Enabling Children and Young People with - Education Scotland
Enabling Children and Young People with - Education Scotland
Enabling Children and Young People with - Education Scotland
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<strong>Enabling</strong> <strong>Children</strong> <strong>and</strong> <strong>Young</strong> <strong>People</strong> <strong>with</strong><br />
Attendance Problems to Develop the Four<br />
(CfE) Capacities<br />
The Professional Development Programme (PDP)<br />
For <strong>Education</strong>al Psychologists in Scotl<strong>and</strong><br />
2009-2010<br />
- Ψ Δ Ψ -
The Professional Development Programme (PDP)<br />
This report is a compilation of the work of group for the 2009 – 2010 Professional Development<br />
Programme for <strong>Education</strong>al Psychologists in Scotl<strong>and</strong> <strong>and</strong> is for use by Psychological Services,<br />
Scottish Government, HMIe <strong>and</strong> <strong>Education</strong>al Directorate.<br />
The two topics for the 2009 – 2010 PDP are:<br />
1. <strong>Enabling</strong> children <strong>and</strong> young people <strong>with</strong> attendance problems to develop the four (CfE)<br />
capacities.<br />
2. How can educational psychology support the health <strong>and</strong> emotional well-being str<strong>and</strong> of<br />
Curriculum for Excellence?<br />
A Summary Document may also be accessed via the worldwide web at: www.Itscotl<strong>and</strong>.org.uk/pdp/<br />
Bill Allison <strong>and</strong> Gillian Barclay<br />
PDP National Coordinators - June 2010<br />
- i -
ACKNOWLEDGEMENTS<br />
1 The Professional Development Programme for <strong>Education</strong>al Psychologists in Scotl<strong>and</strong> is<br />
managed by the Association of Scottish Principal <strong>Education</strong>al Psychologists (ASPEP).<br />
2 The Professional Development Programme gratefully acknowledges the support of the<br />
Scottish Government in funding <strong>and</strong> promoting the Programme.<br />
3 The cooperation of local councils in agreeing the themes of the programme <strong>and</strong> enabling<br />
<strong>Education</strong>al Psychologists to participate in the projects is appreciated. Psychologists<br />
carry out the research, development <strong>and</strong> dissemination work for up to twelve days in the<br />
yearly PDP cycle.<br />
4 The further assistance of West Dunbartonshire <strong>and</strong> Edinburgh City Councils’<br />
respectively, for providing secondment of Mr Bill Allison <strong>and</strong> Ms Gillian Barclay as<br />
national coordinators of the programme, is gratefully acknowledged.<br />
5 The Association of Scottish Principal <strong>Education</strong>al Psychologists is gratefully thanked for<br />
the services of Dr Jenni Barr who has acted as Moderator to the programme.<br />
6 The programme is subject to the scrutiny of a Steering Group, which meets on three<br />
occasions in the course of the year. The participation of local council representative Ms<br />
Lynn Townsend, ASPEP representative Mr Bill O’Hara, SDEP representative Ms Jean<br />
Campbell <strong>and</strong> HMIe representative Ms Clare Lamont are acknowledged <strong>with</strong> thanks. The<br />
Steering Group has also benefited greatly from the input of Mr Neil Fergus <strong>and</strong> Ms<br />
Rachel Sunderl<strong>and</strong> (Scottish Government).<br />
7 The views expressed in the various reports <strong>and</strong> the conclusions reached are those<br />
of the authors <strong>and</strong> are not attributable either to employing councils or to the<br />
Scottish Government.<br />
8 Any part of this publication may be reproduced in whole or in part, except for commercial<br />
purposes or in connection <strong>with</strong> a prospectus or an advertisement, provided that the<br />
source <strong>and</strong> date thereof are stated.<br />
Enquiries about individual reports should be addressed to the authors whose names <strong>and</strong> official<br />
locations are contained in the publication.<br />
PDP 2009-2010<br />
- ii -
<strong>Enabling</strong> <strong>Children</strong> <strong>and</strong> <strong>Young</strong> <strong>People</strong> <strong>with</strong> Attendance Problems to<br />
Develop the Four (CfE) Capacities<br />
List of Contents<br />
Foreword<br />
Bill Allison, Senior PDP Coordinator<br />
Introduction: A Curriculum for Attendance as Well as Excellence<br />
Gary McIIree<br />
Persistent School Non-attendance: Guidelines for <strong>Education</strong>al<br />
Psychologists<br />
Morven Graham <strong>and</strong> Maureen Myant<br />
A Functional Approach in Addressing School Refusal Behaviour:<br />
Training for Pupil <strong>and</strong> Family Support Workers<br />
Gary McIIree<br />
Secondary Nurture Groups: An Effective Contribution to the Continuum<br />
of Learning <strong>and</strong> Support<br />
Gillian Dury <strong>and</strong> Charlotte Kidd<br />
<strong>Children</strong> With Attendance Difficulties Due to Long-term Medical<br />
Conditions: Accessing Curriculum for Excellence<br />
Gail McDonald<br />
Attendance Issues in Secondary Schools – What’s the Problem <strong>and</strong><br />
What Can We Do About It?<br />
Wendy Inch, Kirsty MacKay <strong>and</strong> Malcolm McGovern<br />
Project Implications / Recommendations for Stakeholders Supporting<br />
Non-attendees in Developing the Four Capacities<br />
The PDP Group<br />
List of Participants<br />
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<strong>Enabling</strong> <strong>Children</strong> <strong>and</strong> <strong>Young</strong> <strong>People</strong> <strong>with</strong> Attendance<br />
Problems to Develop the Four (CfE) Capacities<br />
Bill Allison – Senior PDP Coordinator<br />
Foreword<br />
The Scottish Government’s guidance (2007) on promoting good outcomes for Scottish<br />
children sets regular school attendance as a priority <strong>with</strong> children <strong>and</strong> young people to be<br />
included, engaged <strong>and</strong> actively involved in their learning. Few would doubt that inculcating<br />
the virtues of education <strong>and</strong> a strong sense of ownership, engagement <strong>and</strong> voice in their<br />
educational experience is pivotal to successful attainments <strong>and</strong> consequent economic<br />
prosperity of themselves <strong>and</strong> their wider community. <strong>Children</strong> <strong>and</strong> young people who<br />
disengage <strong>and</strong> fail to attend school, ultimately fail to maximise their human potential.<br />
<strong>Education</strong>al Psychologists <strong>and</strong> other informed professionals have long recognised that poor<br />
school attendance is often a marker of concerns about school <strong>and</strong> a need for support.<br />
<strong>Children</strong> <strong>and</strong> young people may experience a range of barriers to learning that directly affect<br />
school attendance. This may include motivational problems through a lack of encouragement<br />
to attend; restricted access to educational opportunities <strong>and</strong> particular difficulties associated<br />
<strong>with</strong> additional support needs or family <strong>and</strong> relationship problems. Help is needed to prevent<br />
them from falling into a void post-school <strong>and</strong> thus failing to progress onto meaningful training<br />
or employment opportunities. Socially <strong>and</strong> economically, such negative outcomes are<br />
unacceptable in an advanced society <strong>and</strong> very much at odds <strong>with</strong> generally shared<br />
aspirations for all children <strong>and</strong> young people as successful learners, confident individuals,<br />
effective contributors <strong>and</strong> responsible citizens whom are primed to succeed in life (PDP,<br />
2006). The following chapters in this volume, reflects the work of <strong>Education</strong>al Psychologists<br />
from across local authority Psychological Services in Scotl<strong>and</strong>. Project activities provided<br />
opportunities for the participants to undertake fact finding visits, to study literature <strong>and</strong> reflect<br />
ideas <strong>with</strong> colleagues. The following chapters therefore introduce the reader to project<br />
reports on studies of individual <strong>and</strong> groups of children <strong>and</strong> young people, teachers, other<br />
professionals <strong>and</strong> <strong>Education</strong>al Psychology Services.<br />
1
Gary McIlree – A Curriculum for Attendance as Well as for Excellence, presents an excellent<br />
introductory chapter that sets the tone <strong>and</strong> context for the subsequent chapters in the<br />
volume. McIlree comments that issues around non-attendance, perplexed thinkers as far<br />
back as the 19 th century. Up to the present day, an analysis of contemporary literature on the<br />
topic is somewhat problematic due to varying terminology, definitions <strong>and</strong> methodological<br />
approaches. The author draws on statistical evidence in exploring the scale of the problem<br />
<strong>and</strong> impact on individuals <strong>and</strong> society as a whole. The outcomes of research carried out in<br />
European settings on preventative <strong>and</strong> intervention strategies for addressing non-attendance<br />
are reviewed. McIlree also draws links to Scottish Government policy guidance aimed at<br />
promoting achievement <strong>and</strong> life opportunities generally. The chapter concludes by alluding to<br />
the philosophy underpinning Curriculum for Excellence <strong>and</strong> its potential contribution in easing<br />
some of the causes of school non-attendance.<br />
Morven Graham <strong>and</strong> Maureen Myant - Persistent School Non-Attendance: Guidelines for<br />
<strong>Education</strong>al Psychologists, introduces the reader to guidelines which the authors have<br />
carefully crafted for <strong>Education</strong>al Psychologists working in the domain of persistent nonattendance.<br />
The guidelines befit the authors’ particular milieu but can be freely adapted to<br />
suit the reader’s local circumstances. The guidelines are rooted in Kearney’s (2001) four<br />
functions of school non-attendance <strong>and</strong> chime <strong>with</strong> the principles as reflected in a number of<br />
key Scottish Government documents including a Curriculum for Excellence (CfE), Getting it<br />
Right for Every Child (GIRFEC) <strong>and</strong> Included, Engaged, Involved. The chapter details how<br />
guidelines can also be used to inform practice <strong>with</strong>in schools using a staged intervention<br />
model. Graham <strong>and</strong> Myatt’s PowerPoint materials for training <strong>and</strong> development work <strong>with</strong><br />
Psychological Services, schools <strong>and</strong> other agencies are helpfully available for download.<br />
Gary McIlree – A Functional Approach in Addressing School Refusal Behaviour: Training for<br />
Pupil <strong>and</strong> Family Support Workers of <strong>Young</strong> <strong>People</strong> in Three Secondary Schools, outlines<br />
the design <strong>and</strong> delivery of an training programme based on Kearney’s innovative approach.<br />
McIlree targeted Pupil <strong>and</strong> Family Support Workers for the training given their front line role<br />
in facilitating closer home / school links <strong>with</strong> vulnerable families, <strong>and</strong> in recognition of the<br />
support they provide to children <strong>and</strong> young people <strong>with</strong> attendance problems. In addition to<br />
enhancing the skill base of this group of workers, the author describes how they were also<br />
enabled to generate quality assessment information for school’s multi-agency support teams<br />
which may in turn inform appropriate interventions <strong>and</strong> the content of children <strong>and</strong> young<br />
person’s individualised plans.<br />
2
McIlree evaluated the programme post-training, reports the findings. The chapter proceeds to<br />
map out links between these interventions <strong>and</strong> the Curriculum for Excellence Mental Health<br />
<strong>and</strong> Well-Being Experiences <strong>and</strong> Outcomes. It finally concludes <strong>with</strong> suggestions for further<br />
research as to the latter. The authors PowerPoint materials are available for download.<br />
Charlotte Kidd <strong>and</strong> Gillian Dury - Secondary Nurture Groups: An Effective<br />
Contribution to the Continuum of Learning <strong>and</strong> Support, thoughtfully reviews the<br />
limited literature in this evolving area. With social inclusion <strong>and</strong> attendance at the<br />
forefront, the authors note how nurture groups <strong>and</strong> nurturing principles link <strong>with</strong><br />
Curriculum for Excellence <strong>and</strong> appositely comment on the relevance of the<br />
curriculum <strong>and</strong> teacher / pupil relationships as key factors in supporting the<br />
engagement of young people in school life. Kidd <strong>and</strong> Dury researched three<br />
established secondary Nurture Groups operating in Scotl<strong>and</strong> <strong>and</strong> report data on staff<br />
views of staff as to the impact their intervention was having on the young people. Key<br />
features of successful Nurture Groups are discussed. An evaluation of hard <strong>and</strong> soft<br />
data is presented supporting the view that the nurture groups can make a significant<br />
contribution to the inclusion of these young people in their local community. The<br />
authors conclude the chapter <strong>with</strong> recommendations for Local Authorities <strong>and</strong><br />
Psychological Services contemplating Secondary Nurture Groups in their area.<br />
Gail McDonald – <strong>Children</strong> <strong>with</strong> Attendance Difficulties Through Long-term Medical<br />
Conditions <strong>and</strong> Their Access to the Curriculum for Excellence, presents a reflective summary<br />
of issues in the delivery of education to non-hospitalised children educated at home through<br />
illness. With the Curriculum for Excellence, McDonald argues that there are many<br />
challenges in terms of the co-ordination <strong>and</strong> integration of Curriculum for Excellence health<br />
<strong>and</strong> well-being outcomes. The Curriculum for Excellence explicitly extends scope for<br />
teaching staff to more holistically engage children <strong>and</strong> young people academically but also to<br />
nurture their resiliency <strong>and</strong> coping skills. McDonald concludes the chapter by arguing that<br />
skills acquired in supporting medically vulnerable children <strong>and</strong> young people are transferable<br />
<strong>and</strong> could equally prove beneficial to others <strong>with</strong> school attendance problems.<br />
3
Wendy Inch, Kirsty Mackay <strong>and</strong> Malcolm McGovern – Attendance issues in secondary<br />
schools – what’s the problem <strong>and</strong> what can we do about it? The chapter reports action<br />
research carried out in two Local Authorities. As their starting point, Inch, Mackay <strong>and</strong><br />
McGovern were interested in the number of young people who seem to disengage from their<br />
education at secondary school <strong>and</strong> experience attendance difficulties. National statistics<br />
demonstrate that pupil attendance reduces at each stage as pupils move into <strong>and</strong> through<br />
secondary school. In attempting to explore some of the reasons underpinning this<br />
phenomena, Inch, Mackay <strong>and</strong> McGovern sought secondary school staffs perspectives on<br />
issues, such as perceived contributing factors, the type of supports <strong>and</strong> interventions that are<br />
deemed to have a positive impact, <strong>and</strong> whether Curriculum for Excellence can provide<br />
opportunities to more effectively meet the needs of pupils <strong>with</strong> attendance difficulties. Survey<br />
responses acknowledged the wide range of contributing factors <strong>and</strong> the multi-causal nature<br />
of the problem. Findings highlighted the importance of: effective monitoring of attendance<br />
<strong>and</strong> early intervention; the need for parents to be included, engaged <strong>and</strong> involved;<br />
collaborative multi-agency working; more accurate data collection <strong>and</strong> the opportunities<br />
provided by Curriculum for Excellence to engage learners <strong>with</strong> their secondary education.<br />
Inch, Mackay <strong>and</strong> McGovern discuss these findings <strong>and</strong> in scholarly fashion also highlight a<br />
number of areas for further strategic, systemic <strong>and</strong> operational development for schools,<br />
education services <strong>and</strong> partner agencies.<br />
The PDP Group – Implications for Services to <strong>Young</strong> <strong>People</strong>, concludes the volume <strong>with</strong> a<br />
summary chapter on some of the implications arising from the projects <strong>with</strong> regard to<br />
<strong>Education</strong>al Psychology Services, professionals working <strong>with</strong> children <strong>and</strong> young people <strong>and</strong><br />
Local Authorities.<br />
References<br />
The Scottish Government (December 2007) Included, engaged <strong>and</strong> involved - part 1:<br />
Attendance in Scottish schools ISBN: 978-0-7559-5546-6<br />
http://www.scotl<strong>and</strong>.gov.uk/Publications/2007/12/05100056/1<br />
4
Introduction: A Curriculum for Attendance as Well as<br />
Excellence<br />
Gary McIlree<br />
The relationship between non-attendance at school <strong>and</strong> engagement <strong>with</strong> the curriculum is<br />
not a new issue. In 1897, for example, a scientific journal concluded that truancy represented<br />
“protests against the narrow <strong>and</strong> artificial methods of the school room, a rebellion against<br />
suppressed activity <strong>and</strong> a denial of free outdoor life” <strong>and</strong> that the children’s “moral sense,<br />
self-respect, <strong>and</strong> ambition are greatly wanting” (Kline, 1897).<br />
Within a Scottish context, the Pack Report, Scottish <strong>Education</strong> Department (1977) was<br />
arguably seminal in considering the contribution of contextual factors <strong>with</strong>in the family <strong>and</strong><br />
school towards the problem. It identified family breakdown, family size, socio-economic<br />
disadvantage <strong>and</strong> family history of non-attendance as being correlated <strong>with</strong> truancy.<br />
Importantly, however, in the section headed ‘Curriculum <strong>and</strong> Organisation’ it began to<br />
underline the connections between failure to learn successfully <strong>and</strong> the likeliness to truant. A<br />
number of subsequent reports on behaviour <strong>and</strong> learning along <strong>with</strong> the school effectiveness<br />
research of Rutter et al (1979) <strong>and</strong> Reynolds (1995) helped shift the debate away from a<br />
child deficit model towards the ways in which the school can be both part of the problem <strong>and</strong><br />
part of the solution.<br />
Despite this shift in terms of educational thinking, Pellegrini (2007) has argued that the<br />
clinical discourse on chronic or extended school non-attendance has continued to be<br />
dominated by a range of interpretive repertoires that focuses on individual pathology. For<br />
example, the literature tends to be dominated by vocabulary <strong>and</strong> phrases such as<br />
‘treatment’, ‘diagnosis’, ‘symptoms’, ‘disorder’, ‘co-morbidity’, ‘in-patient treatment’, ‘family<br />
history of psychiatric illness’ which only serves to locate the problem primarily <strong>with</strong>in the<br />
child, <strong>and</strong> her or his family, <strong>and</strong> divert attention away from important ecological factors.<br />
Defining the problem<br />
In many respects, this situation is only further compounded by the lack of any consistently<br />
agreed definitions found in the literature. Whilst a legal distinction can be made in terms of<br />
authorised or unauthorised absence according to whether the reason for absence is<br />
5
legitimate (e.g. for genuine illness) or illegitimate, the boundaries between these categories<br />
can be open to interpretation e.g. holidays during term time for vulnerable families, parental<br />
collusion over a ‘claimed’ illness etc. Leaving aside issues related to the accurate recording<br />
of non-attendance, similar difficulties are apparent over more accepted distinctions found in<br />
the literature over the form of absence. For example, Table 1 below highlights some of the<br />
distinctions typically made between truancy <strong>and</strong> school refusal / phobia.<br />
Table 1: Truancy <strong>and</strong> School Refusal Distinctions<br />
Truancy School Refusal / School Phobia<br />
Lack of emotional stress about attending<br />
school<br />
Absence from school hidden from parents<br />
Higher incidence of antisocial behaviours<br />
Pupil seeks other peers who are not in<br />
school<br />
Pupil shows little interest in completing<br />
school work.<br />
Emotional Distress about attending school<br />
Parents aware of absence from school<br />
Lack of antisocial behaviours<br />
Pupil remains at home during the school day<br />
Pupil will do school work at home<br />
However, the problem <strong>with</strong> this is that some young people exhibit characteristics of both<br />
(Berg et al., 1993). Some pupils have been found to demonstrate features of a truant such as<br />
anti-social behaviour but also have a genuine phobia about attending school. In addition,<br />
some pupils may be able to attend school but choose not to, <strong>and</strong> stay at home <strong>with</strong> the full<br />
knowledge of their parents under the ‘screen’ of school refusal.<br />
In an attempt to circumvent these difficulties, some of the authors in this project have argued<br />
that a functional approach to non-attendance such as the model proposed by Kearney (2001)<br />
may provide a way forward. By focusing on the reasons why a child is not attending <strong>and</strong> the<br />
dominant functional reason it serves, this model offers a number of advantages. It not only<br />
helps avoid difficulties associated <strong>with</strong> terminology by describing the visible behaviour<br />
neutrally it is also less presumptive about what may underpin the problem <strong>and</strong> thus avoids<br />
drawing incorrect hypotheses. Above all, however, it promotes a model of contextualised<br />
assessment that is clearly linked to individually tailored interventions <strong>and</strong> the recognition of<br />
the need for a multi-systems approach (e.g. school, parents, health, social work <strong>and</strong><br />
educational psychologist).<br />
6
The scale of the problem<br />
Not<strong>with</strong>st<strong>and</strong>ing problems associated <strong>with</strong> definition <strong>and</strong> identification, non-attendance<br />
remains a severe <strong>and</strong> relatively stable problem overall. For example, the statistical data over<br />
the last 10 years, suggests the total rate of absence for secondary schools in Scotl<strong>and</strong> during<br />
session 2008-2009 was 8.8% <strong>and</strong> for 1997-1998, 11%. Even if one accepts some marginal<br />
improvement, it is still salutary to consider that the current figures are nevertheless<br />
equivalent to each secondary school pupil being absent for 33 half days out of a school<br />
session of 380 half days. Furthermore, if one compares the differences in rates between<br />
local education authorities in Scotl<strong>and</strong> (<strong>and</strong> again leaving aside issues of reporting), it is<br />
evident that those authorities <strong>with</strong> highest levels of socio-economic deprivation in their<br />
population also have the highest rate of absence (see also Chart 1). In essence,<br />
disadvantage is potentially only being exacerbated by further disadvantage, if one considers<br />
the independent negative effect of extended school absence on pupil outcomes as detailed<br />
below.<br />
Figure 1 1 : Attendance rate by Scottish Index of Multiple Deprivation (1) split by sector.<br />
Percentage attendance<br />
100<br />
95<br />
90<br />
85<br />
80<br />
Primary<br />
Secondary<br />
Special<br />
75<br />
1 2 3 4 5 6 7 8 9 1011 12 13 14 15 16 17 18 19 20<br />
most deprived least deprived<br />
SIMD grouping<br />
(1) Scottish Index of Multiple Deprivation 2006 has been used for this chart .<br />
The SIMD grouping is by vigintile. Vigintiles are b<strong>and</strong>s of 5%. ie vigintile 1 is the 5%<br />
most deprived <strong>and</strong> combining the first three vigintiles is the 15% most deprived datazones.<br />
1<br />
Source: Scottish Government - Statistics Publication Notice <strong>Education</strong> Series: Attendance <strong>and</strong> Absence in<br />
Scottish Schools 2008/09<br />
7
The nature <strong>and</strong> impact of extended non-attendance<br />
Based on their experience as Practitioner <strong>Education</strong>al Psychologists the authors of this PDP<br />
project readily acknowledged that non-attendance can often present as one of the most<br />
intractable issues to tackle at an individual case level, especially at the secondary stages.<br />
The multi-causal nature of the phenomenon, whereby risk factors interact <strong>with</strong> each other at<br />
the level of the individual, family, school <strong>and</strong> wider community was acknowledged as<br />
contributing towards the complexity <strong>and</strong> scope of the problem (see for example, Table 2<br />
below).<br />
Table 2: Some Key Factors Associated <strong>with</strong> Non-Attendance<br />
Individual Family / Home School<br />
Personality: Laziness,<br />
curiosity, anger<br />
Parents putting a low value<br />
on education<br />
Learning Difficulties <strong>Children</strong> expected to act as<br />
carers / worries about<br />
parents well being<br />
Behavioural difficulties Domestic violence<br />
Emotional state Recent Family transition:<br />
parental separation, divorce,<br />
birth of a sibling.<br />
Not wanting to get into trouble Parents working long <strong>and</strong><br />
atypical hours<br />
Psychological or mental<br />
health difficulties<br />
Family history of nonattendance<br />
Low self-esteem Loss <strong>and</strong> Bereavements<br />
Embarrassment at personal<br />
attributes e.g. overweight<br />
Financial Stress: families not<br />
being able to provide uniform<br />
or equipment<br />
Being Bullied<br />
Problems <strong>with</strong> lessons (e.g.<br />
boring) <strong>and</strong> teachers (e.g.<br />
dislike of)<br />
Fear of returning to school<br />
Primary to Secondary<br />
Transition & Complexity of<br />
Secondary School<br />
Disruptive behaviour in<br />
class<br />
Opportunism e.g.<br />
inadequate monitoring<br />
Peer Pressure<br />
Social Isolation<br />
A further issue is that no consistent profile for this population has emerged from the<br />
literature. Indeed various reviews of the research only seem to reveal that the characteristics<br />
of children <strong>and</strong> young people <strong>with</strong> extended school non-attendance are diverse,<br />
heterogeneous <strong>and</strong> likely reflective of many different causal paths. If one examines, for<br />
example, some basic demographic variables such as age of onset, gender <strong>and</strong> socioeconomic<br />
status a mixed picture emerges. Thus while increased age does seem predictive of<br />
more severe non-attendance (Hansen et al, 1998) clearly children of all ages do not attend<br />
8
school. In addition, specific peaks in non-attendance have been found to emerge at particular<br />
transition points in a child’s school life such as entry to school, transition from primary to<br />
secondary <strong>and</strong> between ages 11-13 (Elliot, 1999; Fremont, 2003; King & Bernstein, 2001;<br />
King, Heine, Tonge, Gullone, & Ollendick, 2001). In a similar vein, while some studies such<br />
as Hersov (1960) found 73% of their sample <strong>with</strong> school refusal <strong>and</strong> truancy to be male,<br />
Bernstein et al. (1997) found that 61.4% of their adolescent sample <strong>with</strong> anxious-depressed<br />
school refusal was female. In general, however, gender has not been found to be highly<br />
predictive of extended non-attendance.<br />
On the basis of the Cambridge longitudinal study, Farrington (1980) reported that while boys<br />
from a lower social class were over-represented among the three groups of truants, social<br />
class was found to be less closely related to non-attendance than other factors such as low<br />
income of family, large family size, poor child rearing behaviour, delinquent siblings, marital<br />
disharmony, slum housing <strong>and</strong> the erratic job records of their fathers. This has been further<br />
supported by subsequent studies which suggest a wide constellation of social <strong>and</strong> family<br />
variables tends to be connected <strong>with</strong> non-attendance. Thus caution is required in making<br />
inferences on the basis of such a broad variable as socio-economic status. Not all pupils<br />
from disadvantaged backgrounds are poor attendees nor conversely do all poor attendees<br />
necessarily come from socially disadvantaged backgrounds.<br />
Despite the indeterminate aetiology of extended school non-attendance, its long-term<br />
consequences for the individual <strong>and</strong> society in general are much clearer. It can not only be<br />
firmly linked <strong>with</strong> delinquency <strong>and</strong> levels of attainment but there is also evidence to support<br />
that it has an independent effect on future mental health <strong>and</strong> employment outcomes (Berg,<br />
1992; Malcolm, Wilson, Davidson, & Kirk, 2003). Indeed, <strong>with</strong> respect to truancy, Reid (2000)<br />
points out that it is the single greatest predictor of juvenile <strong>and</strong> adult crime <strong>and</strong> of psychiatric<br />
disorders. He further details a range of other difficulties in adult life that are closely linked to<br />
truancy including the inability to settle into the routine of work <strong>and</strong> / or marriage; frequent job<br />
changes; isolationism; pathological disorders; poverty; higher separation <strong>and</strong> divorce rates;<br />
living upon income support; illiteracy; depression; temper tantrums <strong>and</strong> involvement <strong>with</strong><br />
Social Services <strong>and</strong> Social Workers. Truancy is also associated <strong>with</strong> a significantly higher<br />
likelihood of becoming a teenage parent <strong>and</strong> of being unemployed or homeless in later life.<br />
The longer-term economic consequences for society as a whole therefore are patently very<br />
costly.<br />
Altogether extended school non-attendance is a serious <strong>and</strong> costly problem that can<br />
potentially have a significant impact on a pupil’s education, employment opportunities <strong>and</strong><br />
9
long-term mental health <strong>and</strong> well-being. It is for these reasons, therefore, that managing the<br />
processes <strong>and</strong> approach towards assessment in a way that helps informs intervention is<br />
regarded as a vital precursor to tackling non-attendance in the first instance <strong>and</strong> ultimately<br />
meaningful engagement <strong>with</strong> the curriculum <strong>and</strong> the development of the ‘four capacities’ in<br />
the long term.<br />
Interventions <strong>and</strong> strategies for addressing non-attendance<br />
Given the heterogeneous nature of the population, <strong>and</strong> the variety <strong>and</strong> complexity of causal<br />
factors involved it is not surprising that there are still insufficient systematic evaluations of the<br />
interventions available for tackling extended non-attendance. Nonetheless, looking across<br />
the literature a number of important dimensions <strong>and</strong> themes can be discerned from the<br />
research as key to providing effective support. In an audit of school-based initiatives aimed at<br />
addressing disengagement, Kinder et al’s (1995) study revealed three strategy dimensions or<br />
levels:<br />
1. Whole-school policies: organisation, structures, e.g. the production of written policies<br />
on attendance <strong>and</strong> behaviour.<br />
2. Innovative school-based roles to focus on attendance <strong>and</strong> behaviour, e.g. home/<br />
school liaison officers, learning mentors, other agency involvement.<br />
3. External Support, e.g. agency support focusing on attendance, <strong>and</strong> the provision of<br />
alternative curriculum by outside providers.<br />
Within this study the most effective interventions were those that addressed the issue in at<br />
least two out of the three levels outlined above. More specifically, three key areas were<br />
identified <strong>with</strong>in the initiatives as contributing towards their success:<br />
• maintaining <strong>and</strong> monitoring strategies <strong>with</strong> a focus on pupil attendance <strong>and</strong> behaviour<br />
in school<br />
• non-curriculum support <strong>with</strong> a focus on providing direct support for pupils’ emotional,<br />
social, <strong>and</strong>/ or behavioural needs<br />
• curriculum diversification <strong>and</strong> differentiation offering an alternative environment <strong>and</strong>/ or<br />
experiences<br />
Building on earlier work by the National Foundation for <strong>Education</strong>al Research (NFER) that<br />
focused on the reasons <strong>and</strong> possible solutions to young people’s disengagement from<br />
10
education <strong>and</strong> learning, Kendall <strong>and</strong> Kinder (2005) summarised findings from research<br />
across nine European countries. Box 1 below selects some of the key preventative <strong>and</strong><br />
curative factors for successfully addressing disengagement found <strong>and</strong> in so doing provides a<br />
rationale for the different kinds of focus taken in this project<br />
Box 1 : Some Key Factors in successfully addressing disengagement<br />
Early <strong>and</strong> clear identification of needs<br />
Communication <strong>and</strong> data sharing between agencies <strong>and</strong> clarification of roles <strong>and</strong><br />
responsibilities<br />
Multi-agency partnerships <strong>and</strong> other agency support <strong>with</strong> ‘good synergy’<br />
The role of the key worker/ designated teacher, mentor, counsellor or advocate.<br />
Flexibility of schools <strong>and</strong> the curriculum e.g. support units, flexible timetables,<br />
vocational packages (college/ work experience), e-learning opportunities, nurture<br />
groups.<br />
Active involvement of pupils <strong>and</strong> parents<br />
Training <strong>and</strong> development.<br />
Within a Scottish context it is reassuring that recent Government policy <strong>and</strong> guidance is<br />
clearly aimed at developing <strong>and</strong> supporting a number of these key elements. At an individual<br />
planning level the ‘Getting It Right for Every Child’ (2003) programme, for example, has<br />
clear principles <strong>and</strong> values that promote early intervention, co-ordinated inter-agency<br />
working, working in partnership <strong>with</strong> families, <strong>and</strong> puts the ‘child at the centre’ in terms of<br />
promoting their well being <strong>and</strong> their involvement in decisions that affect them.<br />
At a wider systemic level, the guidance ‘Included, Engaged <strong>and</strong> Involved’ (2007) states that<br />
attendance at school should be clearly linked to schools’ overall approaches to promoting<br />
positive behaviour <strong>and</strong> approaches to providing guidance <strong>and</strong> pastoral care. Both are<br />
underpinned by the development of positive relationships <strong>and</strong> emotional literacy in whole<br />
school communities.<br />
In this regard, through the implementation of ‘Better Behaviour, Better Learning – Report of<br />
the Discipline Task Group (2001) recommendations a range of approaches including Staged<br />
Intervention (FFI), Cool in School, Developing Empathy, Restorative Practices, Solution<br />
Oriented approaches, The Motivated School <strong>and</strong> Social, Emotional, Learning Frameworks<br />
11
(SELF) are being developed to help schools <strong>and</strong> education authorities develop children’s<br />
pro-social behaviour, resolve conflict <strong>and</strong> tackle challenging behaviour.<br />
Finally, the ‘More Choices, More Chances: Strategy to Reduce the proportion of <strong>Young</strong><br />
<strong>People</strong> Not in <strong>Education</strong>, Employment or Training’ (2006) aims at supporting those subgroups<br />
of young people at particular risk, including ‘persistent truants’, (of which 25% in S4<br />
were found to be NEET the following year) in making a more successful transition from<br />
school into education, employment or training. Arguably it has been this strategy that offers<br />
the greatest challenge to the school system in terms of ensuring positive action. Specifically,<br />
for pre-16 young people it dem<strong>and</strong>ed that learning experiences had to be transformed <strong>with</strong><br />
flexible learning opportunities, recognition of wider achievement, <strong>and</strong> support for learners,<br />
the development of employability <strong>and</strong> a focus on the monitoring outcomes for all children.<br />
Taken together, the existing policies <strong>and</strong> guidance in Scotl<strong>and</strong> provides a solid framework<br />
<strong>and</strong> foundation for supporting children <strong>and</strong> young people <strong>with</strong> attendance problems.<br />
However, in order to make a significant <strong>and</strong> sustained change in terms of outcomes, these<br />
approaches required to be embedded in the kind of curriculum offered to pupils. An integral<br />
element of this, however, includes the development of skills of key staff through training in<br />
order to be able to respond to the often complex needs of pupils <strong>with</strong> attendance problems.<br />
A curriculum for attendance as well as excellence?<br />
The areas covered in this PDP topic have been predicated on the assumption that young<br />
people need to engage <strong>with</strong> education <strong>and</strong> learning in some form in order to begin to develop<br />
the ‘four capacities’. With respect to the topic question, the ‘How’ in terms of the development<br />
