Lecture 2 Flashcards

SEMH (36 cards)

1
Q

How o we know if a child of compulsory school age has a learning difficulty/ disability

A
  • they have signif greater difficulty learning than the majority of the same age
  • they have a disability which prevents / hinders them from making use of facilities provided by a mainstream school
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2
Q

what is SEN

A

Special Educational needs

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3
Q

what does besd stand for

A

Behavioural, Emotional and Social Difficulties

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4
Q

what does semh stand for

A

Social, emotional and Mental Health Needs)

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5
Q

why was BESD changed to SEMH

A

to differentiate poor behaviour from special educational needs

poor behaviours can be addressed by disiplinary structures

aims to find the roo cause of the behaviour rather than focussing on the symptoms

Many children having Behavioural, Emotional and Social Difficulties (BESD) might experience mental health disorder

Children with SEMH have an Emotional and Behavioural problem within an educational context AND, within medical context, a mental health problem such as ADHD or conduct disorder.

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6
Q

explain what semh is

A
  • Children/ young people may experience a wide range of social and emotional difficulties which manifest themselves in many ways, including:
    o Challenging and disruptive behaviour
    o Withdrawal or isolation
    o Lack of concentration
    o Hyperactivity
  • These behaviours may also reflect underlying MH difficulties such as
    o ADHD, Anxiety, depression, self-harm, substance misuse, eating disorders..
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7
Q

how can semh manifest themselves in children

A

o Challenging and disruptive behaviour
o Withdrawal or isolation
o Lack of concentration
o Hyperactivity

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8
Q

how many children with mental health behaviours in school have issues

A

10-20% of 5-15 year olds have a mental health disorders

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9
Q

are boys or girls more likely to be diagnosed with an SEMH mental disorder

A
  • boys- but it varies with the type of problem
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10
Q

what are social competence skills

A

“The ability to achieve personal goals in social interaction while simultaneously maintaining positive relationships with others over time and across situations” (Rubin and Rose-Krasnor, 1992)

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11
Q

how are there cultural differences in social competence skills

A

Different societies and cultures may approve and sanctions different behaviours
o Context-dependent may make them particularly challenging for children to acquire
o Chen et al, 1992: shyness sensitivity in Canada vs Chinese sample

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12
Q

how to social competence skills link to peer acceptance

A
  • Peer acceptance linked to later school achievement, and negatively to problems of behaviour and adjustment
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13
Q

what is emotional competence/ skills

A
  • “Ability to perceive accurately, appraise, and express emotions; the ability to access and/or generate feelings when they facilitate thought; the ability to understand emotions and emotional knowledge; the ability to regulate emotions to promote emotional and intellectual growth” (Salovey and Sluyter, 1997)
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14
Q

how do emotional competence skills mediate academic and social outcomes

A

o Regulates negative emotions (e.g. anxiety, fear stress) in learning
o Regulates impulse and delay gratification for better long term outcomes
o Helps with better relationship with peers  increase group acceptance

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15
Q

what do individuals with mental health issues experience during school

A

o More difficulty maintaining social relationships
o Less academic and vocational success
o A greater risk for substantial physical illnesses (such as diabetes and heart disease)
o Are at higher risk for early mortality, including a substantially elevated risk for suicide

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16
Q

how are mental health issues in school translated into broader social problems

A

o Rates of mental disorders in the population of incarcerated youth as high as 70 (Kutcher &McDougall, 2009)
o School dropout (Kearney, 2008 review paper)

17
Q

name the Theoretical approaches to behavioural difficulties- Interactive framework

A

based on work from Morton and Frith (1995)
there are three levels of description to explain developmental problems
- o Biological level : neural processes
o Cognitive level: including affective factors
o Behavioural level: directly observable behaviour
o Addition of environmental factors at three levels.

18
Q

name the Theoretical approaches to behavioural difficulties- behavioural approach

A
  • Primary focus is on behaviour that is observed
  • Behaviour is learnt through what happens in environment  changing environment to change pattern of behaviour
  • Undesirable behaviour develops because associated with positive outcomes (positive reinforcement) avoiding negative outcome (punishment), removing triggers (negative reinforcement)
19
Q

name the Theoretical approaches to behavioural difficulties- cognitive approach

A
  • Primary focus on cognitive processes: how events are perceived, and problems planned and solved
  • Depends on interpretation more than ‘reality’
  • Changes the way children think about events, themselves and the world to ultimately change behaviour
  • Different theories focus on different processes
    o E.g. Attribution of cause and difficulties.  Adapted to social and emotional difficulties
20
Q

name the Theoretical approaches to behavioural difficulties- psychodynamic approach

A
  • Based on assumption that the drives, wishes, anxieties etc that determine our behaviour are unconscious.
  • Focuses on understanding and resolving internal conflict to tackle underlying problem rather than the observable behaviour.
  • E.g. teacher set work that student finds difficult  unconsciously linked to pattern with parents (feel they always fail)  set for failure and may not want to do the exercise
  • Attachment theory is one of them
  • Teachers may play role as an attachment figure to provide secure base for children with disorganised attachment style
21
Q

name the Theoretical approaches to behavioural difficulties- systemic approach

A
  • Based on reciprocal interaction between individuals and their environment
  • ‘The whole is greater than the sum of its parts’ (Gorrell-Barnes, 1985)
  • Holistic investigation to build a picture of behaviour, knowledge, feelings, beliefs and attitudes of everyone involved (and particularly teachers and pupil) in the problematic situation.
  • Not just looking at ABC but at reciprocal interactions and circular consequences.
    o Good example p446 of Fredrickson Clive 3rd edition.
22
Q

name the Theoretical approaches to behavioural difficulties- biological level influences

