no obvious reason for her behaviour. Children who show symptoms of distress 2:3 These are some examples of children showing symptoms of distress Martin, 7, lacks confidence and has a stutter. He finds school hard and panics if he feels under pressure. He often says he is unwell in order to avoid going to school. His mother reports that he is very attached to her and that other children tease him and call him ‘thick’. Paula, 7, has developed a nervous tic. She plucks at her jumper when an adult speaks to her and cannot find the words to respond. In class she often has a dreamy expression and gazes into space. Her mother has just had a baby by her new partner. 8 Causes of distress 2:4 Often the school will know why a child is showing these symptoms. Changes at home, including separation, divorce, new partners and siblings; or physical and mental ill-health in parents; the stresses of poverty and unemployment; domestic violence and bereavement, all cause mental distress for children. James, 6 does not play with other children. He sits looking at them with a hostile expression and ignores any overture by turning his head away. Sometimes he lashes out at other children and hits himself. James’ mother does not understand his behaviour but wonders if it was caused by the fact that: “James saw me beaten up by my ex-boyfriend – not his dad, just this chap I was with about a year and a half ago. James got very attached to him because he was there from when he was tiny...He got bad mood swings this chap and one day James just happened to be there and saw him hit me but because he was such a young age at the time it didn’t seem to affect him then.” Risk factors 2:5 Although, through links with the family and with other agencies, the school may know or suspect the reasons why a child is failing to thrive, this information may not be available in every case. 2:6 In selecting children for help, it is usual to start from the symptoms of distress they present rather than from knowledge of possible causes. The need for intervention may be particularly acute in areas known to have high levels of social difficulty, but children exhibiting the kinds of behaviour described above are not confined to these areas. 2:7 Different risk factors have different impacts on children’s learning, mental health and behaviour. These may be traumatic life events, relationship problems, a chaotic life, or all three. 9 Traumatic Life Events can lead to Poor Quality Relationships can result in anxiety, anger, mistrust, loss of confidence and continuity, which make the child feel the child being constantly criticised and receiving negative responses; neglect; insecure attachment and insensitivity to the child’s needs which make the child feel pre-occupied, full of self-doubt and powerless, with little sense of control over his or her own life, resulting in social isolation mistrustful, anxious, low in self-esteem, low in self-belief, incompetent and with a poor sense of independence, leading to reduced ability to learn aggression a poorly developed sense of self; lack of concentration and no socialisation which give the child inadequate social skills, poor self-control and a tendancy to under-achieve, resulting in poor behaviour unwillingness to take risks withdrawal reduced ability to learn 10 Chaotic Life-Styles with lack of boundaries can lead to reduced ability to learn Three Step Three: Is an Intervention a Good Idea? 3:1 When considering intervention, start from the children. Schools could ask these questions: Approximately how many children are there in the school who seem to fit the descriptions in Step Two? Do you see children like those described in every year group? Are there more children causing concern in particular year groups? Which year groups contain the largest numbers of children who could benefit from extra help? Are children coming to nursery class or Reception unable to cope? Are parents raising concerns about the behaviour of their own children or others? Do staff complain about particular children to one another? Do staff note changed behaviour in particular children? Do teachers and other adults in the school feel tired and stressed? 3:2 These questions can be considered at a staff meeting. Class teachers should try to estimate the numbers of children they feel are at risk. Staff can also observe playground behaviour and note any children who are isolated or excluded by others. 3:3 Remember that any knowledge the school holds about individual children should be treated as confidential. 3:4 Depending on the circumstances it may be appropriate, before deciding whether an individual child would benefit from an early intervention, to seek advice from educational psychology and/or behaviour support staff. Advice will also be available from specialist intervention organisations if the school decides to collaborate with one. 11 3:5 Parents should be consulted about the possibility of intervention. It should be presented as a positive aspect of the school’s provision, one that is integrated with other in-school activities so that all the children can get the best out of their school experience. 3:6 It is generally easier to discover informally what children feel about small groups and one-to-one schemes than about whole school approaches. The latter can often be taken for granted as part of the fabric of school life, though children do comment about aspects of whole-school approaches like Circle Time: “I didn’t want to come to school because I was new and some people used to say I couldn’t speak properly because I didn’t talk the same as them. They gave me the rabbit* and I said I didn’t want to say anything, and everybody told me they liked the way I talked and made me say things and then they copied me and they said they liked my speaking. I got lots of friends after that.” (Eight year-old girl)1 “People talk about things they like, and you talk about things you like. I talked about my hamster and one day I brought him to school and everybody liked him.” (Seven year old boy) 1 In Circle Time a toy or other object may be passed around the circle and the person who is holding it can speak uninterrupted. 12 3:7 A common response from children to all interventions is that they are enjoyable. “We have fun,” said a seven-year-old working as a member of a small group. His head teacher described this child as alone and withdrawn before he took part in the intervention. The child had mild speech delay. In the small group he was able to exhibit his particular talent for art, which was recognised and admired by the other children. “I do lots of art” he said, and other members of the group immediately pointed out how good he was at it. This boosted his confidence, and his status as a talented individual has transferred from the small group to the classroom. He says, “I have lots of friends now.” 3:8 Several children, asked what the best thing about the intervention had been, said that it was that they had made friends. “I have a best friend” said one girl, holding the hand of another. Children reported that they felt privileged to take part in interventions, especially in small groups. 3:9 There was no evidence that participation was seen as stigmatising, and parents of children in interventions agreed. Their approval was based on improvements they had seen in their children’s behaviour and enjoyment of school. One parent said: “They have good things here for the children, this is just one of them. The school notice when the kids need something extra, so when they suggest it, you think that it will be good, it will help. It’s helped him, going to the group he really likes coming to school. I used to have a terrible struggle getting him here.” 13 Four Step Four: What needs to be in place to support an intervention? 4:1 Before introducing any kind of early intervention it is important to check that the school’s attitudes and ethos and systems and personnel both within the school and from the local education authority can provide positive support. There are a number of issues to be considered: Q. Is the head teacher positive about an intervention programme? Although this seems to go without saying, interventions have taken place in schools because the LEA has suggested them and supported a particular approach. Some heads and governing bodies have not had time to think about what would work best for the school in this situation and interventions tend to be less successful without their commitment. Commitment from the Head is essential. Q. Is the governing body supportive? Providing an early intervention will have some cost for the school – if not directly financial, at least in time and effort. Some schools have found that governors may have reservations but that can change providing others champion the idea, and an intervention can be introduced with success – and less committed governors will become convinced of the use of such interventions. Q. Do all staff understand the principles and practice proposed? It is essential that all staff in the school understand what the intervention is for, how it works and their role in it. Some approaches will mean that all adults in the school undergo training; others may involve training specific teachers or Learning Support Assistants; others may simply involve school staff in selecting the children who will participate. But in every circumstance the whole school will need a coherent attitude to the intervention, to avoid it being misrepresented or ‘stigmatised’. 14 Q. Does the school have behaviour and anti-bullying policies? All schools must have behaviour and anti-bullying policies.2 They should be published and available within the school and to parents. Such policies are likely to include matters like school ethos, school rules, behaviour in the classroom, behaviour outside the classroom, and any special schemes that the school has developed. The intervention programme will need to fit into these policies and be described in them. Some specialist intervention programmes help with the development of behaviour and anti-bullying policies. Q. Is there a policy to address racism and discrimination? The school should establish mechanisms to address racism and discrimination. They should be used to monitor pupil access to interventions, and in recruiting staff and volunteers. Decisions on who to include must be fair and respond to identified needs. Using a policy on racism and discrimination when selecting an intervention will strengthen the effectiveness of the policy. Q. Are there links with educational psychology services? Specialist programmes are not a substitute for the work of the local educational psychology service, but they can complement it. Recent research by the (then) DfEE, published in Educational Psychology Services (England): Current Role, Good Practice and Future Directions, shows that schools value the knowledge and skills of this service, particularly at the earlier stages of intervention. Educational psychologists may be able to offer advice on the kind of programme that may be suitable, on the children who may benefit, and be able to help with delivering and evaluating its impact. Q. Are there good links with other agencies? Establishing working relationships with other agencies and organisations that support children and families will allow the intervention programme to draw on their knowledge, both in selecting the children who could benefit and in supporting them beyond the programme. The need for an intervention may result from social, 2 Section 61 (4) (b) School Standards and Framework Act 1998 15 economic or physical circumstances in the child’s life that may be known to other agencies. Q. Home-school partnerships? Most early interventions will have some implications for the family. In some cases parents will be directly involved, in others the intervention may mean that the child is likely to come home later on certain days. At the very least, parents will need to understand about, and give permission for, this new experience in the child’s life. It helps if this happens in the context of a positive relationship between school and family. Where a school has a special space for parents, such as a parents’ room, or where there is an ethos of easy access to the school, it has proved easiest to gain parental backing for the programmes. 