of relevant procedures, processes <strong>and</strong> strategies in this PDP project has clearly been valued<br />
over the specifics of the ‘What’ in terms of content or ‘Where’ in terms of location. As Mark<br />
Twain humorously observed ‘Don’t let school st<strong>and</strong> in the way of your education’.<br />
This neatly fits <strong>with</strong> the philosophy of Curriculum for Excellence (CfE) framework which<br />
makes it clear that it is the quality <strong>and</strong> nature of the learning experiences in their totality<br />
which develops the attributes <strong>and</strong> capabilities of the four capacities.<br />
What should be apparent is that CfE offers the potential to also become a Curriculum for<br />
Attendance <strong>and</strong> Reengagement. By also encompassing a range of experiences planned for<br />
children <strong>and</strong> young people beyond timetabled classes <strong>and</strong> including the ethos <strong>and</strong> life of the<br />
school, interdisciplinary studies <strong>and</strong> those initiatives specifically targeted at disengaged<br />
young people, then there is real hope for the realisation of positive outcomes for all.<br />
12
References<br />
Berg I (1992) Absence from school <strong>and</strong> mental health. British Journal of Psychiatry 161,<br />
154–166.<br />
Bernstein G A, Massie E D, Thuras P D, Perwien A R, Borchardt C M <strong>and</strong> Crosby R D<br />
(1997) Somatic symptoms in anxious-depressed school refusers Journal of the American<br />
Academy of Child <strong>and</strong> Adolescent Psychiatry 29, 24-30.<br />
Elliot J G (1999) Practitioner review: School refusal: Issues of conceptualisation,<br />
assessment, <strong>and</strong> treatment. Journal of Child Psychology <strong>and</strong> Psychiatry, 40(7), 1001–1012.<br />
Farrington D P (1980) Truancy, delinquency, the home <strong>and</strong> the school. In Hersov L <strong>and</strong><br />
Berg I (Eds.) Out of School. New York: Wiley.<br />
Fremont, W. P. (2003). School refusal in children <strong>and</strong> adolescents. American Family<br />
Physician 68(8), 1555–15561.<br />
Hansen C, S<strong>and</strong>ers S L, Massaro S <strong>and</strong> Last C G (1998) Predictors of severity of<br />
absenteeism in children <strong>with</strong> anxiety-based school refusal Journal of Clinical Psychology 27,<br />
246-254.<br />
Hersov L A (1960) Persistent non-attendance at school Journal of Child Psychology <strong>and</strong><br />
Psychiatry 1, 130-136.<br />
Kearney C A (2001) School refusal behavior in youth: a functional approach to assessment<br />
<strong>and</strong> treatment. Washington DC: American Psychological Association<br />
King, N. J., & Bernstein, G. A. (2001). School refusal in children <strong>and</strong> adolescents: A review<br />
of the past 10 years. Journal of the American Academy of Child <strong>and</strong> Adolescent Psychiatry.<br />
King N J, Heyne D, Tonge B J, Gullone E <strong>and</strong> Ollendick T H (2001) School refusal:<br />
Categorical diagnoses, functional analysis <strong>and</strong> treatment planning Clinical Psychology <strong>and</strong><br />
Psychotherapy 8, 352–360.<br />
Kendall S <strong>and</strong> Kinder K (2005) Reclaiming those disengaged from education <strong>and</strong> learning:<br />
a European perspective Slough: National Foundation for <strong>Education</strong>al Research.<br />
Kinder K, Harl<strong>and</strong> J, Wilkin A <strong>and</strong> Wakefield A (1995) Three to remember: strategies for<br />
disaffected pupils Slough: NFER.<br />
13
Kline L W (1897) Truancy as related to the migrating instinct Pedagogical Seminary 5, 381-<br />
420.<br />
Malcolm H, Wilson V, Davidson J <strong>and</strong> Kirk S (2003) Absence from school: A study of its<br />
causes <strong>and</strong> effects in seven LEAs. Research Report No. 424 Glasgow: The SCRE Centre,<br />
University of Glasgow.<br />
Pellegrini D W (2007) School Non-attendance: Definitions, meanings, responses,<br />
interventions, <strong>Education</strong>al Psychology in Practice 23, No.1, pp.63-77.<br />
Reid K (2000) Tackling Truancy in Schools: A Practical Manual for Primary <strong>and</strong> Secondary<br />
Schools Routledge, London.<br />
Reynolds D (1995) Introduction: School effectiveness <strong>and</strong> school improvement—a survey of<br />
cutting edge issues. Evaluation & Research in <strong>Education</strong> 9, 2, 53 – 55.<br />
Rutter M, Maughan B, Mortimore P <strong>and</strong> Ouston J (1979) Fifteen thous<strong>and</strong> hours:<br />
Secondary schools <strong>and</strong> their effects on children London: Open Books.<br />
Scottish <strong>Education</strong> Department (1977) Truancy <strong>and</strong> Indiscipline in Schools in Scotl<strong>and</strong>: the<br />
Pack Report: Report of a Committee of Inquiry Edinburgh: HMSO.<br />
Scottish Executive (2001) Better Behaviour, Better Learning – Report of the discipline task<br />
group Edinburgh: The Stationery Office.<br />
Scottish Executive (2006) More Choices More Chances - a strategy to reduce the<br />
proportion of children <strong>and</strong> young people not in employment, education or training in Scotl<strong>and</strong><br />
Edinburgh: Scottish Government.<br />
Scottish Government (2007) Included, engaged <strong>and</strong> involved – part 1 attendance in<br />
Scottish schools Edinburgh: Scottish Executive.<br />
Scottish Government (2008) The Guide to Getting it Right for Every Child , Edinburgh,<br />
Scottish Government.<br />
Scottish Government (2008) Curriculum for Excellence - building the curriculum 3: a<br />
framework for learning <strong>and</strong> teaching Edinburgh, Scottish Government.<br />
14
Persistent School Non-attendance: Guidelines for<br />
<strong>Education</strong>al Psychologists<br />
Morven Graham <strong>and</strong> Maureen Myant<br />
Introduction<br />
School non-attendance has been the subject of ongoing debate at a national <strong>and</strong> local<br />
level for a number of years <strong>and</strong> has become a priority <strong>with</strong>in education authorities as a<br />
result of ongoing research in this area.<br />
A study by Sheppard (2007) highlighted that up to 10% of UK children have experienced<br />
some level of difficulty <strong>with</strong> school attendance whilst Kearney (2007) reported that<br />
between 5-28% of youth might experience problems <strong>with</strong> school non-attendance at<br />
some point in their school career.<br />
With regards to the subject of school non-attendance there has been a tendency to<br />
focus on a distinction between that of school refusal <strong>and</strong> of truancy. School refusal has<br />
been traditionally linked to emotional problems such as separation anxiety. As defined<br />
by the World Health Organisation (2004) school refusal is a reluctance to leave home<br />
<strong>and</strong> enter school. Physical symptoms <strong>and</strong> signs of anxiety are common <strong>with</strong>in this<br />
category. On the other h<strong>and</strong>, truancy has been commonly linked to behavioural<br />
difficulties such as conduct disorder (Berg et al. 1993). Physical symptoms <strong>and</strong> signs of<br />
anxiety are also reported to be absent in these categories.<br />
Research has highlighted that some pupils present behaviours, which are not mutually<br />
exclusive to either school refusal or truancy (Berg et al, 1993; Fremont, 2003). As a<br />
result, due to the idiosyncratic nature of this group of pupils, the broader term of<br />
persistent school non-attendance will be used in these guidelines to describe pupils who<br />
fail to attend school on a prolonged <strong>and</strong> persistent basis.<br />
Research has shown that the longer-term consequences of school non-attendance are<br />
often linked to poorer outcomes in relationships, employment opportunities, economic<br />
difficulties <strong>and</strong> forms of anti-social behaviour (Kearney <strong>and</strong> Bensaheb, 2006; Reid,<br />
15
2002). As a result the importance of early intervention (Sheppard, 2007) <strong>and</strong> the need<br />
for multi-disciplinary working (Elliott & Place, 1998) in providing a systematic <strong>and</strong><br />
coordinated response to persistent school non-attendance has been cited as crucial in<br />
addressing the issue. The importance of building capacity <strong>with</strong>in schools <strong>and</strong> other<br />
agencies to address the issue of school non-attendance is crucial. It can be assumed<br />
that pupils must have access to some form of education in order to become successful<br />
learners, confident individuals, responsible citizens <strong>and</strong> effective contributors<br />
(Curriculum for Excellence, 2004).<br />
These guidelines take account of the principles <strong>with</strong>in a number of key documents:<br />
• Additional Support for Learning (Scotl<strong>and</strong>) Act (2004)<br />
• ‘Every Child is Included’ Policy (Glasgow City Council, 2009)<br />
• The Guide to Getting It Right for Every Child (Scottish Government, 2008)<br />
• Included, Engaged, Involved (Scottish Government, 2007)<br />
• Curriculum for Excellence (Scottish Government, 2008)<br />
The importance of having guidelines on persistent school non-attendance is vital for<br />
<strong>Education</strong>al Psychologists, in order to provide a more consistent response to nonattendance<br />
in schools, to help build capacity in schools, to promote a more multisystemic<br />
approach in tackling the issue <strong>and</strong> to link <strong>with</strong> developments at a local <strong>and</strong><br />
national level. The guidelines can also be used to inform practice <strong>with</strong>in schools using<br />
the Staged Intervention Model (See Appendix 1).<br />
The school should be the central focus for any coordinated <strong>and</strong> planned response to<br />
persistent school non-attendance.<br />
A functional analysis of persistent non-attendance <strong>with</strong>in a staged<br />
intervention model<br />
The Guidelines will focus on the need for <strong>and</strong> considerable merits of a more functional<br />
analysis of persistent non-attendance <strong>with</strong>in a staged intervention model i.e. exploring<br />
the different functions of why a pupil avoids attending school, in order to identify a more<br />
16
appropriate intervention for an individual pupil. Kearney (2001) <strong>and</strong> Lauchlan (2003)<br />
argue that a functional analysis is likely to be the most useful strategy in addressing the<br />
school non-attendance issue.<br />
Kearney’s (2001) four functions of school non-attendance are:<br />
Function 1: Avoidance of stimuli that provoke general negative affectivity<br />
Many children/young people refuse to attend school because of a stimulus, which<br />
provokes negative affectivity e.g. the school bus. Many of these children/young people<br />
may not be able to state what specifically they wish to avoid but may report anxiety,<br />
sadness <strong>and</strong> somatic complaints (Kearney, 2001). A child/young person may experience<br />
feelings of nausea, shortness of breath, stomach pains, headaches <strong>and</strong> behaviours such<br />
as poor sleeping patterns, difficulty concentrating, <strong>and</strong> restless <strong>and</strong> emotional behaviour<br />
such as trembling, shaking <strong>and</strong> crying.<br />
Function 2: Avoidance of aversive social or evaluative situations at school<br />
<strong>Young</strong> people may avoid attending school to escape more specific negative situations<br />
e.g. social interaction, examinations etc. (Kearney, 2001). A child/young person may<br />
show similar feelings <strong>and</strong> behaviours to that mentioned in function 1 above.<br />
Function 3: Attention-seeking behaviour i.e. to seek attention or to reduce the<br />
feeling of separation anxiety<br />
Many children who display this behaviour are quite young <strong>with</strong> a mean age of 9.6 years<br />
(Kearney, 2001, p94) <strong>and</strong> may have temper tantrums or exaggerate symptoms of illness<br />
to induce sympathy from adults. It is thought that their behaviour is manipulative <strong>and</strong><br />
controlling (Kearney, 2001, p165). A child/young person may show similar feelings <strong>and</strong><br />
behaviours to that mentioned in function 1 above.<br />
Function 4: Pursuit of tangible reinforcement outside of school<br />
Common reinforcements include watching TV, sleeping late, visiting friends, shopping<br />
<strong>and</strong> using/abusing drugs <strong>and</strong>/or alcohol. Kearney (2001, p96) claims that this group tend<br />
to have more attention problems <strong>and</strong> delinquent/aggressive behaviour than the previous<br />
group <strong>and</strong> their difficulties do not tend to be anxiety based.<br />
17
A staged intervention approach to addressing persistent school non-attendance<br />
It is expected that schools will be able to effectively assess <strong>and</strong> support the majority of<br />
pupils’ needs <strong>with</strong>in their own systems <strong>and</strong> structures.<br />
Glasgow City Council’s policy ‘Every Child is Included’ (2009) outlines a staged<br />
approach to assessment <strong>and</strong> intervention where the Child Development Officer <strong>and</strong> the<br />
Class Teacher are central in the process of identifying emerging additional support<br />
needs.<br />
A comprehensive approach to information gathering is required at an early stage in order<br />
to identify appropriate strategies for those at risk of persistent non-attendance. An<br />
awareness of the risk factors that might contribute to a child/young person’s school nonattendance<br />
is crucial for all those working <strong>with</strong> children <strong>and</strong> young people. Persistent<br />
school non-attendance can be related to a wide range of factors such as loss <strong>and</strong><br />
change, family dynamics, curricular <strong>and</strong> learning issues, social <strong>and</strong> personal, stress <strong>and</strong><br />
anxiety (West Sussex County Council EPS, 2004). These factors need to be explored at<br />
an early stage of a pupil’s school non-attendance in order to try <strong>and</strong> establish a possible<br />
intervention <strong>and</strong>/or plan of action.<br />
<strong>Education</strong>al Psychologists should refer to Appendix 2 for an outline of the risk factors.<br />
<strong>Education</strong>al Psychologists can contribute to preventative work <strong>with</strong>in schools on the<br />
subject of persistent school non-attendance at Stages 1 <strong>and</strong> 2 of intervention prior to<br />
becoming directly involved <strong>with</strong> an individual child/young person.<br />
18
The Role of the <strong>Education</strong>al Psychologist<br />
<strong>Education</strong>al Psychologists can offer valuable input <strong>and</strong> support in the area of persistent<br />
non-attendance, through the five core functions of assessment, intervention,<br />
consultation, training <strong>and</strong> research <strong>and</strong> <strong>with</strong>in a Staged Intervention Model. Input can be<br />
at an individual, whole school or authority level.<br />
Consultation<br />
<strong>Education</strong>al Psychologists can:<br />
� Provide consultation <strong>and</strong> advice throughout the four stages of intervention as<br />
appropriate. At Stage 1 <strong>and</strong> Stage 2, <strong>Education</strong>al Psychologists can provide<br />
consultation to schools, parents/carers <strong>and</strong> other agencies, <strong>with</strong>out being directly<br />
involved <strong>with</strong> an individual pupil. Glasgow Psychological Service currently has<br />
Guidelines on ‘Consultation’ <strong>and</strong> <strong>Education</strong>al Psychologists are advised to refer<br />
to these Guidelines.<br />
� Provide advice to schools on preventative approaches, focusing on identifying<br />
<strong>and</strong> minimising possible school-based factors. Some examples of school based<br />
systemic early intervention supports that have been found to be helpful have<br />
been: establishment of safe areas for use as havens, monitoring of areas that are<br />
known to be hot spots, anti-bullying policies, pastoral support systems, work on<br />
resilience <strong>and</strong> motivation, looking at how to engage families <strong>and</strong> advise them<br />
about behaviour management, social skill development through PSD<br />
programmes, circle time, focused projects <strong>and</strong> multi-disciplinary initiatives<br />
(Pelligrini, 2008).<br />
� Encourage discussion of pupils at risk of persistent non-attendance at a school’s<br />
Joint Support Team, to highlight the importance of a shared consultation<br />
approach in tackling this issue.<br />
19
Training<br />
<strong>Education</strong>al Psychologists can:<br />
� Provide training throughout the four stages of intervention.<br />
� Support <strong>and</strong> train school staff <strong>and</strong> other agencies in developing knowledge about<br />
persistent school non-attendance, for example in the recognition, prevention <strong>and</strong><br />
response to persistent non-attendance, based on current research.<br />
� Provide training opportunities, which might develop as a result of possible<br />
interventions for persistent school non-attendees such as training in social skills,<br />
peer support, anti-bullying, anxiety management, parenting skills etc.<br />
� A PowerPoint presentation on persistent school non-attendance is available for<br />
<strong>Education</strong>al Psychologists to use as a framework for training purposes.<br />
Research:<br />
<strong>Education</strong>al Psychologists can:<br />
� Help to develop <strong>and</strong> share evidence based practice supported by the most recent<br />
research, in addressing those most at risk of persistent school non-attendance.<br />
� Support schools <strong>and</strong> other agencies in evaluating the impact of interventions <strong>and</strong><br />
approaches to persistent non-attendance<br />
� Participate <strong>and</strong> encourage opportunities for action research either at a school or<br />
authority level, <strong>with</strong> regards to issues around persistent school non-attendance.<br />
� Review <strong>and</strong> develop current policies on promoting school attendance <strong>with</strong>in a<br />
staged intervention framework, to ensure that the most up to date research<br />
evidence is taken into account.<br />
20
Assessment:<br />
<strong>Education</strong>al Psychologists can:<br />
� Provide an assessment of need at Stage 3 <strong>and</strong> Stage 4 of intervention.<br />
� Effective assessment <strong>and</strong> intervention should be embedded <strong>with</strong>in a staged<br />
process, which outlines clear roles <strong>and</strong> responsibilities for all those involved.<br />
� An ecological model would be the basis of any assessment of needs, ensuring<br />
that a wide range of factors <strong>and</strong> environments are taken into account as part of<br />
the assessment framework recommended by the Association of Scottish<br />
Principal <strong>Education</strong>al Psychologists (ASPEP/SDEP, 2005). It is important for<br />
<strong>Education</strong>al Psychologists to use multiple methods <strong>and</strong> multiple sources of<br />
information gathering as part of a robust assessment of needs. The least<br />
intrusive form of information gathering is encouraged.<br />
� Due to the idiosyncratic nature of school non-attendance there is a valuable role<br />
for <strong>Education</strong>al Psychologists in advising <strong>and</strong>/or contributing to an individual<br />
assessment <strong>with</strong>in the staged intervention framework.<br />
� A full assessment of the function of a pupil’s non-attendance can lead to the<br />
identification of an appropriate intervention programme for an individual pupil.<br />
� Contribute <strong>and</strong> advise on the initial screening of non-attendance problems. For<br />
example, if a pupil’s non-attendance has lasted less than 2 weeks, then an<br />
assessment should be delayed until it is clear that it is a case of persistent nonattendance.<br />
Exceptions to this could be<br />
� if extreme behaviour is displayed in order to avoid school e.g. self harm<br />
� if a young person has a history of school non-attendance behaviour<br />
� if the family are in turmoil due to the school non-attendance behaviour<br />
21
Ascertain:<br />
� whether the non-attendance behaviour is the primary problem<br />
� whether the non-attendance is related to or subsumed by another<br />
problem e.g. anxiety disorder, depression, learning difficulty<br />
� whether there are any other existing medical conditions <strong>and</strong> if so, what<br />
symptoms are displayed<br />
There are a number of psychological assessment tools such as interview schedules,<br />
questionnaires <strong>and</strong> self-report measures available as part of the assessment process. It<br />
is important to use these assessment tools as part of a wider assessment process.<br />
Fremont (2003), reports that the usefulness of these assessment tools in developing<br />
appropriate interventions has not been demonstrated.<br />
The School Refusal Assessment Scale (Kearney & Silverman, 2003), which focuses on<br />
a functional analysis of the non-attendance behaviour <strong>and</strong> includes teacher, parent <strong>and</strong><br />
pupil forms, has been reported to have high reliability <strong>and</strong> validity (Fremont, 2003). The<br />
use of the School Refusal Assessment Scale (Kearney & Silverman, 1993) is<br />
encouraged along <strong>with</strong> other means of information gathering, to provide a functional<br />
analysis of the non-attendance.<br />
Youth Self-Report Measures are applicable to more able <strong>and</strong> older children. They are<br />
also more applicable for use <strong>with</strong> those who internalise problems <strong>and</strong> emotions rather<br />
than expressing them.<br />
Appendix 3 lists suggestions for structured interviews, Appendix 4 lists Youth Self-Report<br />
Measures <strong>and</strong> Appendix 5 lists Parent-Teacher Questionnaires.<br />
Interventions<br />
<strong>Education</strong>al Psychologists can provide direct intervention at Stage 3 <strong>and</strong> Stage 4 of the<br />
staged intervention model. Lauchlan (2003) argues that the key is to develop a<br />
programme of intervention for each individual based on their idiosyncratic needs whilst<br />
using a multi-systemic approach i.e. involving the school, parents/carers, other agencies<br />
<strong>and</strong> the <strong>Education</strong>al Psychologist, in responding to the problem.<br />
22
Early intervention programmes can be devised prior to Stage 3 <strong>and</strong> Stage 4. Through<br />
training, research <strong>and</strong> consultation <strong>Education</strong>al Psychologists can assist schools in<br />
devising early intervention programmes such as gradual re-integration to school,<br />
restricted timetable, buddy schemes <strong>and</strong> pupil contracts (Lauchlan, 2003).<br />
There are numerous interventions suggested for school non-attendance but research<br />
has yet to provide any conclusive evidence that a particular intervention approach is<br />
more effective in targeting all persistent school non-attendance (Elliott & Place, 1998).<br />
<strong>Education</strong>al Psychologists should refer to Appendix 6 for a list of interventions related to<br />
each of Kearney & Silverman’s (1990) four functions of school non-attendance.<br />
23
References<br />
Albano A M <strong>and</strong> Barlow D H (1996) Breaking the vicious cycle: Cognitive-behavioural<br />
group treatment for socially anxious youth. In E. D. Hibbs <strong>and</strong> P. S. Jensen (Eds.),<br />
Psychosocial treatments for child <strong>and</strong> adolescent disorders: Empirically based strategies<br />
for clinical practice pp 43-62 Washington DC: American Psychological Association.<br />
ASPEP/SDEP (2005) <strong>Education</strong>al Psychology Assessment in Scotl<strong>and</strong> Professional<br />
Development for <strong>Education</strong>al Psychologists in Scotl<strong>and</strong>.<br />
Ayllon T, Smith D <strong>and</strong> Rogers M (1970) Behavioural management of school phobia.<br />
Cited in Kearney, C A (2001)<br />
Berg I, Butler A, Franklin J, Hayes H, Lucas C <strong>and</strong> Sims R (1993) DSM-111<br />
disorders, social factors <strong>and</strong> management of school attendance problems in the normal<br />
population. Journal of Child <strong>and</strong> Psychology <strong>and</strong> Psychiatry, Vol. 34. No.7 pp1187-1203<br />
Bizzis J <strong>and</strong> Bradley-Johnston S (1981) Increasing the school attendance of a truant<br />
adolescence. Cited in Kearney C A (2001)<br />
Blagg N R <strong>and</strong> Yule W (1994) School Phobia. In T. H. Ollendick, N. J. King <strong>and</strong> W. Yule<br />
(Eds.) International h<strong>and</strong>book of phobic <strong>and</strong> anxiety disorders in children <strong>and</strong><br />
adolescents. New York: Plenum Press.<br />
Brooks B D (1974) Contingency contracts <strong>with</strong> truants. Cited in Kearney C A (2001)<br />
Cooper J (1973) Application of the consultant role to parent-teacher management of<br />
school avoidance behavior. Cited in Kearney C A (2001)<br />
Elliott J <strong>and</strong> Place M (1998) <strong>Children</strong> in difficulty: a guide to underst<strong>and</strong>ing <strong>and</strong> helping<br />
London: Routledge.<br />
Elliott J G (1999) Practitioner Review: School Refusal: Issues of Conceptualisation,<br />
Assessment <strong>and</strong> Treatment. Journal of Child Psychology <strong>and</strong> Psychiatry, Vol 40 No,7<br />
pp1001-1012.<br />
24
Foreh<strong>and</strong> R <strong>and</strong> McMahon R (1981) Helping the noncompliant child: a clinician’s guide<br />
to parent training. Cited in Kearney C A (2001)<br />
Fremont W P (2003) School Refusal in <strong>Children</strong> <strong>and</strong> Adolescents. American Family<br />
Physician, Vol 68 No.8 pp1555-1561.<br />
Glasgow City Council (2009) Every Child is Included<br />
Kennedy W A (1965) School phobia: rapid treatment of 50 cases. Cited in Kearney C A<br />
(2001)<br />
Kearney C A <strong>and</strong> Silverman W K (1990) A preliminary analysis of a functional model of<br />
assessment <strong>and</strong> intervention of school refusal behaviour. Behaviour Modification Vol149<br />
pp340-366.<br />
Kearney C A <strong>and</strong> Silverman W K (1993) Measuring the function of school refusal<br />
behaviour: The School Refusal Assessment Scale. Journal of Clinical Child Psychology<br />
Vol 22 pp85-96.<br />
Kearney C A <strong>and</strong> Beasley J F (1994) The clinical intervention of school refusal<br />
behaviour: a survey of referral <strong>and</strong> practice characteristics. Psychology in the Schools,<br />
Vol 31 pp128-132.<br />
Kearney C A <strong>and</strong> Albano A M (2000) Therapists guide to school refusal behavior. Cited<br />
in Kearney C A (2001)<br />
Kearney C A (2001) School Refusal Behaviour in Youth: A Functional Approach to<br />
Assessment <strong>and</strong> Treatment American Psychological Association: Washington<br />
Kearney C A (2002) Identifying the function of school refusal behaviour: a revision of the<br />
School Refusal Assessment Scale. Journal of Psychopathology Behaviour Assessment,<br />
Vol 24 pp235-245.<br />
25
Kearney C A (2003) Bridging the gap among professionals who address youths <strong>with</strong><br />
school absenteeism: Overview <strong>and</strong> suggestions for consensus. Professional<br />
Psychology: Research <strong>and</strong> Practice Vol 31 No 1 pp57-65.<br />
Kearney C A <strong>and</strong> Bensaheb A (2006) School Absenteeism <strong>and</strong> School Refusal: A<br />
review <strong>and</strong> suggestions for school-based health professionals. Journal of School Health<br />
Vol 76 no 1 pp3-7.<br />
Kearney C A (2007) Forms <strong>and</strong> functions of school refusal behaviour in youth: An<br />
empirical analysis of absenteeism severity. Journal of Child Psychology <strong>and</strong> Psychiatry<br />
Vol 48 No1 pp53-61.<br />
Kifer R E, Lewis M A, Green D R <strong>and</strong> Phillips E L (1974) Training pre-delinquent<br />
youths <strong>and</strong> their parents to negotiate conflict situations. Cited in Kearney C A (2001)<br />
King N, Ollendick T H <strong>and</strong> Tonge B J (1995) School refusal: Assessment <strong>and</strong><br />
Treatment. Needham Heights, MA: Allyn <strong>and</strong> Bacon.<br />
King N, Tonge B J, Heyne D <strong>and</strong> Ollendick T H (2000) Research on the Cognitive-<br />
Behavioural Treatment of School Refusal: A Review <strong>and</strong> Recommendations. Clinical<br />
Psychology Review, Vol 20 No 4 pp495-507<br />
King N J <strong>and</strong> Bernstein G A (2001) School Refusal in <strong>Children</strong> <strong>and</strong> Adolescents: A<br />
Review of the Past 10 Years. Journal of the American Academy of Child <strong>and</strong> Adolescent<br />
Psychiatry Vol 40 No 2 pp197-205.<br />
Last C G, Hansen M S <strong>and</strong> Franco N (1998) Cognitive-behavioural treatment of school<br />
phobia. Journal of the American Academy of Child <strong>and</strong> Adolescent Psychiatry Vol 37<br />
pp404-411.<br />
Lauchlan F (2003) Responding to Chronic Non-attendance: a review of intervention<br />
approaches. <strong>Education</strong>al Psychology in Practice Vol 19 No 2 pp133-146.<br />
Meyer E A Hagopian L P, <strong>and</strong> Paclawskji T R (1999) A function-based treatment for<br />
school refusal behavior using shaping <strong>and</strong> fading. Cited in Kearney C A (2001)<br />
26
Pellegrini D W (2007) School Non-attendance: Definitions, meanings, responses,<br />
interventions. <strong>Education</strong>al Psychology in Practice Vol 23 No 1 pp63-77.<br />
Reid K (2002) Truancy: Short <strong>and</strong> Long-Term Solutions London: Routledge.<br />
Sheppard A (2007) An approach to underst<strong>and</strong>ing school attendance difficulties: pupils’<br />
perceptions of parental behaviour in response to their request to be absent from school.<br />
Emotional <strong>and</strong> Behavioural Difficulties Vol 12 No 4 pp349-363.<br />
Sherman J <strong>and</strong> Formanek R (1985) School phobia in a multi phobic family: the family<br />
that phobes together … Cited in Kearney C A (2001)<br />
Stewart K, Valentine L <strong>and</strong> Amundson J (1991) The battle for definition: the problem<br />
<strong>with</strong> (the problem). Cited in Kearney C A (2001)<br />
Scottish Government (2007) Included, engaged <strong>and</strong> involved – part 1 attendance in<br />
Scottish schools. Edinburgh: Scottish Executive.<br />
Scottish Government (2008) Curriculum for Excellence Building the Curriculum 3: A<br />
Framework for Learning <strong>and</strong> Teaching. The Scottish Government; Edinburgh.<br />
Scottish Government (2008) The Guide to Getting it Right for Every Child , Edinburgh,<br />
Scottish Government.<br />
West Sussex County Council <strong>Education</strong>al Psychology Service (2004) Emotionally<br />
Based School Refusal: Guidance for Schools <strong>and</strong> Support Agencies pp1-73.<br />
World Health Organisation (2004) School Refusal Geneva: WHO<br />
27
Appendices<br />
Appendix 1<br />
The following is Glasgow City Council’s Staged Intervention Framework, which has been<br />
used to outline a staged approach using Kearney’s (2001) four functions of school nonattendance.<br />
STAGE 1<br />
It is the responsibility of a Child Development Officer <strong>and</strong>/or Class Teacher to identify,<br />
plan <strong>and</strong> meet a child/young person’s needs. It is only necessary to record briefly on the<br />
Planning <strong>and</strong> Reporting Framework (PRF) what the additional support needs are <strong>and</strong><br />
that the child is at Stage 1.<br />
The CDO or Class Teacher/s should consider the following information if concerned<br />
about a child/young person’s pattern of attendance. It is generally accepted that when<br />
the rate of attendance rates fall below 85% this indicates persistent absence, whilst a<br />
record of between 85% <strong>and</strong> 92% indicates a significant level of absence (Sheppard,<br />
2007).<br />
Function 1. Avoidance of stimuli that provoke general negative affectivity<br />
Many children/young people refuse to attend school because of a stimulus, which<br />
provokes negative affectivity e.g. the school bus. Many of these children/young people<br />
may not be able to state what specifically they wish to avoid but may report anxiety,<br />
sadness <strong>and</strong> somatic complaints (Kearney, 2001). A child/young person may experience<br />
feelings of nausea, shortness of breath, stomach pains, headaches <strong>and</strong> behaviours such<br />
as poor sleeping patterns, difficulty concentrating, <strong>and</strong> restless <strong>and</strong> emotional behaviour<br />
such as trembling, shaking <strong>and</strong> crying.<br />
Function 2. Avoidance of aversive social or evaluative situations at school<br />
<strong>Children</strong>/young people may avoid attending school to escape more specific negative<br />
situations e.g. social interaction, examinations etc. (Kearney, 2001). Signs of this are<br />
similar to number 1 above. CDOs or Class Teacher/s need to consider the following:<br />
28
� is the class work too hard<br />
� does the child/young person have any learning difficulties or existing<br />
additional support needs<br />
� are there any difficulties <strong>with</strong> peer relations? Perhaps the child/young person<br />
has fallen out <strong>with</strong> another pupil or there have been issues of bullying<br />
� is the child/young person naturally anxious or sensitive <strong>and</strong> has reacted badly<br />
to something that has happened in school? Perhaps the child/young person<br />
has been given a row or the child/young person is fearful of a particular<br />
teacher<br />
� does the child/young person struggle to separate from their parent/carer<br />
� is there anything else that is happening at home that you are aware of that<br />
might be contributing to the child/young person’s refusal of coming to school<br />
Function 3. Attention-seeking behaviour i.e. to seek attention or to reduce the<br />
feeling of separation anxiety<br />
Many children/young people who display this behaviour are quite young (mean age 9.6<br />
years, Kearney, 2001, p94) <strong>and</strong> may have temper tantrums or exaggerate symptoms of<br />
illness to induce sympathy from adults. It is thought (Kearney, 2001, p165) that their<br />
behaviour is manipulative <strong>and</strong> controlling. Once again signs are similar to those outlined<br />
in number 1 above.<br />
Function 4. Pursuit of tangible reinforcement outside of school.<br />
Common reinforcers include watching TV, sleeping late, visiting friends, shopping <strong>and</strong><br />
(ab)using drugs/alcohol. Kearney (2001, p96) claims that this group tend to have more<br />
attention problems <strong>and</strong> delinquent/aggressive behaviour than the previous group <strong>and</strong><br />
their difficulties do not tend to be anxiety based.<br />
How might persistent school non-attendance be addressed at Stage 1?<br />
� it is a priority that ongoing discussion should take place <strong>with</strong> Senior<br />
Management, <strong>with</strong> parents/carers <strong>and</strong> the child/young person (if appropriate)<br />
� refer to the notes above on the four functions <strong>and</strong> the points raised for<br />
consideration<br />
29
STAGE 2<br />
� Once these have been addressed a general consultation <strong>with</strong> Psychological<br />
Service could be pursued at this stage to seek advice. Psychological Service<br />
would not have direct involvement <strong>with</strong> the child/young person at this stage<br />
� progress <strong>and</strong> strategies should be reviewed <strong>and</strong> tracked in accordance <strong>with</strong><br />
establishment procedures<br />
Following a period of intervention <strong>and</strong> review at Stage 1 <strong>and</strong> ongoing discussion <strong>with</strong><br />
parent/carers <strong>and</strong> senior management, if it is deemed that the resources of the<br />
establishment are required to help address the child/young person’s attendance<br />
problems then the child/young person moves to Stage 2. At this stage school staff could<br />
request a consultation <strong>with</strong> the <strong>Education</strong>al Psychologist to ensure that possible risk<br />
factors have been explored. The recording of the child/young person’s additional support<br />
needs continues to be through individual or group planning documents. Brief information<br />
should be recorded <strong>with</strong>in the PRF <strong>and</strong> should cover the following points:<br />
� ensure that there is a clear underst<strong>and</strong>ing of the cause of school absences<br />
o refer to the 4 functions of persistent non-attendance as this will help to<br />
provide a more specific programme of support<br />
� direct communication <strong>and</strong> active planning should take place between the school,<br />
parent/carers <strong>and</strong> child/young person (if appropriate), outlining the additional<br />
support needs <strong>and</strong> the learning outcomes<br />
In addition school staff should consider the following points:<br />
� it is important to encourage the parent/carers to take their child to school as soon<br />
as possible<br />
� staying at home can often increase the child/young person’s anxiety<br />
� explore further whether the curriculum requires differentiation or whether other<br />
additional supports are required to support the child/young person’s attendance<br />
at school such as peer support systems or additional contact <strong>with</strong> parents/carers<br />
regarding home issues<br />
� explore further whether the child/young person is enjoying rewarding experiences<br />
at home such as watching the TV, playing on the computer or meeting up <strong>with</strong><br />
friends<br />
30
o does the child stay at home due to factors such as poor parenting or a<br />
chaotic home life<br />
� try to engage <strong>with</strong> the family <strong>and</strong> the child/young person perhaps by visiting at<br />
home (according to establishment procedures) or encouraging peers to make<br />
contact <strong>with</strong> the child/young person through letters or phone calls<br />
� the child/young person could be integrated gradually into school<br />
o providing a safe area for the child/young person to go to<br />
o increasing time at school on a gradual basis e.g. restricted timetable<br />
o make the target achievable<br />