A
  • Important but outside scope of expertise of teachers and educational psychologists.
  • Collaboration with medical staff is necessary
  • But advance in neuroscience helps understand typical issues with children and adolescents:
  • e.g. development of limbic system (reward) before PFC (inhibition, top-down control)  risky behaviour
    o Casey, Jones, Hare, 2008; Blakemore & Choudhury 2006
    o Spenrath, Clarke & Kutcher, 2011
  • Medical, rather than psychological interventions
23
Q

explain behavioural based methods for assessing mental health problems in schools

A
  • Systematic observation
    o Frequency and/or duration of behaviour
    o Example: https://www.youtube.com/watch?v=Gq6v59YoPUM
    o Identify triggers for the behaviour ABC
    o Allow for ‘real’ evaluation vs. overestimation
    o Good for evaluating success of intervention
    o But behave differently when observed
  • Documentary sources or questionnaires as behavioural descriptors
24
Q

explain cognitive based methods for assessing mental health problems in schools

A
  • Questionnaires to assess cognitive constructs: self perception, attribution, personal constructs
    o But children tend to chose the most socially desirable option.
    o Harter questionnaire measuring self perception
    o 2 statements ‘some children often do not like the way they behave but other children usually like the way they behave’.
    o Each statement is chosen by some children  reduces social desirability factor
  • Capacity for self-analysis
  • Language difficulties
25
explain psychodynamic based methods for assessing mental health problems in schools
- Individual interview or play session - Projective technique: Based on assumption that when we respond to something outside ourselves our reactions are partly a reflection of our inner world o The children’s apperception test (Bellak & Bellak, 1949) o Kinetic family drawing (Burns, Kaufman 1970) o But should not be accepted at face value, other explanations
26
explain systemicbased methods for assessing mental health problems in schools
- Uses behavioural or cognitive assessment strategies to collect information about a problem at different levels o Organisational level : information about school rules and sanctions. Plus interview with teachers and pupils to identify perception of these rules o Individual-level: different view on pupils behaviour: asking parents, teachers, head of school etc. o Social-level: importance of peer group social system in supporting or undermining behaviour. E.g: bullying (bully, bullied, but also assistant of bully, defender of victim, outsider etc.)
27
explain the assessment methods for SEMH
- No standard battery of assessment - Widely used questionnaire for SEMH is the Strengths and Difficulties Questionnaire (SDQ, Goodman 1997) - 5 scales: o Emotional symptoms o Conduct problems o Hyperactivity o Peer problems o Prosocial scale - For children, teachers and their parents (different versions) - Used to refer children to CAMHS (if score in the ‘abnormal’ range)
28
how many interventions work for children
- Even the best evidenced interventions for children and adolescents do not work in as many as a THIRD of individual cases and some children get WORSE in response to intervention (Carr, 2000)
29
explain different types of interventions
``` - Types: o Universal preventive programmes at school o Prevention for high-risk groups o Individual programmes - Based on different theories ```
30
explain behavioural interventions
``` - Increase desirable behaviour. o E.g. Reward a child - Decrease undesirable behaviour o Time out, punishment etc. o But do they learn what they should do instead? - Group interventions seem effective - Maggin et al. 2012 o E.g. The Good Behaviour Game o Review by Tingstrom et al. 2006 o UK use: Chan et al., 2012 ```
31
explain cognitive interventions
their response to it. - E.g Anger and anxiety management o How to recognise emotions (pounding heart..) and what strategies to use to stay calm and not be panicked into fight or flight behaviour. - But cognitive changes not always accompanied by behavioural change  Often combined with CBT - Sukhodolsky et al (2005) : comparison of cognitive and behavioural intervention for anger management programmes. o Programmes equally effective - Coping Power Programme: cognitive, behavioural and systemic approach - Lochman and Wells (2002a, 2002b & 2003
32
explain psychodynamic interventions
- To bring unconscious defences and fantasies to the child’s conscious awareness - E.g. Art or music therapy  by child psychotherapists - E.g. Nurture groups in classrooms - ‘to provide a predictable environment in which pupils can build trusting relationships with adults and gain the skills they need in order to learn in larger classes’ (Ofsted 2011c:8) - Evidence o Seth-Smith et al (2010). Increase in pro-social behaviour; Improvement in academic level; Decrease in peer difficulties and hyperactivity. o Reynolds et al (2009). Improvement in academic abilities & emotional functioning
33
explain systemic interventions
- At different levels: individual, class level, school level, society level - Used for bullying behaviour that leads to behavioural, emotional and academic difficulties (Swearer et al 2010) - Review of effectiveness of anti-bullying program: Ttofi & Farrington (2011) o 44 program evaluations for meta-analysis o Overall, school-based anti-bullying programs are effective o Bullying decreased by 20–23% o Victimization decreased by 17–20%. o Work with peers associated with INCREASE in victimisation (also see Ttofi & Farrington, 2012 for this finding) o Read Smith et al, 2012 for discussion around this meta-analysis and its policy implications.
34
explain the different types of interventions in schools
- Universal preventive programmes at school o Involve a curriculum component delivered by classroom teachers o SEAL (Research Report DFE-RR049) o PATHS curriculum (Kusché and Greenberg, 1994) - Prevention for high-risk groups o Parenting skills groups o Triple P: Positive Parenting Programme o Incredible Year o Lindsay et al (2011) for review of 5 parenting interventions o Child social skills groups (Webster-Stratton et al, 2001) - Individual programmes o CBT, counselling, problem solving skills training
35
name some ways that semh may manifest
challenging disruptive behaviour withdrawal/isolation lack of concentration hyperactivity
36
what is peer acceptance linked to
later school achievement and nehatively to behavioural problems and adjustment