16 Q. A willingness to commit some resources to the intervention? Even where a specialist organisation runs the intervention programme entirely, and finance for it is available from outside the school budget, these programmes are not cost-free. At the very least they are likely to take staff time and some physical space. The starting point should be whether there are children in the school who may benefit from the help – and the benefits the whole school may gain as a result. Five 5. Step Five: Which intervention? Planning 5:1 The initial planning for an early intervention programme will have been carried out through steps one to four. Responses to the questionnaire in step one may indicate that the school is not a happy place or step two may show that there are particular children at risk or in need of intervention. The conclusion should then be that some kind of intervention or extra support is a good idea to improve life in the school for both children and adults – step three. 5:2 If everything recommended at step four is in place – a decision will need to be taken on the most appropriate kind of intervention and whether the school is capable of delivering the intervention by itself – step five. 5:3 If the school does not feel able to deliver an intervention by itself, it could look into ways of seeking help from others. 5:4 The school will need to identify staff, volunteers and parents who would like to be involved, and to find out what they feel they could contribute to an early intervention. 5:5 If there is continued enthusiasm for an intervention, the adults involved should work together to consider alternative approaches and identify the intervention that is most appropriate to the children. This may lead to an investigation of specialist intervention programmes that offer training to staff and others to deliver a programme within the school. Programmes offered by specialist organisations can offer training or contain elements that can be replicated by primary schools using existing resources. 5:6 If staff feel that working alone is daunting, it might be possible to work in partnership with other schools in the area. If the school is part of a cluster system, or has other links, it might be appropriate to consider getting together with others to undertake a programme. 5:7 If extra, specialised help is required, then it might be possible to design an intervention in collaboration perhaps with the educational psychology service or behavioural support service. It is also possible to collaborate with an organisation that offers specialist intervention (see appendix 2). 17 Different approaches 5:8 Four broad approaches to intervention are described below in general terms, with some indication of where each may be most appropriately used. For each approach, examples of particular specialist interventions provided by specialist organisations are set out in more detail. The examples do not provide an exhaustive list of interventions. Other organisations, local and national, may offer similar or different programmes. The Whole School Approach 5:9 18 All the children in a school are involved. Sometimes the intervention will start with a single year group, but the intention is to reach all the children and adults in the school eventually. The result is that many children who do not have social and emotional problems will receive the intervention, alongside those who do. 5:10 Whole school approaches are not targeted on individual needs, but on developing an ethos throughout the school that is conducive to harmonious and happy relationships between children and adults and children themselves. Aims 5:11 Whole school approaches combine positive behaviour methods with appropriate expectations, empathy and high self-awareness and selfesteem. The extra elements of such programmes have been described as ‘emotional competence’ – the social and relationship skills that enable children to make and sustain relationships, to become responsible citizens and eventually to be positive parents themselves. Typical aims of a whole school approach are to develop: the value and self-confidence of each child specific behaviours which show caring and respect towards one another; (e.g. do be kind and gentle – don’t hurt other people’s feelings) classroom routines that result in quality teaching and learning, set up in an enjoyable and constructive way a climate of good relationships between teachers3, teachers and children, and children themselves a way of helping children to improve their behaviour by meeting their needs talking and listening skills a sense of responsibility for one’s own behaviour and actions a non-threatening environment, where teachers and pupils can express themselves and listen to each other. Advantages 5:12 Whole school approaches have the following advantages: by including all children, they ensure that ALL those having difficulties experience the intervention by working with ALL children in the class or school, the dangers of bullying, victimisation and unkindness towards unhappy children are addressed. This may be enough to alleviate the problems of some children in this category. by providing a common language and agreed set of principles throughout the school, a programme within a whole school approach targeted on particularly needy children is more likely to work. 3 Although ‘teacher’ is used in this set of aims, all adults in the school are included in such approaches. 19 Reasons for selecting a whole school approach 5:13 A new head teacher often introduces whole school approaches. Such approaches may also be used when a school has received an Ofsted report that draws attention to improvements required in behaviour management. There are well-established behaviour packages for schools that offer a structured approach to these problems. Behaviour packages are not discussed in this report, although their use in the school may provide a beneficial springboard for helping children who are not happy. They reduce the amount of time adults in the school need to spend on discipline matters, and alleviate stress levels in teachers, giving them more time to identify and support children who are distressed. “When I came to the school in September 1995 the kids were off the wall. They couldn’t sit still, would fly off the handle and the LSAs were having trouble with them. Levels of achievement were low, with very few children reaching Level 2 at KS1. It was clear that we could not tackle the achievement problem before we addressed behaviour, and I got some improvement in that, mainly by losing my temper! But you cannot continue with an iron hand, because it doesn’t work for children when they are outside the school. They do not develop self-discipline. I had some insight into the principles behind whole school Nurturing Programmes and went to visit a school where the programme had been piloted...I saw no alternative to the whole school approach. You have to have a whole group responsibility for behaviour. There needs to be an infra-structure, language and methodology, just like any other curriculum subject.” (Head teacher, Oxfordshire) 20 Examples of Whole School Approaches A. Whole School Quality Circle Time Model How it works The circle time model is based on the principle of everybody learning to listen to one another. The interventions are based on what is described as "an ecosystemic" approach to behaviour. A continuous process of circle-meetings is timetabled for children and adults at which relationships and the organisation of the school can be discussed. "All the children and adults are encouraged to take an equal responsibility for the solving of theirs and others concerns and a striving towards the creation of a positive school ethos." How the programme is implemented Training courses are delivered to head teachers and teachers by staff from a specialist consultancy. Two courses are available: Closure INSET Day Training Programme for teachers, lunch-time supervisors, administration staff, support staff, parents and governors on days on which the school is closed. Open INSET Day Training programme. The school does not close. The consultant demonstrates the model with whole classes while staff observe. The consultant also works in the playground with lunchtime supervisors. Numbers on courses vary. The lead consultant can train large groups of 400 – 500 people, but the usual course is for between 80 and 200 people. Schools often ‘host’ a training event for neighbouring schools, using materials provided by the consultancy, thus cutting the cost for the participating schools. Back-up materials are available and include books about the method, training videos and materials to use in school to support the work. 21 A. Whole School Quality Circle Time Model continued Is it effective? Evaluators report that this programme “can be used to enhance personal and social development and to develop a sense of self-worth among pupils – it is beneficial for all pupils, but particularly those with socialisation problems.” Tiny Achievable Tickable Targets (TATTs) are commended for building self-esteem in all pupils, particularly low achievers. A head teacher commented: “It provides opportunities to tackle difficult behaviours and can provide an opportunity for shy, quiet children to find their voice.” Evlauation reports include Dawson, N and McNess, E.- A Report on the Use of Circle Time in Wiltshire Primary Schools, and, Higgins,C and Watts, S. – Turn Your School Round: Creating a Listening School (see Appendix 3) Options within a circle time model include: 1 Circle Time One of the systems that allow children to speak for themselves and listen to one another is Circle Time. Many schools use it within other interventions and others use it on its own. Circle Time is held once a week for all children in the school. Games and exercises allow children to experience positive relationships, foster a feeling of the class as a community and establish a safe place in which other activities can occur. Adults in the school can also have a Circle Time of their own. It can reinforce their ability to work as a team, listen to and help one another. The adult group should include, where possible, not only teachers and school managers but other staff and parents. 22 2 Golden Rules All members of the school discuss and set up the rules, which, once agreed, are displayed throughout the school. 3 Incentives A reward system reinforces the Golden Rules, with stickers and certificates for those who observe them. The whole school community, including lunchtime supervisors, caretakers and children, give the incentives. 4 Golden Time A regular half-hour of school time is reserved for educational activities chosen by children themselves as a reward for observation of the Golden Rules. It can be withdrawn from children who break these. Visual warnings are placed beside children if they break a Golden Rule. If they break another while the warning is out, they lose part of their Golden Time. If a child is close to losing all Golden Time, there is a chance through an Earning Back Contract to get it back. Participation in the system helps children to learn that communities are prepared to put time and effort into upholding their moral values. 5 Lunchtime Policy Lunchtime is a time when some children can feel unhappy, because they are lonely, bored, left out or unable to play. The Whole School Quality Circle Time approach includes the teaching of playground games, the ‘zoning’ of the playground into activity areas which are supervised by older children on Playground Patrols, a Task Force of community service activities for children who need to be constructively occupied, and Football Parliaments to make sure that football contributes to the positive ethos of the school. 