� encourage the use of basic coping strategies such as relaxation techniques <strong>and</strong><br />
positive self-talk techniques<br />
o advice can be sought from Psychological Service at this stage<br />
� a general consultation <strong>with</strong> Psychological Service could be pursued at this stage<br />
to seek advice<br />
o Psychological Service would not have direct involvement <strong>with</strong> the<br />
child/young person at Stage 2<br />
o if following a period of intervention <strong>and</strong> ongoing review it is agreed that<br />
further additional supports are required from the education authority such<br />
as Psychological Service input, then evidence of planning <strong>and</strong> the support<br />
strategies already implemented should be provided<br />
o at this stage a consultation would often take place at the school’s Joint<br />
Support Team (JST) to discuss whether the child/young person moves to<br />
Stage 3<br />
STAGES 3 <strong>and</strong> 4<br />
Following a period of intervention <strong>and</strong> review at Stage 2 if problems continue <strong>with</strong><br />
persistent school non-attendance then there might be a need for multi-agency<br />
involvement. The <strong>Education</strong>al Psychologist might become involved following a<br />
consultation <strong>with</strong> the school <strong>and</strong> parent/carer.<br />
*Please refer to information <strong>with</strong>in the Guidelines on the <strong>Education</strong>al Psychologist’s role,<br />
in particular for assessment <strong>and</strong> intervention.<br />
31
Appendix 2<br />
Examples of Possible Risk Factors:<br />
School systemic factors might include:<br />
Size of school<br />
Structure of school day (transition times, breaks, movement about the school)<br />
Policy of streaming or setting of pupils (Lauchlan 2003)<br />
Curriculum – lack of appropriate differentiation or lack of flexibility<br />
Disruption <strong>and</strong> instability in school staff<br />
Hostile, formal <strong>and</strong> impersonal teacher-pupil relationships (Lauchlan 2003)<br />
Specific areas of the school (toilets, corridors, playgrounds), which are not regularly<br />
monitored (Blagg 1987)<br />
Individual factors might include:<br />
Social isolation<br />
Bullying<br />
Peer pressure<br />
<strong>Children</strong> having to be young carers<br />
Loss <strong>and</strong> change (move of house, school, area or death of close person, pet or sudden<br />
separation)<br />
Family factors might include:<br />
Parental or family views of education <strong>and</strong> the value of full attendance<br />
Domestic violence<br />
Atypical parental working pattern<br />
Loss <strong>and</strong> change <strong>with</strong>in the family<br />
32
Appendix 3<br />
Examples of Interview Schedules:<br />
Diagnostic Interview for <strong>Children</strong> & Adolescents (Herjanic & Campbell, 1977)<br />
Family History Research Diagnostic Criteria (Endicott, Andreasen, & Spitzer, 1975)<br />
Interview Schedule for <strong>Children</strong> (see Last, Francis, et al., 1987)<br />
Schedule for Affective Disorders & Schizophrenia (Kiddie-SADS; Puig-Antich,<br />
Orvaschel, Tabrizi, & Chambers, 1980)<br />
National Institute of Mental Health Diagnostic Interview Schedule for <strong>Children</strong><br />
(Schaffer et al., 1996)<br />
Child & Adolescent Psychiatric Assessment (Angold & Costello, 2000)<br />
Child Assessment Schedule (Hodges, Kline, Stern, Cytryn, & McKnew, 1982)<br />
<strong>Children</strong>’s Interview for Psychiatric Syndromes (Weller, Weller, Fristad, Rooney & Schecter,<br />
2000)<br />
Pictorial Instrument for <strong>Children</strong> <strong>and</strong> Adolescents (Ernst, Cookus, & Moravec, 2000)<br />
The School Absence Questionnaire (Huffington & Sevitt, 1989)<br />
Anxiety Disorders Interview Schedule for <strong>Children</strong> (Silverman & Albano, 1996) has<br />
been widely used. It provides different versions of the interview for children &<br />
parents. It has a focus on children <strong>with</strong> emotional distress, which is related to school<br />
non-attendance.<br />
33
Appendix 4<br />
Examples of self-report measures:<br />
<strong>Children</strong>’s Depression Inventory (CDI: Kovacs, 1992)<br />
Daily Life Stressors Scale (DLSS; Kearney, Drabman, & Beasley, 1993)<br />
Fear Survey Schedule for <strong>Children</strong>-Revised (T. H. Ollendick, 1983)<br />
Multidimensional Anxiety Scale for <strong>Children</strong> (MASC; March, 1997)<br />
Negative Affect Self-Statement Questionnaire (NASSQ; Ronan, Kendall, & Rowe, 1994)<br />
Revised <strong>Children</strong>’s Manifest Anxiety Scale (RCMAS; C. R. Reynolds & Paget, 1983)<br />
Social Anxiety Scale for <strong>Children</strong>-Revised (SASC-R; La Greca & Stone, 1993)<br />
State-Trait Anxiety Inventory for <strong>Children</strong> (STAIC; Spielberger, 1973)<br />
Visual Analogue Scale for Anxiety-Revised (Bernstein & Garfinkel, 1992)<br />
Youth Self-Report (YSR; Achenbach, 1991c).<br />
34
Appendix 5<br />
Examples of Parent-Teacher Measures:<br />
Child Behaviour Checklist (CBCL; Achenbach, 1991a)<br />
Conners Rating Scales – Parent Version Revised (CRS-PVR; Conners, 1997)<br />
Conners Rating Scales – Teacher Version Revised (CRS-TVR; Conners, 1997)<br />
Family Adaptability <strong>and</strong> Cohesion Evaluation Scale (FACES II; Olson, Bell, Portner, 1982; cf<br />
Bernstein, Warren, Massie & Thuras, 1999)<br />
Family Assessment Measure (Skinner, Steinhauer, & Santa-Barbara, 1983)<br />
Family Environment Scale (FES; Moos & Moos, 1986)<br />
Measures of parenting practices (Alabama Parenting Questionnaire; Shelton, Frick, &<br />
Wootton, 1996)<br />
Self-Administered Dependency Questionnaire (Berg, 1974)<br />
Symptom Checklist – 90 – Revised (Derogatis, 1994)<br />
Teacher Report Form (Achenbach, 1991b)<br />
35
Appendix 6<br />
Examples of interventions at the level of the individual, which may be used in relation to the<br />
Kearney’s (2001) four functions of school non-attendance: -<br />
Function 1 – Avoidance of stimuli that provoke general negative affectivity<br />
Many young people refuse to attend school because of a stimulus that provokes negative<br />
affectivity e.g. the school bus. May of these young people may not be able to state<br />
specifically what they wish to avoid but may report anxiety, sadness <strong>and</strong> somatic complaints.<br />
(Kearney, 2001)<br />
A number of interventions, which could be used, are outlined in the literature to address this<br />
function:<br />
Interventions<br />
The EP may work directly <strong>with</strong> the young person. Psycho-education is recommended,<br />
enabling the young person to underst<strong>and</strong> the feelings, thoughts <strong>and</strong> behaviours. Through<br />
discussion of scenarios, interactions between the three are established. (Kearney, 2001).<br />
The use of in vivo or imaginable desensitisation procedures has been recommended (King,<br />
Ollendick <strong>and</strong> Tonge, 1995, Kearney 2001) using a hierarchy of situations. Evidence for such<br />
an approach is based largely, however, on case studies (King et al, 1995). Blagg <strong>and</strong> Yule<br />
(1984) reported a 93% return rate for young people allocated to behavioural treatment<br />
approaches including in vivo desensitisation <strong>and</strong> contingency contracting. However, it is<br />
noted participants were not r<strong>and</strong>omly allocated, limiting generalisability of the findings (King<br />
<strong>and</strong> Bernstein, 2001). The role of the EP may be working directly <strong>with</strong> a young person<br />
depending on training undertaken or working as part of a multi-agency team, referring to<br />
CAHMS, liaising <strong>and</strong> working at a consultative level<br />
The EP should carefully consider the appropriateness of services such as Interrupted<br />
Learners for each individual. Results of Blagg <strong>and</strong> Yule’s (1984) study indicate that home<br />
tuition may be an ineffective response due to the positive reinforcement of staying at home.<br />
For youths whose school refusal is related to anxiety the EP may consider the use of<br />
cognitive behavioural therapy (CBT). However it is worth noting that a review of the literature<br />
found only two r<strong>and</strong>omised controlled studies to support this (King, Tonge, Heyne <strong>and</strong><br />
36
Ollendick, 2000). In both CBT was effective in promoting return to school, which was<br />
maintained. However, Last, Hansen <strong>and</strong> Franco (1998) found this was no more effective than<br />
education programmes thus further research is required on the additional benefits of the<br />
cognitive components.<br />
Function 2 – Avoidance of aversive social or evaluative situations at school<br />
<strong>Young</strong> people may avoid attending school to escape more specific negative situations e.g.<br />
social interaction, examinations etc (Kearney, 2001).<br />
Many of the interventions recommended in the literature are similar to those for function one,<br />
however, one specific protocol has been developed <strong>and</strong> can be found in Albano <strong>and</strong> Barlow<br />
(1996) inclosing exposure, modelling <strong>and</strong> role playing situations.<br />
Interventions<br />
Cognitive approaches may be used to develop social skills (Kearney, 2001). Provision of<br />
opportunities for rehearsal <strong>and</strong> modelling to improve social skills are also recommended<br />
(King et al., 1995). A group approach could be used, although it is noted there is a need for<br />
more empirical evaluation (see Lauchlan, 2003).<br />
It is recommended that a hierarchy of situations can be produced. Cognitive restructuring can<br />
then be used along <strong>with</strong> graded behavioural exposures (Kearney 2001). Input from an<br />
agency such as CAHMS might help to facilitate this direct work for a young person.<br />
CBT approaches may be a potentially useful tool although further evidence on which<br />
programmes are most effective is required (Lauchlan, 2003).<br />
Function 3 – Attention seeking behaviour<br />
Many children who display this behaviour are quite young (mean age 9.6 years, Kearney,<br />
2001, p94) <strong>and</strong> may have temper tantrums or exaggerate symptoms of illness to induce<br />
sympathy from adults. It is thought (Kearney 2001, p165) that their behaviour is manipulative<br />
<strong>and</strong> controlling. Interventions tend to focus more on training adults to give them the requisite<br />
skills to h<strong>and</strong>le the behaviour rather than on the individual child. Interventions which follow<br />
behaviourist principles <strong>and</strong> which are rigorous in their approach are often successful <strong>and</strong><br />
there is a wide evidence base to suggest that contingency management <strong>and</strong> shaping are<br />
37
successful interventions for school refusal in these cases (Ayllon, Smith <strong>and</strong> Rogers, 1970;<br />
Cooper, 1972; Meyer, Hagopian <strong>and</strong> Paclawsky, 1999). However, a number of children may<br />
have genuine separation anxiety <strong>and</strong> in these cases interventions as described in section 1,<br />
may be more appropriate. The role of the EP may be an advisory or consultative role as well<br />
as referring on to other agencies if deemed appropriate.<br />
Interventions<br />
Restructuring parent comm<strong>and</strong>s i.e. ensuring that parents give clear <strong>and</strong> consistent<br />
messages about what is expected <strong>and</strong> avoid vague, overlong comm<strong>and</strong>s which have been<br />
found to be ineffective (Foreh<strong>and</strong> <strong>and</strong> McMahon, 1981; Kearney <strong>and</strong> Albano, 2000)<br />
Ignoring simple inappropriate behaviours (Kearney, 2001, p169)<br />
Establishing fixed routines <strong>and</strong> ensuring that children keep to these. Kearney (2001)<br />
suggests that it is important that parents respond to how a child keeps the routine, i.e. if they<br />
deviate from it significantly then there should be appropriate sanctions.<br />
Punishments for school refusal behaviour (Kearney, 2001)<br />
Rewards for school attendance. The best rewards are usually attention based <strong>and</strong> involve<br />
some joint parent-child activity (Kearney, 2001).<br />
Forced school attendance. This was popularised by Kennedy (1965) <strong>and</strong> found to be 100%<br />
effective although problems were noted <strong>with</strong> the methodology. Kearney (2001) notes that it<br />
can be viewed as a flooding procedure <strong>and</strong> should be used <strong>with</strong> great caution <strong>and</strong> only under<br />
certain circumstances e.g. if child is refusing to attend most of the time <strong>and</strong> is under age 11,<br />
if parents are willing to take child to school etc. (Kearney <strong>and</strong> Albano, 2000).<br />
Function 4 – Pursuit of tangible reinforcement outside of school<br />
Common reinforcements include watching TV, sleeping late, visiting friends, shopping <strong>and</strong><br />
(ab)using drugs/alcohol (Kearney, 2001, p96). Kearney (2001) claims that this group tends to<br />
have more attention problems <strong>and</strong> delinquent/aggressive behaviour than the previous group<br />
<strong>and</strong> their difficulties do not tend to be anxiety based. It should be noted that intervention in<br />
this category is likely to be longer than in the other categories <strong>and</strong> is less likely to be<br />
successful in terms of an outcome of fulltime attendance. Overall goals according to Kearney<br />
38
should be to reduce family conflict, provide families <strong>with</strong> problem solving skills <strong>and</strong> reduce<br />
school refusal behaviour. In addition, systemic programmes may be used. It is vital that a<br />
multi agency approach is used in these cases <strong>and</strong> the school’s Joint Support Team (or<br />
equivalent) will have a seminal role.<br />
Interventions<br />
Family therapy – there are no large scale studies of family therapy in this area only case<br />
studies (Sherman <strong>and</strong> Formanek, 1985; Stewart et al, 1986)<br />
Contracts are thought to be especially useful for young people who truant for tangible<br />
reinforcement (Brooks, 1974; Bizzis <strong>and</strong> Bradley-Johnston, 1981) <strong>and</strong> can be combined <strong>with</strong><br />
communication skills training (Kifer et al, 1974)<br />
Escorting to school <strong>and</strong> classes (Kearney, 2001)<br />
Communication skills training (Kearney, 2001)<br />
Peer refusal skills training (Kearney, 2001)<br />
39
A Functional Approach in Addressing School Refusal<br />
Behaviour: Training for Pupil <strong>and</strong> Family Support Workers<br />
Gary McIlree<br />
Background<br />
School non-attendance is a particularly nettlesome issue for local education authorities to<br />
address. The lack of agreed definitions, the heterogeneous nature of the population, <strong>and</strong> the<br />
variety <strong>and</strong> complexity of causal factors involved can all combine to make it a appear an<br />
often intractable problem for professionals working <strong>with</strong> children <strong>and</strong> young people to<br />
resolve.<br />
For these reasons, the functional model proposed by Kearney (2001) for tackling school<br />
refusal behaviour appears to offer a number of advantages. Firstly, by focusing on what<br />
function or contingencies the non-attending behaviour is serving for the child or young<br />
person the model avoids ‘category confusion’ <strong>and</strong> the difficulties associated <strong>with</strong> the dubious<br />
utility of traditional distinctions such as truancy <strong>and</strong> school refusal in terms of responding to<br />
the problem (Lauchlan, 2003). Secondly, by attempting to describe the form of the visible<br />
behaviour neutrally it is less presumptive about underlying causes <strong>and</strong> in a sense narrows<br />
the complexity of the variables by helping to identify the dominant functional reason. Finally,<br />
in so doing, it supports the formulation of an intervention plan <strong>with</strong> a clearer focus, <strong>and</strong><br />
arguably, a better chance of success.<br />
Kearney <strong>and</strong> Silverman (1993) defined school refusal behaviour as “child-motivated refusal<br />
to attend school <strong>and</strong>/ or difficulties remaining in school for the entire day” <strong>and</strong> their model is<br />
based on a behaviourist perspective <strong>and</strong> research that children have trouble going to school<br />
for one of four main functional reasons:<br />
1. To avoid school related stimuli that provoke a negative affect e.g. toilets, lunch hall<br />
2. To escape aversive social <strong>and</strong> / or evaluative situations e.g. interacting <strong>with</strong> peers,<br />
taking tests<br />
3. To get attention from significant others such as parents.<br />
4. To receive tangible reinforcements outside of school e.g. using drugs, going<br />
shopping.<br />
40
Importantly, Kearney (2008) is quite clear about the scope of the model <strong>and</strong> he does not<br />
obviously advocate it for children <strong>and</strong> young people <strong>with</strong> genuine medical conditions or<br />
parent-motivated absenteeism/ school <strong>with</strong>drawal (which may be a child protection issue).<br />
A more central criticism of Kearney’s model, however, is that it does not factor in issues such<br />
as family dynamics, school environment <strong>and</strong> individual parental difficulties <strong>and</strong> is mainly<br />
child-centred. Generally this appears to arise from a restricted view of the model, as in<br />
practice it is clear that Kearney does recommend that the practitioners take account of wider<br />
contextual factors through a comprehensive functional assessment<br />
A key element of Kearney’s functional model, therefore, is the approach to the assessment of<br />
school refusal behaviour. A number of techniques are recommended using the principles<br />
associated <strong>with</strong> a more general functional analysis of behaviour (see downloadable chapter 3<br />
PowerPoint training slides) These include child self report <strong>and</strong> self monitoring, child <strong>and</strong><br />
parent interviews, teacher <strong>and</strong> parent reports, behavioural observations in school <strong>and</strong> at<br />
home.<br />
As part of this functional analysis, the School Refusal Assessment Scale (SRAS) (Kearney,<br />
2002) is regarded as a particularly valuable assessment tool as it seeks to identify those<br />
needs served by the child’s school refusal <strong>with</strong> reference to the four categories outlined<br />
above. The revised form of the scale consists of two versions, SRAS-P for parents <strong>and</strong><br />
SRAS- C for children <strong>and</strong> young people. Both versions consist of 24 items divided across the<br />
four functional area, which are scored on a Likert-type scale of 0 (never) to 6 (always). When<br />
taken together, a mean score can be derived from each which helps inform the dominant<br />
functional reason for school refusal <strong>and</strong> a focus for planning intervention. Importantly, the<br />
scale has been reported to be psychometrically sound <strong>with</strong> reasonably good reliability<br />
(Kearney, 2006) <strong>and</strong>, from a practical point of view, is quick <strong>and</strong> easy to administer.<br />
Overall, this functional approach was regarded as having considerable merit <strong>with</strong>in this<br />
project, <strong>and</strong> provides the main rationale for the approach taken. Not only does it provide a<br />
sound theoretical framework for key educational staff (Thambirajah et al, 2008), it offers a<br />
less time intensive means of assessment that can be directly linked to a highly individualised<br />
<strong>and</strong> focused intervention plan (Kearney, 2007)<br />
41
Crucially, it also fits in <strong>with</strong> current research <strong>and</strong> developments that suggest multi-systems<br />
(e.g. school, parents, social work <strong>and</strong> educational psychologist) <strong>and</strong> staged intervention<br />
approaches is likely to be most appropriate <strong>and</strong> effective method of dealing <strong>with</strong> the<br />
continuum of school non-attendance.<br />
For these reasons, the proposal <strong>with</strong>in West Dunbartonshire was to design, deliver <strong>and</strong><br />
evaluate a training programme based on Kearney’s functional model to key support staff.<br />
Pupil <strong>and</strong> Family Support Workers (PFS) were particularly targeted for training as their role<br />
<strong>with</strong>in the authority entailed providing support to vulnerable pupils <strong>and</strong> their families<br />
regarding a range of issues such as attendance, social, emotional <strong>and</strong> behavioural<br />
difficulties, primary-secondary transition, <strong>and</strong> other issues which dem<strong>and</strong>ed closer links<br />
between home <strong>and</strong> school, <strong>and</strong> more intense <strong>and</strong> individualised support for pupils <strong>and</strong> their<br />
parents.<br />
The main aim of the training was to improve the quality of the assessment information<br />
gathered <strong>and</strong> to provide PFS workers <strong>and</strong> others who have more regular contact <strong>with</strong><br />
children <strong>and</strong> families <strong>with</strong> the skills <strong>and</strong> tools that would enable them to identify more clearly<br />
some of the maintaining factors in school refusal. It was envisaged that this richer<br />
information could then be appropriately fed into Joint Assessment Teams (multi-agency<br />
teams) <strong>and</strong> would help identify key roles for personnel <strong>with</strong>in this team <strong>and</strong> inform<br />
appropriate interventions as part of the process of devising, implementing <strong>and</strong> reviewing a<br />
young person’s individualised plan.<br />
In addition, a further element of the training was to provide PFS workers <strong>with</strong> further practical<br />
strategies for working directly <strong>with</strong> young people <strong>and</strong> parents in managing school refusal<br />
behaviour. As part of this, some explicit links between the intervention approaches<br />
recommended, such as relaxation training <strong>and</strong> cognitive restructuring, were made to raise<br />
awareness of how they could fulfil the experiences <strong>and</strong> outcomes for Mental Health <strong>and</strong> Well<br />
Being <strong>with</strong>in the Curriculum for Excellence (CfE) <strong>and</strong> enable pupils to develop the four<br />
capacities.<br />
Procedure<br />
In due recognition of the need to embed the proposed training <strong>with</strong>in existing multi-agency<br />
procedures <strong>and</strong> protocols, an audit of need of key staff in the authority was carried out in the<br />
initial phase of the project. This involved providing a written proposal to the Pupil Support<br />
42
Management Group in the authority, a presentation <strong>and</strong> consultation meeting <strong>with</strong> the Joint<br />
Assessment Team (JAT) school cluster coordinators <strong>and</strong> an audit questionnaire to the Pupil<br />
<strong>and</strong> Family Support Workers (see appendix 1).<br />
The responses from the audit were overwhelmingly positive at each level sampled <strong>and</strong><br />
provided confirmation both of the need for training <strong>and</strong> the model proposed. More<br />
specifically, a number of key points were extracted on the basis of the responses.<br />
1. Just over 71% of the respondents (total of 21) indicated they would like more<br />
training to help them support pupils <strong>with</strong> attendance problems.<br />
2. 95% of the respondents either strongly agreed or agreed that they had a role to<br />
play in supporting young people achieve certain experiences <strong>and</strong> outcomes of<br />
CfE.<br />
3. JAT School Cluster Coordinators unanimously agreed to the training of PFS<br />
workers <strong>and</strong> felt the Kearney model had merit in terms of assessment.<br />
4. JAT School Cluster Coordinators were keen that future training is extended to all<br />
Pupil Support Staff in each of the Secondary Schools <strong>and</strong> the authority<br />
Attendance Review Committee (ARC).<br />
5. The Pupil Support Management Group regarded the initiative positively <strong>and</strong><br />
provided authority permission to disseminate the training as appropriate.<br />
Following this initial phase, the format <strong>and</strong> time of the training for staff was negotiated <strong>with</strong><br />
JAT School Cluster Coordinators. It was thus agreed that the training would comprise of two<br />
half day sessions a week apart, <strong>with</strong> session 1 introducing the functional model <strong>and</strong> SRAS<br />
<strong>and</strong> session 2 at practical intervention strategies for pupils <strong>and</strong> families. (see Appendix 2 for<br />
training slides)<br />
Evaluation<br />
At the end of session 2 of the training an evaluation questionnaire was distributed to all of the<br />
staff in attendance (see Appendix 2). A total of 19 staff attended both sessions, comprising of<br />
16 PFS workers, 1 teacher from a programme that caters for young people <strong>with</strong> social <strong>and</strong><br />
emotional behavioural difficulties <strong>and</strong> 2 teachers from flexible support service who provide<br />
individualised support for children <strong>and</strong> young people who are looked after.<br />
43
Results of Non-attendance Training Evaluation Questionnaire<br />
As figure 1 below illustrates, 69% of staff strongly agreed or agreed that the training had<br />
improved their underst<strong>and</strong>ing of how to assess pupils <strong>with</strong> attendance problems.<br />
Figure 1<br />
Number of Respondents<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Did respondents think that the training improved their<br />
underst<strong>and</strong>ing of how to assess pupils <strong>with</strong> attendance problems?<br />
n = 0<br />
(0%)<br />
1, Strongly<br />
Disagree<br />
n = 1<br />
(5%)<br />
n = 5<br />
(26%)<br />
n = 3<br />
(16%)<br />
n = 10<br />
(53%)<br />
2 3 4 5, Strongly<br />
Agree<br />
Respondents rating of underst<strong>and</strong>ing<br />
Importantly, when these ratings are combined <strong>with</strong> several responses from question 4<br />
regarding what staff found most useful in the training <strong>and</strong> from question 6 what they would do<br />
differently, the functional assessment <strong>and</strong> the SRA scale featured prominently as delineated<br />
in box 1.<br />
Box 1<br />
The School Refusal Assessment forms will be very helpful when working <strong>with</strong> parents<br />
<strong>and</strong> children.<br />
Most useful is the school refusal assessment scale revised.<br />
I think I would tackle school refusal referrals in a more systematic/structured way.<br />
Be more aware of the triangulation of evidence.<br />
More care in assessing reasons for non-attendance <strong>and</strong> incorporate idea of contract<br />
where appropriate.<br />
44
Figure 2<br />
Number of Respondents<br />
10<br />
9<br />
8<br />
7<br />
6<br />
5<br />
4<br />
3<br />
2<br />
1<br />
0<br />
Did respondents think that the training improved their knowledge of<br />
specific strategies for supporting pupils <strong>with</strong> attendance?<br />
n = 0<br />
(0%)<br />
1, Strongly<br />
Disagree<br />
n = 2<br />
(11%)<br />
n = 6<br />
(32%)<br />
n = 2<br />
(11%)<br />
n = 9<br />
(47%)<br />
2 3 4 5, Strongly Agree<br />
Respondents rating of knowledge<br />
As figure 2 illustrates well over half of the respondents agreed or strongly agreed that the<br />
training had improved their underst<strong>and</strong>ing of specific strategies for supporting pupils <strong>with</strong><br />
attendance difficulties. Again, respondents mentioned that they would use or attempt to use<br />
the specific strategies covered in the training such as the ‘contract’ between young person<br />
<strong>and</strong> parent in response to question 6 what they would do differently. (see box 2)<br />
Box 2<br />
Use the Kearney strategies that will be useful in school absence<br />
Will try various strategies that we spoke about.<br />
Be more aware of the strategies that can be used <strong>and</strong> adopt or try to, the triangulation<br />
model/method.<br />
Strategies suggested that were never tried by me before. Reinforcing what I already<br />
knew but made it clearer.<br />
For children <strong>with</strong> anxiety – the relaxation will be useful.<br />
Different ideas on dealing <strong>with</strong> school absence.<br />
45
Figure 3<br />
Number of Respondents<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Likelihood of respondents adopting information <strong>and</strong> ideas from<br />
training into practice<br />
n = 0<br />
(0%)<br />
n = 0<br />
(0%)<br />
n = 2<br />
(11%)<br />
n = 6<br />
(32%)<br />
n = 11<br />
(58%)<br />
1, Not likely 2 3 4 5, Very likely<br />
Respondents rating of likelihood<br />
As figure 3 illustrates, 90% of respondents indicated that they felt it was likely or very likely<br />
that they would incorporate the training ideas into their practice.<br />
The majority of responses to question 4 - what aspects of the training did you find most<br />
useful <strong>and</strong> why? Made reference to the general usefulness of the functional model overall, as<br />
delineated in box 3 below.<br />
Box 3<br />
PowerPoint presentation was very enlightening as was Kearney’s model.<br />
The Kearney model <strong>and</strong> the associated information on the functional model.<br />
The 16 th March – explaining the 4 functions in depth.<br />
I will use the 4 functions/read up on all functions/ <strong>and</strong> use when needed.<br />
Reasons for non-attendance <strong>and</strong> discussions; contracts – involvement of young person<br />
<strong>and</strong> parents. Videos.<br />
Clarification of the various reasons a pupil might not attend <strong>and</strong> how these reasons can<br />
be interlinked or separate.<br />
For me school refusal is so messy – it was helpful to compartmentalise functions of<br />
school refusal <strong>and</strong> importance of tackling the dominant feature<br />
46
The responses to question 5 - What aspects of the training did you find least useful <strong>and</strong><br />
why?, are outlined in box 4 below.<br />
Box 4<br />
Nothing/all useful<br />
Nothing was least useful all aspects were useful although we do carry most out.<br />
I found it all useful.<br />
Can’t say that I found anything least useful.<br />
None.<br />
Found the training useful to reaffirm we were doing the work right.<br />
Suggestions<br />
Some of the information I felt that these methods are already being practised.<br />
Really only that a lot of what was discussed I already do. But it was all very relevant.<br />
Strategies <strong>and</strong> contracts seemed to fit better <strong>with</strong> parenting classes.<br />
Would have been good to hear more examples from the group <strong>and</strong> heard what worked<br />
<strong>and</strong> what didn’t.<br />
The responses to question 6 - What will you do differently in your place of work in the future<br />
as a result of this training?, have already been incorporated into boxes 1, 2 <strong>and</strong> 3 above.<br />
The responses to question 7 - If further input on this topic is offered to you in the future, what<br />
issues would you like to have addressed?, fell into two categories in relation to parents <strong>and</strong><br />
bullying as Box 5 illustrates.<br />
47
Box 5<br />
Parental issues<br />
The uncooperative parents – how to get them to engage.<br />
What could be effective in dealing <strong>with</strong> parents who allow child’s absence for no good<br />
reason.<br />
Bullying etc.<br />
Figure 4:<br />
Number of Respondents<br />
More on dealing <strong>with</strong> the family values, how to empower the parents.<br />
Perhaps more detail on dealing <strong>with</strong> the uncooperative parents or non parenting.<br />
I would like to start parent drop in coffee centre’s <strong>and</strong> not labelling e.g. non attendance,<br />
mental health. Parents don't like labels.<br />
I think a parenting course would be useful.<br />
Parenting issues.<br />
Psychological aspects of truanting/non-attendance.<br />
Bullying <strong>and</strong> peer pressure.<br />
Bullying<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Respondents ratings of overall satisfaction <strong>with</strong> training<br />
n = 0<br />
(0%)<br />
Extremely<br />
dissatisfied<br />
n = 0<br />
(0%)<br />
n = 2<br />
(11%)<br />
n = 7<br />
(37%)<br />
n = 10<br />
(53%)<br />
2 3 4 5, Extremely<br />
Satisfied<br />
Respondents level of satisfaction<br />
Figure 4 illustrates that 90% of respondents were either extremely satisfied or satisfied <strong>with</strong><br />
the training overall.<br />
48
Discussion<br />
In a general sense, the evaluation ratings suggest that the main aims of the training in terms<br />
of providing PFS workers <strong>with</strong> a functional model that included tools for assessment linked to<br />
specific strategies were broadly achieved. If one considers the qualitative feedback provided<br />
as a whole (see box 1-3) then the training based on Kearney’s functional model appeared to<br />
support the case for a relatively high level of face validity amongst staff at the sharp end of<br />
supporting vulnerable young people <strong>and</strong> their parents both at school <strong>and</strong> at home <strong>and</strong> in their<br />
local community. Indeed, given that the functional model in general appeared to be positively<br />
approved by 90% of such staff at ‘grass-roots’ level who can traditionally be more sceptical is<br />
in itself noteworthy.<br />
One of the main advantages of the model was the way it appeared to provide staff <strong>with</strong> a<br />
more systematic framework for assessment in terms of the ‘triangulation’ of evidence<br />
gathered <strong>with</strong>in a sound theoretical base. Certainly reviews of the research of what improves<br />
outcomes for disengaged young people suggests that interventions underpinned by a sound<br />
theoretical base delivered by well trained staff <strong>with</strong> the right attitudes are a key factor. In<br />
addition, providing staff <strong>with</strong> a common language, common forms of assessment <strong>and</strong> shared<br />
definition of ‘need’ <strong>with</strong>in a multi-agency partnership were highlighted as features of<br />
successful strategies (Kendall, et. al., 2008). Again the qualitative evaluations suggest that<br />
training based on Kearney’s functional model potentially offers this to staff not only in the<br />
provision of the SRAS as a reliable practical tool but also in terms of using a behaviourist<br />
perspective <strong>and</strong> the language of the four functions (e.g. reinforcement, aversion) to think<br />
about <strong>and</strong> analyse the complexities of the issues involved in a more systematic way.<br />
A further advantage of the model used for training was the means by which the functional<br />
assessment linked <strong>with</strong> recommended interventions. Although evaluations appeared to<br />
suggest an improved underst<strong>and</strong>ing of the strategies that could be used, it was also apparent<br />
from the feedback that significant proportions of the interventions recommended in the<br />
training such as gradual reintegration, establishing a morning routine <strong>and</strong> restructuring<br />
parental comm<strong>and</strong>s, proved more to be confirmation of the good current practice staff were<br />
already carrying out. However, this was not interpreted as a significant weakness of the<br />
training for two reasons. First, the main rationale behind the model <strong>and</strong> training was to<br />
support staff to be more focused <strong>and</strong> informed about why a specific intervention was being<br />
49
applied, according to the dominant reason identified through assessment, rather than the<br />
introduction of new strategies per se. Second, research suggests that interventions should<br />
build on existing practice in mainstream provision to aid sustainability <strong>and</strong> embed effective<br />
<strong>and</strong> innovative practice (Edwards et al., 2006; Dartington Social Research Unit, 2004).<br />
That said the evaluation feedback did suggest that certain strategies introduced in the<br />
training that were previously less understood by staff such as the use of contracts <strong>and</strong><br />
techniques for supporting pupils to cope <strong>with</strong> anxiety were well received. On reflection, while<br />
it is the case that awareness of these techniques potentially promotes joint working <strong>with</strong><br />
other professionals such as practitioner psychologists, an area not covered in the training<br />
was instances where more intense therapeutic support should be sought e.g. in situations<br />
where individual Cognitive Behavioural Therapy (CBT) would be appropriate. In addition, the<br />
training would also have benefited from a section that specifically looks at relapse<br />
prevention, of which Kendall, Chansky et al. (1992), for example, have suggested some<br />
innovative strategies including young people producing a videotaped commercial as a<br />
reminder of the success <strong>and</strong> methods they used to overcome their difficulties.<br />
A further development required in terms of the content of the training would be to examine in<br />
more detail how the processes involved in the interventions recommended articulate <strong>with</strong> the<br />
experiences <strong>and</strong> outcomes for Mental Health <strong>and</strong> Well Being (HWB) <strong>with</strong>in the Curriculum for<br />
Excellence (CfE) <strong>and</strong> thus enable pupils to develop the four capacities. This was in part due<br />
to time constraints but also because of the evolving nature of how such experiences <strong>and</strong><br />
outcomes will be implemented by schools. Nonetheless, there appears to be a strong<br />
circumstantial case for such links to be made as illustrated in Table 1 below.<br />
50
Table 1: Mapping of CfE mental Health Well Being (HWB) Experiences <strong>and</strong> Outcomes <strong>with</strong><br />
intervention str<strong>and</strong>s of Kearney’s Functional Approach to Non-Atttendance.<br />
CfE - Experience <strong>and</strong> Outcome Intervention str<strong>and</strong><br />
I am aware of my feelings <strong>and</strong> developing<br />