23 6 Children Beyond Where children do not respond to these elements of the programme, extra techniques are used incorporating behavioural, therapeutic and peer support. Tiny Achievable Tickable Targets are awards that recognise all achievements. Lower achievers can gain these and build their self-esteem. Smaller, therapeutic Circle Times can be offered to distressed children. “If other children see troubled children being offered support, they come to see the school as a moral community that is prepared to support and help disadvantaged members”. B. Family Links – The Nurturing Programme How it works Teachers are trained to use consistent techniques to manage behaviour in order to produce positive discipline. Topics and activities addressed in the classroom sessions are reinforced throughout the school day, indoors and in the playground. Everybody in the school is trained to use the Nurturing Programme, and training is also given to parents and to professional practitioners who work with children and their families – like health visitors and social workers. How the programme is implemented The programme is offered by Family Links, a voluntary organisation with charitable status, which is governed by a Board of five Trustees and advised by a panel of experts, including many well-known educationalists. INSET training for school staff lasts for two full days. Schools usually book the training one or two years in advance because of the need for school closure. The Children’s Programme consists of ten weekly sessions, repeated each term. Each weekly session lasts between an hour and an hour and a half for children between 3 and 13 years. 24 B. Family Links – The Nurturing Programme continued Teacher handbooks set out activities for the weekly sessions in detail. The guidance for each session consists of a description of the topic, the length of time it will take and the materials required; an overview, so that the teacher understands the aims of the activity and a step-by-step guide to each session giving a description of how the activities should be managed and the goal achieved. A parallel Nurturing Programme is offered to parents of children in the school. The Parents’ Programme is for up to 10 parents at a time and lasts for 10 weeks. It is offered to alI parents in a participating school. Parents become familiar with what children are learning in the classroom sessions and learn the emotionally healthy approaches and behaviour management techniques that are being used throughout the school. These groups have a trained leader, and operate according to the general description of parents’ groups outlined at the end of this section. The process starts with contact between Family Links and the Head teacher or PSHE Coordinator and: the school receives an information pack and video the head teacher and a Family Links representative meet to talk about the school and the course, discuss costs, dates timetable commitment and other details school governors approve the training and agree dates presentation for school staff completion of pre-training questionnaire by school INSET training, perhaps with additional workshops for dinner staff Nurturing Programme takes place in the school 25 B. Family Links – The Nurturing Programme continued termly support session for teaching staff, with extra individual classroom support where needed supplementary induction training for new staff; refresher training for existing staff introduction of parent groups once the programme is successfully established in the school, (usually after one or two terms). Is it effective? The Health Services Research Unit at Oxford University has evaluated this project. The evaluation showed that teachers felt they had benefited from the programme in a number of ways: new ideas, an awareness of the importance of behaviour in terms of academic achievement, increased recognition for children who behave well, a calming effect within the classroom (Barlow and Stewart Brown, 1999). Teachers noted that the programme was effective in changing children’s behaviour but to a lesser extent when the children had serious behaviour problems. They felt that parents who had taken part in the parent programme had benefited, and that these benefits had influenced discipline practices at home. Family Links has developed a nationwide ‘cascade’ training system where local teams of trainers, headed by a co-ordinator, take the Nurturing Programme into schools by training and supporting school staff. The central part of this course is a five-day induction training, followed by a two-day observation of a school INSET course, a two-day supervised initial delivery of training in a school and one further day of supervision and consolidation. 26 Techniques within the Nurturing Programme include: Classroom rules which are clear and emphasize ‘do’, rather than ‘don’t’ Rewards to reinforce good behaviour Time Out and other penalties when behaviour is not acceptable Choices and Consequences, which helps to develop self-discipline Ignoring the behaviour but not the child Responsibility used as a reward for children who behave well. The sessions are intended to educate adults and children to: communicate effectively listen attentively work and play cooperatively express feelings without acting out or withdrawing manage anger and stress productively solve problems and negotiate develop self-discipline develop high levels of self-awareness and self esteem understand the feelings that drive behaviour have realistic expectations of others and themselves develop empathy and understanding of others. 27 C. You Can Do It! Education How it works There are different versions of ‘Programme Achieve’, the ‘You Can Do It!’ curriculum, for primary year groups 1-2, 3-4 and 5-6. It is a taught programme, usually delivered as part of the PSHE curriculum. (The programme is also available for secondary students.) Teachers are trained in implementing the approach; pupils use worksheets and undertake specific activities. Time spent on the programme within schools varies, but it is typically taught for at least one term, once or twice a week and takes approximately two years to become a whole school approach. The approach can be used with groups and/or in mentoring individual pupils. Children ‘develop a Positive Mindset for achievement’ and learn to set individual targets, based on the ‘You Can Do It!’ habits of the mind based on the four foundations: confidence, persistence, organisation and getting along, These are shared with parents at individual consultation meetings, where the approach is explained to them. A ‘Compass Programme’ is offered to parents. How the programme is implemented ‘You Can Do It!’ was created in Australia and California by Professor Michael Bernard and materials and training for teachers and other school staff are available from a British-based educational consultancy. If more than one school participates, the training can be delivered more cheaply. The programme is being introduced in several LEAs and Education Action Zones. Is it effective? The programme is fairly new to the UK, but research in the US is quoted as showing that it teaches ‘at risk’ pupils the characteristics of achieving pupils and results in an improvement in attitude, school attendance and test scores in 70 – 28 C. You Can Do It! Education continued 80% of them. Success with children with special educational needs, including emotional and behavioural difficulties is also cited (Bernard, M. 2000). The head of a primary school who introduced the programme with Year 6 pupils evaluated the children’s progress using ‘You Can Do It!’ assessment materials and found that 96% of the class showed an improvement in one or more of the foundation areas. SATS scores improved markedly. Schools that have used the programme have been faced with a whole year group that is not reaching its potential. Some have chosen this approach in preference to bringing in more support staff or teaching more literacy and numeracy at the expense of other curriculum areas: “The first term was an important one: we had the foundation skills all around the classroom, reminding the class of the skills we needed them to have to be a successful learner. Whole school assemblies spread the message beyond the Year 6 group which was the target of the programme. Soon other staff were commenting on confidence, and getting along with others...persistence was frequently heard and a focus on organisation became more widespread”. (Head teacher, Dudley) Small Group Interventions Small group intervention, in which children with difficulties can spend all or part of the school day, or use after school, is a well-established form of intervention. The survey suggested that it was the most common response. There are variations to the size of the group, the activities within it, the adults who run it, the ratio of adults to children and the length of time children remain in it. In a commentary on the Nurture Group, an intervention first piloted in the early seventies, one of the founders notes that to work effectively schools assume some 29 “It’s a group for seven kids – and what makes it special is that it IS for those seven kids...It’s a place where a quiet girl can start to speak up. She can put her hand up and nobody will laugh...It’s a place where you can find out developments which have not always been achieved by deprived and disadvantaged children when they start school. Without an early introduction to organisation and routine, the demands of the large group in school with its need to give and take and be patient, may be mystifying and overwhelming. Aims A small group is easier for these children to cope with, and offers an opportunity for a higher child-adult ratio. There are many other benefits from small groups including the chance for children to establish close relationships with one another, the physical proximity of children and adults leading to closer links between the adults and children in the group, and the sense of a place and an experience that is special. Group work may extend to parents, too, where a safe place in which people are on your side can be supportive. The advantages of small groups are that: children who need support can be identified and targeted the support children receive can be varied according to need specific therapeutic, social learning can training can be delivered children learn to relate to other children as there are smaller numbers to relate to, and they can get to know them better children learn to relate to adults by having more of them to relate to and getting to know them better there is flexibility in the ways groups can be integrated into the school and the curriculum. Considerations when Selecting a Group Approach There are a number of issues to be considered when planning a group approach. It is important to do this before exploring the specialist help that might be available from outside organisations. For example, there is little point in trying to set up a group if there is no space at all in which to hold it. 30 that someone has a real skill – at art, say, and where the others will admire him for it. It’s a place where children and adults can get to know one another, work together, speak and be listened to...” (Organiser, Pyramid Clubs in a group of schools) Issues to consider: How many children need extra help? If numbers are small, schools may decide to collaborate in establishing a group. If numbers are large, different children may spend different periods of time in a group. Will the group be for children from one year group, or will the group need to include children of mixed ages? When will the group take place? During school time, immediately after school, at weekends? Will it continue during school holidays? Where will the group be held? In a school classroom? In another space on school premises? Off school premises? How much time will children spend in a group? (This can vary from the whole school week to a weekly after-school session and everything in between.) Will the school’s staff be involved in a group, will it be run by specialist staff from outside the school or will it be run jointly? If the group is to be held in school time, what are the implications of removing children from class in relation to the curriculum and other school activities and for staff? Can a group be integrated and how will this be achieved? How will children be moved out of the group and reintegrated into their classes? What resources does the school have which might support a group approach? Premises, equipment, staff skilled at a small group approach, either teaching or ancillary staff; volunteers; a PTA or other mechanisms which might raise funds to support it? Examples of Group Approaches Interventions that provide groups for children who have difficulties at school either run during school time or outside school hours. Examples of both types are given below. The way in which children are selected to take part is important. Intervention organisations generally work with schools to make the selection and often offer mechanisms for doing it successfully. 