the ability to talk about them. HWB 0-01a<br />
I know that we all experience a variety of<br />
thoughts <strong>and</strong> emotions that affect how we<br />
feel <strong>and</strong><br />
I am learning ways of managing them.<br />
HWB 0-02a<br />
I am learning skill <strong>and</strong> strategies that will<br />
support me in challenging times…<br />
HWB 0-07a<br />
As I explore the rights to which I <strong>and</strong> others<br />
are entitled, I am able to exercise these<br />
rights appropriately <strong>and</strong> accept the<br />
responsibilities that go <strong>with</strong> them.<br />
HWB 0-09a<br />
I underst<strong>and</strong> that there are people I can talk<br />
to <strong>and</strong> there are a number of ways in which I<br />
can gain access to practical <strong>and</strong> emotional<br />
support to help me…<br />
HWB 0-03a<br />
Conclusions <strong>and</strong> Recommendations<br />
Anxiety <strong>and</strong> stress management<br />
- PowerPoint slide 12 & 13<br />
Identifying automatic negative thoughts<br />
– PowerPoint slide 14 & 15<br />
Developing more realistic thoughts<br />
– PowerPoint slide 18 & 19<br />
STOP strategy – PowerPoint slide16<br />
Helping young people refuse offers to miss<br />
school<br />
- PowerPoint slide 38<br />
Adhering to contract of privileges <strong>and</strong><br />
responsibilities for attending school.<br />
- PowerPoint slide 36 & 37<br />
Gradual reintegration back to school <strong>and</strong><br />
involvement of key worker.<br />
- PowerPoint slide 21, 22 & 23<br />
The process of implementing this training was deliberately based on a ‘bottom up’ strategy<br />
for key support staff on the ‘ground’. To a large extent this decision was a pragmatic one as<br />
work was already being undertaken on a ‘top down’ approach through the development of<br />
procedural <strong>and</strong> policy guidelines for inter-agency staff elsewhere based on Kearney’s<br />
functional model (see Myant <strong>and</strong> Graham, 2010, in this PDP project). Hence, the<br />
development of training at more practical level was viewed as complimentary to this. At the<br />
same time, there was a recognition based on the research that unless parents <strong>and</strong> carers<br />
were actively engaged <strong>and</strong> provided <strong>with</strong> support in any approach to tackling non-attendance<br />
there was a real risk of regression (Fraser, Hawkins <strong>and</strong> Howard, 1988)<br />
Furthermore, at a national level at least two out of the thirty six recommendations of the<br />
Better Behaviour, Better Learning discipline task group (Scottish Executive, 2001) made<br />
51
eference to the Scottish Executive <strong>and</strong> local authorities need to prioritise funding for the<br />
provision of home-school link workers <strong>and</strong> ‘auxiliary’ staff to assist <strong>with</strong> the care <strong>and</strong> welfare<br />
of children <strong>and</strong> young people; <strong>and</strong> ‘that consideration should be given to appropriate training<br />
for these staff’. Better trained staff who offer young people the opportunity to establish<br />
positive personal relationships <strong>with</strong> an adult <strong>and</strong> model pro-social values along <strong>with</strong> engaging<br />
parents <strong>and</strong> carers by building a trusting <strong>and</strong> collaborative partnership <strong>with</strong> them also has<br />
firm support in the research literature in terms of improving outcomes for young people<br />
(Kinder <strong>and</strong> Wilkin, 1998; Carpentier <strong>and</strong> Lall, 2005)<br />
Not<strong>with</strong>st<strong>and</strong>ing, in terms of making a sustained impact it was further recognised that this<br />
training would still need to be embedded <strong>with</strong>in the development of future authority<br />
guidelines on non-attendance. In addition, it was also recognised that unless other key<br />
school staff were trained on at least the principles of the functional model, the impact was<br />
likely to have only very partial value given the evidence of the importance of a multi-agency<br />
<strong>and</strong> systems approach to the problem (Lauchlan, 2003; Kendall <strong>and</strong> Kinder, 2005). To this<br />
end, as an initial pilot a second phase of training was providing for pupil support staff in one<br />
of the cluster secondary schools. Although not formally evaluated, informal feedback again<br />
suggested that the model had particular merit in terms of assessment <strong>and</strong> a proposal to the<br />
Attendance Review Committee (ARC) in the authority to adopt its use more widely <strong>and</strong><br />
evaluate its impact on the quality of assessment information provided to JAT was<br />
recommended.<br />
Finally, as Kendall et al. (2008) found, if programmes <strong>and</strong> interventions are to make a real<br />
difference in terms of outcomes for disengaged children <strong>and</strong> young people a long-term focus<br />
is required. At a basic level, this does mean an investment of time <strong>and</strong> resources to ensure<br />
that there is a continuing programme of staff development in this area at different levels in<br />
the system <strong>and</strong> <strong>with</strong> different agencies. Indeed, a recall day for the PFS workers was<br />
suggested which should also serve to evaluate the extent to which the training has had an<br />
impact on practice. More generally, however, research clearly points to a holistic <strong>and</strong> joinedup<br />
approach that values <strong>and</strong> utilises the skills of different service partners to address the<br />
range of barriers that contribute towards the disengagement of the most vulnerable young<br />
people in the widest sense rather than single-issue interventions (Cummings et al., 2007).<br />
52
References<br />
Carpentier V <strong>and</strong> Lall M (2005) Review of Successful Parental Involvement Practice for<br />
‘Hard to Reach’ Parents London: Institute of <strong>Education</strong>, University of London<br />
Cummings C, Dyson A, Mujis D, Papps I, Pearson D, Raffo C, Tiplady L, Todd L <strong>and</strong><br />
Crowther D (2007) Evaluation of the Full Service Extended Schools Initiative: Final Report<br />
(DfES Research Report 852) London: DfES.<br />
Dartington Social Research Unit (2004) Refocusing children’s services towards prevention:<br />
lessons from the literature (DfES Research Report 510) London: DfES.<br />
Edwards A, Barnes M, Plewis I <strong>and</strong> Morris K (2006) Working to prevent the social<br />
exclusion of children <strong>and</strong> young people: final lessons from the national evaluation of the<br />
children’s fund (DfES Research Report 734). London: DfES.<br />
Fraser M W, Hawkins J D <strong>and</strong> Howard M O (1988) Parent training for delinquency<br />
prevention Child <strong>and</strong> Youth Services 11, 93-125.<br />
Kearney C A (2001) School refusal behavior in youth: a functional approach to assessment<br />
<strong>and</strong> treatment Washington DC: American Psychological Association<br />
Kearney C A (2002) Identifying the function of school refusal behavior: A revision of the<br />
School Refusal Assessment Scale Journal of Psychopathology <strong>and</strong> Behavioral Assessment<br />
24, 235-245.<br />
Kearney C A (2006) Confirmatory Factor Analysis of the School Refusal Assessment Scale-<br />
Revised: Child <strong>and</strong> Parent Versions. Journal of Psychopathology <strong>and</strong> Behavioral<br />
Assessment 48, 3, 139-144.<br />
Kearney C A (2007) Forms <strong>and</strong> functions of school refusal behavior in youth: an empirical<br />
analysis of absenteeism severity Journal of Child Psychology <strong>and</strong> Psychiatry 48, 53-61<br />
Kearney A (2008) Helping school refusing children <strong>and</strong> their parents: a guide for schoolbased<br />
professionals New York: Oxford University Press.<br />
Kearney C A <strong>and</strong> Silverman W K (1993) Measuring the Function of School Refusal<br />
Behaviour: The School Refusal Assessment Scale, Journal of Clinical Child Psychology, 22,<br />
p.85-96.<br />
Kearney C A <strong>and</strong> Sims K E (1997) A Clinical Perspective on School Refusal in <strong>Young</strong>sters,<br />
Psychotherapy in Practice 3, No 1, pp.3-19.<br />
53
Kinder K <strong>and</strong> Wilkin A (1998) With all Respect: Reviewing disaffection strategies Slouth:<br />
NFER<br />
Lauchlan F (2003) Responding to Chronic Non-Attendance: A Review of Intervention<br />
Approaches, <strong>Education</strong>al Psychology in Practice19, No. 2, pp.133-146<br />
Kendall P C, Chansky T E, Kane M T, Kim R S, Kortl<strong>and</strong>er E, Ronan K R, Sessan F M,<br />
<strong>and</strong> Siquel<strong>and</strong> L (1992) Anxiety disorders in youth: Cognitive-behavioral interventions<br />
Boston: Allyn <strong>and</strong> Bacon.<br />
Kendall S <strong>and</strong> Kinder K (2005) Reclaiming those disengaged from education <strong>and</strong> learning:<br />
a European perspective. Slough: National Foundation for <strong>Education</strong>al Research.<br />
Kendall S, Straw S, Jones M, Springate I <strong>and</strong> Grayson H (2008) A Review of the<br />
Research Evidence (Narrowing the Gap in Outcomes for Vulnerable Groups) Slough: NFER.<br />
Scottish Executive (2001) Better Behaviour, Better Learning – Report of the discipline task<br />
group Edinburgh: The Stationery Office.<br />
Scottish Government (2008) Curriculum for Excellence - building the curriculum 3: a<br />
framework for learning <strong>and</strong> teaching Edinburgh, Scottish Government.<br />
Thambirajah M S, Gr<strong>and</strong>ison K J <strong>and</strong> De-Hayes L (2008) Underst<strong>and</strong>ing school refusal: a<br />
h<strong>and</strong>book for professionals in education, health <strong>and</strong> social care London: Jessica Kingsley<br />
54
Name<br />
Appendix 1 Non-Attendance Survey Audit<br />
Please complete this survey <strong>and</strong> bring it <strong>with</strong> you on the first training day on 9 th March 2010. Thank<br />
you!<br />
School Address<br />
E-mail<br />
Phone<br />
Non-attendance is often a significant factor in<br />
addressing the needs of the pupils I support.<br />
I am aware of different methods of assessing<br />
the needs of pupils <strong>with</strong> attendance problems<br />
I feel I can make a valuable contribution to the<br />
Joint Agency Team approach to addressing the<br />
needs of pupils <strong>with</strong> attendance problems.<br />
I am familiar <strong>with</strong> local authority policy &<br />
procedures to support pupils <strong>with</strong> attendance<br />
problems<br />
I am familiar <strong>with</strong> wider good practice in<br />
helping to address pupils <strong>with</strong> different kinds of<br />
attendance problems<br />
I am aware of specific strategies that could be<br />
deployed to help address pupils <strong>with</strong> different<br />
kinds of attendance problems.<br />
I feel that I have a role to play in supporting<br />
young people <strong>with</strong> attendance problems<br />
achieve certain experiences <strong>and</strong> outcomes of a<br />
curriculum for excellence.<br />
I have a good underst<strong>and</strong>ing of the impact of<br />
serious attendance problems on young people's<br />
life opportunities <strong>and</strong> well being<br />
I am satisfied <strong>with</strong> the amount of training I<br />
have received to help me support pupils <strong>with</strong><br />
attendance problems.<br />
Additional comments:<br />
Strongly<br />
Agree<br />
55<br />
Agree Neutral Disagree<br />
Strongly<br />
Disagree
Appendix 2: Non-Attendance Training Evaluation Questionnaire<br />
I value your opinion <strong>and</strong> would be very grateful if you could provide me <strong>with</strong> some feedback on the training you have<br />
received by completing this brief questionnaire. This information will be used to adapt the training for others <strong>and</strong> to help<br />
inform future actions required in relation to this topic.<br />
Thank you for your time <strong>and</strong> co-operation.<br />
NAME: SCHOOL:<br />
DATE Tuesday 9 th March <strong>and</strong> Tuesday 16 th March 2010<br />
Please rate the following questions by circling the appropriate number:<br />
1. The training improved my underst<strong>and</strong>ing of how to assess pupils <strong>with</strong> attendance problems.<br />
1 2 3 4 5<br />
Strongly Disagree Strongly Agree<br />
2. The training improved my knowledge of specific strategies for supporting pupils <strong>with</strong> attendance problems.<br />
1 2 3 4 5<br />
Strongly Disagree Strongly Agree<br />
3. How likely are you to adopt the information <strong>and</strong> ideas presented in this training into your practice?<br />
1 2 3 4 5<br />
Not at all Very Likely<br />
4. What aspects of the training did you find most useful <strong>and</strong> why?<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
5. What aspects of the training did you find least useful <strong>and</strong> why?<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
6. What will you do differently in your place of work in the future as a result of this training?<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
7. If further input on this topic is offered to you in the future, what issues would you like to have addressed?<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
8. How would you rate your overall satisfaction <strong>with</strong> the training?<br />
1 2 3 4 5<br />
Extremely Dissatisfied Extremely Satisfied<br />
9. Please note over the page any comments or suggestions that you would like to make about the training.<br />
56
Secondary Nurture Groups: An Effective Contribution to<br />
the Continuum of Learning <strong>and</strong> Support<br />
Gillian Dury <strong>and</strong> Charlotte Kidd<br />
Non attendance – a responsibility for all<br />
As highlighted by McIlree in chapter 1 the relationship between non-attendance at school<br />
<strong>and</strong> engagement <strong>with</strong> the curriculum is not a new issue. Studies show that being absent from<br />
school is detrimental to learning <strong>and</strong> academic achievement. An increase in absences may<br />
exacerbate academic <strong>and</strong> sociological risk factors in later years (Dryfoos, 1990; Finn, 1993:<br />
Lehr et al., 2004; Loeber <strong>and</strong> Strouthamer-Loeber, 1998). The authors take the view that two<br />
key aspects of school life that are compatible <strong>and</strong> maintain school attendance are<br />
relationships <strong>with</strong>in the school community; <strong>and</strong> relevance of the curriculum. When these<br />
aspects are nurtured <strong>and</strong> attended to then engagement or re-engagement is likely to follow.<br />
Many findings reinforce assertions that non-attendance is a response to dissatisfaction <strong>with</strong><br />
the ‘service’ on offer, suggesting that interventions should be directed towards improving this<br />
(Blyth, 1999). If this is the case, one way of reducing non-attendance is to change what is on<br />
offer to children <strong>and</strong> young people. This could be in relation to curriculum (relevance),<br />
facilities or ethos (relationships). In these ways the school becomes a more attractive place<br />
for pupils to attend (Withers, 2004). The best motivators for attendance come from pupils<br />
experiencing success, knowing attendance at school has a purpose, <strong>and</strong> feeling part of an<br />
energetic <strong>and</strong> successful school (Reid, 2000).<br />
Research finds that sustained non-attendance becomes more complex throughout<br />
secondary school, as multiple factors emerge as reasons for non-attendance, <strong>with</strong> the<br />
problem becoming harder to resolve (Reid, 2000; Zhang, 2003). This highlights the<br />
importance of prevention <strong>and</strong> early identification of risk factors rather than reactive<br />
measures.<br />
As non-attendance can be multi-causal, Pelligrini (2007) highlighted the importance of<br />
devising <strong>and</strong> implementing interventions at all levels of the individual, group <strong>and</strong> the system.<br />
The authors’ intention was to study some examples of good practice <strong>with</strong>in the area of<br />
secondary nurture groups to see how far we can confirm this school based approach as a<br />
57
positive <strong>and</strong> preventative action which meets the needs of young people who may be at risk<br />
of disengagement <strong>and</strong> sustained non-attendance.<br />
Nurture Groups - the core values <strong>and</strong> principles<br />
There are more than 1000 nurture groups in the UK, mostly targeting earlier school stages. A<br />
number of secondary schools are adopting nurture groups as a means of enhancing school<br />
based provision. Colley (2009) has made a comprehensive study of the benefits to<br />
vulnerable young people <strong>and</strong> the key issues for development of nurture groups.<br />
Nurture Groups <strong>and</strong> the nurturing principles <strong>with</strong>in which they operate (see fig.1) seem<br />
intuitively fair. They are consistent <strong>with</strong> the philosophy of ‘inclusion’ <strong>and</strong> the commitment to<br />
removing barriers. They also fit <strong>with</strong> the Salamanca Statement (UNESCO, 1994) – two<br />
tenets of which are that a person’s worth is independent of their abilities or achievements<br />
<strong>and</strong> that real education can only happen in the context of real relationships. Good<br />
relationships <strong>and</strong> relevance of the curriculum support <strong>and</strong> are supported by inclusion <strong>and</strong><br />
nurturing principles.<br />
Figure 1.<br />
The Six Principles of Nurture Groups<br />
<strong>Children</strong>’s learning is understood developmentally<br />
The classroom offers a safe base<br />
The importance of nurture for the development of self-esteem<br />
The importance of transition in children’s lives<br />
Language as a vital means of communication<br />
All behaviour is a communication<br />
Source: Lucas et al. 2006<br />
Nurture Groups are intended to foster a sense of belonging <strong>and</strong> educational attachment.<br />
Within the context of the educational setting, children <strong>and</strong> young people are encouraged to<br />
develop trusting <strong>and</strong> caring relationships <strong>with</strong> adults, which are carefully focused on enabling<br />
children <strong>and</strong> young people to learn <strong>and</strong> practice pro-social skills <strong>and</strong> engage in the<br />
challenges of formal curricular tasks. (Cooper <strong>and</strong> Whitbread, 2007)<br />
58
Research on the impact of Nurture Groups on the wider school<br />
community<br />
The perceived benefits of the Nurture Group approach are not simply restricted to the<br />
recipient children <strong>and</strong> young people. The approach arguably contributes to staff development<br />
<strong>and</strong> the wider school community. They have a significant contribution to make to mainstream<br />
schools by helping them to exp<strong>and</strong> their capacity to support children <strong>with</strong> behavioural, social<br />
<strong>and</strong> emotional needs.<br />
Research studies<br />
The Binnie <strong>and</strong> Allen study of 2008 provides an evaluation of a nurture group intervention<br />
across six schools. They concluded that theoretical underpinnings of nurture groups can be<br />
fully integrated into a mainstream environment. Head Teachers felt that the intervention had<br />
allowed their school to be more proactive in their support of children <strong>with</strong> social <strong>and</strong><br />
emotional <strong>and</strong> behavioural difficulties <strong>and</strong> had led to a more “nurturing school”.<br />
Cooper, Arnold <strong>and</strong> Boyd (2001) found that as well as there being significant factors for the<br />
children, Nurture Groups led to whole school developments. They showed that staff viewed<br />
children <strong>with</strong> social <strong>and</strong> emotional needs more positively <strong>and</strong> were more likely to adopt<br />
supporting strategies in their classroom.<br />
S<strong>and</strong>ers (2007) showed that in addition to significant improvements for the children, the class<br />
teachers reported feeling more empowered to meet the needs of this group.<br />
March <strong>and</strong> Healy (2007) consulted parents <strong>and</strong> they reported improvements in both<br />
academic skills <strong>and</strong> personal relationships.<br />
Priestnall School in Stockport, Lancs offers an example of a secondary nurture group in<br />
action; where in its first year of operation staff effectively embedded the principles <strong>and</strong><br />
practice of other interventions <strong>and</strong> whole school responses. (Morewood, 2009). David<br />
Colley’s 2009 article, Nurture Groups in Secondary Schools provides other examples of the<br />
same.<br />
59
In the Nurture Group Network Study (2008), Head teachers reported that the existence of the<br />
nurture group had led to the nurture group principles influencing wider school policies, such<br />
as the policies on behaviour, where the emphasis had moved from punishing deviant<br />
behaviour to identifying unmet needs. Teachers reported that the school as a whole became<br />
more nurturing <strong>and</strong> that interaction between mainstream <strong>and</strong> nurture group staff gave the<br />
former insights into new ways of underst<strong>and</strong>ing <strong>and</strong> approaching pupils.<br />
The Cooper <strong>and</strong> Whitbread study (2007) concluded that there is a need for mainstream<br />
classrooms to be re-conceptualised in a way that is informed by an underst<strong>and</strong>ing of<br />
educational nurturing.<br />
In schools where nurture groups exist <strong>and</strong> in others where school improvement plans<br />
recognise the need - staff can be supported <strong>with</strong> continuing professional development which<br />
considers what is required from them in establishing or maintaining a culture <strong>and</strong> ethos of<br />
nurturing. As part of work associated <strong>with</strong> the current study, one of the authors provided inservice<br />
training to staff in three establishments on the principles <strong>and</strong> practice of’ Developing<br />
a Nurturing School.’ (See PowerPoint slides on the linked web site). This example given can<br />
be exp<strong>and</strong>ed upon - depending on the feedback <strong>and</strong> the self-evaluation process that the<br />
training provides. It is noted that another Professional Development Programme group this<br />
year, focusing on emotional health <strong>and</strong> well-being, have developed ‘Signposting’ which<br />
incorporates reflective discussion questions for school staff on nurturing aspects of their<br />
school.<br />
Nurture Groups <strong>and</strong> Curriculum for Excellence<br />
A simple mapping exercise of the 4 capacities <strong>and</strong> the core features of nurture groups are<br />
provided below. The features are reported from the Nurture Group Network Study, November<br />
2008. Where the themes of relationships <strong>and</strong> relevance are obvious these are indicated.<br />
Successful learners<br />
Provides a sociable, safe <strong>and</strong> emotionally warm environment for children to build <strong>and</strong> fulfil<br />
potential (relationships). The curriculum offered includes four areas namely; self-control <strong>and</strong><br />
60
management of behaviour; self-awareness <strong>and</strong> confidence; social skills; <strong>and</strong> skills for<br />
learning. It is recognised that there needs to be more data to show the impact on raising<br />
attainment in English language <strong>and</strong> mathematics.<br />
Effective contributors<br />
<strong>Young</strong> people are encouraged to be more self-aware <strong>and</strong> reflective about their behaviour in<br />
social <strong>and</strong> learning situations (relationships). It is recognised that there is a need to ensure a<br />
wide range of learning experiences in order to create effective transitions <strong>with</strong> the<br />
mainstream setting (relevance).<br />
Responsible citizens<br />
<strong>Young</strong> people are supported to develop co-operative <strong>and</strong> collaborative working skills.<br />
Supported to help <strong>and</strong> respect one another. This is modelled by adults (relationships). A<br />
need is recognised for well managed transition arrangements in order to sustain confidence,<br />
self-respect <strong>and</strong> motivation on return to the mainstream setting.<br />
Confident individuals<br />
<strong>Children</strong> learn to recognise a range of emotions in themselves <strong>and</strong> others; to be more aware<br />
of when they are successful; develop their confidence <strong>and</strong> social skills (relationships),<br />
become more independent in the organisation of learning materials (relevance). A need<br />
recognised for jointly planned learning targets <strong>with</strong>in the school to aid monitoring of impact<br />
<strong>and</strong> less teacher-led activity <strong>with</strong>in the group so as not to inhibit creativity <strong>and</strong> confidence<br />
(relevance).<br />
More recently, <strong>with</strong> the publication of Curriculum for Excellence Health <strong>and</strong> Wellbeing:<br />
Experiences <strong>and</strong> Outcomes (2010) there are now quite specific measures against which<br />
establishments, working <strong>with</strong> partners can take an holistic approach to promoting health <strong>and</strong><br />
wellbeing. Learning environments are expected to be positively developed. The expectations<br />
are set out below in figure 2.<br />
61
Figure 2, I can expect my learning environment to support me to:<br />
> develop my self-awareness, self-worth <strong>and</strong> respect for others<br />
> meet challenges, manage change <strong>and</strong> build relationships<br />
>experience personal achievement <strong>and</strong> build my resilience <strong>and</strong> confidence<br />
>underst<strong>and</strong> <strong>and</strong> develop my physical, mental <strong>and</strong> spiritual wellbeing <strong>and</strong> social skills<br />
>underst<strong>and</strong> how what I eat, how active I am <strong>and</strong> how decisions I make about my behaviour<br />
<strong>and</strong> relationships affect my physical <strong>and</strong> mental well-being<br />
>participate in a wide range of activities which promote a healthy lifestyle<br />
>underst<strong>and</strong> that adults in my school community have a responsibility to look after me, listen<br />
to my concerns <strong>and</strong> involve others where necessary<br />
>learn about where to find help <strong>and</strong> resources to inform choices<br />
>assess <strong>and</strong> manage risk <strong>and</strong> underst<strong>and</strong> the impact of risk-taking behaviour<br />
>reflect on my strengths <strong>and</strong> skills to help me make informed choices when planning my next<br />
steps<br />
>acknowledge diversity <strong>and</strong> underst<strong>and</strong> that it is everyone’s responsibility to challenge<br />
discrimination<br />
Source: CfE Health <strong>and</strong> Wellbeing<br />
A wide range of relevant <strong>and</strong> realistic learning experiences are encouraged to ensure that<br />
“every child <strong>and</strong> young person is progressing in his or her development <strong>and</strong> learning.”<br />
Nurture Groups are well placed to support children <strong>and</strong> young people <strong>with</strong> these experiences<br />
in mind. Many of the outcomes as developed are particularly relevant to the nurture group<br />
approach <strong>and</strong> nurturing principles e.g. HWB 0-03a. “I underst<strong>and</strong> that there are people I can<br />
talk to <strong>and</strong> that there are a number of ways in which I can gain access to practical <strong>and</strong><br />
emotional support to help me <strong>and</strong> others in a range of circumstances.”<br />
Nurture Groups <strong>and</strong> Attendance<br />
There is a paucity of research in the field of Nurture Groups <strong>and</strong> attendance <strong>and</strong> therefore<br />
the current evidence base is very limited. The Glasgow Study of 16 Nurture Groups (2006)<br />
was the only study that kept data on attendance but these were not reported on. The study<br />
however reported that the children experienced increased social <strong>and</strong> emotional well-being,<br />
self-esteem <strong>and</strong> gains in basic literacy skills.<br />
62
Another authority wide study reported in the literature is The Wirrall Nurture Group Project<br />
(2003). Their main reported findings are that their Nurture Group supported parents; opened<br />
ways to parental involvement; turned unhappy <strong>with</strong>drawn children into happy, curious<br />
children; reduced exclusions; <strong>and</strong> improved punctuality <strong>and</strong> attendance.<br />
The Nurture Group Network Summary Evaluation of 28 reports <strong>and</strong> associated documents<br />
(November, 2008) observed that several reports mention improved attendance <strong>and</strong><br />
punctuality amongst children who had previously poor records in these areas. The authors<br />
concluded that where school was perceived as a negative experience this would appear to<br />
be resolved by the nurture group setting (relationships) <strong>and</strong> / or curriculum (relevance).<br />
The Nurture Group Network Summary Evaluation also noted scope for development of the<br />
core principles adapted to the secondary school environment, confirming that many children<br />
come to secondary school in need of support for the development of social <strong>and</strong> emotional<br />
maturity. They confirm also that there are existing examples of good practice in this regard.<br />
The Nurture Group Network also comments that there was limited evidence that canvassing<br />
children <strong>and</strong> young people’s views had been accorded priority. The study’s conclusions<br />
would have been improved if their voices had come through more clearly. The present<br />
authors support this view <strong>and</strong> propose that this be reflected in future evaluations <strong>and</strong><br />
research.<br />
Findings from three nurture groups<br />
In order to gain greater knowledge of functioning Nurture Groups, the authors of this report<br />
visited three established nurture groups operating in Scotl<strong>and</strong>. The visits served to provide<br />
practical insight to see the work that they do <strong>and</strong> to listen to the views of staff as to their<br />
impact <strong>with</strong> their young people. In return the authors offered guidance <strong>and</strong> support in aiding<br />
the groups to review <strong>and</strong> refine their approach to evidence gathering to two of the groups.<br />
One of the groups had effective <strong>and</strong> extensive support from their link <strong>Education</strong>al<br />
Psychologist. This impacted on systematic gathering of evidence, the strategic profile <strong>with</strong>in<br />
the school <strong>and</strong> the contribution to planning <strong>with</strong>in the authority.<br />
The three nurture groups differed in many ways as can be seen from the table in appendix 1,<br />
however they had several key features in common. These are noted below.<br />
63
Involvement of the school senior management team (SMT)<br />
From the outset <strong>and</strong> in an ongoing basis, the support <strong>and</strong> involvement of the school senior<br />
management had made a huge difference in terms of the setting up, involvement of wider<br />
school staff <strong>and</strong> the future planning for the groups. There was a careful judgement to be<br />
made by the SMT - a balance between the support for ownership of the Nurture Group by the<br />
staff involved in running the group <strong>and</strong> the essential wider supportive stance <strong>with</strong>in the<br />
school. Where schools had achieved this balance, the group had a higher profile <strong>and</strong> was<br />
seen as an embedded aspect of the school’s system of support.<br />
A curriculum tailored to the needs of the group.<br />
The curriculum tailored to the needs of the group is a core principle in nurture group<br />
philosophy. This was seen by all staff as vital in engaging this group of young people. Staff<br />
from the groups all stated that a number of these young people would possibly not sustain<br />
their place in mainstream schools were it not for the support offered by the groups. Often<br />
plans had to be completely rethought because of a particular situation in the lives of one of<br />
the group members. They had the flexibility <strong>with</strong>in a curricular structure to respond to these<br />
needs.<br />
Individual staff to be flexible motivated <strong>and</strong> see relationships as key<br />
It was considered by all staff that those involved had to be genuinely interested in <strong>and</strong> had to<br />
want to work closely <strong>with</strong> the young people. The importance of being resourceful in a calm<br />
<strong>and</strong> measured way was stressed – this so that the learning experiences on offer were flexible<br />
enough to engage the young people.<br />
Control over the carefully assessed composition of the group<br />
All three groups had a set assessment process which involved use of the Boxall Profile<br />
(1998), curricular <strong>and</strong> pastoral information from the primary schools <strong>and</strong> direct observations<br />
over time in primary <strong>and</strong> secondary school. On occasion, strategic decisions may have been<br />
taken by senior management in a school or at authority level to place a given young person<br />
in the group on a sudden <strong>and</strong> unplanned basis. This was recognised by Nurture staff as<br />
sometimes problematic <strong>and</strong> detrimental to the functioning of the group. Equally it was also in<br />
these instances reported as unhelpful for the particular young person.<br />
64
Planned links <strong>with</strong> the mainstream school staff<br />
All three groups had carried out awareness training <strong>with</strong> school staff <strong>and</strong> planned to do more<br />
of this work. All three groups had regular events <strong>with</strong> the aim of including staff members<br />
which were successful in that staff participated <strong>and</strong> comments received showed that staff<br />
had seen the young people in a fresh light <strong>and</strong> had an enhanced underst<strong>and</strong>ing of the work<br />
of the groups.<br />
Continuing links <strong>with</strong> group members<br />
All of the staff maintained informal links <strong>with</strong> the young people in the wider school. This<br />
included the time period when they were supported <strong>and</strong> later when they had been previously<br />
supported by the Nurture Group. This was seen by Nurture Group staff as a positive <strong>and</strong><br />
important contribution to the progress made for these young people.<br />
Evaluation<br />
Views of staff <strong>with</strong>in the Nurture Groups<br />
Without exception, all staff members observed significant improvements in the behaviour of<br />
the young people in the group over the course of the session. Evidence was shared from<br />
one group of pre <strong>and</strong> post Boxall profiles that noted positive change for 10 of 12 group<br />
members. The same Nurture Group also noted behaviour <strong>with</strong>in the group <strong>and</strong> it was seen<br />
that 6 of the 12 group members improved <strong>and</strong> 5 remaining group members sustained<br />
positive behaviour throughout the life of the group.<br />
Staff in all three schools stated that many of the children supported by the nurture group<br />
remained in school because of this intervention. In one of the schools where there were S3<br />
<strong>and</strong> S4 students who had been members of the group, links were maintained <strong>and</strong> former<br />
members were able to demonstrate their skills of hospitality <strong>and</strong> negotiation during the visit<br />
by the authors. All of the young people supported by the nurture group were viewed<br />
positively as active participants <strong>with</strong>in their mainstream school <strong>and</strong> this was being sustained<br />
over a number of sessions.<br />
65
Views of staff <strong>with</strong>in the main school<br />
All three groups systematically gathered <strong>and</strong> recorded staff views on individual progress by<br />
young people <strong>and</strong> these were used to monitor progress, provide feedback <strong>and</strong> to celebrate<br />
success <strong>with</strong>in the group. Staff for example constructively recorded a scenario whereby a<br />
young person had calmly responded to a volatile situation <strong>and</strong> sought help appropriately.<br />
Other written comments were for example, about ability to stick <strong>with</strong> tasks <strong>and</strong> perseverance,<br />
being kind <strong>and</strong> caring, making progress <strong>with</strong>in school, being friendly, cooperative <strong>and</strong> other<br />
positive skills <strong>and</strong> qualities. The PDP authors formed the view that a more systematic<br />
gathering of staff views at the beginning, during <strong>and</strong> at the end of each session would be<br />
useful.<br />
This noticing of impact by the wider school community fits <strong>with</strong> the findings of Colley (2009)<br />
whereby the credibility of nurture practice begins to emerge as staff notice the practical<br />
benefits. Embedding nurture further in secondary schools comes <strong>with</strong> the further dialogue,<br />
invitations to the group <strong>and</strong> exchange of information between staff.<br />
Views of parents / community police<br />
Reported comments from parents suggest that they see the nurture group as a very positive<br />
support for their child. In all three schools, to varying degrees parental involvement featured<br />
the process <strong>and</strong> the three groups planned to extend their involvement yet further in the<br />
future.<br />
From discussion <strong>with</strong> the community police officer at one of the schools, positive outcomes<br />
were observed at a community level. The officer attributed it to the opportunities he has had<br />
to develop personal relationships <strong>with</strong>in the group <strong>and</strong> school setting. This has since<br />