31 D. Nurture Groups How it works Nurture Groups are for groups of 10 to 12 pupils at primary level. The groups function well across a two-year age band so it makes sense to start as early as possible. They are run during school time but in a room that has soft furnishings and cooking facilities. The children have breakfast there, which gives them important opportunities for learning to relate to others. The children register with their mainstream class every day, are collected and taken to the Nurture Group room, usually for most of the day, but re-join the main class at the end of it. Children are expected to use the group for a short time – usually less than one school year – gradually spending increased periods in the mainstream as they are able to cope. A teacher (sometimes the SENCO) and a Learning Support Assistant staff the group. Volunteers may contribute – improving the staff-child ratio further. The staff ‘model’ considerate behaviour towards one another. The rationale of groups is that satisfactory emotional, social and cognitive development in the earliest years is the product of adequate and attentive early nurturing care. Missing this, children are unable to engage with normal age-appropriate school demands. The group gives the child a chance to experience this missed early care by teaching in ways that suit the child’s developmental levels. Relationships in the group are warm and affirming, with an emphasis on talking and listening. Rules are discussed with the children, who are made aware of the consequences of behavioural choices rather than punished for them. Feelings and behaviour are talked about, and children are helped to see themselves as valued members of the group, and to understand that they will feel better if they join in constructively. The key tool for schools is the Boxall Profile. It is used to measure a child’s level of emotional and behavioural function, highlighting areas for intervention. It is in 32 D. Nurture Groups continued two parts. Developmental Strands looks at the child’s development and responses in class how that influences the ability to learn. The scores reveal how well or badly the child has gone through the early learning processes, organised experiences and internalised controls. The Diagnostic Profile identifies behaviours that inhibit or interfere with satisfactory involvement in school. The scoring results in three groups of children: self-limiting’ – isolated, uninvolved, almost non-functioning ‘undeveloped behaviour’ – shows unmet emotional needs; ‘unsupported development’- children with such adverse life experiences that they avoid emotional attachment, have internalised a view of the world as hostile and react with self-hate, with hostility to others, sometimes with rage. A completed Profile shows the child’s areas of strength and deficit and helps in the construction of individual educational plans. It also develops teachers’ skills in managing behaviour that they have previously found threatening to their professional confidence. As one teacher wrote: “Confronted with a child whose anxiety-provoking behaviour seems to make no sense, the Profile is where you start. It gives you insights and suggests points of entry into the child’s world.” How the programme is implemented Essential ingredients for Nurture Groups are space and staff. One school governor, enthusiastic about the impact on her primary school, felt that this was a good use of the school’s funds for special educational needs but that every child and teacher in the school had benefited from the group: “One troubled child can affect the life of the whole school”. There are three Certificate Courses at the Universities of Cambridge, Leicester and London and some LEAs have commissioned courses for their own staff. INSET courses, lectures and workshops can be arranged throughout the UK. 33 “We all need caring for – the children ask for that sometimes,a cuddle, a chance to enjoy themselves by playing down on the floor. That kind of thing is good for us as well as the children.” (LSA, Nurture Group) D. Nurture Groups continued A Handbook is available which contains the essential Boxall Profile with permission to copy it, instructions for its use and illustrations of its application over time. Although standardised for use with children aged 3 – 8, it makes sense to start early interventions as early as possible. Primary schools visited for this research were using the Profile for older children as part of their placement in a group. Is it effective? Research into Nurture Groups is taking place at the School of Education, University of Cambridge. Schools report measured improvements in individual children in speech and language development, attendance, meeting targets in Individual Education Plans, Baseline Assessment and National Curriculum Levels, which are beyond the expectation of improvement in the Year Group. For example, improvement in reading accuracy in one Nurture Group is reported as 9.75 months over an eight month period. The Nurture Group approach is very specific, though the name is sometimes used as a generic term for in-school groups that do not use the method. It needs to be rooted in an individual school, in its ethos and culture, so that there is a two-way exchange. Children strengthened by the special group are able to re-enter mainstream class, and the way things are done in school influenced by the philosophy of the group. Nurture Groups need to be seen as desirable places by children and parents, and staff need to be supportive. “It was a small group on every afternoon, about 8 to 10 kids. All those children were similar, not inferior. They all got on very well; they learned to share in there where there aren’t so many eyes on them. When there are 30 or 35 children and some are struggling it’s hard for them to go at their own pace. He loved the two ladies in there; they have a way with children. It’s like having your grandma to help you.” (A mother whose 7 year-old son is a ‘graduate’ of a group) 34 E. First Connections: The Dinosaur School How it works Courses for parents and children aged 5 to 10 are run outside normal school time. Courses take place in areas where socio-economic conditions mean that many families are under stress. They are generally advertised and the course leader will visit parents who want to attend to discuss their problems and decide if the course will help with them. Schools and other agencies can also advise parents that the course is taking place and that they and their children could find it helpful. On the whole it is an advantage if group members have children in more than one school. Confidential matters are discussed in groups and some parents are uncomfortable about doing this with their neighbours. There are ten places on each course (though this is flexible and courses often 1 start with slightly more). The course offers a 2 /2 hour session once a week for 15 weeks. Parents and children are in separate groups and come together for the final half-hour of the session. Often there are 16 -20 children attending with their parents. The course uses a Webster-Stratton video-based parenting programme. Each session has distinct objectives. Written materials are kept to a minimum and language is straightforward, to cater for a wide range of parents. Handouts are distributed each week and homework activities are set. These are practical things for the parent to do with the child, focusing on the material covered in the session tailored to meet the needs of the particular family. Each weekly session starts with an examination of how well this home practice went. How the programme is implemented Trained staff employed by the core organisation run each course. Courses of this type are offered by different organisations in different parts of the UK. They employ experienced staff with therapeutic, counselling and group work training. 35 E. First Connections: The Dinosaur School continued A trained group leader and a colleague, often a practitioner in an agency concerned with families, run each course. The same leaders remain with the group throughout its life. Sessional workers, helped by trained volunteers, lead the children’s groups. A volunteer coordinator based in the organisation recruits, trains and supports the volunteers, mostly recruited from educational institutions, usually studying education, psychology or social care, but there are also older volunteers, some of whom have been teachers. Is it effective? A recent study, which compared this programme with several others, particularly in their ability to change the behaviour of individual children, found that a sample of 30 children showed a 13% positive shift in their behaviour as a result of the course, and that a particular impact was made on social and conduct difficulties. Improvements in social behaviour occur as a result of most types of intervention, but it can be harder to make a difference to a child with conduct difficulties4 The group is an important part of the process, with members getting to know and help one another. Many parents feel relieved that others are also finding it difficult to manage their children’s behaviour: “The mums helped each other, you know, knowing that you are not the only one in that situation. We all felt that people outside thought the kids’ problems were our fault...I wanted to show I was doing something, and that it wasn’t me creating problems.” This mother felt that the experience had improved her management of her son: “He’d seen a psychologist who said that he needed to know boundaries and feel safe. You have to be consistent, and the course helped me to be consistent.” Relationships between children in the children’s group are important too. In their separate group, the children are taught through a range of methods to suit 4 Defined by the World Health Organisation, in its International Classification of Disease as “repetitive and persistent patterns of antisocial, aggressive or defiant conduct.” 36 E. First Connections: The Dinosaur School continued their abilities. These include fantasy play, and instruction using large puppets. Elements of the programme which parents are being taught are put into practice. Children are observed and parents receive reports on their behaviour in the group, which has the aim of improving children’s confidence and acceptance by their peers. These programmes use a Webster-Stratton video-based parenting programme that covers the following elements: Positive Parental Attention Parents discuss video-taped vignettes of parents and children playing and learning together in appropriate and inappropriate ways and are asked to be involved in activities with their children at home for 10 minutes every day using the skills learned in the weekly sessions. Praise Parents are taught to identify the behaviour they wish to promote, look out for it and praise it. Parents are themselves praised for doing this. Incentives Parents are taught to use rewards to encourage children to behave in preferred ways. Rewards are used as surprises and also in collaboration with the child, so that he or she works for benefits that have been agreed upon. Limit Setting Parents are taught to set rules and apply these consistently, but are supported as they cope with children’s testing of these boundaries. Ignoring Skills Parents learn to ignore certain irritating behaviour in their children, and not to respond by nagging, scolding or shouting at them. ‘Time Out’ is an advanced form of ignoring, in which children are removed for a brief time from parental attention so that they can calm down and reflect on their behaviour. It is encouraged as an alternative to the physical punishment of children. Natural and Logical Consequences This teaches parents to spell out to children the consequences of their behaviour if they continue in it. The aim is to teach children to take responsibility for their own behaviour. 