transferred to more positive interactions <strong>and</strong> expectations outside school.<br />
Impact on attendance<br />
Staff involved in all three groups considered that the nurture group members’ attendance is<br />
better on days when the nurture group was available to them. There was significant<br />
anecdotal evidence from staffs personal experiences but limited hard data to call on. Staff<br />
66
however felt confident that several young people had become good attendees, in contrast to<br />
past histories.<br />
The present authors studied attendance in the three groups to ascertain any trends. Analysis<br />
of the hard attendance data was a difficult exercise due to the variability in the way that the<br />
different staff, schools <strong>and</strong> authorities had recorded their data. This made the reliability of<br />
<strong>with</strong>in <strong>and</strong> cross group comparisons somewhat problematic.<br />
It has not been possible to compare attendance for nurture group members <strong>with</strong> that of a<br />
control group. However, a comparison of the overall attendance percentages for the schools<br />
for years S1 <strong>and</strong> S2 in the relevant sessions indicates that nurture group members’<br />
attendance was similar or slightly above the overall figure for the school.<br />
Given the challenges faced by nurture group members, these percentages perhaps indicate<br />
a better than anticipated rate of attendance for this group.<br />
Conclusions<br />
Progress <strong>with</strong>in school<br />
The evidence available is centred on staff views of young people’s progress <strong>with</strong>in the<br />
nurture group <strong>and</strong> in mainstream classes.<br />
From Boxall profile assessments <strong>and</strong> <strong>with</strong>in group observations there is steady progress in<br />
students’ emotional capacity <strong>and</strong> ability to cope <strong>with</strong> <strong>and</strong> benefit from the curriculum <strong>with</strong>in<br />
the group.<br />
Mainstream staff comments show that nurture group members are making a good<br />
contribution to the broad curriculum in school over the school session. They indicate that<br />
many of these behaviours are evidenced in the areas of emotional health <strong>and</strong> well being.<br />
Relevance to inclusion<br />
All of the young people <strong>with</strong>in the nurture groups in the three schools have sustained their<br />
place in mainstream school. These students were identified as needing additional support to<br />
67
make the transition to secondary school. It can be argued therefore that the nurture groups<br />
in these three schools have made a significant contribution to the inclusion of these young<br />
people in their local community.<br />
In one school, the nurture group has been running for four years <strong>and</strong> therefore these young<br />
people have sustained their place in mainstream for this period of time. From teacher<br />
comments, the students from the nurture group are making a valuable contribution to school<br />
life <strong>with</strong>in the classrooms.<br />
Attendance<br />
Hard data here is less reliable, but the soft measures indicate that in providing a relevant <strong>and</strong><br />
tailored curriculum <strong>with</strong>in the nurture groups, young people’s attendance is at least as good<br />
as or slightly better than that of their peer group <strong>with</strong>in the same school. Those supported by<br />
nurture group intervention would be vulnerable <strong>and</strong> liable to poor school attendance but it<br />
can be evidenced that the support provided <strong>with</strong>in the nurture group encourages <strong>and</strong> enables<br />
them to attend school more reliably. Evidence is therefore suggestive that nurture group<br />
intervention can support young people who would otherwise find the transition to secondary<br />
school very difficult<br />
Recommendations for future work in this area<br />
Motivational <strong>and</strong> caring relationships alongside a relevant <strong>and</strong> flexible curriculum are seen as<br />
vital in enhancing the skills, competences <strong>and</strong> personal attributes needed for young people<br />
at risk of missing out on successful transition <strong>and</strong> a positive sustained destination. This<br />
provides a continuum of learning <strong>and</strong> support based on individual needs. The principles<br />
operating <strong>with</strong>in Secondary nurture groups provide a situation <strong>with</strong>in which this can<br />
effectively happen.<br />
The authors have presented a review of relevant literature <strong>and</strong> research, examples of<br />
success <strong>and</strong> good practice <strong>and</strong> carried out a small scale evaluation looking at both<br />
qualitative <strong>and</strong> quantitative data. From this it is clear that the issue is not one of searching for<br />
impact but of planning for evaluation <strong>and</strong> gathering evidence systematically. The planning for<br />
evaluation needs to start before groups begin.<br />
68
Records of attendance are part of data gathering for impact, but these are problematic to use<br />
as cited evidence, as noted earlier. A framework of evidence gathering would also include:<br />
evidence of individual progress over time:<br />
• through Boxall Profile assessment (secondary version in process)<br />
• Curriculum for Excellence assessment<br />
• personal comments from parents, teachers <strong>and</strong> other adults<br />
• <strong>and</strong> most importantly of all young person’s views on their situation<br />
Further research as to the effectiveness of Nurture Groups should be commissioned.<br />
Psychological Services are in a central position <strong>with</strong>in the local authority to provide<br />
consultancy, advice <strong>and</strong> assistance in planning <strong>and</strong> evaluation.<br />
At school <strong>and</strong> authority level, nurture group <strong>and</strong> nurture group principles need to be<br />
embedded <strong>with</strong>in a range of strategies that support emotional health <strong>and</strong> wellbeing.<br />
As Scottish Government policy is to seek a national, coherent response to the needs of all<br />
learners including those requiring additional support, consideration should be given to<br />
funding <strong>and</strong> support to set up nurture groups. This would enable a widespread development<br />
of nurture groups, nurturing principles <strong>and</strong> approaches in schools <strong>and</strong> would be part of a<br />
national strategy to provide the continuum of learning <strong>and</strong> support based on individual needs.<br />
This would impact positively on transitions <strong>and</strong> lead to more likelihood of positive <strong>and</strong><br />
sustained destinations.<br />
69
References<br />
Blyth E (Ed. 1999) Improving School Attendance (London, Routledge Farmer).<br />
Binnie L <strong>and</strong> Allen K (2008) Whole school support for vulnerable children: The evaluation of<br />
a part-time nurture group. Emotional <strong>and</strong> Behavioural Difficulties Vol13:201-16.<br />
Boxhall M <strong>and</strong> Bennathan M (1998) The Boxhall Profile H<strong>and</strong>book for Teachers London:<br />
The Nurture Group Network Ltd, ISBN 0 902788 21 3 www.nurturegroups.org<br />
Colley D (2009) Nurture Groups in Secondary Schools. Emotional <strong>and</strong> Behaviour Difficulties.<br />
Vol 14:4 291-300.<br />
Cooper P Arnold R <strong>and</strong> Boyd B (2001) The effectiveness of nurture groups: preliminary<br />
research findings. British Journal of Special <strong>Education</strong> Vol 28:4 160-166.<br />
Cooper P <strong>and</strong> Whitbread D (2007) The effectiveness of nurture groups on student<br />
progress: Evidence from a national research study Emotional <strong>and</strong> Behaviour Difficulties Vol<br />
12:3: 172-90.<br />
Dryfoos J G (1990) Adolescents at Risk: Prevalence <strong>and</strong> Prevention Oxford University<br />
Press.<br />
Finn J D (1990) School engagement <strong>and</strong> students at risk Washington D C, Centre for<br />
<strong>Education</strong>al Statistics.<br />
Lehr C A et al (2004) Addressing Student Engagement <strong>and</strong> Truancy Prevention. Journal of<br />
<strong>Education</strong> for Students Placed at Risk (JESPAR) Vol 9 279-30.<br />
Leober R <strong>and</strong> Strouthamer-Loeber M (1998) Development of juvenile aggression <strong>and</strong><br />
violence; some misconceptions <strong>and</strong> controversies American Psychologist Vol53, 242-259<br />
March S <strong>and</strong> Healy N (2007) What is the parental perception on progress made by nurture<br />
group children <strong>Education</strong>al Psychology in Scotl<strong>and</strong> Vol 9:1 2-7.<br />
Morewood G (2009) online article The 21 st Century SENCO www.teachingexpertise.com<br />
70
Nurture Group: Paper to <strong>Education</strong> Services Policy Development <strong>and</strong> Scrutiny Committee,<br />
Glasgow City Council (September 2006).<br />
Pelligrini D (2007) School Non-attendance: definitions, meanings, responses, interventions<br />
<strong>Education</strong>al Psychology in Practice Vol 23 No 1.<br />
Reid K (2000) Tackling tuancy in schools: a practical manual for primary <strong>and</strong> secondary<br />
schools (London Routledge).<br />
S<strong>and</strong>ers T (2007) Helping <strong>Children</strong> Thrive at School: The effectiveness of nurture groups<br />
<strong>Education</strong>al Psychology in Practice Vol 23 No 1.<br />
Scottish Government (2010) Curriculum for Excellence health <strong>and</strong> wellbeing outcomes<br />
www.ltscotl<strong>and</strong>.org.uk/curriculumforexcellence/experiences<strong>and</strong>outcomes/index.asp<br />
The Wirral Nurture Group Project (July 2003) described in “Making Our Experience Count:<br />
The views of nurture group practitioners throughout the UK. Messages from evaluation<br />
studies” The Nurture Group Network (November 2008).<br />
Withers G (2004) Disenchantment, disengagement, disappearance: Some recent statistics<br />
<strong>and</strong> a commentary on non-attendance in school Australian Council for <strong>Education</strong>al<br />
Research.<br />
Zhang M (2003) Links Between School Absenteeism <strong>and</strong> Child Poverty. Pastoral Care in<br />
<strong>Education</strong> Vol 21 10-17.<br />
71
Appendix 1, FEATURES OF THREE SECONDARY NURTURE GROUPS<br />
School 1<br />
Roll: 1398<br />
Staff: 125<br />
School 2<br />
Roll: 564<br />
Staff: 57<br />
School 3<br />
Roll: 1136<br />
Staff:124<br />
Age S1 S1 + S2 S1 + S2, some S3 <strong>and</strong> continued links<br />
Number 10 5 per group. Mostly boys<br />
8 per group<br />
Days 3 x 1 period 2X2 periods for each group 4 X 1 period for each group<br />
Links Staff come to events Staff come to events<br />
Parents come to activities, tea <strong>and</strong> chat<br />
bring a friend – lunchtime<br />
Assessment Boxall profile<br />
Primary School P7 information<br />
Curriculum includes Emotional vocabulary<br />
Tea & toast<br />
Circle time<br />
Games<br />
Art projects<br />
Support - internal <strong>and</strong> external SMT Support<br />
Careful staff selection<br />
Care in group composition<br />
Linked in <strong>with</strong> NG Network<br />
Evaluation Anecdotal:<br />
Campus Cop – difference in community<br />
Attendance better on NG days<br />
Examples given of parent <strong>and</strong> staff feedback<br />
Plans/Next Steps flexible “rotating door” membership<br />
in-intervention- out<br />
Boxall profile<br />
Observe over 2 day primary school visits<br />
Primary schools suggest membership<br />
Summer school – 20<br />
4 weeks of observations<br />
Games<br />
Eating together<br />
Ownership by school<br />
Linked in <strong>with</strong> NG Network<br />
Anecdotal:<br />
Attendance better on NG days<br />
Written comments from staff <strong>and</strong> parents re:<br />
Confidence, self-esteem, willing to try more in<br />
class<br />
Within NG assessments:<br />
Observed better social behaviour - meals<br />
Boxall – pre <strong>and</strong> post<br />
Dec-June written observations<br />
PSG <strong>and</strong> EP link would be good<br />
Involve more staff – contribute to curriculum?<br />
Links <strong>with</strong> older pupils<br />
Collaborative assessment <strong>with</strong> primary school<br />
Link <strong>with</strong> parents at earlier stage<br />
72<br />
Awareness raising to all staff<br />
Boxall profile<br />
Collaboration assessment P6 –P7<br />
Strengths <strong>and</strong> Difficulties Questionnaire<br />
Planned themes set out termly in written format<br />
Games<br />
Breakfast<br />
Authority (EP) <strong>and</strong> SMT support - instrumental in staff<br />
awareness raising<br />
School timetable accommodates predictable start to<br />
day.<br />
Anecdotal:<br />
Attendance better on NG days<br />
Participated in debating club<br />
Positive talk about coming to class / school<br />
Extended friendship groups<br />
Primary/Secondary difference – better than expected<br />
attendance <strong>and</strong> behaviour<br />
EP has link to Strategy Group <strong>with</strong>in authority<br />
- Roll out to other schools in Authority
<strong>Children</strong> <strong>with</strong> Attendance Difficulties Due to Long-term<br />
Medical Conditions: Accessing Curriculum for Excellence<br />
Gail MacDonald<br />
Introduction<br />
The group of children <strong>and</strong> young people <strong>with</strong> attendance difficulties includes a small but<br />
ubiquitous group of non-hospitalised children who are unable to attend school due to medical<br />
difficulties, for physical <strong>and</strong> mental health conditions. The following (box 1) is a consideration of<br />
how the curriculum is being delivered to this group <strong>and</strong> how their educational needs are being<br />
met.<br />
Box 1 Curriculum for Excellence <strong>and</strong> the four capacities<br />
The Curriculum for Excellence sets out four capacities in which children are expected to learn<br />
<strong>and</strong> develop as successful learners, confident individuals, responsible citizens <strong>and</strong> effective<br />
contributors -<br />
“The experiences <strong>and</strong> outcomes in the range of curricular areas build in the attributes <strong>and</strong><br />
capabilities which support the development of the four capacities. This means that, taken<br />
together across curriculum areas, the experiences <strong>and</strong> outcomes contribute to the attributes <strong>and</strong><br />
capabilities leading to the four capacities.<br />
The exp<strong>and</strong>ed statements of the four capacities can also form a very useful focus for planning<br />
choices <strong>and</strong> next steps in learning. The attributes <strong>and</strong> capabilities can be used by<br />
establishments as a guide to assess whether the curriculum for any individual child or young<br />
person sufficiently reflects the purposes of the curriculum.”<br />
- The Curriculum for Excellence 2004<br />
73
Figure 1 Model of the four Curriculum for Excellence (CfE) capacities<br />
The curriculum will provide challenges for children <strong>with</strong> attendance issues being educated at<br />
home. Table 1 as follows, indicates a summary of the learning outcomes as per the new<br />
curriculum <strong>with</strong> some of the potential challenges for teaching <strong>and</strong> learning out-of-school.<br />
74
Table 1 the four capacities <strong>and</strong> teaching challenges<br />
Capacity Examples At home teaching<br />
What may help?<br />
Successful Learner Thinking <strong>and</strong><br />
reasoning skills<br />
Attainments in literacy<br />
<strong>and</strong> numeracy<br />
Using technology<br />
Confident<br />
individuals<br />
Physical, mental <strong>and</strong><br />
emotional well-being,<br />
self awareness,<br />
independent living <strong>and</strong><br />
risk assessment.<br />
Responsible citizen Respect others,<br />
awareness of<br />
environmental issues,<br />
underst<strong>and</strong>ing<br />
complexity<br />
Effective<br />
Contributors<br />
.<br />
Enterprising, problem<br />
solving,<br />
communication skills<br />
75<br />
Technology – useful<br />
route for children<br />
maintaining contact<br />
<strong>with</strong> school –<br />
particularly <strong>with</strong><br />
GLOW in place.<br />
One-to-one teaching<br />
allows more tailored<br />
discussion of the<br />
particular child’s<br />
difficulties <strong>and</strong> the<br />
impact on the<br />
lifestyle<br />
An underst<strong>and</strong>ing of<br />
differences between<br />
individuals may be<br />
more likely<br />
understood by a<br />
child at home<br />
An opportunity to<br />
problem solve <strong>with</strong><br />
the child – to<br />
consider their own<br />
learning experience<br />
<strong>and</strong> to maximise his<br />
learning outcomes<br />
<strong>with</strong> the resources<br />
available<br />
At home teaching<br />
What will be<br />
difficult?<br />
Limited time<br />
available likely to<br />
lead to prioritising<br />
knowledge based<br />
teaching <strong>and</strong><br />
attainments in core<br />
skills.<br />
Breadth of<br />
curriculum will be<br />
compromised in<br />
short teaching<br />
times, <strong>and</strong> novelty<br />
of these aspects as<br />
formal education<br />
may lead to<br />
sacrifice in these<br />
areas.<br />
Examples are<br />
usually provided by<br />
class room life <strong>and</strong><br />
therefore difficult to<br />
illustrate at home.<br />
Fewer joint learning<br />
experiences require<br />
careful planning to<br />
ensure child has an<br />
opportunity to share<br />
their work <strong>and</strong> to<br />
learn co-operation<br />
<strong>and</strong> learn from<br />
practical experience
The basis of the Curriculum for Excellence differs from the earlier Scottish 5-14 curriculum in<br />
that it takes explicit account of the whole child’s needs <strong>and</strong> formalizes outcomes in children’s<br />
health, social <strong>and</strong> emotional development. This has provided particular challenges to educators<br />
<strong>and</strong> partners at a school <strong>and</strong> class level. For teachers working <strong>with</strong> children <strong>with</strong> attendance<br />
difficulties due to long term illness the challenges are even greater given the vulnerability of the<br />
group <strong>and</strong> also the practical implications for catering to the needs of children who are being<br />
educated at home through the significantly limited home tuition resource whilst remaining on the<br />
school roll.<br />
The following is a consideration of the issues that arise in terms of resourcing <strong>and</strong> adaptation of<br />
the new curriculum <strong>and</strong> in doing so, covers the journey from theory to practical experience.<br />
1. The legislative context<br />
2. Risk factors for children <strong>with</strong> long term illness<br />
3. A small scale study of home tutors experiences<br />
4. A case study of an individual child<br />
Legal context<br />
<strong>Children</strong> <strong>with</strong> attendance difficulties include a group of young people who are provided <strong>with</strong> long<br />
term state education at home due to chronic medical difficulties. In 2009 there were 827<br />
children educated in Scotl<strong>and</strong> under Section 14 of the <strong>Education</strong> (1980) Act – i.e. education for<br />
children <strong>with</strong> long term illness - <strong>and</strong> the group remains small but consistent in numbers.<br />
<strong>Education</strong> authorities have a duty to educate children who are long term absent from school due<br />
to medical conditions (Section 14 of the <strong>Education</strong> (Scotl<strong>and</strong>) Act 1980 (as amended by Section<br />
40 of the St<strong>and</strong>ards in Scotl<strong>and</strong>'s Schools Act 2000) through home tuition or outreach support.<br />
More recently, the ‘Included, Engaged <strong>and</strong> Involved’ document (2007) produced after the<br />
implementation of the Curriculum for Excellence in Scottish Schools has replaced earlier<br />
documents. However, advice <strong>with</strong>in the document remains consistent <strong>with</strong>, <strong>and</strong> refers to the<br />
comprehensive 2001 (St<strong>and</strong>ards in <strong>Education</strong> Circular) ‘Guidance on <strong>Education</strong> of <strong>Children</strong><br />
absent from school through ill-health’.<br />
76
The guidelines suggest a variety of child-centred supports including:<br />
• 3-7 hours tuition weekly from a qualified teacher, <strong>with</strong> flexibility based on the child’s<br />
ability to cope<br />
• a definition of long term is provided suggesting that local authorities respond following 15<br />
days of illness (or sooner if predicted as long term)<br />
• access to a learning support co-ordinator or specialist teaching agency, either through<br />
direct or indirect support is advised <strong>with</strong> an identified staff member to take lead<br />
responsibility for a young person<br />
• home education may be available during holiday periods in order to increase the<br />
flexibility of curriculum delivery <strong>with</strong>in the 3-7 hours<br />
• class teachers are also advised to keep a note on missed work <strong>and</strong> where appropriate<br />
resources to be made available for self-study<br />
• an Individual <strong>Education</strong> Plan is recommended<br />
Is a Co-ordinated Support Plan required?<br />
The <strong>Education</strong> (Additional Support for Learning) (Scotl<strong>and</strong>) Act (2004) <strong>and</strong> (2009) <strong>and</strong> suggests<br />
that a co-ordinated support plan is deemed necessary should additional needs be significant <strong>and</strong><br />
long term. In practice there can be some ambiguity as to whether certain non-attendees <strong>with</strong><br />
medical problems has a need for a CSP. However, in a case of significant <strong>and</strong> long term multiagency<br />
involvement it is appropriate at least to consider initiating a CSP. For children <strong>with</strong> a<br />
predicted return date to school there would seem less need, but children who have no return<br />
date, may indeed benefit from a framework of regular reviews amongst professionals.<br />
.<br />
It is sometimes the case that a child <strong>with</strong> an enduring condition has no educational needs based<br />
on cognitive ability or educational attainments but could be argued that missing significant<br />
elements of school life will impact significantly on the integrated curriculum supporting health<br />
<strong>and</strong> well-being which is delivered through the whole school day experience.<br />
77
What are the risk factors for children <strong>and</strong> young people who come <strong>with</strong>in this<br />
category?<br />
Three significant American studies took account of children <strong>with</strong> chronic illness leading to school<br />
absence. Bauman et al (1997) found that children <strong>with</strong> chronic illness as children are more likely<br />
to develop mental health problems. Furthermore, Pless et al (2008) suggests that the increased<br />
risk to mental health remains <strong>with</strong> the child in their adult lives. Bennett’s 1994 study in the<br />
Journal of Paediatric Psychology involved a meta-analysis, <strong>and</strong> his results led to the conclusion<br />
that children <strong>with</strong> chronic medical conditions have a higher risk of depressive symptoms.<br />
The Curriculum for Excellence provides methods for promoting resilience against mental health<br />
difficulties in life. An underlying assumption is made that there are clear <strong>and</strong> measurable ways<br />
to teach resilience in young people, <strong>and</strong> that the skills can be useful in facing the challenges that<br />
young people will face as they move into adulthood. Skills such as underst<strong>and</strong>ing how<br />
circumstances affect feelings, <strong>and</strong> the development <strong>and</strong> maintenance of friendships, are no<br />
longer informally developed in school but are now part of the formal curriculum. This reflects a<br />
national priority in building good mental health amongst the population in Scotl<strong>and</strong>. <strong>Children</strong><br />
<strong>with</strong> long term illness would seem to need access to the broader curriculum, at least as much,<br />
<strong>and</strong> possibly more so than their peer group.<br />
Project survey<br />
Twenty teachers, including home tutors, primary teachers <strong>and</strong> guidance teachers involved <strong>with</strong><br />
children <strong>with</strong> long-term illness were surveyed via questionnaire (see appendix 1). The<br />
questionnaires sought data about the curriculum <strong>and</strong> experiences of ten young people <strong>with</strong> long<br />
term illness, absent from school <strong>and</strong> in receipt of home tuition. Three children were primary<br />
school age <strong>and</strong> seven young people were of secondary school (all S3 <strong>and</strong> above). The results<br />
are summarised in the following table 2:<br />
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Table 2 Results of survey responses<br />
Question domains Responses Responses by sector<br />
Responses by role Home Tutor (10)<br />
Guidance Teacher (7)<br />
Primary Class teacher (3)<br />
Subject taught Maths (2)<br />
English (3)<br />
Biology (1)<br />
Chemistry (1)<br />
Primary subjects (3)<br />
Medical Condition of child Clinical Depression, (2)<br />
Hodgkin’s Lymphoma (2)<br />
Chronic Pain Syndrome (1)<br />
Erytheromelalgia (1)<br />
Undiagnosed Condition or unknown<br />
(3)<br />
ME (1)<br />
Is an IEP being used? Yes – 6<br />
No – 16<br />
Inclusion in social activities at<br />
school<br />
Inclusion in social activities – visits<br />
to home<br />
Yes –6<br />
No - 11<br />
Don’t know – 3<br />
Yes – 2<br />
No – 14<br />
Don’t Know - 4<br />
Co-ordinator identified? Don’t Know (7)<br />
Guidance teacher (7)<br />
Class teacher (6)<br />
79<br />
Primary (6)<br />
Secondary (14)<br />
Primary (3)<br />
Secondary Subjects (7)<br />
‘Yes’ responses -<br />
Primary (6)<br />
‘No’ responses<br />
Secondary (14)<br />
‘Yes’ responses -<br />
Primary (6)<br />
Secondary (0)<br />
‘No’ response<br />
Secondary (11)<br />
Primary (0)<br />
Don’t Know response –<br />
Secondary (3)<br />
Primary (0)<br />
‘Yes’ responses –<br />
Primary (4)<br />
Secondary (0)<br />
‘No’ responses<br />
Primary (0)<br />
Secondary (14)<br />
‘Don’t Know’ responses<br />
Primary (2)<br />
Secondary (0)<br />
‘Yes’ response<br />
Primary (6)<br />
Secondary (7)<br />
‘Don’t know’ response<br />
Primary (0)<br />
Secondary ( 7)
Responses from the group revealed a significant gap between the experiences of children <strong>and</strong><br />
young people in primary <strong>and</strong> secondary education. Primary children appeared to have provision<br />
from a wider range of sources <strong>with</strong> more clarity about how non-academic targets such as<br />
socialisation were being met. The presence of a class group (even when the child remained<br />
absent for a long period) is an identifiable resource when developing Individual <strong>Education</strong> Plan<br />
(IEP) targets in social <strong>and</strong> emotional components of the curriculum. Also, an individual class<br />
teacher who is able to co-ordinate support between learning support <strong>and</strong> home tutors seems to<br />
be more successfully implemented, than <strong>with</strong> the young people in secondary education which<br />
appears to have the disadvantages of a committee led curriculum <strong>with</strong> the same level of support<br />
but no single identified leader or co-ordinator.<br />
Secondary aged young people across all years were reported as having a core subject<br />
curriculum based around examinations. The social components of the curriculum relied on the<br />
child themselves maintaining contact <strong>with</strong> friends. The need for exam support was prioritised<br />
above all other curricular outcomes given the relatively short teaching time. The guidance staff<br />
unanimously supported the young person’s progress through exams in terms of exam pressure<br />
<strong>and</strong> ensuring co-ordination <strong>with</strong> learning support in terms of special exam arrangements.<br />
The results of this small study, suggests that for this group, there is a difference in the curriculum<br />
delivery between secondary <strong>and</strong> primary education. Primary education does appear to be able<br />
to accommodate greater flexibility <strong>and</strong> retain the child as a classmate, <strong>and</strong> to provide a smaller<br />
staff group <strong>with</strong> greater co-ordination. In secondary education there is a difficulty in that the<br />
curriculum remains subject driven <strong>with</strong> greater challenges for staff to liaise amongst themselves<br />
<strong>and</strong> more focus on exam timetables. The judgements made regarding the curriculum reflect in<br />
practice a prioritising of the time available <strong>and</strong> core knowledge wins out consistently. This<br />
approach seems to have remained unchanged <strong>and</strong> a challenge to incorporate newer aspects of<br />
the curriculum is unlikely to be the remit of home tutors acting alone.<br />
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Some reflections<br />
Based on informal discussion <strong>with</strong> other teachers in other authorities, there does not seem to be<br />
any suggestion that Inverclyde teachers are different in their implementation <strong>and</strong> approach of<br />
the new curriculum when dealing <strong>with</strong> this particular group. However a further study would be<br />
valuable to consider whether teachers in Inverclyde are representative of Scotl<strong>and</strong>’s teachers of<br />
this group of children, as a whole.<br />
The study carried out in Inverclyde suggests that the recommended automatic IEP for a child<br />
<strong>with</strong> long term absence is not being implemented routinely. It would also appear that the<br />
breadth of the curriculum has not yet been adjusted to incorporate the four capacities. The<br />
following is an example of set practice in Inverclyde – in which breadth is enabled using<br />
teachers creativity <strong>and</strong> problem solving skills to create a wider curriculum that makes good use<br />
of resources to ensure a child is being developed in line <strong>with</strong> all four capacities.<br />
Case Study – an exemplar of practice<br />
Joshua is a P5 pupil on the roll at his local primary school despite not having attended regularly<br />
since P2. Following a request from the school who felt that they required some clarification of<br />
their role <strong>with</strong> Joshua, Psychological Services became involved.<br />
At that time, it was agreed that Joshua required formal support through home tutoring <strong>and</strong><br />
resources from the class teacher. It was also agreed that Joshua maintain regular links <strong>with</strong> the<br />
school in two ways:<br />
1. Visits to the school were planned on a weekly basis during Golden Time, <strong>with</strong> input<br />
requested from the occupational therapist to ensure that Joshua’s flat bed wheelchair<br />
could be accommodated. It was agreed that this would be a continuing plan <strong>with</strong> parents<br />
contacting the school to cancel if Joshua was too ill.<br />
81
2. Small groups of children would visit Joshua on a weekly basis to ensure that he<br />
remained an identifiably member of the class community.<br />
3. Liaison between the home tutor, learning support teacher <strong>and</strong> the class teacher by way<br />
of an IEP.<br />
From the first meeting it was clear that there had been no diagnosis of Joshua’s difficulties nor<br />
did staff know if any medical officer had particular case knowledge or links to the child.<br />
Questions that arose in the first meeting between school staff, parents <strong>and</strong> Psychological<br />
Services, included questions regarding the suitability of the present school arrangements given<br />
that the child who had not been in school since primary 2. Key information about Joshua’s<br />
conditions <strong>and</strong> its impact on his education was essential from medical services <strong>and</strong> as a starting<br />
point a lead medical officer was identified.<br />
Following the identification of the medical officer, queries were raised by school staff about the<br />
well-being of Joshua. In order to comprehensively assess Joshua’s needs an Integrated<br />
Assessment Framework was instigated. Following this process clarity was provided regarding<br />
the role of social workers, <strong>and</strong> nursing staff were able to predict a minimal timeline for Joshua’s<br />
return to education. This was predicted as at least eighteen months <strong>and</strong> allowed for a<br />
formalising of Joshua’s IEP into a CSP. Social workers were able to follow the targets provided<br />
on the IEP to identify work to be done at home, particularly supporting the self-awareness <strong>and</strong><br />
underst<strong>and</strong>ing of circumstances work identified on his individual plan.<br />
Further <strong>and</strong> regular reviews by medical staff produced a diagnosis of Chronic Pain Disorder <strong>and</strong><br />
although this did not change the educational needs of Joshua or his attendance, this allowed for<br />
work to focus on Joshua’s good <strong>and</strong> bad days <strong>and</strong> to incorporate school visiting into a flexible<br />
pattern.<br />
Joshua’s visits to school <strong>and</strong> his classmate’s routine visits to his home led to a greater feeling of<br />
inclusion for a youngster who was previously spending most of his day <strong>with</strong> adults. His class<br />
82
teacher provided work for him <strong>and</strong> a laptop allowed Joshua to deliver pieces of written work for<br />
assessment. In addition his home tutor worked on ensuring Joshua kept up to date <strong>with</strong> skills<br />
required for national attainment testing. Within this model, Joshua’s curriculum tends relies<br />
heavily on co-ordination between teachers <strong>and</strong> between agencies. However the work being<br />
done, is both in line <strong>with</strong> the requirements of the Curriculum for Excellence, <strong>and</strong> takes account of<br />
the individual requirements of Joshua.<br />
Could this be adapted for secondary aged young people?<br />
The identification of a peer group is crucial to success. In secondary education, particularly from<br />
S3, there is more movement <strong>and</strong> it may become a little artificial to present (for instance) the<br />
registration class as a peer group. Particularly when a child has had significant long term illness<br />
<strong>and</strong> their registration group may include children <strong>with</strong> whom there is no shared history. The<br />
identification of such a group would be best carried out by parents, the child <strong>and</strong> the guidance<br />
teacher <strong>with</strong> consideration given to any friendship groupings or simply a group of children who<br />
are from the same geographic area.<br />
In addition it is necessary to identify the most appropriate member of staff to take a lead role in<br />
ensuring a child’s social <strong>and</strong> emotional needs are being addressed. In developing an IEP <strong>with</strong><br />
learning support it would be beneficial to consider ways of ensuring a child retains a necessary<br />
feeling of inclusion, despite their absence. In the primary sector, there is possibly more flexibility<br />
<strong>and</strong> secondary staff will be more limited <strong>and</strong> require a greater sense of creativity.<br />
Acknowledgements<br />
We gratefully acknowledge the following Inverclyde teachers <strong>and</strong> staff for their contribution.<br />
Mrs Bruce, Mr McAllister, Mr Mills, Mr McDonald, Mrs MacKay Jones, Mrs Craig, Mrs Murdoch,<br />
Mrs Marshall, Mrs Gillen.<br />
83
References<br />
Bennett David S (1994) Depression Among <strong>Children</strong> <strong>with</strong> Chronic Medical Problems: A Meta-<br />
Analysis Journal of Pediatric Psychology 19(2) pp149-169, 1994.<br />
Closs A (2000) The <strong>Education</strong> of <strong>Children</strong> <strong>with</strong> Medical Conditions London: David Fulton<br />
Laurie J B, Drotar D, Leventhal J M, Perrin E C, <strong>and</strong> Pless B I (1997) A Review of<br />
Psychosocial Interventions for <strong>Children</strong> With Chronic Health Conditions Paediatrics Vol 100 No.<br />
2 August 1997 pp244-251.<br />
Pless I B, Cripps H A, Davies A M <strong>and</strong> Wadsworth M E J (2008) Chronic Physical Illness in<br />
Childhood: Psychological <strong>and</strong> Social Effects in Adolescence <strong>and</strong> adult life Developmental<br />
Medicine <strong>and</strong> Child Neurology Vol 31 issue 6 pp746 – 755.<br />
Scottish Executive <strong>Education</strong> Department (November 2004) A Curriculum for Excellence<br />
Edinburgh, Scotl<strong>and</strong>: Scottish Executive <strong>Education</strong> Department ISBN: 0-7559-4215-9<br />
http://www.scotl<strong>and</strong>.gov.uk/Publications/2004/11/20178/45862<br />
The Scottish Government (December 2007) Included, engaged <strong>and</strong> involved - part 1:<br />
Attendance in Scottish schools ISBN: 978-0-7559-5546-6.<br />
http://www.scotl<strong>and</strong>.gov.uk/Publications/2007/12/05100056/1<br />
84
Appendix 1<br />
Survey questions<br />
Question 1<br />
You are currently supporting at least one child <strong>with</strong> a medical condition who is unable to attend<br />
school. What is the medical condition that prevents attendance?<br />
Question 2<br />
What is the type of teaching input are you currently providing?. Which subjects are you<br />
covering?<br />
Question 3<br />
Are there any other key teachers currently involved in the child's education? If so, can you<br />
provide details?<br />
Question 4<br />
Do you provide curricular support for the Health <strong>and</strong> Well-being aspects of the child's<br />
education?<br />
Question 5<br />
Is there an IEP for the young person? If so, who writes the IEP <strong>and</strong> if not, is there an alternative<br />
paper framework that is used?<br />
Question 6<br />
Is the child that you are currently working <strong>with</strong> primary or secondary age?<br />
85
Non-attendance at Secondary School – What’s the Problem<br />
<strong>and</strong> What Can We Do About It?<br />
Kirsty Mackay, Wendy Inch <strong>and</strong> Malcolm McGovern<br />
Introduction<br />