37 F. National Pyramid Trust How it works Children have an instinctual desire for acceptance by their own age group. Once this need is satisfied, and they have become part of an integrated group of children, they are much more open to academic learning. The programme is designed to reach children at the key time of 7 – 9 years. It aims to prevent problems in adolescence, when disaffected young people are likely to be harder to reach. Teachers of the selected year group, usually Year 3 or 4, screen all the children in the year using a Pyramid checklist. This covers attitude, attendance, general development and well-being. At subsequent interdisciplinary meeting class teachers, together with people from other agencies working with children and families such as health, social services, education welfare and psychology staff, discuss the children who may be ‘at risk’ and the various types of support are identified. Between eight and ten children who are likely to benefit are offered the chance to join an after school club, running one day a week for ten weeks. The once-aweek club runs for one and a half hours directly after school. Volunteers recruited and trained by a local Pyramid Club coordinator staff the club. Three volunteer leaders will be at the club venue before the children arrive, run the activities and stay until parents collect the children. The ethos of the club is of a special, select and desirable place in a secure group. Leaders will help the group to fuse. Activities are designed to develop interaction and loyalty between the children. At the halfway stage there is always an outing, which the children choose. Children who have taken part in the clubs describe the activities as being fun. They did exciting things, made T-shirts with their names on them, liked taking these things home, liked the leader and other volunteers. Some children particularly enjoyed sports activities; others liked art or cooking best. Several noted that they liked having the time to do activities for as long as they wished. 38 F. National Pyramid Trust continued How the programme is implemented Pyramid schemes are organised by local coordinators who develop clubs in several schools. Each coordinator works to a local steering group that represents statutory and voluntary services interested in the prevention of later difficulties in children. For example a partnership could include the local authority and a further education college interested in developing support for parents, or Health Promotion staff, the Child and Adolescent Mental Health Service (CAMHS), Educational Psychologists and organisations like Barnardo's and the NSPCC. An essential first step towards establishing school clubs is setting up a local partnership and finding the money to employ a coordinator is. An LEA or an Education Action Zone rather than individual schools can often take the initiative. The coordinator then explains the Pyramid process to the schools in the area and establishes clubs in those that want them. Schools that participate nominate a ‘link teacher’, who needs some time for this task. On average this is half a non-contact day each term. All training and meetings are held after school hours. The link teacher is on the school premises when the club takes place but is not involved in running it. Several schools noted that this was an important aspect of this programme – the club itself is a private place. In one school it coincided with the staff meeting. “We allow the club to happen and trust the leaders to get on with it,” commented the head. The coordinator recruits and trains volunteers. These may come from local colleges, via a local volunteer bureau or from among the parents and volunteers already working in the school. Volunteers are checked and trained in the Pyramid approach and matters like health and safety and child protection. The progress of club members is monitored and reported to the school and the steering group. 39 F. National Pyramid Trust continued Is it effective? A study of 13 clubs has shown that nearly 60% of the children who participated in a club showed an improvement in self-esteem, compared with just fewer than 25% of a control group. A more recent study concluded that children attending groups showed improvements in emotional difficulties and relationships with their peers. Improvements in writing skills and numeracy have also been reported (Makins, V. 1997: Skinner, C. 1996). G. Groups which take place off the school premises How it works Small group support can be provided outside the school in a building that has been adapted for the purpose. In one area, where the early intervention project is aimed at Year One pupils from eight local primary schools, the building is described as “a small, secure but homely school environment, where each pupil can follow their Individual Education Plan (IEP) and take part in small and larger group work as appropriate.” Practical arguments for extra-school venues include: availability of resources; possibilities for extra activities – such as preparing food together; opportunities for children from different schools to meet; opportunities for social learning by children on the journey to and from the venue; reduced likelihood that the group will be stigmatised by other children. How it is implemented Groups outside the school may operate using similar methods to in-school groups. Many such groups are run by LEA Behavioural Support Services, often 40 G. Groups which take place off the school premises continued using elements of the Nurture Group approach. In an area with a group for eight schools, for example, a maximum of ten children attend for five mornings a week, usually for two or three terms. In addition, the project staff, who are based at the homely venue, work with the children both before they join the group and after return to full-time mainstream school. The project also works with each child’s family, meeting weekly either on the premises or at the family home. Although this system appears to reduce the amount of time the school will need to spend on the intervention, the experience of areas that use it suggests that this may not be so. Joint planning and collaboration between school and project are necessary in for children to benefit from the group. Once the period in the project is over, the child will need to be reintegrated into the class, supported in the improved behaviour and the involvement with the project staff can then be gradually reduced. This phase of reintegration may take between half and one full term. Is it effective? In one area where an extra-school group has been working with ten schools, the majority of head teachers expressed a preference for a programme to be delivered on the school site. Most also preferred a group which would be for children of their own school only. The heads were concerned about children missing elements of the National Curriculum, and some felt that children were more boisterous at school on the day following the intervention project. However, all the children questioned felt that the out-of-school venue was better. They said: “You can concentrate because it’s quiet, school is really noisy.” “It’s a nice place where you can play with toys.” ”It’s not crowded, not noisy and not too big.” An evaluation of this latter project noted that in an ideal situation the intervention would be developed by school staff and delivered in school. 41 One-to-One Having a special friend can help children through hard times, just as it can help adults. This principle – of having someone on your side that is always around to help – underpins another approach to children who are causing concern: an individual who works with them on a one-to-one basis “I work with one child every day. I sit in class with him for about an hour and a half each morning to try and maintain some stability and keep him in the classroom. When I first began to work with him I spent most of the time trying to pin him down – even to find him sometimes was a great achievement. He would just get up and walk out of class for no reason at all. Most of the time he went around without shoes on, he would run around with them tucked under his arm. On occasions he would drop a shoe if he was in a hurry and there lay the clue to where he had been. I have learned a lot about his young life through talking to him. On the positive side I have seen a remarkable change in him and I can talk and reason with him...To be able to work in an open partnership with a child to the mutual benefit of us both is so rewarding.” (Pastoral Care Worker, Schools Outreach) The two main approaches are: an individual trained to support children who is based in the school, so children can have ready access either when they wish or at fixed times a mechanism for finding, training and matching individual adults to individual children so that they can spend periods of time together, either during the school day, outside it, or both. Both approaches have considerable resource implications. Although many primary schools have built up a group of volunteer helpers from the local community, and although existing volunteers may wish to train for one-to-one work with children, the training is crucial. The kind of support distressed children need goes beyond befriending and the people who are giving it will need support, help and advice themselves. 42 The advantages of one-to-one support are that: it is a simple concept to understand it can be targeted on the most needy children it is concentrated and intensive it is a way of giving the child (and family) time to talk confidentially about problems it may provide ‘mediation’ between the family and the school where relationships have been damaged – because the child’s supporter is seen as independent. Many of the methods used by whole school approaches and group-work with children can also be applied in programmes that are delivered one-to-one to individual children. Although it would seem that this approach is likely to be more expensive, much one-to-one work, because it is intensive, can be carried out over a shorter period. It may also be most appropriate for those children with the most severe problems. H. The Place to Be How it works The roots of this intervention – known as P2B for short – are in psychotherapy and counselling. The help offered by ‘the Place to Be’ is intended to alleviate the stresses that lead to mental illness, and it is not unlike the services that try to help adults who are suffering from stress. The organisation describes itself as “a preventive mental health service for children in schools”. The ethos is child-centred, with the emphasis on allowing children to express themselves and to be heard. The programme offers a range of supports, all based on therapeutic counselling. A school with a ‘Place to Be’ will have a Project Manager with a therapeutic qualification and at least three years experience as a practitioner. Some will be qualified teachers; others may have worked in various health and personal social service roles. In some cases managers were originally ‘Place to Be’ counsellors. 