This chapter discusses the findings <strong>and</strong> implications of surveys conducted in City of<br />
Edinburgh <strong>and</strong> Fife, two of the largest local authorities in Scotl<strong>and</strong>. The focus of the surveys<br />
was to seek the perceptions of secondary schools on the following questions:<br />
- What are the main reasons for attendance difficulties in secondary schools?<br />
- What supports are in place for pupils <strong>with</strong> attendance difficulties?<br />
- What else can be done to improve attendance in secondary schools?<br />
- Does Curriculum for Excellence (CfE) present opportunities for secondary schools to<br />
meet the needs of pupils <strong>with</strong> attendance issues more effectively?<br />
Why school perceptions?<br />
There are a range of interactive <strong>and</strong> contextual factors that contribute to attendance issues<br />
for pupils in secondary schools. There remains a persistent professional <strong>and</strong> cultural<br />
perception that the location of attendance issues lie <strong>with</strong>in individual pupils <strong>and</strong> their families.<br />
Such differences in attributions are apparent between school staff <strong>and</strong> pupils/parents, where<br />
school staff are more likely to identify <strong>with</strong>in pupil/family factors for causing attendance<br />
difficulties, <strong>and</strong> pupils/families are more likely to blame <strong>with</strong>in school factors (Lauchlan, 2003;<br />
Malcolm, Wilson, Davidson <strong>and</strong> Kirk, 2003).<br />
Over the last three decades there has been a growing recognition <strong>with</strong>in research literature<br />
that <strong>with</strong>in school factors are at least as important as individual or family factors in identifying<br />
the source of perceived attendance issues, <strong>and</strong> for determining solutions.<br />
Why secondary schools?<br />
Statistical data from all 32 local authorities across Scotl<strong>and</strong> clearly demonstrates year on<br />
year that school attendance figures drop significantly when young people make the transition<br />
86
from primary to secondary school. A MORI youth survey in 2004 found that 47 per cent of<br />
young people who play truant started in their first two years of secondary school. National<br />
data also shows a persistent trend that attendance declines during secondary years, <strong>with</strong> the<br />
lowest school attendance at the S3 <strong>and</strong> S4 stages.<br />
Table 1 Summary of Attendance data (%) for all Local Authority Schools in Scotl<strong>and</strong><br />
School Year<br />
Year Group<br />
04/05 05/06 06/07 07/08 08/09<br />
P7 95.1 95.0 95.3 95.2 95.2<br />
S1 92.8 92.9 93.1 93.2 93.1<br />
S2 90.9 91.1 91.2 91.4 91.6<br />
S3 88.8 89.1 89.2 89.5 89.8<br />
S4 88.2 88.8 88.9 89.2 89.7<br />
Recent attendance data collated by the Scottish Government (table 1) indicates that there<br />
have been improvements at the S3 <strong>and</strong> S4 stages. However these remain the year groups<br />
<strong>with</strong> the highest levels of non-attendance. These figures there would suggest there is an<br />
issue about how effectively the needs of young people who become <strong>and</strong> remain disengaged<br />
from secondary school are being met. ‘Missing Out’ (HMIE, 2006) considered the reasons for<br />
pupil disengagement <strong>and</strong> identified the need for schools to focus on the lowest attaining 20%<br />
of pupils who are at risk of missing out on educational opportunities. The Government<br />
strategy ‘More Choices, More Chances’ (2006) outlines the need to support post-school<br />
transition for young people at risk. Attendance difficulties were identified as a risk factor for<br />
young people being more likely to leave school <strong>with</strong>out a positive destination.<br />
Reasons for non-attendance<br />
There are a number of well-established interactive factors that can contribute to reduced<br />
school attendance <strong>and</strong> a wide variety of terms <strong>and</strong> definitions to describe it. These were<br />
described in the introduction to this document <strong>and</strong> are repeated overleaf.<br />
87
Individual Family / Home School<br />
Personality: Laziness,<br />
curiosity, anger<br />
Parents putting a low value<br />
on education<br />
Learning Difficulties <strong>Children</strong> expected to act as<br />
carers / worries about<br />
parents well being<br />
Behavioural difficulties Domestic violence<br />
Emotional state Recent Family transition:<br />
parental separation, divorce,<br />
birth of a sibling.<br />
Not wanting to get into trouble Parents working long <strong>and</strong><br />
atypical hours<br />
Psychological or mental<br />
health difficulties<br />
Family history of nonattendance<br />
Low self-esteem Loss <strong>and</strong> Bereavements<br />
Embarrassment at personal<br />
attributes e.g. overweight<br />
What works to reduce the issue?<br />
Financial Stress: families not<br />
being able to provide uniform<br />
or equipment<br />
Being Bullied<br />
Problems <strong>with</strong> lessons (e.g.<br />
boring) <strong>and</strong> teachers (e.g.<br />
dislike of)<br />
Fear of returning to school<br />
Primary to Secondary<br />
Transition & Complexity of<br />
Secondary School<br />
Disruptive behaviour in<br />
class<br />
Opportunism e.g.<br />
inadequate monitoring<br />
Peer Pressure<br />
Social Isolation<br />
Attendance difficulties in secondary schools are complex <strong>and</strong> there is a need to be creative<br />
in finding solutions. Well established proactive <strong>and</strong> preventative measures exist that can be<br />
implemented at systemic levels to help minimise the issue, as well as a range of individually<br />
tailored intervention approaches (Lauchlan, 2003; Malcolm et al. 2003; NWREL, 2004;<br />
Pellegrini, 2007).<br />
The recent Scottish Government publication ‘Included, engaged <strong>and</strong> involved: part 1<br />
attendance in Scottish Schools’ (2007) outlines a range of systemic processes <strong>and</strong> practices<br />
that local authority schools should implement <strong>and</strong> embed to promote positive school<br />
attendance for all pupils <strong>and</strong> families. Whilst lacking a clear blueprint for eradicating<br />
attendance issues in our schools, this document does provide guidance for local authorities<br />
<strong>and</strong> schools to have a positive impact on attendance issues through informal <strong>and</strong> formal<br />
approaches. These can be summarised under the following headings:<br />
88
• attendance policy in place for the local authority <strong>and</strong> every school<br />
• rigorous <strong>and</strong> reliable attendance monitoring <strong>and</strong> recording processes<br />
• early <strong>and</strong> staged response/intervention to school absence<br />
• partnership working <strong>with</strong> pupils <strong>and</strong> parents to raise awareness of responsibilities<br />
<strong>and</strong> expectations regarding school attendance<br />
• partnership working <strong>with</strong> community services, Further <strong>Education</strong> (FE) <strong>and</strong><br />
voluntary agencies to provide alternative learning experiences<br />
• promote, celebrate <strong>and</strong> reward positive attendance patterns<br />
• promote an ethos of safety, support <strong>and</strong> care for all pupils <strong>and</strong> families<br />
• engage multi-agency support <strong>and</strong> advice where appropriate<br />
Many of the above processes <strong>and</strong> practices are embodied <strong>with</strong>in other Scottish Government<br />
policy. For example, Getting it Right for Every Child (2006) aims to promote early<br />
intervention, multi-agency working <strong>and</strong> engagement <strong>with</strong> parents / carers <strong>and</strong> young people.<br />
What opportunities does CfE present for this group of learners?<br />
Scotl<strong>and</strong>’s new curriculum aims to provide a more coherent, flexible <strong>and</strong> enriched curriculum<br />
from ages 3 to 18. It aspires to offer relevant, inspiring, <strong>and</strong> engaging education for every<br />
child <strong>and</strong> young person, <strong>with</strong> greater personalisation <strong>and</strong> choice. CfE aims to prepare young<br />
people more effectively for life after school by supporting them to become successful<br />
learners, confident individuals, effective contributors <strong>and</strong> responsible citizens. It is an<br />
opportunity for secondary schools to change <strong>and</strong> to offer more meaningful <strong>and</strong> rewarding<br />
experiences for all young people, but is also of particular relevance <strong>and</strong> benefit when trying<br />
to respond proactively to the ongoing problem of attendance issues <strong>and</strong> how to motivate <strong>and</strong><br />
engage learners.<br />
At a recent conference, a member of HMIE emphasised the imperative for Scottish schools<br />
to embrace the opportunities for change inherent <strong>with</strong>in CfE to ensure that our education<br />
system remains fit for purpose in meeting the needs of all our pupils. A key target group<br />
identified were those who are often described as ‘disenfranchised, disenchanted,<br />
disempowered <strong>and</strong> disengaged’ <strong>with</strong> the school experiences currently on offer: pupils who<br />
are highly likely to have attendance difficulties <strong>and</strong> to be at risk of leaving school <strong>with</strong>out a<br />
positive destination.<br />
89
Within a context of national policy, guidance <strong>and</strong> inspection processes that promote the need<br />
for schools to offer opportunities <strong>and</strong> approaches to learning that will engage <strong>and</strong> motivate all<br />
pupils, this chapter will present <strong>and</strong> discuss findings from a sample of secondary schools<br />
regarding their perceptions of what is being done <strong>and</strong> what else can be done to impact<br />
positively on pupil attendance in secondary school.<br />
Methodology, Results & Discussion<br />
The authors of this chapter worked collaboratively, however priorities <strong>with</strong>in respective local<br />
authorities led to separate processes for data collation <strong>and</strong> analyses. As such respective<br />
methodology, results <strong>and</strong> discussion sections are presented separately, <strong>with</strong> a joint<br />
conclusions section. A summary of key themes <strong>and</strong> implications for future practice are<br />
outlined <strong>with</strong>in the conclusion chapter.<br />
City of Edinburgh<br />
Methodology<br />
Research design<br />
The research was conducted in two phases <strong>and</strong> as a result, the details of the data gathering<br />
process at each stage are detailed separately.<br />
Stage one: <strong>Education</strong> Welfare Officers <strong>and</strong> <strong>Education</strong>al Psychologists Joint Training<br />
Day<br />
Concern was raised <strong>with</strong>in a Psychological Services working group about the number of<br />
attendance based referrals being discussed at Pupil Support Group (PSG) meetings <strong>and</strong> the<br />
difficulty in identifying appropriate intervention strategies. Following this a joint training event<br />
was held <strong>with</strong> 35 <strong>Education</strong> Welfare Officers (EWOs) <strong>and</strong> <strong>Education</strong>al Psychologists (EPs)<br />
from across the authority. This provided an opportunity to widen the scope of this research to<br />
include the views of other professionals working <strong>with</strong>in secondary schools.<br />
As part of this event, participants were asked to work in groups to consider the reasons for<br />
attendance difficulties under the following headings; loss/change, family dynamics,<br />
90
psychological/wellbeing, social/personal, curriculum/learning <strong>and</strong> other. These headings<br />
came from the guidelines on emotionally based school refusal produced for school staff <strong>and</strong><br />
support agencies by West Sussex County Council (Emmerson et al., 2004), <strong>and</strong> were<br />
provided to ensure the information gathered reflected the wide range of factors that influence<br />
attendance.<br />
Stage 2: Questionnaire to secondary schools<br />
The researchers met <strong>with</strong> the strategic lead in the authority for Curriculum for<br />
Excellence/More Choices, More Chances in October to discuss the research proposal. It was<br />
established that gaining an authority overview of current practice in addressing attendance<br />
difficulties would be helpful. A questionnaire to all secondary schools was deemed to be the<br />
most convenient means to gather this information.<br />
A draft questionnaire was developed <strong>and</strong> shared <strong>with</strong> the strategic lead, as well as senior<br />
management <strong>with</strong>in Psychological Services. The initial part of the questionnaire required<br />
schools to complete the same profiling exercise that was done by the EWO <strong>and</strong> EP groups at<br />
the joint training event. A semi-structured design format using open ended questions was<br />
considered appropriate as a result of the study being explorative <strong>and</strong> the depth of exploration<br />
this type of question allows (Robson, 2002; Cohen, Manion <strong>and</strong> Morrison, 2007). A copy of<br />
the final questionnaire is provided in appendix 1.<br />
Procedure<br />
Questionnaires were emailed to senior management representatives <strong>with</strong>in secondary<br />
schools <strong>with</strong> a covering letter written by the strategic lead. Reminder emails were sent to all<br />
schools <strong>and</strong> followed up by the EPs that link to each secondary school in order to try <strong>and</strong><br />
ensure a higher return rate.<br />
Sample<br />
13 of the 23 secondary schools across the four neighbourhoods in the authority returned<br />
questionnaires, giving a return rate of 57%. According to the attendance figures for the<br />
session 08/09, average attendance across all 23 secondary schools was 89.9%, <strong>with</strong> a range<br />
of 81.1%-94.1%. For the current sample of schools, the average rate was 90.3% <strong>with</strong> the<br />
same range. Scotl<strong>and</strong> wide, the percentage attendance figures for the same period ranged<br />
from 89.1% to 94.3%. Collectively this indicates that whilst self-selected, the sample here is<br />
91
epresentative in terms of attendance rates, school size <strong>and</strong> socioeconomic status across the<br />
authority.<br />
Data analysis<br />
The majority of the questionnaire data was subject to content analysis as described by<br />
Cohen et al. (2007). Thematic analysis was employed for the two questions asking schools<br />
to describe a successful case study <strong>and</strong> the opportunities they felt Curriculum for Excellence<br />
would provide as it was felt the thematic networks described by Attride-Stirling (2001) would<br />
be a more appropriate means of representing this data.<br />
The risk factors identified by EWOs <strong>and</strong> EPs at the joint training event were analysed<br />
alongside those identified by schools in order to give a broader overview of what contributes<br />
to attendance difficulties <strong>with</strong>in secondary schools <strong>and</strong> inform the development of a tool for<br />
practitioners to use in the future.<br />
All data was coded by both researchers independently before the two met <strong>and</strong> reviewed<br />
codes <strong>and</strong> themes, discussed discrepancies <strong>and</strong> reached mutual agreement.<br />
Results<br />
What are the reasons for attendance difficulties in secondary school?<br />
The main reasons identified in the data under each category are given in Table 2 (overleaf),<br />
<strong>with</strong> a full summary of the data available in appendix 2.<br />
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Table 2 Main reasons identified for attendance difficulties in secondary school<br />
Category Identified Reason Frequency<br />
Loss <strong>and</strong> Change<br />
Family dynamics<br />
Curriculum<br />
/ Learning issues<br />
Psychological /<br />
well-being<br />
Social / personal<br />
Other issues<br />
Family breakdown 15<br />
Transition (change of house/school)<br />
Bereavement (death of a family member, close<br />
friend, pet)<br />
Family values <strong>and</strong> attitudes 19<br />
Family breakdown (separation/divorce) 15<br />
Family health issues (physical/mental) 14<br />
Curriculum flexibility (access to appropriate learning<br />
opportunities)<br />
Learning needs 10<br />
Exam or test pressure/stress 8<br />
Mental health issues(Paranoia, OCD, eating disorders) 15<br />
Medical/health reasons 15<br />
Self confidence/self esteem 9<br />
Peer relationships 11<br />
Bullying 10<br />
Peer pressure 7<br />
Travel (transport to school/cost/distance) 6<br />
Community issues 4<br />
Domestic violence 3<br />
Transition to secondary school 3<br />
93<br />
14<br />
12<br />
11
How do schools currently support young people <strong>with</strong> attendance difficulties?<br />
How well are pupils <strong>with</strong> attendance difficulties supported?<br />
When asked how well their school currently supports pupils <strong>with</strong> attendance difficulties on a<br />
scale of 0 to 5, where 0 was unsatisfactory <strong>and</strong> 5 was excellent, 10 of the 13 schools rated<br />
themselves as 4. Two schools gave themselves a rating of 3 <strong>with</strong> one school indicating that<br />
their rating was between 4 <strong>and</strong> 5.<br />
Support available for pupils <strong>with</strong> attendance difficulties<br />
Appendix 3 details the internal school supports <strong>and</strong> those available externally for pupils <strong>with</strong><br />
attendance difficulties. It is notable that <strong>Education</strong> Welfare Officers are considered in both<br />
categories <strong>and</strong> as such are the source of support identified most by schools.<br />
Within school support<br />
Within schools, attendance sheets are utilised <strong>and</strong> refer both to those that are produced daily<br />
by the school’s central administration system to identify pupils who are absent <strong>and</strong> those that<br />
are used <strong>with</strong> individual pupils to monitor their attendance throughout the school day.<br />
Support for pupils staff, support for learning <strong>and</strong> indeed the wider staff group all appear to<br />
have a key role as do the multi-agency PSGs that meet <strong>with</strong>in all secondary schools. Pupil<br />
support bases <strong>and</strong> flexible timetables are used by schools to reintegrate pupils <strong>with</strong><br />
attendance difficulties, <strong>with</strong> some schools also offering small group work. Contact <strong>with</strong><br />
parents through various channels is also recognised. Personal <strong>and</strong> social education<br />
delivered to all pupils is considered a proactive measure to address attendance difficulties,<br />
although some schools highlight that individual support is also available.<br />
External support<br />
The agencies identified most by schools as an external means of support appear to be those<br />
who are represented on the PSGs in schools <strong>and</strong> include the EWO, the Social Work Early<br />
Intervention Team, EP, medical support, whether the school nurse or doctor, <strong>and</strong> Child <strong>and</strong><br />
Adolescent Mental Health staff. Links to the community in terms of the Community Learning<br />
<strong>and</strong> Development staff <strong>and</strong> Police are also mentioned. College or work placements <strong>and</strong><br />
alternative school provisions have been identified as further means of support. Schools also<br />
appear to be drawing on support from a number of local external agencies <strong>and</strong> voluntary<br />
organisations, although these seemed to be on an individual school basis <strong>and</strong> as a result<br />
they were not frequently mentioned.<br />
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Target population<br />
Within school supports are offered either to all pupils, or a target population selected on the<br />
grounds of attendance, learning or behavioural needs. With these targeted supports, year<br />
groups also appear to be taken into account <strong>with</strong> a greater frequency directed towards the<br />
S1-S3 population by comparison to those available to S4-S6 pupils.<br />
By comparison, few of the external supports identified were available to all pupils <strong>with</strong> the<br />
majority aimed at targeted groups, again on similar grounds to the supports available <strong>with</strong>in<br />
school. In terms of year groups, the spread was relatively even across S1-S4. Parents were<br />
also recognised as the target population for a small number of the available external<br />
supports.<br />
It should be noted that there were a number of schools who did not provide any information<br />
about the target population for identified supports.<br />
Evaluation of measures to support attendance<br />
The majority of schools did not comment or reported that no formal evaluation of their<br />
strategies to support attendance takes place. Where schools did identify a means of<br />
evaluating supports, attendance figures predominated, as well as feedback from school staff.<br />
Review meetings <strong>and</strong> Pupil Support Groups were also noted, as was the feedback provided<br />
by external agencies. Pupil <strong>and</strong> parent feedback was also used by some schools but less<br />
often. Other methods that arose in isolation included Getting It Right for Every Child, positive<br />
leaver destinations information, fewer exclusions, support base use statistics, the annual<br />
audit <strong>and</strong> exam results, although no elaboration was provided making it difficult to ascertain<br />
how these are being used.<br />
Supports that make the most difference<br />
Across the supports available internally <strong>and</strong> externally, schools were asked to identify the<br />
three that they consider to make the most difference. <strong>Education</strong> Welfare Officers were<br />
identified most, <strong>with</strong> a support base in school <strong>and</strong> methods of monitoring attendance<br />
receiving equal recognition. The role of support for pupils staff was also valued. Though<br />
mentioned less frequently, other supports considered to make a difference included the Pupil<br />
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Support Group meetings, the Early Intervention Team, <strong>Education</strong> Maintenance Allowance,<br />
flexible timetables, Child <strong>and</strong> Adolescent Mental Health Services <strong>and</strong> two external agencies<br />
operating <strong>with</strong>in the local authority; JET (Job <strong>and</strong> <strong>Education</strong> <strong>and</strong> Training Programme) <strong>and</strong><br />
the Youth Agency.<br />
Why does it make a difference?<br />
Family contact was considered crucial to the success of the supports identified as making the<br />
most difference in order to build the relationship between home <strong>and</strong> school. Similarly,<br />
schools report the benefits of building relationships <strong>with</strong> pupils which can lead to improved<br />
attitudes <strong>and</strong> subsequent attendance. Processes for gathering information about a pupil <strong>and</strong><br />
their circumstances also make a difference in identifying the most appropriate supports <strong>and</strong><br />
solutions. Flexible, proactive support that responds to pupil need is also valued. Some<br />
schools reported that challenging families <strong>and</strong> making them aware of their legal<br />
responsibilities made a difference. More isolated examples discussed how some supports<br />
helped pupils see the relevance of school, <strong>and</strong> that incentives such as the <strong>Education</strong><br />
Maintenance Allowance also encouraged attendance.<br />
What contributes to effective support?<br />
Schools were asked to describe what happened in a case where they had noted<br />
improvements. Their answers were subject to thematic analysis <strong>with</strong> the network created<br />
from the organising, global <strong>and</strong> basic themes displayed in figure 1. Each theme is<br />
summarised <strong>with</strong> supporting extracts from the data where possible.<br />
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Figure 1 What works in supporting pupils <strong>with</strong> attendance difficulties?<br />
Support for<br />
Pupils Staff<br />
Wider Staff<br />
role<br />
Attendance<br />
monitoring<br />
School<br />
Support<br />
Support<br />
Base<br />
External<br />
agency links<br />
Group<br />
Work<br />
Gradual reintegration<br />
Reduced<br />
timetable<br />
PSG<br />
Meetings<br />
Collaborative<br />
Multi-agency<br />
working<br />
What works in<br />
supporting pupils<br />
<strong>with</strong> attendance<br />
difficulties?<br />
Curriculum<br />
Flexibility<br />
Out of<br />
school<br />
activities<br />
EWO<br />
Individual<br />
Planning<br />
Home<br />
visits<br />
Engaging<br />
Parents<br />
AAAG<br />
meetings<br />
EWO<br />
support<br />
Having<br />
Meetings<br />
Global theme: What works in supporting pupil <strong>with</strong> attendance difficulties?<br />
Collaborative Multi-agency working<br />
This theme has emerged from the references made across schools about the level <strong>and</strong><br />
range of multi-agency working that takes place where improvements are noted.<br />
<strong>Education</strong> Welfare Officers<br />
Although EWO support is also considered a theme in terms of the direct support provided to<br />
parents, it is treated as distinct here as a result of the evidence provided by schools<br />
suggesting they play a key role in working collaboratively <strong>with</strong> home <strong>and</strong> school to improve<br />
attendance:<br />
“there was a period of approximately one week where the pupil only managed to get to the<br />
school car park but did eventually manage into school. This strategy was implemented<br />
collaboratively by EWO, guidance teacher <strong>and</strong> mum”.<br />
97
Pupil Support Group meetings<br />
The importance of PSGs was recognised as a number of schools indicated they had made<br />
referrals in order that discussions could take place in this multi-agency forum to look further<br />
at possible supports.<br />
External agency links<br />
The strength of this theme is evidenced by the number of references schools made to<br />
partner agencies <strong>and</strong> organisations in the wider community. The level of detail was variable;<br />
some schools just made reference to the process of referral <strong>and</strong> it is difficult to determine the<br />
outcome of this, whilst others provided examples of work going on in schools that is carried<br />
out collaboratively <strong>with</strong> the relevant services. Others attributed success directly to particular<br />
agency involvement:<br />
‘referral to CAMHS’ (Child <strong>and</strong> Adolescent Mental Health Services)<br />
‘the student operated a part-time timetable <strong>with</strong> support from the year head, the Hospital <strong>and</strong><br />
Outreach Teaching Service <strong>and</strong> the <strong>Education</strong>al Psychologist’<br />
‘a referral to Rathbone (support <strong>and</strong> advice centre for young people) proved to be extremely<br />
successful’<br />
Group work<br />
Although not as strong a theme, group work opportunities appear to be utilised by schools for<br />
pupils <strong>with</strong> attendance difficulties in collaboration <strong>with</strong> partner agencies:<br />
‘Attending group work opportunity provided by Early Intervention Team, EWO <strong>and</strong> police’<br />
Engaging parents<br />
Home visits<br />
Home visits by the EWO, school staff <strong>and</strong> police were all recognised as a means of having<br />
contact <strong>with</strong> a pupil <strong>and</strong> their family <strong>and</strong> were seen as valuable in terms of the level of<br />
support this provides:<br />
‘A home visit by the school link police officer <strong>and</strong> guidance teacher followed’<br />
‘regular home visits have now resulted in more regular <strong>and</strong> improved attendance’<br />
EWO support<br />
The direct support EWOs provide to families is recognised. Their involvement <strong>and</strong> the<br />
opportunity they have to make links <strong>with</strong> home can help engage parents <strong>and</strong> pupils who<br />
might otherwise be difficult to contact:<br />
98
‘intense EWO support improves parental attendance at meetings <strong>with</strong> guidance <strong>and</strong> supports<br />
the family’<br />
Having meetings<br />
Recognition was given to the importance of having meetings in school <strong>with</strong> parents.<br />
Reference was made to meetings between pupil, parent <strong>and</strong> school staff, as well as<br />
meetings involving other professionals providing support to the pupil or wider family.<br />
AAAG meetings<br />
A number of schools made reference to the Area Attendance Advisory Groups as a means of<br />
engaging parents <strong>and</strong> helping them recognise their legal obligation to support their child’s<br />
attendance at school.<br />
Curriculum flexibility<br />
Although treated separately, where schools made reference to the following themes, they<br />
generally occurred together.<br />
Gradual re-integration<br />
Virtually all schools highlighted the need for the return to school to be a gradual process for<br />
pupils <strong>with</strong> attendance difficulties:<br />
‘a phased reintroduction was implemented to ensure regular <strong>and</strong> stable attendance’<br />
‘re-introduced slowly <strong>with</strong> support’<br />
Reduced timetable<br />
Closely associated <strong>with</strong> reintegration, a number of comments were made relating to the<br />
merits of a part-time timetable negotiated <strong>with</strong> the pupil:<br />
‘the student operates a part-time timetable <strong>with</strong> support’<br />
‘the EWO brings him to school 2 mornings a week <strong>and</strong> makes a weekly plan <strong>with</strong> him about<br />
his time in school each Monday’<br />
Out of school activities<br />
It would appear schools are utilising programmes <strong>and</strong> taking advantage of opportunities in<br />
the wider community to try to engage pupils <strong>with</strong> attendance difficulties. Where possible it<br />
seems these are directed towards their interests:<br />
‘Mornings at dance base were negotiated on the promise she attended school in the<br />
afternoon’<br />
99
Individual planning<br />
Comments were made that suggest schools are looking at individual needs <strong>and</strong> as such are<br />
responding to these by being creative in their approaches, for example via the use of time<br />
out <strong>and</strong> target setting:<br />
‘gave him a job to do in the morning when he arrived at school’<br />
School support<br />
Support base<br />
The number of comments pertaining to support bases in schools highlight that they are used<br />
extensively <strong>with</strong> this population. Again, they seem to be used in collaboration <strong>with</strong> reduced<br />
timetables as a means of reintegrating pupils back into the school:<br />
‘this support (support base) helped the pupil settle <strong>and</strong> catch up on work missed’<br />
Support for pupils staff<br />
The work of the Support for Pupils staff seems to be key. From the comments made it seems<br />
they are integral planning a pupils return to school, as well as providing ongoing monitoring<br />
<strong>and</strong> support:<br />
‘close monitoring by the Support for Pupils teacher’<br />
Wider staff role<br />
Schools also recognised the role that wider teaching staff can provide:<br />
‘academic pressure eased by asking for cooperation from teachers’<br />
Attendance monitoring<br />
As would be expected, the systems in place across schools to monitor attendance make a<br />
key contribution as well as those applied at an individual level for identified pupils:<br />
‘Pupil was supported on attendance checks to allow Support for Pupils to see him on a twice<br />
daily basis’<br />
100
How could support in schools for young people <strong>with</strong> attendance difficulties be<br />
improved?<br />
Schools identified a number of ways to improve their support, including the following:<br />
• more staff<br />
• earlier intervention<br />
• group work<br />
• curricular changes<br />
• pupil engagement<br />
• increased resources<br />
Where schools referred to a need for more staff, the majority referred to external agency<br />
support <strong>and</strong> the need for this to be increased. More time from the EWO was also identified.<br />
In terms of earlier intervention, it was felt that patterns of attendance were already well<br />
established by the time a pupil reached secondary school <strong>and</strong> that there had to be earlier<br />
identification in primary school. Some schools felt group work may be a means of supporting<br />
pupils <strong>with</strong> attendance difficulties better, although where this was mentioned it was closely<br />
linked to the need for more staffing to facilitate this. An appropriate curriculum was seen as a<br />
further means to improve support, <strong>with</strong> opportunities for college <strong>and</strong> vocational links. Schools<br />
identified a need for greater pupil engagement if interventions put in place are to be<br />
successful. A number of schools also made reference to recent reductions in the level of<br />
available resources <strong>and</strong> the <strong>with</strong>drawal of valued services.<br />
A Curriculum for Excellence<br />
Schools were asked what opportunities they thought Curriculum for Excellence would<br />
provide in supporting pupils <strong>with</strong> attendance difficulties. The thematic network produced by<br />
their responses is detailed in figure 2.<br />
101
Figure 2 Curriculum for Excellence will provide opportunities to support pupils <strong>with</strong><br />
attendance difficulties<br />
Transition<br />
planning <strong>and</strong><br />
support<br />
Flexibility<br />
Approaches to<br />
Teching <strong>and</strong><br />
Learning<br />
Meeting<br />
Individual<br />
Needs<br />
Curriculum<br />
flexibility<br />
Personal<br />
Choice<br />
Learner<br />
Engagement<br />
Curriculum for Excellence will<br />
provide opportunities to<br />
support pupils <strong>with</strong><br />
attendance difficulties<br />
Wider<br />
Achievement<br />
Crosscurricular<br />
Relevance<br />
Health <strong>and</strong><br />
Well-Being<br />
College Links <strong>and</strong><br />
Vocational Learning<br />
Global theme: Curriculum for Excellence will provide opportunities to support<br />
pupils <strong>with</strong> attendance difficulties<br />
Health <strong>and</strong> wellbeing<br />
Health <strong>and</strong> wellbeing emerged as a particularly strong theme, mentioned by many of the<br />
schools in the sample. It appears that schools believe the integration of this str<strong>and</strong> across the<br />
curriculum will have a positive impact on both pupils <strong>and</strong> staff:<br />
‘health <strong>and</strong> wellbeing will allow a greater focus <strong>and</strong> input on areas which contribute to nonattendance’<br />
‘more awareness of emotional wellbeing of pupils amongst all teachers’<br />
102
Learner Engagement<br />
It was evident from the feedback provided by schools that there is an expectation that CfE<br />
will create opportunities to engage more learners, in particular those <strong>with</strong> attendance<br />
difficulties.<br />
Relevance<br />
Related to engagement, multiple references were made to the possibility CfE creates to<br />
provide a more relevant learning experience for all:<br />
‘a variety of appropriate courses <strong>and</strong> learning opportunities which are tailor-made’<br />
Cross-curricular<br />
Schools recognised a merit in the cross-curricular approach of the new curriculum <strong>and</strong> the<br />
potential this creates to increase learners’ engagement:<br />
‘more interesting cross curricular opportunity to increase motivation’<br />
‘theme weeks, activity weeks, challenge days’<br />
Personal choice<br />
It was thought by schools that the greater personalisation <strong>with</strong>in CfE will be appealing to<br />
learners, particularly those who have attendance difficulties:<br />
‘personal choice should be more engaging for pupils’<br />
approaches to teaching <strong>and</strong> learning<br />
Teaching <strong>and</strong> Learning<br />
It is interesting that a number of comments pertaining to teaching <strong>and</strong> learning approaches<br />
<strong>and</strong> the opportunity CfE provides to revise <strong>and</strong> refresh these suggests that this too will have<br />
a positive impact on learner engagement:<br />
‘more focus on the quality of learner experiences’<br />
‘further developing Assessment is for Learning practices’<br />
‘it will potentially lead to a change in some of the classroom approaches some pupils can find<br />
it difficult to cope <strong>with</strong>’<br />
Wider Achievement<br />
There is recognition across schools that by its very nature, Curriculum for Excellence should<br />
provide an opportunity to celebrate achievement in its widest sense.<br />
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Curriculum flexibility<br />
This theme has developed from the comments made by schools about greater flexibility<br />
<strong>with</strong>in the curriculum:<br />
‘opportunities to have a more flexible <strong>and</strong> appropriate curriculum <strong>with</strong> opportunities for wider<br />
achievement’<br />
‘flexibility regarding qualifications <strong>and</strong> timings’<br />
College links <strong>and</strong> vocational learning<br />
Schools tended to comment on college links <strong>and</strong> vocational learning experiences together.<br />
Whilst college links already exist, it is recognised these may increase <strong>and</strong> alongside<br />
vocational opportunities will encourage wider achievement amongst learners:<br />
‘focus on skills for learning, life <strong>and</strong> work’<br />
‘provide better sustained links <strong>with</strong> college for vocational based learning’<br />
‘given the more h<strong>and</strong>s on experiences youngsters should have following a CfE, they should<br />