43 H. The Place to Be continued The Project Manager supports a team of volunteer counsellors who work in the school from a special room – the place to be – usually for two or three days a week. The room is equipped with art and play materials. Teachers refer children about whom they are concerned. In some cases parents suggest that help is needed. The child attends individual sessions with a volunteer counsellor for up to one hour per week, either for a fixed number of sessions or for an open-ended period for up to a year. A volunteer will work with up to four children exclusively. Each child is collected from class, brought to the ’Place to Be’ and taken back at the end of the session. Work with individual children is tightly managed and needs to be timetabled. ‘The Place to Be’ also offers work with children in groups, also led by trained staff. ‘The Place To Talk’ offers individual counselling through self-referral as a lunchtime drop-in service. In one school visited there was a post-box, into which children could put messages about their problems as another means of access. ‘The Place to Think’ provides support for teaching staff. They can consult with the Project Manager about the emotional needs of children. “The attitudes here are the same as those in the Place to Be – somewhere calm and safe where you can talk and be listened to. It takes a load from teachers when they can do this.” How the programme is implemented ‘Place to Be’ recruits and trains both salaried staff and volunteer trainee counsellors and therapists who do the bulk of the direct work with children. However the programme engages closely with the school, and cannot operate without the commitment of staff and the head teacher. Each School Project Manager has a team of four volunteer counsellors who give emotional support under their supervision to the children. ‘Place to Be’ provides initial training in emotional communication with children, in two-day summer and winter schools, plus induction into the school setting. Throughout the school year 44 H. The Place to Be continued there are further training courses. ‘Place to Be’ has developed a counsellors’ training course that is in the process of accreditation with the Open College Network. Local organisation of ‘the Place to Be’ is based on a ‘hub’ or ‘cluster system of up to ten schools. A steering group of head teachers, LEA representatives, health and social services staff, school governors and others is responsible for raising funding for the programme and liaising with ‘the Place to Be’ organisation. It also investigates the potential for recruiting volunteer counsellors locally and collaborates with the organisation in overseeing the progress of the programme in the participating schools. Is it effective? This intervention is a major undertaking for a school, since it involves close collaboration between the Head teacher, the SENCO and ‘the Place to Be’, with several new personnel working within the school. This means that the programme may take some time to ‘bed down’ and that in the early stages care will be needed to ensure that expectations, both from staff and children are realistic. It is important that all staff welcome the introduction of the programme and ‘the Place to Be’ runs induction workshops for them to aid this process. During 1999/2000 the organisation worked with 36% of children in 28 schools. Teachers report that 87% of the children showed positive change. In participating schools it is a sense of a general enhancement of the whole community that is most often noted. “Children tell you it works. A child comes back to the Place to Be, knocks on the door and says he feels better; teachers feedback the improvements in individuals; teacher retention is better: staff want to stay here now.” (Project Manager) 45 I. Schools Outreach How it works This programme offers preventive pastoral care through a non-official ‘adult friend’ based in the school that can make relationships with children and help their personal development. An adult worker is recruited in partnership with the school by a specialist organisation according to an agreed recruitment profile. “N and C are two very high spirited girls in Year 6. The fact that they both have very strong characters has caused major problems and confrontations within the class in recent months this has had a knock-on effect in that the class likes to see their fiery disagreements, take sides and cause general mayhem in lessons. The Head and the class teacher called me in and asked if I had any ideas...it was agreed that I could see both girls separately and together for as long as it took during that day. The first session with C. was full of anger at the many ways N had annoyed her in the past...I went on to listen, play back what I had heard and then suggested I bring N in to tell her side of the story...Emphasizing that I was not there to take sides but to find a solution they were both happy with, we went on to discuss the fact that the class were using their temperaments to wind them both up, using them as light entertainment to get out of doing lessons...the girls finally both agreed that they had had enough of the constant battles...A contract was formed which stated that the girls would not be drawn into arguments initiated by others and would keep their distance from each other for a week.... We have now had four sessions and the girls are delighted at how they have managed to keep their promise to each other and at the control they feel they have gained over their own lives...The teacher has said how the atmosphere in the class has changed...” (Primary Pastoral Care Worker). 46 I. Schools Outreach continued The pastoral care worker responds to situations as they arise, working with parents, sometimes making home visits and arranging informal home/school link events, even running childcare for parents attending parents’ evenings. The role is a flexible one, accountable to the Head teacher. How the programme is implemented An interested school contacts Schools Outreach, a voluntary organisation with charitable status, discusses the need for a worker and the financial implications. The organisation cooperates with the school in raising the finance for the project. Schools Outreach recruits a full-time worker according to a profile, drawn up with the school, of the type of person likely to meet the school’s needs. The worker will be in post for four years and is expected to live in the community from which the school’s children are drawn. All workers spend the first months in full-time training with the organisation for the Diploma in Pupil Pastoral Care that is accredited by the Oxford and Cambridge RSA Examining Board. The initial training programme, designed to equip workers for the one-to-one pastoral care of pupils, enables trainees to focus on the principles and practice of several models of pastoral care, with particular consideration given to the Judeo-Christian model. Training continues once the worker is in post, and involves the completion of a written assignment. Workers are based either in one school or a pair of schools. They are accountable to the Head teacher but employed and supported by the external organisation. This distinction is important, as the outreach worker needs to be seen by parents and children as of the school but not of any perceived hierarchy. Workers are based either in one school or a pair of schools. They are accountable to the Head teacher but employed and supported by the external organisation. This distinction is important, as the outreach worker needs to be seen by parents and children as of the school but not of any perceived hierarchy. 47 I. Schools Outreach continued Is it effective? A study of statistical evidence of the outcomes of this programme by Schools Outreach itself showed a significant fall in exclusions, in particular in one school where these fell from 50 (before worker) to four while the worker was in the school. When the school was temporarily without a worker they rose again quickly. In three schools Head teachers estimated that 15 children would have been referred for multi-agency assessments if it had not been for the support they received from the outreach workers. These heads calculated that the local authority had made considerable savings because case conferences, assessments and in-class support for pupils had not been necessary. Though these figures are imprecise, they indicate the kind of impact some schools consider the pastoral care worker has made. J. Chance UK How it works Chance UK is a local, community-based organisation that recruits, trains and matches volunteers to individual children as ‘mentors’. Mentoring is an approach that has been used in a wide variety of situations to support children and adults by offering them the unconditional friendship of an individual, who gets to know them, stands alongside them, acts as an advocate for them when they need it and helps them to reach goals which they set for themselves. Some of the most successful schemes in the UK have been with young people, especially those who are unemployed or ‘at risk’ of criminal behaviour. Mentors do not have to be qualified, but they do need motivation and commitment, and they usually receive some training. CHANCE works in three London Boroughs, 48 J. Chance UK continued and offers its services to all the primary schools in one, and to a selection of schools in the others. CHANCE works in three London Boroughs, and offers its services to all the primary schools in one, and to a selection of schools in the others. Mentors are recruited both for children and parents. The child mentoring involves one-to-one weekly meetings between adult and child that usually last for two to four hours. The meetings may take place in the child’s home, on the premises of CHANCE, in public libraries, community centres and other suitable places. Mentors will often take the children out on visits or to pursue activities. Parent mentoring is for eight sessions over two to three months. Schools are briefed about the programme. Class teachers and SENCOs make referrals using the Goodman Strengths and Difficulties Questionnaire that gives a score for behavioural problems and sub scores for hyperactivity, conduct, social skills and peer relationship problems. Social and economic circumstances are also taken into account. The children who have been referred have multiple problems. All are aged between 5 and 11 and the majority – almost all – have been boys. The commonest behaviour difficulties are hyperactivity and conduct problems, and 40-50% have been excluded or considered for exclusion at some time. CHANCE screens, trains, monitors and supervises the mentors. There is a 3- day training programme that covers communication and interpersonal skills, understanding different family contexts, child protection and safety guidance, solution-focused mentoring skills and group interaction as well as introducing the programme and the responsibilities of mentors. Between 20% and 40% drop-out at this stage, which is not unusual in mentoring programmes: they demand a great deal from the volunteers. Once a mentoring relationship has been established, fewer than 10% of relationships breakdown. New mentors can sometimes be introduced when this happens. 49 J. Chance UK continued How the programme is implemented CHANCE UK is a registered charity that administers the programmes, provides and supervises the mentors and matches them with the children. If a child is accepted onto the programme, CHANCE staff arrange a visit to the family to carry out a comprehensive assessment and obtain the agreement of the child and parent. The programme staff maintain contact with the parents during the course of the mentoring relationship. Parents also attend quarterly review meetings to set and agree the goals of the programme for their child and to review progress. Each Programme Manager supports, through monthly supervisions and also regular telephone contact, up to 20 mentors. The Senior Programme Manager and the Chief Executive provide oversight of all programmes. CHANCE is governed by a Board of Trustees and also has an Advisory Council which supports and advises the programmes. The membership of the latter includes representatives of various relevant agencies and professionals, parents, volunteer mentors and referrers. Is it effective? The programme has been independently evaluated and interim findings suggest some encouraging results. Mothers have reported positive changes in their child’s behaviour, and improvements in their relationship with the child. Typical observations have been that the children are more confident, better mannered, more amenable, more considerate, loving and helpful. Teachers have noted positive changes in behaviour, ability to communicate, willingness to share and cooperate. There are also indications that these have led to improvements in academic performance. 50 These three approaches – whole school, group and one-to-one – are not mutually exclusive. Specialist organisations may offer a combination of all of them in their programmes. Most of the organisations also work with parents. Involving Parents Support can be offered to parents. Intervention is concerned with ‘the whole child’ and that means the child at home and in the community as well as at school. It is clear from accounts of unhappy children that the reasons for unhappiness and stress can often lie at home (though they may be exacerbated by things that happen at school). Head teachers sometimes feel that parents are not always able to reinforce the behaviour expectations of the school. When planning support for parents, consideration needs to include whether the work takes place on the school premises, what methods will be used and how much support will cost. The extra benefits for parents, particularly for their own mental well-being, mean that some funding may be available from health sources. Aims Offering support to parents of children who are experiencing difficulties is a delicate business. The aim will be to improve the situation for the child. Parents should not feel that the child’s problems are being blamed on them. Some parents may not have good memories of their own experience of school, and may not see teachers as being ‘on their side’. They may see the school’s approach as ‘being told what to do’. On the other hand, home-school liaison can make an enormous difference to the way all parents see the role of school in their child’s life, and those who have the worst memories of school are often keenest that their children should have better ones. The development of home-school liaison has focused on the important contribution of parental involvement in raising the achievement of pupils. Especially important are: the child’s needs as the central concern parents and children working together 51 making homework more effective the involvement of fathers; the recognition of parents’ own need to learn and develop. These considerations are particularly relevant where the child is not flourishing at school, but it is important that where interventions include parents, they do so in an inclusive climate. Collaboration with an organisation external to the school can be helpful in making an intervention acceptable to parents as the organisation can often be seen as independent. Because personal and family problems may contribute to the child’s difficulties, parents will need reassurances about confidentiality and may draw those reassurances from the involvement of an organisation that is separate from the school. Parental participation in interventions is voluntary. Parents cannot be made to do it, nor should they feel that there is any compulsion. It is therefore important that support: is offered with sensitivity is easy to participate in (with thought given to questions like the comfort of the venue, transport, timing and childcare) sounds as though it will be enjoyable emphasizes confidentiality. Building Trust This will be more attractive to parents if they feel they can trust the people who will be delivering the support. A father explained how his daughter 7, described as lacking in confidence and easily distracted, had lived for a while with her grandparents when the family had housing problems. He felt that her problems might have been caused by ‘lack of boundaries’. He and his wife were under strain and contradicting one another, and the grandparents would introduce further contradictions. “They gave in and let her get 52 her own way.” Waiting for the child at school he was approached by the leader of a group for parents, who introduced herself and talked about the programme. He understood the programme to be ‘a family meeting to help us understand our children.’ He was very drawn to the leader: “She was a very friendly, sensible person” and this was his initial reason for joining the group. (Father, Hampshire) Offering separate support for parents can make considerable demands upon their time and resources. But where the intervention is felt to be effective, parents are willing to stick with it. This is one of the securest ways of judging if the intervention is useful to parents: if it helps the relationship with their child most will complete demanding courses. “I liked going to the group. Very little judgement goes on – people naturally do judge, but it never shows. I got a lot of understanding.” (Mother, Oxford) Benefits for Parents Parents report personal benefit from parenting groups: friendship from others ‘in the same boat’ a source of advice when they are faced with particular difficulties increased confidence and self-esteem better understanding of the child’s difficulties. “Actually you come out refreshed when you go in there. You go in all tense and you think. ‘Oh God, what a week I’ve had,’...and then you think ‘They’ve had it worse than what I have. What am I complaining about?’ And you come out and you’ve got it all off your shoulders. There’s nothing left winding you up...and it just keeps you going.” (Mother, Slough) 53 Appendices Appendix 1: Research 1. 2. `Evidence to a House of Commons select committee from child psychiatrist Dr Stephen Scott, of the Institute of Psychiatry, suggested that 10% of children had problems which affected their ability to make friends, go to school and "function productively...persistent problems lasting for a year or more which really handicap the ability to be happy." The incidence of children under 10 admitted to hospital with psychiatric disorders like depression and eating problems is increasing. 3. Among the factors that contribute to the risk of criminal behaviour in young people are low attainment at school and aggressive and troublesome behaviour. Over 40% of 7 and 8 yearolds with conduct disorders become recidivist delinquents as teenagers. Psychiatric disorders that follow from conduct disorders include alcoholism, drug dependence and anti-social personality disorders, with a range of other anti-social behaviour. 4. Prevention and intervention programmes are based on the possibility that cognitive, emotional and social skills and school achievement can be enhanced, and that risky behaviour can be altered. The best evidence that this is possible comes from evaluations of early childhood education. 5. Programmes that begin in the first year of life have shown immediate and strong effects on children’s IQ scores (Brooks-Gunn et al. 1992; Campbell and Ramey 1994). There are also documented long-term effects on children’s emotional outcomes. For example, the Perry Pre-School Programme has shown lasting reduction in delinquent behaviour at Mental health problems in children make more likely: poor behaviour in school low school achievement school exclusion poor social relationships involvement in crime drug and alcohol abuse truanting attempted suicide and suicide and teenage pregnancy, homelessness and other problems in later life. 54 currently available about interventions. There remains, as noted above, an absence of experimental studies at the primary level, but research is reported which suggests that the receipt of services in the primary school years influences children’s achievement. age 14, and less involvement with the criminal justice system at ages 19 and 27 (Karoly et al, 1998; Schweinhart et al, 1993). 6. 7. Intervention programmes in primary schools are rarely based on random assignment of children, classes or schools and tend to be added on to existing school activities. This makes evaluation of the kind applied to early years intervention difficult, because significant effects may be attributable to the quality of other aspects of the schooling besides the intervention. There has been far less randomised, controlled investigation of primary stage intervention. However, some programmes, which extend into primary school from the early years have undergone controlled evaluation (St. Pierre et al. 1995; Heberle 1992) and have shown positive outcomes for children and families. A complete over-view of the current state of knowledge about intervention is contained in the recent paper: What do we know about Children’s Development from Theory, Intervention and Policy? (Jeanne Brooks-Gunn, Columbia University, 2001). This paper reviews all the evaluative material 8. All the interventions described in this report have been examined by independent researchers. Studies have sometimes been instigated by the organisations who deliver the service. A randomised, controlled study of the Family Links Programme is underway (Health Services Research Unit, Oxford) and studies into the Nurture Group approach are conducted by a research team based at Cambridge University. Local Education Authorities have commissioned studies of interventions being delivered in their schools: researchers from Bristol University have reported on Whole School Quality Circle Time for Wiltshire Education Authority, the a team from the University of Dundee have looked at the implementation of the same model in Scottish Schools. Most research uses a pre- and post-testing method to gauge change in children who experience the programmes. The 55 results of these studies are summarised in the ‘Is it Effective?’ sections of this report. 9. In compiling material for Intervening Early information was received from120 education authorities and schemes in England and from 55 Education Action Zones. Thirty-five field visits were made to schools using some of the more commonly used interventions. Brooks-Gunn, J., Liaw, F. and Klebanov, P.K (1992) Effects of early intervention on low birth weight preterm infants: what aspects of cognitive functioning are enhanced? Journal of Pediatrics 120, 350-359 Campbell F.A. and Ramey C.T. (1994) Effects of early intervention on intellectual and academic achievement: a follow-up study from low-income families. Child development 65, 684-698 Karoly, L.A. et al (1998) Investing in our children: What we know and what we don’t know about the benefit of early childhood interventions. Rand, Santa Monica. 56 Schweinhart, L.J. et al (1993) Significant benefits: The High/Scope Perry Preschool Study through age 27. High/Scope Press, Ypsilanti. St. Pierre et al. (1995) Two-generation programmes: design, cost and short-term effectiveness. The Future of Children 5, 76-93. Heberle, J. (1992) Pace: parents and child education in Kentucky in Sticht. T.B, Beeler, M.J, and McDonald B.A (Eds) The intergenerational transfer of cognitive skills: Vol 1. Programmes, Policy and Research Issues. 126 – 148 Brooks-Gunn, J. (2001) What do we know about Children’s Development from Theory, Intervention and Policy. Paper for the Jacobs Foundation, Zurich. Appendix 2: Intervention Specialists The Bridge Foundation 12 Sydenham Road, Cotham, Bristol BS6 5SH Telephone: 0117 942 4510 Chance (UK) Unit S1/S2 89-93 Fonthill Road London N4 3JH Telephone: 0207 281 5858 E-mail: [email protected] Class Hoppers (Children Learning Acceptable Social Skills) Connexions 9A St John’s Place, Newport Isle of Wight PO30 1LH Telephone: 01983 527565 C’mon Everybody Northbank Curriculum and Professional Development Centre, Shiregreen Lane, Sheffield S5 6AG Telephone: 0114 242 2514 Early Intervention Project The Acorns 220 Stamford Road, Dagenham Essex RM9 4EL Telephone: 0208 270 6572 Family Links Annette Mountford Family Links New Marston Centre, Jack Straws Lane, Oxford OX3 0DL Telephone: 01865 454004 E-mail: [email protected] Family Nurturing Network Ivana Klimes Family Nurturing Network, Ground Floor, Temple Court 109 Oxford Road, Cowley, Oxford OX4 2ER Telephone: 01865 777756 E-mail: [email protected] 57 INCLUDE Training, Advice and Consultancy 5 Prospect Place Swansea SA1 1QP Telephone: 01792 556610 Nurture Groups Marion Bennathan Nurture Groups 24 Murray Mews, London NW1 9RJ Telephone: 0207 485 2025 E-mail: [email protected] The National Pyramid Trust Allan Watson The National Pyramid Trust 84 Uxbridge Road London W13 8RA Telephone: 0208 579 5108 E-mail: [email protected] NSPCC Education Programme Office NSPCC National Centre 42 Curtain Road, London EC2A 3NH Telephone: 020 7825 2500 58 The Place To Be Benita Refson The Place To Be Edinburgh House, 154-182 Kennington Lane, London SE11 4EZ Telephone: 0207 820 6487 E-mail: [email protected] Positive Play Clay Cross Infant School Parkhurst Place, Clay Cross Chesterfield, Derbyshire S45 9LQ Telephone: 01246 862179 The Quiet Place Department of Education, 19 Abercromby Square, Liverpool L69 7ZG Telephone: 01792 556610 Schools Outreach Gordon Bailey Schools Outreach 10 High Street, Bromsgrove, Worcs B61 8HQ Telephone: 01527 574404 E-mail: [email protected] School Inclusion Project Primary Camden Education 100 Stanhope Street, London NW1 3JX Telephone: 020 7974 8027 School House Education 10 St John’s Vale Deptford London SE8 4EN Telephone: 0208 691 7102 The Whole School Quality Circle Time Model Jenny Mosley Whole School Quality Circle Time 28A Gloucester Road, Trowbridge, Wiltshire, BA14 0AA Telephone:01225 767157 E-mail: [email protected] You Can Do It! Sue Overy and Janet Dobson, Prospects Education Services, C/o Prospects South London Head Office 7th Floor Grosvenor House 125 High Street Croydon CR0 9XP Telephone: 020 8649 6400 E-mail: [email protected] Organisations which offer general advice: National Association for Pastoral Care in Education, Institute of Education University of Warwick Coventry CV4 7AL Telephone: 02476 523810 E-mail: [email protected] Young Minds 