see education as being more worthwhile than some might feel at present’<br />
Meeting individual needs<br />
Across all the comments made, it is evident that schools believe the personalisation <strong>and</strong><br />
choice provided by a Curriculum for Excellence will appeal to all learners which will<br />
subsequently provide opportunities to respond to learners’ individual needs.<br />
Flexibility<br />
The comments related to flexibility <strong>with</strong>in this theme are separate from those that were made<br />
about curriculum flexibility as they refer more generally to an approach that caters to learner<br />
needs:<br />
‘more flexibility to meet the needs of all learners’<br />
Transition planning <strong>and</strong> support<br />
This theme arose from the responses that recognised that individual planning <strong>and</strong> support<br />
would be required for learners to ensure their needs are met <strong>and</strong> that their progression on<br />
from school is supported appropriately:<br />
‘maintaining <strong>and</strong> improving support arrangements’<br />
‘better transition arrangements – curricular <strong>and</strong> extra-curricular’<br />
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Concerns<br />
Braun <strong>and</strong> Clarke (2006) highlight the importance of attending to inconsistencies that exist<br />
across data. Although not treated as a theme, it is worth highlighting that when asked about<br />
the opportunities provided by CfE, a number of schools raised concern about the impact it<br />
would have on current practice, examples of which are provided below:<br />
‘I have some concern that the lack of focus <strong>and</strong> recognised achievement will lose some<br />
youngsters’<br />
‘there is a significant group of young people for whom the current curriculum set up works<br />
very well <strong>and</strong> they meet <strong>with</strong> great academic success – we cannot risk throwing the baby out<br />
<strong>with</strong> the bath water’<br />
‘it will have little or no impact on chronic <strong>and</strong> potential chronic non attendees unless money<br />
<strong>and</strong> personnel are put in to support the young people <strong>and</strong> their families’<br />
Discussion<br />
Early identification of pupils at risk of attendance difficulties is essential<br />
School staff <strong>with</strong>in this study reported that current support <strong>with</strong>in school is targeted more<br />
towards the S1-S3 population. Comments were also made about the need for earlier<br />
identification <strong>and</strong> intervention for pupils at risk of attendance difficulties, both in primary <strong>and</strong><br />
secondary sectors. Early recognition <strong>and</strong> prompt intervention is essential for supporting<br />
young people at risk of missing out on educational opportunities <strong>and</strong> managing nonattendance<br />
(Elliot, 1999; HMIE, 2006; Lauchlan, 2003;). As such, consideration has to be<br />
given as to how pupils at risk of attendance difficulties are identified.<br />
Research shows that there are a wide range of risk factors associated <strong>with</strong> attendance<br />
difficulties <strong>and</strong> this was supported by the findings of this study. It is also important to<br />
recognise that the reasons for attendance difficulties often result from a complex interaction<br />
of multiple factors. If non-attendance is the manifestation of these difficulties <strong>and</strong><br />
interventions target only the attendance itself, there is little opportunity to fully address the<br />
underlying causes. As such, it is important that intervention is timely <strong>and</strong> sensitive to the<br />
unique context of the young person. This fits well <strong>with</strong> the principles of early intervention <strong>and</strong><br />
the child planning approach <strong>with</strong>in GIRFEC.<br />
The profile of risk developed by Emmerson et al (2004) was designed as a tool to aid<br />
practitioners to identify young people at risk of ‘emotionally based school refusal’. This tool<br />
105
has been adapted <strong>and</strong> updated using the information from this study. As well as considering<br />
risk factors, it also encourages practitioners to reflect on those that serve to protect the<br />
young person. It is hoped that this will aid the early identification of pupils at risk of<br />
attendance difficulties <strong>and</strong> help inform appropriate interventions. A copy is provided in<br />
appendix 4.<br />
Whilst acknowledging that non-attendance is often multi-causal, it is notable that issues <strong>with</strong><br />
loss, change <strong>and</strong> family breakdown were frequently mentioned. Interestingly recent research<br />
looking at medical absences in secondary school students found that the incidence of<br />
divorce or separation was significantly greater in students <strong>with</strong> frequent medical absence<br />
compared to controls <strong>with</strong> good attendance records (54% vs 24%), as was the percentage of<br />
pupils living <strong>with</strong> non-parental carers (17% vs1%) (Jones, R., Hoare, P., Elton, R., Dunhill, Z.<br />
<strong>and</strong> Sharpe, M. 2009). The MORI Youth Survey (2004) also found that truancy rates were<br />
higher among young people in single parent households compared to those who live <strong>with</strong> two<br />
parents (32% compared <strong>with</strong> 24%). This suggests that there may be a need for schools to<br />
consider the supports available to young people who are experiencing loss <strong>and</strong> change.<br />
Parents <strong>and</strong> carers also need to be included, engaged <strong>and</strong> involved<br />
Research has shown increased parental involvement, especially of ‘hard to reach’ parents, is<br />
linked to improvements in attendance, behaviour <strong>and</strong> achievement (Harris <strong>and</strong> Goodall,<br />
2007). The importance of involving parents in its widest sense has been recognised in recent<br />
legislation. In the Scottish Government publication ‘A guide for parents about school<br />
attendance’, it states that ‘parents <strong>and</strong> carers are by far the most important influence on<br />
children’s lives <strong>and</strong> learning <strong>and</strong> it is parents <strong>and</strong> carers who are responsible for making sure<br />
their child is educated’ (p.3, Scottish Executive, 2009). Subsequently, it is little surprise that<br />
engaging <strong>with</strong> parents <strong>and</strong> carers was identified as a necessity by schools in this study.<br />
As <strong>with</strong> previous research (Malcolm et al., 2003), the value placed on education <strong>with</strong>in the<br />
family was viewed as having a significant impact on attendance. It has been found that family<br />
attitudes, whether directly or indirectly, do contribute to attendance difficulties in schools.<br />
Findings from a study by Reid (2009) suggest earlier engagement <strong>with</strong> parents of children ‘at<br />
risk’ is required. Harris <strong>and</strong> Goodall (2007) report that parents tend to view schools as a<br />
barrier <strong>and</strong> make reference to the complexity <strong>and</strong> the number of staff they have to relate to in<br />
secondary schools. They found engagement is increased when parents are supported to<br />
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develop skills in effective parenting <strong>and</strong> are provided <strong>with</strong> strategies to assist <strong>with</strong> education<br />
at home. This receives further support from Dalziel <strong>and</strong> Henthorne (2005) who suggest<br />
activities in schools to promote self-esteem <strong>and</strong> confidence amongst parents would be<br />
beneficial.<br />
Dalziel <strong>and</strong> Henthorne (2005) also highlight that parents <strong>and</strong> carers often lack information<br />
about ways in which they can help to improve their child’s attendance. Whilst they valued the<br />
input of the EWO, they felt that earlier involvement of other agencies would be helpful.<br />
However, Reid (2009) found that although parents sought help from a number of agencies,<br />
they received conflicting advice. This suggests a need for greater coordination of support for<br />
parents, <strong>and</strong> this is a key aim <strong>with</strong>in Getting It Right For Every Child (2006).<br />
These findings suggest that schools need to be mindful of how they are involving parents<br />
<strong>and</strong> working <strong>with</strong> them to promote the value of education <strong>and</strong> the importance of school<br />
attendance. They also need to consider approaches for engaging <strong>with</strong> parents to address<br />
attendance difficulties. In this study, home visits <strong>and</strong> time invested in building relationships<br />
<strong>with</strong> parents <strong>and</strong> carers were viewed as very valuable. There is also a need for greater coordination<br />
of support for parents <strong>and</strong> carers which is a key aim of GIRFEC. Within City of<br />
Edinburgh, Psychological Services has been working <strong>with</strong> schools <strong>and</strong> the GIRFEC team<br />
<strong>with</strong>in the local authority to develop solution-focused meetings, <strong>with</strong> a key aim of trying to<br />
engage <strong>and</strong> empower families. Given that research outlines the merits of providing support to<br />
parents by workshops <strong>and</strong> other means, EPs may wish to consider how they can work <strong>with</strong><br />
secondary schools to develop this further.<br />
Collaborative working is valued but needs to be promoted <strong>and</strong> better<br />
understood<br />
Research highlights the importance of school staff working <strong>with</strong> partner agencies to<br />
strengthen support to parents <strong>and</strong> pupils (e.g. Malcolm et al. 2003; Ofsted, 2008; Pelligrini,<br />
2007; Scottish Government, 2007). Schools considered multi-agency working to be<br />
fundamental in supporting pupils <strong>with</strong> attendance difficulties. In particular they<br />
acknowledged the involvement of the EWO service, external agency links, multi-agency<br />
meetings <strong>and</strong> group work.<br />
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The EWO Service was viewed as the support that makes the most difference in supporting<br />
pupils <strong>with</strong> attendance difficulties <strong>with</strong> schools reporting that they would like support from the<br />
EWO to be increased. EWOs were considered to play a vital role in engaging <strong>with</strong> parents as<br />
well as contributing to multi-agency working. Malcolm et al. (2003) found that many teachers<br />
valued the work of EWOs but raised issues about the location <strong>and</strong> independence of the EWO<br />
Service. In this study, EWOs were referred to by school staff as both internal <strong>and</strong> external<br />
supports, suggesting that there may be need for greater clarity about their role.<br />
Schools identified a wide range of external agencies they work <strong>with</strong> to support pupils <strong>with</strong><br />
attendance difficulties. Agencies that were frequently mentioned across schools tended to be<br />
those that are involved in PSG meetings, including EPs. There were also a range of<br />
voluntary organisations identified but these were largely mentioned on an individual basis.<br />
Research has highlighted issues around schools working in isolation <strong>and</strong> the lack of<br />
dissemination of good practice (HMIe 2006; Reid, 2003). It is important that schools are<br />
made aware of the range of agency support available to them <strong>and</strong> are encouraged to share<br />
this information. This may suggest a need for greater co-ordination <strong>and</strong> guidance at a local<br />
authority level in order to establish an overview of supports that exist <strong>and</strong> their availability.<br />
Whilst viewed as essential it is also recognised that effective multi-agency working can be<br />
difficult to achieve (PDP, 2004). Recent research identified the need for staff training to<br />
promote multi-agency working <strong>and</strong> more specifically to raise awareness of attendance issues<br />
(Reid, 2009). In many ways this can be addressed by the implementation of GIRFEC, which<br />
promotes collaborative working <strong>and</strong> presents authorities <strong>with</strong> an opportunity to consider<br />
appropriate training for staff to better support young people <strong>and</strong> their families.<br />
Engaging the disengaged: The opportunity of Curriculum for Excellence<br />
Learner Engagement<br />
One of the implications of the research carried out by Malcolm et al. (2003), was that schools<br />
had to change; pupils who regularly truanted from school were bored <strong>and</strong> it was deemed<br />
necessary to develop appropriate curricula <strong>and</strong> teaching styles, as well as promoting a<br />
positive school ethos. The Scottish Government (2007) also highlight pupil motivation as key<br />
to attendance <strong>and</strong> engagement <strong>with</strong> learning. It is therefore reassuring in this study that<br />
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schools commented positively on the opportunities CfE will provide in improving learning<br />
engagement <strong>with</strong> the greater potential for personalisation <strong>and</strong> choice.<br />
Research carried out by Falkirk Council <strong>Education</strong>al Psychology Service (2007) investigated<br />
factors that promote engagement <strong>with</strong> learning across secondary schools. Interestingly,<br />
pupils perceived themselves to be well motivated, <strong>with</strong> older pupils expressing concern about<br />
the quality of teaching <strong>and</strong> learning. A recommendation of this study was that teaching<br />
approaches that promote self belief <strong>and</strong> intrinsic motivation should be developed. This was<br />
based on supporting literature that quality teaching is more motivating for pupils than<br />
systems in place that focus on extrinsic motivation. Indeed, the Scottish Government (2007)<br />
assert that underst<strong>and</strong>ing what motivates pupils <strong>and</strong> ultimately leads to their engagement<br />
<strong>with</strong> the curriculum is an essential skill of school staff. It is of interest that a number of<br />
comments were made by schools in this study related to teaching <strong>and</strong> learning approaches<br />
<strong>and</strong> how these can be developed to be more appealing to young people currently at risk of<br />
disengaging. Thus it would appear that CfE is an opportunity to focus on the how, <strong>and</strong> not<br />
the what of teaching to engage learners <strong>and</strong> encourage attendance in schools.<br />
Wider achievement<br />
HMIe (2006) <strong>and</strong> Ofsted (2008) found that accreditation in its various forms was a helpful<br />
means by which to motivate <strong>and</strong> engage pupils. Although not mentioned by schools in the<br />
current sample, it would be worth exploring the extent to which accreditation is being used<br />
<strong>and</strong> how this might be developed further.<br />
Recent policy has focused on the need to develop opportunities for vocational learning <strong>and</strong><br />
the need to create parity of esteem for vocational <strong>and</strong> academic learning (e.g. HMIe, 2008;<br />
OECD, 2007; Scottish Government, 2007). Curriculum for Excellence <strong>and</strong> other programmes<br />
such as Determined to Succeed <strong>and</strong> Skills for Work, promote a shift in thinking towards an<br />
education for all which focuses on the development of ‘skills for learning, life <strong>and</strong> work’ <strong>and</strong><br />
where vocational learning, development of employability skills <strong>and</strong> learning about the world<br />
of work are integral to the curriculum.<br />
Schools in this study did recognise the value of links <strong>with</strong> FE colleges <strong>and</strong> vocational learning<br />
opportunities for supporting young people <strong>with</strong> attendance difficulties. A recent HMIe report<br />
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(2008) highlighted that school-college partnership programmes have helped many<br />
disaffected young people to reengage <strong>with</strong> learning. It identifies a need for schools <strong>and</strong><br />
colleges to work together to share good practice in teaching <strong>and</strong> learning approaches <strong>and</strong> to<br />
support young people to develop the 4 capacities.<br />
A review of attitudes towards vocational learning (Edward, Weedon <strong>and</strong> Riddell, 2008) found<br />
that there was a lower uptake of vocational than academic subjects. It highlights the positive<br />
impact of the Skills for Work courses <strong>with</strong>in Scottish Schools <strong>and</strong> the need for further<br />
research into levels of participation <strong>and</strong> the impact on leaver destinations. It also suggests<br />
that it would helpful to investigate the organisational impact of such programmes on schools<br />
<strong>and</strong> FE colleges, recognising that there are often a number of barriers such as timetabling<br />
<strong>and</strong> transport which need to be overcome. It is essential that we explore <strong>with</strong> schools how<br />
school-college programmes <strong>and</strong> other links are being used currently <strong>and</strong> how they will be<br />
developed <strong>with</strong> the opportunities afforded by Curriculum for Excellence.<br />
Health <strong>and</strong> wellbeing<br />
In this study, as <strong>with</strong> previous research, mental health <strong>and</strong> health issues were recognised as<br />
key contributors to attendance difficulties. However, school staff identified that the greater<br />
focus <strong>and</strong> input on health <strong>and</strong> wellbeing across CfE should impact positively on pupils <strong>and</strong><br />
promote wider staff involvement.<br />
The Scottish Executive (2007) emphasise that school attendance should be clearly linked to<br />
the approaches schools use to provide pastoral care, which are underpinned by the<br />
development of positive relationships. In 2004, HMIe drew attention to the changing social<br />
climate of recent years <strong>and</strong> the growing number of pupils requiring support. The report<br />
stressed the need to continuously re-assess existing practices to ensure the most effective<br />
support is provided. This seems particularly pertinent in the current climate where schools<br />
report a number of supports that were previously available are being <strong>with</strong>drawn <strong>and</strong> support<br />
for pupils staff are under increased pressure. In the face of these dem<strong>and</strong>s, there could be a<br />
risk that pupils <strong>with</strong> attendance difficulties become ‘out of sight, out of mind’. As such <strong>and</strong><br />
<strong>with</strong> the introduction of CfE, it is timely that schools consider the availability of support <strong>and</strong><br />
perhaps the role that staff in the wider school community could play.<br />
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Meeting individual needs<br />
All schools reported curriculum flexibility to varying degrees in order to support the return of<br />
pupils <strong>with</strong> attendance difficulties to school. Reduced timetables are commonly used to<br />
promote a gradual reintegration <strong>and</strong> this often involved the use of a support base <strong>with</strong>in<br />
school. As support bases were identified as one of the supports that makes the most<br />
difference for young people <strong>with</strong> attendance difficulties, it would be interesting to explore<br />
further how they are used <strong>and</strong> what it is about their set up that makes a difference. Though<br />
speculative, it may be that some of the key principles contributing to their success are<br />
synonymous <strong>with</strong> those adopted by nurture groups which have been explored elsewhere in<br />
this PDP.<br />
Schools identified that young people <strong>with</strong> attendance difficulties often have learning needs<br />
<strong>and</strong> can find it difficult to access the curriculum. They recognised that for greater flexibility<br />
<strong>with</strong>in the new curriculum to help meet individual needs. Individualised transition planning<br />
was also raised <strong>and</strong> the need to improve support for young people to help ensure their<br />
progression on to a positive <strong>and</strong> sustained destination.<br />
Projects run by external organisations are used by schools to capitalise on pupil interests<br />
<strong>and</strong> encourage them to engage <strong>with</strong> education. These findings are supported by surveys of<br />
schools identified as being effective at re-engaging disaffected pupils (Ofsted, 2008) <strong>and</strong><br />
enhancing the attainment of low achieving pupils (HMIe, 2006). A key feature of good<br />
practice was personalising the curriculum to suit the individual needs of the learners. HMIE<br />
suggest that schools need to develop flexibility further to enhance what, when <strong>and</strong> how<br />
education is delivered.<br />
There is a need for more accurate data collection<br />
There seemed to be a lack of systematic evaluation of intervention strategies across schools.<br />
Some did refer to the use of attendance, attainment <strong>and</strong> destination figures, though the lack<br />
of detail did not permit causal links to be established. This is a shortfall that is recognised by<br />
Malcolm et al. (2003) who found that although schools were using a wide range of strategies,<br />
they needed to develop more rigorous systems to demonstrate their effectiveness.<br />
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Ofsted (2008) found that monitoring was one of the key characteristics of secondary schools<br />
demonstrating good practice in re-engaging disaffected students. Schools used a variety of<br />
both quantitative <strong>and</strong> qualitative measures. Attainment <strong>and</strong> attendance data was checked<br />
regularly <strong>and</strong> the views of parents, carers <strong>and</strong> pupils were gathered. Other indicators were<br />
also used such as the reduction in referrals, detentions <strong>and</strong> exclusions <strong>and</strong> the number of<br />
school leavers in education, employment or training. It is apparent that schools need to<br />
consider how to improve their systems for measuring impact <strong>and</strong> effectiveness of<br />
intervention strategies, taking into account the views of young people <strong>and</strong> their parents or<br />
carers. EPs are well placed to support schools <strong>with</strong> this. Improved systems of evaluation<br />
would also help develop an evidence base for sharing good practice across schools <strong>and</strong><br />
authorities.<br />
Methodological considerations<br />
A number of methodological considerations have inevitably impacted on the conclusions of<br />
this study. It is notable that schools reported that they currently support pupils <strong>with</strong><br />
attendance difficulties well. These findings may reflect the self-selecting nature of the<br />
sample, in that those <strong>with</strong> greater confidence in the support strategies they have adopted<br />
may have felt more able to respond. However, five of the schools had attendance rates<br />
under 90%, suggesting a need for greater guidance <strong>and</strong> clarity at an authority level about<br />
expectations for attendance <strong>with</strong>in secondary schools.<br />
Whilst it was helpful to provide categories for the profiling exercise to ensure a wide range of<br />
responses, this has influenced the data gathered. In a sense it also treats the risk factors as<br />
discrete <strong>and</strong> as such it does not acknowledge the complex, multi-causal nature of nonattendance.<br />
It would have been better to ask participants to rate their responses to gather<br />
information about the risk factors they view as the most important overall.<br />
The use of a questionnaire was considered the most appropriate means of data gathering<br />
from schools, owing to time constraints <strong>and</strong> staff availability. It was unfortunate that piloting<br />
of the questionnaire was not possible. For the questionnaire design, open ended questions<br />
were used to avoid restricting responses. However, whilst we hoped this would lead to richer<br />
data, a number of schools had commented on time pressure for completing the questionnaire<br />
<strong>and</strong> often responses were brief or bullet pointed. When asked about the opportunities<br />
presented by Curriculum for Excellence, responses often included key words or phrases<br />
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such as. ‘personal choice’, ‘relevance’, ‘health <strong>and</strong> well-being’. However, there was a lack of<br />
detail about how these issues were being progressed. This may reflect the fact that schools<br />
are still at an early stage of implementing CfE. If there had been time, it would have been<br />
helpful to conduct follow up focus groups or interviews to explore emerging themes. A further<br />
consideration is that the questionnaire was completed by staff <strong>with</strong> a responsibility <strong>and</strong><br />
overview of pupil support, but may not reflect the views of the wider staff population.<br />
Fife Council<br />
Methodology<br />
A questionnaire survey was considered to be the most feasible <strong>and</strong> effective way of<br />
collecting feedback from the 19 secondary schools in the local authority. This involved a<br />
three page questionnaire (appendix 5) seeking to elicit feedback in the following areas:<br />
• Data collection <strong>and</strong> monitoring practices<br />
• School perceptions of the reasons for attendance issues<br />
• Current supports <strong>and</strong> interventions, including their perceived impact<br />
• Barriers to meeting the needs of pupils <strong>with</strong> attendance issues more effectively<br />
• Opportunities presented by a curriculum for excellence<br />
• Effectiveness of approved flexible packages in supporting pupils <strong>with</strong> attendance<br />
issues<br />
The questionnaire was circulated to all 19 secondary schools electronically <strong>with</strong> the request<br />
that it be completed by a member of the senior management team <strong>with</strong> responsibility for pupil<br />
support <strong>and</strong>/or pupil attendance. Schools were also encouraged to complete <strong>and</strong> return the<br />
questionnaire electronically.<br />
Results<br />
Each of the 19 secondary schools completed <strong>and</strong> returned the questionnaire representing a<br />
100% response rate, although not every school provided a response to every question. The<br />
quantitative <strong>and</strong> qualitative data contained in the returns was analysed using basic statistical<br />
methods <strong>and</strong> content analysis to highlight key themes.<br />
Data collection <strong>and</strong> monitoring<br />
All 19 schools collated data on pupil attendance for all year groups using an IT based<br />
system. This data confirmed the national trend of pupil attendance reducing at each stage<br />
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etween S1-S3. However, the vast majority of schools (17/19) reported that pupil attendance<br />
actually increased from S3 to S4.<br />
The thresholds at which schools would formally respond to attendance issues demonstrated<br />
a relative lack of consistency in practice. Most schools action some form of initial response<br />
(e.g. phone call / letter home) after 1 to 3 days absence. The threshold at which more formal<br />
responses would be triggered (e.g. closer monitoring, meeting <strong>with</strong> pupil/parent, referral to<br />
School Liaison Group etc.) varied between 90% – 70% attendance.<br />
The majority of schools (17/19) monitor attendance via their School Liaison Group (regular<br />
multi-agency meeting), however this tends to be on an ad hoc individual case basis, <strong>with</strong> a<br />
only a minority of schools reviewing attendance as a theme on a more systematic basis (e.g.<br />
monthly, once a term, or once per school session).<br />
Criteria for deciding which pupils considered to have attendance issues to discuss at<br />
respective SLGs varied between schools, although the following common factors were widely<br />
referenced:<br />
• Case dependent (Guidance teacher decision)<br />
• Attendance dropping below a set threshold (e.g. 80%)<br />
• Care <strong>and</strong> welfare / child protection concerns<br />
• Looked After Child status<br />
• Known family history of poor attendance<br />
What are the reasons for attendance difficulties?<br />
School responses indicated a range of factors that they attribute attendance issues. Those<br />
attributions that were referenced by 25% or more (at least 5/19) schools are as follows:<br />
• Parents (collusion/lack of control) 18 (of 19 schools)<br />
• Emotional difficulties 16<br />
• Social / peer difficulties 13<br />
• Physical illness 13<br />
• Care <strong>and</strong> welfare 13<br />
• Lack of interest in the curriculum 11<br />
• Difficulty following school rules <strong>and</strong> expectations 11<br />
• Difficulties accessing the curriculum 5<br />
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It is acknowledged that the factors highlighted above are often likely to be interactive rather<br />
than discretely causal. The majority of attributions made by schools are at the level of the<br />
individual <strong>and</strong>/or family rather than those which are school based. This reinforces previous<br />
research findings that schools are more likely to attribute attendance issues to factors out<strong>with</strong><br />
their domain influence.<br />
How do schools currently support young people <strong>with</strong> attendance difficulties, <strong>and</strong> what<br />
works?<br />
Schools currently offer a wide range of supports to pupils <strong>and</strong> families for whom school<br />
attendance is an issue. These supports <strong>and</strong> interventions can broadly be split by those which<br />
are internal to the school <strong>and</strong> those which are external to the school, <strong>and</strong> are presented<br />
under the following sections in order of frequency in which they were referenced<br />
Within school supports<br />
The <strong>with</strong>in school supports offered to pupils <strong>and</strong> families included:<br />
• Pastoral support (Guidance/Pupil support) 16 (of 19 schools)<br />
• Home School Link Officer 10<br />
• Flexible curricular options 6<br />
• Approved flexible packages 6<br />
• Celebrating/rewarding positive attendance 4<br />
• Home tuition 4<br />
• Senior Management Team / Year Head 3<br />
• School counsellor 2<br />
• Attendance committee 2<br />
• Targeted small group work 1<br />
External to school supports<br />
A range of supports from partner agencies are accessed for pupils <strong>and</strong> families as deemed<br />
appropriate, including input from:<br />
• <strong>Education</strong>al Psychology 11 (of 19 schools)<br />
• School Nurse 7<br />
• Integrated Community Schools 7<br />
• Social Work 6<br />
• Allied Health Professionals 4<br />
• Behaviour Support Service 3<br />
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• Skills Development Scotl<strong>and</strong> 1<br />
• Community <strong>Education</strong> 1<br />
• Community Learning <strong>and</strong> Development 1<br />
• Joint Action Team (strategic multi-agency group) 1<br />
Of the above supports identified by schools they report that the effectiveness of any type of<br />
intervention is dependent on the presenting needs in each situation, as such they did not<br />
identify specific supports that always worked. The common thread for any support to work<br />
seemed to be the quality of relationship <strong>and</strong> engagement any professional has <strong>with</strong> the pupil<br />
/ parent concerned.<br />
How could support in schools be improved?<br />
In response to the question ‘do you feel that, as a school, you meet the needs of pupils <strong>with</strong><br />
attendance difficulties effectively?’, almost three quarters (14/19) of schools responded that<br />
they ‘agreed’ or ‘strongly agreed’, <strong>with</strong> only one school reflecting that they did not meet the<br />
needs of these pupils (the others responded that they ‘didn’t know’ whether they met their<br />
needs).<br />
In response to the question ‘what else could you do as a school to meet their needs more<br />
effectively?’ the school responses highlighted a number of areas for potential action, as<br />
follows:<br />
• More effective monitoring systems 13 (of 19 schools)<br />
(inc. IT system, early warning alert, staff/pupil contact)<br />
• More effective partnership working to support YP/families 6<br />
• More relevance/choice/flexibility in the curriculum 6<br />
• More effective partnerships <strong>with</strong> parents 4<br />
• Earlier intervention 4<br />
In response to the question ‘what are the barriers to you meeting the needs of these pupils<br />
more effectively?’ schools identified a range of barriers they perceived to be preventing them<br />
from having a positive impact on pupil attendance. The most frequently recurring themes<br />
were:<br />
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• Lack of Home School Link Officer time allocation 9 (of 19 schools)<br />
• Lack of parental co-operation/engagement 8<br />
• Lack of meaningful consequences for pupils/parents 8<br />
• Time <strong>and</strong> resources 6<br />
• Lack of alternative educational options 4<br />
• Ineffective multi-agency working 3<br />
What opportunities does A Curriculum for Excellence offer?<br />
In response to the question ‘Do you think Curriculum for Excellence provides opportunities to<br />
meet the needs of pupils <strong>with</strong> attendance difficulties more effectively?’ 10 out of 18 schools<br />
stated that they either agreed or strongly agreed that Curriculum for Excellence does provide<br />
potential opportunities to meet needs more effectively. Their reasons for this were very much<br />
in line <strong>with</strong> the principles <strong>and</strong> language of Curriculum for Excellence, in that they felt the<br />
curriculum would offer ‘More relevance, choice, personalisation, creativity, flexibility, support<br />
<strong>and</strong> fun’ through offering access to courses that are more tailored to specific groups needs<br />
e.g. personal <strong>and</strong> life skills focus, vocational learning / skills for work. Those who responded<br />
positively about the options Curriculum for Excellence will offer felt that as a result of the<br />
above factors there would be enhanced engagement, motivation <strong>and</strong> attendance from more<br />
pupils, in particular those who become switched off <strong>and</strong> disengaged from the traditionally<br />
academic focus of the current curriculum on offer in most secondary schools.<br />
The majority of the remaining respondents (7/18) reported that they ‘didn’t know’ whether<br />
CfE represented opportunities to meet needs more effectively as it was too early to tell, <strong>and</strong><br />
there is a lack of clarity around how it will impact on secondary schools. The remaining<br />
respondent felt that their school was already very creative at meeting the needs of pupils <strong>with</strong><br />
attendance issues, <strong>and</strong> that CfE will not necessarily offer scope for additional flexibility or<br />
change.<br />
Approved flexible packages<br />
In response to the growing awareness that traditional full-time education programmes in<br />
mainstream school environments does not always meet the needs of pupils, <strong>and</strong> that a more<br />
flexible approach may be in their best interests, Fife Council <strong>Education</strong> Service developed<br />
guidance for schools on Approved Flexible Packages (AFPs). The guidance complements<br />
the development of flexible approaches as a feature of options available for pupils <strong>with</strong>in<br />
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mainstream schools, including flexible curricular approaches <strong>with</strong>in traditional subject areas,<br />
<strong>and</strong> in extending activities beyond the school towards personal, social, vocational <strong>and</strong> life<br />
skills. Such personalised packages aim to support successful achievement for pupils by<br />
using experiences out<strong>with</strong> the normal timetable <strong>and</strong> sometimes, out<strong>with</strong> the school campus.<br />
The circumstances where an approved flexible package may be considered include:<br />
• Where the pupil has experienced ongoing difficulties <strong>with</strong> the st<strong>and</strong>ard curriculum<br />
• Where there is a likelihood of interrupted attendance for whatever reason<br />
• Where school attendance has proved difficult despite intervention <strong>and</strong> support from Pupil<br />
Support services <strong>and</strong> other supports/interventions<br />
In response to the question ‘Do you feel that approved flexible packages are effective at<br />
supporting pupils <strong>with</strong> attendance difficulties?’, the vast majority of schools (17/19) agreed<br />
that AFPs did enable them to better meet the needs of some pupils/families through allowing<br />
for a more pupil/family centred approach that enhanced relationships <strong>and</strong> is relevant to<br />
individual needs <strong>and</strong> circumstances. Schools identified the key outcome indicators of AFP<br />
effectiveness as:<br />
• Increased attendance, including reductions in both part <strong>and</strong> full-day truancies<br />
• Increased confidence, motivation <strong>and</strong> engagement<br />
• Improved achievements <strong>and</strong> attainment<br />
Some concern was identified by schools regarding the limited access to appropriate<br />
alternatives to school based education to ensure that pupils continue to receive a<br />
comprehensive educational programme. It was also acknowledged that one of the risks of<br />
providing guidance on AFPs is that in some circumstances it may be used to legitimise nonattendance<br />
at school <strong>with</strong>out an appropriate alternative educational package being in place.<br />
As such, the importance of monitoring <strong>and</strong> evaluating the usage <strong>and</strong> effectiveness of AFPs<br />
by all schools is a key element of the guidance.<br />
Discussion<br />
The <strong>Education</strong> (Scotl<strong>and</strong>) Act 1980 states that: “It shall be the duty of the parent of every<br />
child of school age to provide efficient education for him suitable to his age, ability <strong>and</strong><br />
aptitude either by causing him to attend a public school regularly or by other means.”<br />
118
This duty is most often met through enrolment <strong>with</strong>in local authority education service<br />
schools. As such, the duty outlined in the legislation could be considered to create the very<br />
issue we are trying to solve. Within the context of this study it is also important that we reflect<br />
upon the aims <strong>and</strong> purposes of our education system, <strong>and</strong> whether what is currently on offer<br />
in our schools reasonably meets the needs of all our children <strong>and</strong> young people, particularly<br />
those who present <strong>with</strong> attendance issues.<br />
The secondary school system in Scotl<strong>and</strong> is historical, <strong>with</strong> timetables that are notoriously<br />
resistant to flexibility <strong>and</strong> change. However, over the last decade there have been ongoing<br />
developments in course choices, newly established links <strong>with</strong> partner agencies (including the<br />
FE sector), <strong>and</strong> an emerging appreciation that we have a growing population of pupils for<br />
whom traditional school subjects, environments, <strong>and</strong> teaching approaches do not meet their<br />
needs. Such changes have emerged <strong>with</strong>in a national policy <strong>and</strong> legislation framework (e.g.<br />
The <strong>Children</strong>’s (Scotl<strong>and</strong>) Act 1995, ASL Act (2004), CfE, MCMC, GIRFEC) that aims to<br />
respond to <strong>and</strong> provide for the increasingly wide ranging needs of our young people <strong>and</strong><br />
families.<br />
The findings of this survey highlight that secondary schools do continue to recognise pupil<br />
attendance as an issue of concern which consumes a significant amount of time, effort <strong>and</strong><br />
resources <strong>with</strong> limited gains.<br />
The perceptions of why pupil attendance reduces were relatively consistent across the<br />
schools that responded in this survey, <strong>and</strong> can broadly be attributed to the following<br />
categories in order:<br />
• it’s the parents fault (lack of authority, compliance, engagement, commitment)<br />
• there’s something wrong <strong>with</strong> the pupil (physical, emotional, social, <strong>and</strong>/or learning<br />
difficulties)<br />
• what schools offer isn’t meet all pupils’ needs (curriculum, rules & expectations,<br />
available support)<br />
Monitoring attendance <strong>and</strong> responding to concerns<br />
Whilst each school records attendance data there was significant variance in when <strong>and</strong> how<br />
they respond to issues of non-attendance. Some schools indicated that they made a clear<br />
response/intervention after one day of unexplained absence, <strong>with</strong> others not making a formal<br />
response/intervention until attendance dropped by a relatively significant amount, on<br />
119
occasion down to 70%). There was also wide variation in the range of responses /<br />
interventions carried out by schools, outlined above as internal <strong>and</strong> external supports. With<br />
respect to the variety of practice described it would appear that secondary schools would<br />
benefit from working <strong>with</strong>in a clear <strong>and</strong> coherent policy context <strong>with</strong> practice guidelines<br />
offering a framework <strong>with</strong>in a model of staged intervention for managing <strong>and</strong> responding to<br />
attendance issues. This should then enable schools to develop consistent practice <strong>and</strong><br />
ensure that responses for pupils <strong>and</strong> families are both appropriate <strong>and</strong> proportionate to their<br />
respective needs. Within a model of staged intervention there would assessment led<br />
signposts prompting specific courses of action dependent on the presenting needs, including<br />
joint working <strong>with</strong> pupils, parents <strong>and</strong> partner agencies as <strong>and</strong> when deemed appropriate.<br />
Improvements in practice<br />
Within the responses received there was incongruence between schools reporting that they<br />
met the needs of pupils <strong>with</strong> attendance issues effectively (14/19 or 74% of schools) whilst<br />
also identifying a number of areas where they recognised barriers preventing progress, <strong>and</strong><br />
also areas where they need to adapt their own practice. The key barriers highlighted were;<br />
lack of resources, parental attitudes, lack of consequences for pupils/parents, <strong>and</strong> the need<br />
for a wider range of educational options for some pupils.<br />
Within a climate of efficiency savings across local authorities there is a growing need for<br />
services to rationalise <strong>and</strong> prioritise supports <strong>and</strong> interventions through more effective<br />
working practices. In achieving this it is imperative that schools (<strong>and</strong> partners) are clearer<br />
about where <strong>and</strong> when to deploy resources to pupils/families through intelligence led<br />
assessment of need <strong>with</strong>in a model of staged intervention (as indicated above).<br />
A consistent theme emerged regarding the perception that schools lacked access to real <strong>and</strong><br />
meaningful consequences for pupils/parents who choose not to attend or engage <strong>with</strong> school<br />
in a productive manner (e.g. those whose main reason for not attending is personal choice).<br />
The <strong>Education</strong> (Scotl<strong>and</strong>) Act 1980 outlines measures that local authorities can apply to<br />
parents (including attendance orders, referral to justice services etc.), <strong>and</strong> such options have<br />
been applied more systematically in Engl<strong>and</strong> <strong>and</strong> Wales over the past decade <strong>with</strong> no overall<br />
improvement in school attendance. It may be that clear guidance <strong>with</strong>in an attendance policy<br />
for schools regarding staged approaches to support pupils <strong>and</strong> parents to recognise their<br />
responsibilities (e.g. local school/area attendance committee) may support schools to feel<br />
120
that there are clearer measures at their disposal. However, for those pupils <strong>and</strong> families<br />
considered to be vulnerable or at risk it would also be vital to have clarity regarding when to<br />
engage <strong>with</strong> Social Work <strong>and</strong>/or refer to the Scottish <strong>Children</strong>’s Reporter Administration<br />
(SCRA) for further support.<br />
The challenge of adequately providing for the needs of all pupils is one that a comprehensive<br />
education system is required to meet. Secondary schools face competing dem<strong>and</strong>s from a<br />
range of stakeholders <strong>with</strong> regard to improving attainment, enhancing inclusive practices,<br />
improving attendance <strong>and</strong> reducing exclusions, amongst others. In striving to offer<br />
educational experiences that meet the needs of those pupils who find regular attendance at<br />
school difficult to achieve there may be a need to reflect upon the current restrictions of the<br />
school timetable, in particular the locations <strong>and</strong> courses on offer. In achieving this more<br />
effective <strong>and</strong> wide ranging involvement from partner agencies to support the development of<br />
alternative / flexible learning packages is an area that could be further explored <strong>and</strong><br />
developed.<br />
A Curriculum for Excellence is considered to offer secondary schools opportunities to move<br />
away from the restrictions of the traditional timetable to provide pupils <strong>with</strong> educational<br />
experiences that are more aligned to their interests <strong>and</strong> needs. Such principles are<br />
undoubtedly at the centre of Curriculum for Excellence, <strong>with</strong> the key challenge perhaps being<br />
how secondary schools embrace the changes that need to take place to enable a broader<br />
more encompassing curriculum that is considered more meaningful <strong>and</strong> engaging,<br />
particularly for those pupils who continue to vote <strong>with</strong> their feet.<br />
Approved Flexible Packages<br />
A recent development in Fife <strong>Education</strong> Service has been the introduction of policy <strong>and</strong><br />
guidance on ‘Approved Flexible Packages’ (AFPs) which has been received very positively<br />
by all of the secondary schools (the criteria for AFPs has been outlined in the introduction<br />
section of this chapter). The aim of this policy is to provide schools, pupils <strong>and</strong> parents <strong>with</strong><br />
the opportunity to be creative in meeting the needs of pupils for whom full-time school based<br />
education is not considered to be in their interests, which may be for a wide range of reasons<br />
(e.g. enduring poor health, complex family circumstances, chronic disengagement from<br />
school etc.). It is recognised that there are particular challenges in developing alternative<br />
education packages for young people, especially in a time of economic recession <strong>and</strong> the<br />
121
subsequent impact on all services, however positive examples of individual support<br />
packages which involve pupils, parents <strong>and</strong> partner agencies in facilitating schools to provide<br />
relevant <strong>and</strong> meaningful education programmes are emerging. With the clearly defined<br />
criteria, in addition to quality assurance mechanisms to ensure that AFPs are not used by<br />
schools inappropriately as a means of legitimising non-attendance, this approach would<br />
seem to offer scope to ensure that interventions for pupils <strong>with</strong> attendance issues (<strong>and</strong> their<br />
family) are proportionate <strong>and</strong> respectful of individual circumstances <strong>and</strong> needs.<br />
So where do we go from here?<br />
It may be naively optimistic to think that we can effect enough change to what is currently on<br />
offer through our secondary schools to engage all young people in formal education.<br />
However, there would seem to be some fairly clear steps that can be taken <strong>with</strong> the aim of<br />
reducing the perceived problem of non-attendance at secondary school that would then<br />
enable the more appropriate targeting of resources towards those whose needs are most<br />
pervasive <strong>and</strong>/or resistant to the routine measures that are applied. As indicated previously,<br />
there is no clear blueprint to eradicate attendance issues; however there are adaptations to<br />
current practice that may enable us to have a positive impact on school attendance.<br />
We have also established that secondary schools are likely to attribute attendance issues to<br />
factors out-<strong>with</strong> their domain, whilst recognising that there are also areas in which they can<br />
improve both systemic <strong>and</strong> operational aspects of practice <strong>with</strong>in their own organisations.<br />
Below is a summary of potential implications.<br />
If it is the parents fault, what can we do?<br />
• better partnership working between home <strong>and</strong> school, especially in situations<br />
where there is a family history or awareness that parents don’t value education<br />
highly<br />
• intervention at the earliest indicator of attendance dropping<br />
• better co-ordinated <strong>and</strong> targeted support involving partner agencies<br />
If there is something wrong <strong>with</strong> the pupil, what can we do?<br />
• make sure that their needs are appropriately assessed by the relevant<br />
professional/agency<br />
122
• make sure that assessment information is used to inform relevant support<br />
packages/interventions<br />
• make sure that the pupil (<strong>and</strong> family) feel fully involved in the process of clarifying<br />
their needs <strong>and</strong> relevant supports<br />
If schools aren’t meeting the needs of all pupils, what can we do?<br />
• offer a more relevant curriculum, <strong>and</strong> learning opportunities & experiences<br />
• offer experiences that are more in line <strong>with</strong> pupils’ interests <strong>and</strong> needs<br />
• be more creative in how resources are deployed, <strong>and</strong> make more effective links<br />
<strong>and</strong> working agreements <strong>with</strong> partner agencies who can support the educational<br />
experiences (in its broadest sense) for young people<br />
• recognise there are situations in which full-time education <strong>with</strong>in a school context<br />
is not appropriate for some pupils, <strong>and</strong> allow for approved flexible packages to<br />
meet respective needs<br />
So, what is needed?<br />
• <strong>Education</strong> Service attendance policy <strong>with</strong> good practice guidance that outlines a<br />
coherent model of staged intervention for schools, <strong>and</strong> partner agencies, to work<br />
<strong>with</strong>in<br />
• schools <strong>with</strong> an ethos <strong>and</strong> culture that is non-threatening <strong>and</strong> welcoming for all<br />
pupils <strong>and</strong> parents<br />
• efforts to make effective partnerships <strong>with</strong> pupils <strong>and</strong> parents to ensure they feel<br />
valued<br />
• choice, relevance <strong>and</strong> personalisation in the educational experiences <strong>and</strong><br />
opportunities on offer<br />
• effective recording <strong>and</strong> monitoring systems to enable early identification of<br />
emerging attendance issues, followed by timely <strong>and</strong> proportionate responses<br />
• interventions informed by intelligence led assessment<br />
• multi-agency involvement as <strong>and</strong> when appropriate, informed by intelligence led<br />
assessment<br />
123
Conclusion<br />
“For every child to achieve their potential, all schools must consider each pupil’s positive<br />
engagement <strong>with</strong> learning <strong>and</strong> their level of involvement in the school community. The<br />
Scottish policy context allows greater flexibility for professionals to develop creative<br />
approaches to enthusing <strong>and</strong> engaging learners, <strong>and</strong> for developing effective responses to<br />
the support needs of their pupils.” (Scottish Government 2007, page 3)<br />
The changing policy context <strong>with</strong>in Scotl<strong>and</strong> is a chance to reconsider secondary education.<br />
It presents an opportunity for greater flexibility <strong>and</strong> challenges schools to think creatively<br />
about how they can engage <strong>and</strong> motivate all learners. Involving young people <strong>and</strong> valuing<br />
their views is essential to ensure learning experiences are relevant <strong>and</strong> meet their needs.<br />
For young people <strong>with</strong> attendance difficulties, there is also a need to look beyond the school<br />
curriculum. The principles <strong>and</strong> values that underpin GIRFEC, the need for early identification,<br />
collaborative multi-agency working <strong>and</strong> to engage young people <strong>and</strong> their families, are key to<br />
providing effective support <strong>and</strong> ensuring positive outcomes.<br />
Within this framework of changing culture <strong>and</strong> developing practice, secondary schools <strong>and</strong><br />
their partner agencies need to seize the opportunity to work together to support the well<br />
being of all young people <strong>and</strong> enable them to develop the four capacities.<br />
124
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Opportunities. Livingston, HMIE.<br />
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http://www.hmie.gov.uk/documents/publication/exo.pdf<br />
Jones R, Hoare P, Elton R, Dunhill Z <strong>and</strong> Sharpe M (2009) Frequent medical absences in<br />
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Childhood, 94 pp763-767. Retrieved 28 September, 2009 from http://www.adc.bmj.com<br />
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approaches. <strong>Education</strong>al Psychology in Practice 19 (2), pp133-146.<br />
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causes <strong>and</strong> effects in seven LEAs. Nottingham: DfES.<br />
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Attendance: Strategies from Research <strong>and</strong> Practice. Portl<strong>and</strong>. Retrieved from<br />
www.nwrel.org/request/2004june/strategies.html on December 8th 2009<br />
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Scotl<strong>and</strong> Executive Summary Retrieved April 7, 2010 from<br />
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schools Retrieved May 15, 2009 from http://www.ofsted.gov.uk<br />
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128
Appendix 1: Copy of Questionnaire<br />
School:<br />
Contact:<br />
City of Edinburgh Council<br />
Psychological Services<br />
Supporting young people <strong>with</strong> attendance problems<br />
Please list under the following headings the factors that contribute to attendance<br />
difficulties in your school?<br />
loss <strong>and</strong> change<br />
e.g. bereavement<br />
family dynamics<br />
e.g. young carers<br />
curriculum/learning<br />
e.g. learning needs<br />
curricular flexibility<br />
psychological/wellbeing<br />
e.g. anxiety<br />
social/personal<br />
e.g. bullying<br />
Other<br />
129
What <strong>with</strong>in school/external supports are there for this population?<br />
Title Brief description of<br />
aims <strong>and</strong> content<br />
Title Brief description of<br />
aims <strong>and</strong> content<br />
Within school supports<br />
Target population Duration How is it evaluated?<br />
External supports<br />
Target population Duration How is it evaluated?<br />
130
Of the supports you have already identified, which do you consider make the most<br />
difference <strong>and</strong> why?<br />
Support Why does this make a difference?<br />
How well do you think your school currently supports pupils whose attendance is<br />
problematic. Please underline a number on the scale below:<br />
0 1 2 3 4 5<br />
Unsatisfactory Excellent<br />
How do you think you could do this better?<br />
131
Please give an example of a case where things improved <strong>and</strong> describe what<br />
happened.<br />
What opportunities do you think a Curriculum for Excellence will provide for<br />
supporting this population?<br />
Thank you for taking the time to complete this questionnaire<br />
132
Appendix 2: Reasons for attendance difficulties<br />
LOSS AND CHANGE<br />
Family breakdown- separation/ divorce<br />
Transition - change of house or school<br />
Bereavement – death of family member, close<br />
friend or pet<br />
Change in key relationships<br />
Moveable populations – army <strong>and</strong> travelling<br />
families<br />
Health<br />
LAC/ Care placements<br />
FAMILY DYNAMICS<br />
Family values <strong>and</strong> attitude -<br />
Family history of non-attendance<br />
Family breakdown – separation/ divorce<br />
Health issues – physical <strong>and</strong> mental<br />
Lack of support from families – parenting,<br />
collusion<br />
Substance misuse<br />
Complex/ chaotic home circumstances<br />
Financial constraints<br />
<strong>Young</strong> carers<br />
Looked After<br />
Issues around Work – change of job or working<br />
hours, shift, unemployment<br />
<strong>Young</strong>er siblings/ new baby at home<br />
CURRICULUM/LEARNING ISSUES<br />
Curriculum flexibility – access to appropriate<br />
learning opportunities<br />
Learning Difficulties<br />
Exam or test pressure <strong>and</strong> stress<br />
Lack of motivation <strong>and</strong> engagement <strong>with</strong><br />
learning<br />
Expectations<br />
Not living up to expectations, lack of expectation<br />
Relationships <strong>with</strong> teaching staff<br />
Specific Subject issues – issues <strong>with</strong> PE<br />
Missed learning opportunities/ gaps in learning<br />
133<br />
Frequency<br />
15<br />
14<br />
12<br />
7<br />
8<br />
3<br />
3<br />
Frequency<br />
19<br />
15<br />
14<br />
13<br />
7<br />
6<br />
6<br />
5<br />
5<br />
4<br />
3<br />
Frequency<br />
11<br />
10<br />
8<br />
7<br />
6<br />
6<br />
4<br />
3
SOCIAL/PERSONAL<br />
Peer relationships<br />
Bullying<br />
Peer pressure<br />
Offending behaviour<br />
Family Conflicts<br />
Self esteem/ confidence<br />
Frequency<br />
PSYCHOLOGICAL/WELL-BEING Frequency<br />
Mental Health issues (Paranoia, OCD, eating<br />
disorders)<br />
15<br />
Medical/ health issues 15<br />
Self Confidence/ Self-esteem 9<br />
Phobia/ anxiety 8<br />
Family Health 8<br />
Poor self-image 6<br />
Stress 5<br />
Depression 3<br />
OTHER ISSUES Frequency<br />
Travel – transport to school, travel cost,<br />
distance to travel<br />
6<br />
Community issues 4<br />
Domestic violence 3<br />
Transition to secondary school 3<br />
Social isolation 2<br />
Family member in prison 2<br />
<strong>Young</strong> mum 2<br />
English as an additional language 2<br />
Family Holidays 2<br />
Homework 2<br />
134<br />
11<br />
10<br />
7<br />
4<br />
3<br />
3
Appendix 3<br />
Within school <strong>and</strong> external supports<br />
Within school supports Frequency External supports Frequency<br />
Attendance/monitoring sheets 9 <strong>Education</strong> Welfare Officer 9<br />
Pupil Support Base 9 Early Intervention Team 8<br />
Support for pupils 7 Medical services 8<br />
Pupil Support Groups 7 <strong>Education</strong>al Psychologist 5<br />
Flexible timetables 7 Child <strong>and</strong> Adolescent Mental<br />
Health Services<br />
5<br />
Communication <strong>with</strong> parents 7 Caledonian Youth Project 5<br />
Group work 7 Hospital <strong>and</strong> Outreach<br />
Teaching Services<br />
4<br />
<strong>Education</strong> Welfare Officers 6 Social Work 4<br />
Staff support (i.e. class teacher) 6 Community Learning <strong>and</strong> 4<br />
Development staff<br />
Individual support 3 College/work placement 4<br />
Personal <strong>and</strong> Social <strong>Education</strong> 3 Police 3<br />
Support for Learning 3 Alternative school provision 3<br />
Other: Incentives, Area<br />
Appendix 4: Profile of attendance difficulties<br />
This form has adapted from West Sussex County Council EPS<br />
(Emmerson, P., Cains, R., Savage, R., Smith, S., Tikly, R., Woodhouse, L. (2004) Emotionally Based<br />
School Refusal: Guidance for Schools <strong>and</strong> Support Agencies. West Sussex County Council)<br />
Risk Factors<br />
LOSS AND CHANGE<br />
Family breakdown- separation/ divorce<br />
Transition - change of house or school<br />
Bereavement – death of family member,<br />
close friend or pet<br />
Change in key relationships<br />
Moveable populations – army <strong>and</strong><br />
traveller families<br />
Health needs<br />
Note on key items:<br />
FAMILY DYNAMICS<br />
Family values <strong>and</strong> attitude -<br />
Family history of non-attendance<br />
Family breakdown – separation/ divorce<br />
Family health issues<br />
Lack of support from families –<br />
parenting, collusion<br />
Substance misuse<br />
Complex/ chaotic home circumstances<br />
Financial constraints<br />
<strong>Young</strong> carers<br />
Looked After/ care placements<br />
Issues around Work – change of job or<br />
working hours, shift, unemployment<br />
<strong>Young</strong>er siblings/ new baby at home<br />
Notes on key issues:<br />
High Medium Low Not an<br />
issue<br />
High Medium Low Not an<br />
issue<br />
136<br />
Not<br />
Known<br />
Not<br />
Known
CURRICULUM/LEARNING ISSUES<br />
Curriculum flexibility – access to<br />
appropriate learning opportunities<br />
Learning Difficulties<br />
Exam or test pressure <strong>and</strong> stress<br />
Lack of motivation <strong>and</strong> engagement<br />
<strong>with</strong> learning<br />
Expectations<br />
Not living up to expectations, lack of<br />
expectation<br />
Relationships <strong>with</strong> teaching staff<br />
Specific Subject issues – issues <strong>with</strong><br />
PE<br />
Missed learning opportunities/ gaps in<br />
learning<br />
Homework<br />
Notes on key issues:<br />
High Medium Low Not an<br />
issue<br />
SOCIAL/PERSONAL<br />
Peer relationships<br />
High Medium Low Not an<br />
issue<br />
Bullying<br />
Peer pressure<br />
Offending behaviour<br />
Family/ Community Conflict<br />
Notes on key issues<br />
137<br />
Not<br />
Known<br />
Not<br />
Known
PSYCHOLOGICAL/<br />
WELL-BEING<br />
Mental Health issues – phobia, anxiety,<br />
depression<br />
Medical/ health issues<br />
Self Confidence/ Self-esteem<br />
Poor self-image<br />
Stress<br />
Notes on key issues:<br />
OTHER ISSUES<br />
Travel – transport to school, travel cost,<br />
distance to travel<br />
Community issues<br />
Transition to secondary school<br />
Family Holidays<br />
English as an additional language<br />
Notes on key issues:<br />
High Medium Low Not an<br />
issue<br />
High Medium Low Not an<br />
issue<br />
138<br />
Not<br />
Known<br />
Not<br />
Known
PROTECTIVE FACTORS<br />
Key relationships<br />
Family Support<br />
Subject interests<br />
Out of school activities <strong>and</strong><br />
interests<br />
Personal strengths/ skills<br />
Peer Group<br />
Future Goals<br />
Other<br />
139<br />
Notes on key issues
Appendix 5<br />
Survey of pupil attendance at Secondary School<br />
This questionnaire aims to explore issues of data collation <strong>and</strong> monitoring, reasons<br />
for non-attendance, <strong>and</strong> effective supports <strong>and</strong> interventions for pupils <strong>with</strong> school<br />
attendance difficulties.<br />
[1] Collecting Data<br />
What was the attendance rate (%) for all pupils at your school in session 08/09<br />
Overall attendance (%) Authorised absences (%) Unauthorised absences (%)<br />
What was the attendance rate (%) for each year group at your school in session 08/09<br />
S1<br />
S2…etc<br />
Overall attendance (%)<br />
[2] Monitoring Data<br />
Authorised absences (%) Unauthorised absences (%)<br />
Do you have specific trigger points <strong>and</strong> actions regarding attendance difficulties?<br />
(e.g. Contact <strong>with</strong> parents, HSLO input, referral to SLG, referral to other agencies etc.)<br />
TRIGGER POINT ACTIONS<br />
1.<br />
2.<br />
3.<br />
4.<br />
Does the School Liaison Group monitor pupil attendance on a regular basis?<br />
(please circle one answer) YES / NO<br />
If YES:<br />
• How often does the SLG monitor <strong>and</strong> discuss pupil attendance as a theme?<br />
(e.g. every meeting, once a month, once a term, once a session)<br />
• What criteria do you use for deciding which pupils <strong>with</strong> attendance difficulties to refer to the<br />
SLG? (e.g. attendance falling below a certain % level; sudden drop in attendance; care <strong>and</strong> welfare<br />
concerns; interventions not having an positive impact etc.)<br />
Please list<br />
140
[3] Reasons for non-attendance<br />
What are the key factors that contribute to attendance difficulties in your school?<br />
Contributing Factors Yes, an issue amongst our pupils<br />
Lack of interest in the curriculum<br />
Difficulties accessing the curriculum<br />
Social / peer difficulties<br />
Physical Illness<br />
Care <strong>and</strong> Welfare issues<br />
Emotional difficulties<br />
Difficulty following school rules & expectations<br />
Authorised absence/Parental Collusion<br />
Other...<br />
[4] Supports <strong>and</strong> Interventions<br />
With regard to the factors outlined above, what Internal school supports (guidance, support base,<br />
HSLO, alternative/flexible curriculum options etc.) <strong>and</strong> External supports (EP, ICS, SW, School<br />
Nurse, other...) does your school offer pupils <strong>with</strong> attendance difficulties?<br />
Internal <strong>and</strong> External Supports (please indicate whether ‘I’ or ‘E’)<br />
Title/Heading Brief description of Criteria for Duration How is the impact evaluated?<br />
aims <strong>and</strong> content accessing<br />
support<br />
[5] Impact of interventions<br />
Of the supports identified above (internal <strong>and</strong> external to school) which do you feel has the greatest<br />
positive impact?<br />
What works? How do you know? What could be Improved?<br />
(e.g. positive impact on attendance, engagement,<br />
achievement, attainment, post-school destination<br />
etc.)<br />
Do you feel that, as a School, you meet the needs of pupils <strong>with</strong> attendance difficulties effectively?<br />
(please circle below)<br />
1 2 3 4 5<br />
Strongly disagree Disagree Don’t know Agree Strongly agree<br />
141
What else could you do as a School to meet their needs more effectively?<br />
(please list)<br />
What are the barriers to you meeting the needs of these pupils more effectively?<br />
(please list)<br />
[6] Curricular / Structural Issues<br />
Do you think Curriculum for Excellence provides opportunities to meet the needs of pupils <strong>with</strong><br />
attendance difficulties more effectively?<br />
1 2 3 4 5<br />
Strongly disagree Disagree Don’t know Agree Strongly agree<br />
What are your reasons for this response?<br />
Fife <strong>Education</strong> Service developed guidance on Approved Flexible Packages (SC NYP4) to<br />
support pupils whose needs are such that they are deemed to require a part-time package of<br />
school attendance<br />
Do you feel that Approved Flexible Packages are effective at supporting pupils <strong>with</strong> attendance<br />
difficulties?<br />
1 2 3 4 5<br />
Strongly disagree Disagree Don’t know Agree Strongly agree<br />
What are your reasons for this response?<br />
142
Summary Implications/Recommendations for Stakeholders<br />
Supporting Non-attendees in Developing the Four<br />
Capacities<br />
PDP Group<br />
No agency necessarily has a monopoly on solutions to school non-attendance, <strong>and</strong> often<br />
multi-agency approaches can optimise resources <strong>and</strong> ideas in a given case. Some<br />
implications <strong>and</strong> recommendations arising from the work of the PDP projects for <strong>Education</strong>al<br />
Psychologists, schools, other stake holder agencies <strong>and</strong> Local Authorities are summarised in<br />
this, the final chapter of the volume. Readers interested in the problem of school nonattendance,<br />
are recommended to also take into account recent important publications i.e.<br />
Curriculum for Excellence (CfE), Getting it Right for Every Child (GIRFEC) <strong>and</strong> Included,<br />
Engaged, Involved.<br />
Implications for schools<br />
There should be a clear policy for dealing <strong>with</strong> non attendance set <strong>with</strong>in a staged<br />
intervention model. This would incorporate the following:<br />
• Early identification of pupils at risk of attendance difficulties<br />
‐ review <strong>and</strong> enhance monitoring systems that identify young people at risk of<br />
attendance difficulties<br />
‐ using data gathered to inform intervention planning at both an individual <strong>and</strong><br />
school level<br />
‐ detailed information about potential at-risk non-attendees at the critical primary /<br />
secondary transition stage should be shared <strong>with</strong> the receiving school<br />
‐ facilitating ‘pupil voice: seen <strong>and</strong> heard<br />
• Engaging parents/carers<br />
- reviewing <strong>and</strong> evaluating communication systems <strong>with</strong> regard to effective parental /<br />
carer involvement<br />
143
• Roles <strong>and</strong> responsibilities<br />
- a whole school approach should be taken <strong>with</strong> regard to school attendance<br />
- all staff should be aware of factors which are good practice e.g. greeting non<br />
attendees on return to school <strong>with</strong> non judgemental statements<br />
• Preventative strategies<br />
‐ effective pastoral support systems that offer children <strong>and</strong> young people positive<br />
experiences <strong>and</strong> outcomes:<br />
anti-bullying policies<br />
establishment of safe areas for use as havens<br />
monitoring of areas known to be hot spots<br />
secondary nurture groups based on whole-school nurture principles -<br />
attachment, resilience <strong>and</strong> positive learning environments<br />
Implications for Psychological Services<br />
• review guidelines for EPs <strong>with</strong> reference to recent research evidence on attendance<br />
<strong>and</strong> transition <strong>and</strong> support schools <strong>and</strong> Local Authorities in developing procedures<br />
<strong>and</strong> implementation strategies<br />
• offer training opportunities for school staff <strong>and</strong> other agencies on nurturing principles;<br />
<strong>and</strong> best practice <strong>with</strong> regard to attendance <strong>and</strong> transition<br />
• contribute service based expertise in on evidence based skills <strong>and</strong> knowledge of<br />
effective approaches in multi-agency settings<br />
Implications for <strong>Education</strong>al Psychologists<br />
Within a Staged Intervention Model, <strong>Education</strong>al Psychologists can offer significant input <strong>and</strong><br />
support in the area of persistent non-attendance. Input via the five core Currie functions of<br />
<strong>Education</strong>al Psychologists in Scotl<strong>and</strong> can be at an individual, whole school or authority level<br />
through. An example for each core function follows but more detailed<br />
144
1. Consultation<br />
Provide advice to schools <strong>and</strong> individuals on assessment <strong>and</strong> preventative approaches,<br />
focusing on identifying <strong>and</strong> minimising possible school-based barriers.<br />
2. Training<br />
Provide training opportunities for school staff on preventative approaches such as:<br />
• Kearney’s functional approach<br />
• nurturing principles<br />
• attachment<br />
• resilience<br />
• positive learning environments<br />
3. Research<br />
<strong>Education</strong>al Psychologist’s may be commissioned in support schools to evaluate their<br />
preventative strategies to ascertain the impact of interventions. This should include the<br />
systematic collation <strong>and</strong> gathering of data including the CfE ‘Child Voice: Seen <strong>and</strong> Heard’,<br />
ascertaining young people’s views as to their progress.<br />
4. Assessment<br />
At the appropriate level of staged intervention, educational psychologists can be involved in<br />
assessment <strong>and</strong> should ascertain:<br />
• whether the non-attendance behaviour is symptomatic the primary problem<br />
• whether the non-attendance is subsidiary to another problem e.g. anxiety disorder,<br />
depression, learning difficulty<br />
• whether there are any complicating medical conditions giving rise to additional<br />
support needs <strong>and</strong> extent to which they are currently met<br />
• implications for intervention<br />
5. Interventions<br />
<strong>Education</strong>al Psychologists can provide direct intervention at Stage 3 <strong>and</strong> Stage 4 of the<br />
staged intervention model by developing a programme of intervention for each individual<br />
based on their particular needs whilst using a multi-systemic approach i.e. involving the<br />
school, parents/carers, other agencies <strong>and</strong> the <strong>Education</strong>al Psychologist, in responding to<br />
the problem.<br />
145
Implications for other agencies<br />
Other agencies should be aware of education policies <strong>with</strong> regard to non attendance.<br />
Agencies should be able to delineate clear roles <strong>and</strong> responsibilities for their workers in this<br />
area.<br />
Implications for Local Authorities<br />
• consider how to disseminate best practice <strong>and</strong> recent research findings<br />
• consider how schools may be supported in developing preventative approaches <strong>and</strong><br />
support longitudinal research into preventative approaches that evidence longer term<br />
outcomes<br />
• develop training courses which encourage multi agency work in this area<br />
• staff development for support workers such as <strong>Education</strong> Liaison Officers / <strong>Education</strong><br />
Welfare Officers<br />
• continue to evolve policies which promotes the four CfE capacities at secondary<br />
stage for those at risk of attendance problems at transition<br />
• pilot the inclusion secondary nurture groups in line <strong>with</strong> exemplars of good practice<br />
146
List of PDP Participants<br />
Bill Allison<br />
(Senior PDP<br />
Coordinator)<br />
West Dunbartonshire<br />
Psychological<br />
Service<br />
Gillian Dury East Dunbartonshire<br />
Psychological<br />
Service<br />
Morven Graham Glasgow, West Area<br />
Psychological<br />
Service<br />
Wendy Inch Edinburgh City<br />
Psychological<br />
Service<br />
Charlotte Kidd<br />
East Dunbartonshire<br />
Psychological<br />
Service<br />
Kirsty Mackay Edinburgh City<br />
Psychological<br />
Service<br />
Gail McDonald<br />
Malcolm McGovern<br />
Inverclyde<br />
Psychological<br />
Service<br />
Fife Psychological<br />
Service<br />
147<br />
Carleith School<br />
Stark Ave<br />
Clydebank<br />
G81 6EF<br />
01389-800491<br />
Gartconnor School<br />
Gartshore Road<br />
Kirkintilloch<br />
G66 3TH<br />
0141-776-2966<br />
Anderson Primary<br />
3 Port Street<br />
Glasgow<br />
G3 8EY<br />
Chesser House<br />
500 Gorgie Road<br />
Edinburgh<br />
EH11 3YJ<br />
0131-469-2800<br />
Gartconnor School<br />
Gartshore Road<br />
Kirkintilloch<br />
G66 3TH<br />
0141-776-2966<br />
Chesser House<br />
500 Gorgie Road<br />
Edinburgh<br />
EH11 3YJ<br />
0131-469-2800<br />
Highholm Centre<br />
Highholm Avenue<br />
Port Glasgow<br />
PA14 5JN<br />
01475-715430<br />
13 Abbey Park Place<br />
Dunfermline<br />
KY12 7PT<br />
01383- 602514
Gary McIlree<br />
West Dunbartonshire<br />
Psychological<br />
Service<br />
Maureen Myant Glasgow, South East<br />
Area Psychological<br />
Service<br />
148<br />
Carleith School<br />
Stark Ave<br />
Clydebank<br />
G81 6EF<br />
01389-800491<br />
Battlefield Primary<br />
Carmichael Place<br />
Glasgow<br />
G42 9SY<br />
0141-632-0638