102-108 Clerkenwell Road, London EC1M 5SA Telephone 0207 336 8445 E-mail: [email protected] 59 Mental Health Foundation 20 -21 Cornwall Terrace, London NW1 4QL Telephone 0207 535 7400 E-mail: [email protected] Association of Workers for Children with Emotional and Behavioural Difficulties c/o Allan Rimmer Charlton Court East Sutton, Kent ME17 3DQ Telephone 01622 843104 E-mail: [email protected] Coram Family Coram Family Campus, 49 Mecklenburgh Square, London WC1N 2QA Telephone: 020 7520 0300 E-mail: [email protected] 60 Appendix 3: References and Further Reading About the problems that mean that children have difficulties: Asher, S. and Coie, J. [eds] (1990) Peer Rejection in Childhood Cambridge University Press McCord, J. and Tremblay R. [eds] (1992) The Prevention of Anti-Social Behaviour in Children Guilford. New York Robins, L. and Rutter, M. (1990) Straight and Devious Pathways from Childhood to Adolescence Cambridge University Press About the impact of these difficulties: Graham, J. (1988) Schools, Disruptive Behaviour and Delinquency: A Review of Research Home Office Research Study 96. HMSO London Goleman, D. (1995) Emotional Intelligence: Why it can matter more than IQ Bloomsbury. London Hartley-Brewer, E. (1999) Hindered by Unhappiness: a review of primary school interventions to support children who cause concern Coram Family. London Hayden, C. (1997) Exclusions from Primary School: children ‘in need’ and children with ‘special education need’. Emotional and Behavioural Difficulties Vol.2. No.3 Winter Mental Health Foundation (1999) Brighter Futures: Promoting Children and Young People’s Mental Health. Report on the first major enquiry into the factors affecting mental health and emotional development among young people. Pugh, G. (1999) Children and Families: a view at the millennium Community Care, Sept. About the difference interventions can make: Ball, M. and Awan, S. (2001) Never Too Early Crime Concern and Thames Valley Partnership Barlow, J. and Stewart Brown, S. (1999) Pilot Study of a Home-School Linked Parent-Training Programme Health Services Research Unit, Department of Public Health, Oxford. Bennathan, M. and Boxall, M. (2000) Effective Interventions in Primary Schools: Nurture Groups David Fulton. London Bernard, M. (2000) ‘You Can Do It!’ Education: Research background and research evaluation studies. You Can Do It! California 61 Brooks-Gunn, J., Liaw, F. and Klebanov, P.K (1992) Effects of early intervention on low birth weight preterm infants: what aspects of cognitive functioning are enhanced? Journal of Pediatrics 120, 350-359 Brooks-Gunn, J. (2001) What do we know about Children’s Development from Theory, Intervention and Policy. Paper for the Jacobs Foundation, Zurich. Buchanan, A. and Hudson, B. [eds] (1998) Parenting, Schooling and Children’s Behaviour. Ashgate. Aldershot (Includes Webster-Stratton, C. and Taylor, T. Adopting and Implementing Empirically Supported Interventions: a recipe for success.) Campbell F.A. and Ramey C.T. (1994) Effects of early intervention on intellectual and academic achievement: a follow-up study from low-income families. Child development 65, 684-698 Cole, T. Visser, J. and Upton, G. (1998) Effective Schooling for Pupils with Emotional and Behavioural Difficulties David Fulton. London Dawson, N and McNess, E. (undated) A Report on the Use of Circle Time in Wiltshire Primary Schools) School of Education, University of Bristol 62 Department for Education and Employment (2000) Statistics of Education: Permanent exclusions from maintained schools in England Issue 10/00 Stationery Office. London Heberle, J. (1992) Pace: parents and child education in Kentucky in Sticht. T.B, Beeler, M.J, and McDonald B.A (Eds) The intergenerational transfer of cognitive skills: Vol 1. Programmes, Policy and Research Issues. 126 – 148 Highfield Junior School (1997) Changing out school: Promoting positive behaviour Highfield Junior School (Torridge Way, Efford, Plymouth, Devon PL3 6JQ) and Institute of Education (20 Bedford Way, London WC1H 0AL) – describes how one school introduced a range of interventions in consultation with the children, with dramatic results. Higgins, C. and Watt, S (1999) Turn Your School Round: Create a Listening School Scottish Executive Hurry, J. and Sylva, K. (1988) Long-term effects of two interventions for children with reading difficulties QCA Karoly, L.A. et al (1998) Investing in our children: What we know and what we don’t know about the benefit of early childhood interventions. Rand, Santa Monica. St. Pierre et al. (1995) Two-generation programmes: design, cost and short-term effectiveness. The Future of Children 5,76-93. Kraemer, S.(2000) Promoting Resilience in Children in International Journal of Child and Family Welfare Vol. 4 No. Schweinhart, L.J. et al (1993) Significant benefits: The High/Scope Perry Preschool Study through age 27. High/Scope Press, Ypsilanti. Little M, and Mount K, (1999) Prevention and Early Intervention With Children in Need. Dartington Social Research Series Sharp, S. and Cowie, H. (1998) Counselling and Supporting Children in Distress Sage. London Makins, V. (1997) The Invisible Children David Fulton/ National Pyramid Trust Skinner, C. (1996) Evaluation of the Effectiveness of Pyramid Clubs held in 1995-96 University of Surrey Maughan, B. (1994) School Influences in Rutter, M. and Hay, D.F. [eds] Development through Life. A Handbook for Clinicians Blackwell Scientific Publications Mosley, J. (1993) Turn Your School Round. Wisbech. Learning Development Aids Mosley, J. (1996) Quality Circle Time in the primary classroom. Wisbech. Learning Development Aids Mosley, J. (1998) More Quality Circle Time. Wishbech. Learning Development Aids Osborn, A.F. (1990) Resilient Children: a longitudinal study of high-achieving socially disadvantaged children Early Childhood Development and Care 62. pp23-47 Sylva, K and Evans, E (1999) Preventing Failure at School Children in Society, 13,4 278-286 Utting, D. (1996) Reducing Criminality among Young People: a sample of relevant programmes in the United Kingdom. Home Office Research Study 161. Home Office Research and Statistics Directorate. London Webster-Stratton, C. and Herbert, M. (1994) Troubled Families, Problem Children: working with parents, a collaborative process. Wiley 63 Appendix 4: How much will it cost? 1. Intervening early will cost money. Even if the school draws on existing resources – teaching staff and LSAs, parents and volunteers – there are likely to be financial implications. 2. Some examples of cost levels are given below, but these are intended to illustrate a range. Intervention may be more or less expensive than this. a. Training course for all teaching staff and LSA’s in whole school approach: Cost per trainer (depending on status): £800 – £1,500 b. Package of staff training, support and manuals £2,000 c. Cost of training one school with 200 pupils in nurturing programme and providing three parent courses: £3,000 d. A small group for 8 children run for 5 hours a week by two LSAs Cost per annum for LSAs and equipment: £4,000 e. School coordinator, volunteer and equipment expenses for school-based counselling project Cost per annum £13,000 – £15,000 f. Local coordinator to provide groups for a cluster of primary schools, plus running costs of groups at c. £150 each Cost per annum: coordinator £15,000 – £20,000 Clubs @ £200 each £2,000 – £3,000 g. Salary of in-school pastoral worker and costs per annum: 64 £20,000 plus Notes: Primary schools have used part of their SEN budget to pay for interventions or to contribute to a fund that includes finance from elsewhere. Local Education Authorities often support a school of groups of schools who feel an intervention is needed to help pupils. Specialist intervention organisations can help a school to raise money, including by making approaches to charitable trusts and foundations. Collaborating with other schools in the area reduces the cost. A training course like that described at a. above can cost as little as £10 per head if enough staff participate. 3. There will also be costs in terms of staff time. As a general rule, the cheaper an intervention is in cash terms, the more input from school staff there will need to be. So, for example, a whole school approach will be regularly implemented by class teachers each week, and regular time will be needed at staff meetings to discuss and coordinate the implementation. Time should also be set aside for staff to use the group techniques to develop their relationships with one another, and this will include all ancillary staff in the school. Regular support sessions from the specialist organisations that train in these techniques usually take at least one INSET day a year. 4. Group work makes less demand on staff time, unless staff volunteer to run an after-school group. Usually volunteers are recruited from outside the school and the main requirement of staff is to service on steering groups, to liaise about children who need the service, and, in some schools, to be on late duty elsewhere until after-school clubs end. The liaison point for such groups is usually the school’s SENCO. 65 5. Many of the more expensive approaches – particularly one-to-one work – involve the employment of specialist staff. The onus is on teachers to refer pupils to such staff when they need help, but many oneto-one schemes are keen for pupils to self-refer, and try to maintain a distance from classroom activities and preserve the child’s confidentiality. This can be a delicate matter, and school staff may need to spend some time in induction sessions to understand how to work with this independent facility within the school. 6. Work involving parents is often delivered separately by specialist agencies and may be conducted on sites other than the school. The main role for the school here is likely to be to make sure that parents know that the service is available, and to explain to them how it can help. It is important that all school staff understand exactly what is being offered and what demands it will make, so that the can tell parents what to expect. No intervention will be completely cost-free, in terms of money, time and effort, but the benefits to individual children and to the school in the longer-term can far outweigh the cost. 66 Acknowledgements The Department for Education and Employment funded Intervening Early in response to a proposal from a seminar arranged by Coram Family and the National Pyramid Trust. Elizabeth Hartley Brewer carried out much of the preparatory work. The fieldwork and initial draft were the work of Mog Ball. The project was co-coordinated by Steve Harwood, Development Director at Coram Family. A number of educationalists, academics, policy makers, writers and service providers with experience and expertise in relevant fields supported the project, the report from which was also trialled with a number of schools. We would like to thank all of the people involved and particularly the schools and the children who generously gave their time to support the project. Research Advisory Group Sean Cox DfEE Elizabeth Hartley-Brewer Journalist Steve Harwood Coram Family Deborah Loeb Young Minds David Moore Ofsted Alan Thompson DfEE Alan Watson The National Pyramid Trust Professor Sheila Wolfendale University of East London Coram Family is one of England’s oldest charities, founded by Captain Thomas Coram who established the original Foundling Hospital for abandoned children in London in 1739. Coram Family today works to build resilience in vulnerable children through intervention – specialist therapeutic work with vulnerable children; prevention – multi-agency community based approaches for children at risk; and promotion – influencing policy and practice with the evidence of what works. 67 Notes: 68 http://inclusion.ngfl.go.uk Copies of this publication can be obtained from: DfES Publications PO Box 5050 Sherwood Park Annesley Nottingham NG15 0DJ Tel: 0845 6022260 Fax: 0845 6033360 Textphone: 0845 6055560 Email: [email protected] Please quote ref: DfES/0131/2002 Intervening Early ISBN 1 84185 674 6 PP3/D21/PUB010308/0202/14 © Crown copyright 2002 Produced by the Department for Education and Skills Extracts from this document may be reproduced for non commercial or training purposes on the condition that the source is acknowledged.
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