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The risk factors related to the mental health issues of adolescents diagnosed with mild to moderate intellectual difficulties (MMID) are not consistently recognised in South Africa. This paper aims to address the scarcity of literature by examining the risk factors linked to the mental health issues of adolescents with MMID.

Four hundred and fourteen participants were sampled from adolescent learners attending three special educational needs schools in Gauteng, South Africa. The selected sample included 275 male and 139 female participants with a median age of 16.5 years. The three schools represented Grade 8 with 177 learners and Grade 9 with 237 learners. Data were collected through a biographical questionnaire and an Adverse Child Experiences Questionnaire. A quantitative approach was used to identify the risk factors impacting the mental health of adolescents with MMID. The findings were used to propose intervention programmes for the support of adolescents diagnosed with MMID.

The findings suggest that risk factors for mental health difficulties issues among adolescents with MMID include family dysfunction, along with experiences of physical, sexual and verbal abuse as well as emotional and physical neglect. The recommendations stemming from the findings advocate empowering teachers, parents and caregivers to provide support for the mental health of learners with MMID.

The study makes a valuable contribution to reducing the existing gap in the literature regarding risk factors impacting the mental health of adolescents with MMID in South Africa. The study served as a platform for adolescents diagnosed with MMID to articulate their challenges. This cohort is occasionally marginalised and this research acts as an active contribution to research that focuses on their experiences. Their insights are crucial for enhancing intervention programmes and promoting their overall well-being.

The study aims to address the educations needs of Indonesian children living in plantations in Sabah and provide recommendations to the relevant stakeholders. Data was collected between January and March 2023 to identify and address the issues in relation to providing education for children living on plantations in Sabah. Specifically, children of Indonesian migrant workers.

The research was both a doctrinal and qualitative study that encompassed in-depth interviews with migrant workers of Indonesian nationality who have children living with them in palm oil plantations in Sabah and local managers of the plantations. Data was collected from the commissioning plantation, where the children have yet to go to school and two other plantations with school-going children. The doctrinal component involved the analysis on international and domestic laws.

Through the research, ways of enrolling migrant children in schools were determined including within neighbouring plantations, impacting the lives of children residing in the commissioning estate.

The research was fraught with difficulties. Gaining the trust of palm oil plantation owners was key and this took some time. Time in essence was a limitation as time taken for interviews is time taken away from the migrant workers employment.

The commissioning estate has already secured the provision of education for the children of the estate. The research is impactful as it has facilitated this development.

The hope is that more estates will allow for academic researchers to come in and provide systematic and constructive feedback on how things could be improved for children living in plantations.

Gaining trust and garnering data not only from migrant workers but also the managers provide novelty in the research. The views of the management side of things have not always been successfully acquired in the past.

Many professionals who work with children champion the concept of child participation. However, professionals’ attempts at listening to children to understand their perspectives and include them in decision-making are often difficult or missing. This paper aims to report on a study that examined the lived experiences of child and family professionals and children, aged five to nine years, to understand what happens in their everyday conversations and interactions and what is needed to prepare pre-service professionals to uphold children’s right to have their views heard and considered in decision-making.

Narrative Inquiry was used as the methodology for this study as it is a useful research methodology for developing interventions for practice. Narrative Inquiry methodology allows the researcher to learn from their participants, and to validate them as knowledgeable in their own lives and as contributors to change.

The findings indicated that everyday conversations and interactions that take place between professionals and children influence an adult’s ability to hear a child’s perspective. The key findings indicate that for adults to hear a child’s perspective and include them in decision-making, there is a need to build trust and acknowledge how power plays a role in having meaningful conversations with children.

To better prepare the child and family practice workforce, they will need theoretical knowledge and practice skills in developing self-awareness about how children are viewed, building reciprocal relationships with children and creating safe spaces for conversations to take place.

This research explored the impact that the relatively new role of the Health and Wellbeing Lead upon the health and wellbeing of children and their families at this school.

This case study took place in a primary school (children aged 4–11) in the South-West of England. Data was collected through activities with children, semi-structured interviews with senior staff and parents and a “learning walk”.

Our data suggested that this role provided compassion, unconditional positive regard and respect for parents, factors that are frequently absent from research into parent partnerships in education. The role presented as invaluable in tackling the many mental and physical challenges that parents faced in rearing their children, and in providing their children with the best possible chance of success.

This is a single Case Study and, as such, may or may not be representative of similar schools. We also question to what extent the findings demonstrated the strength of this role per se, or whether the impact could simply be the result of a uniquely caring and passionate individual.

We concluded that this was a role needed in all schools, recognising the key role that parents play in their child’s wellbeing, and the indirect impact that parent mental health can have upon their child’s success.

It is vital that this role is not used as an excuse by the government to further reduce the already denuded Social Services landscape within communities. It is also important that this responsibility does not become yet another burden added to already overstretched teaching staff.

This research presents a fresh perspective on the multiple pressures that parents face and how these can impact upon their child's education.

The study aims to explore the diverse meanings and sources of frustration among Israeli principals working in special education settings. The study poses two questions: 1. What are the perceived expressions of frustration among principals working in the context of special education? 2. What are the perceived sources of frustration among principals working in special education settings?

A total of 17 semi-structured interviews were conducted with principals working in special education schools for complex disabilities to investigate perceived expressions and sources of frustration.

The study identified four themes through data analysis: helplessness regarding the children, helplessness regarding bureaucratic aspects, frustration from conflicts and disappointment and frustration from feeling alone.

Despite the extensive acknowledgment of emotions and feelings in the context of educational leadership, the experience of work frustration among special education school principals has not been explicitly investigated. This research provides empirical insights into the nuanced experiences of frustration among special education principals, offering both empirical and practical implications for understanding and addressing this critical aspect of their work.

This study compared approaches to school closures in four Latin American countries (Bolivia, Colombia, Ecuador, Peru), describing the impact on the health and educational wellbeing of school-age children and youth, and evaluating their approaches in regard to continuing education through the pandemic.

We collected 75 publicly available documents including scientific and gray literature (government documents and news releases), that referred to school closures and their impact on children’s health and wellbeing. We did thematic analyses using open, axial, and selective coding and applied the latest Health Promoting Schools standards and indicators to the findings.

Results showed that countries followed epidemiological reasons for prioritizing school closures while adopting some policies that abide by Health Promoting School principles. While they emphasized the need to reopen schools so that instruction could continue, school closures were among the longest in the world. The most significant impacts on wellbeing identified in the four countries were related to food security and mental health.

This study focused on a particular set of documents, and it may not capture the full spectrum of relevant information in different contexts or regions.

By comparing school closures approaches among four Latin American countries, this study highlights the importance of context-specific interventions. In a post-pandemic era, lessons learned from these experiences should help foster more resilient and inclusive educational systems and explore the paths forward for following the new Health Promoting Schools framework in the region.

Cross-country qualitative analyses on this topic are rare. This study adds to the knowledge base by eliciting lessons for future health education research and policy efforts.

This chapter introduces the topic of mental health and wellbeing in schools and the overarching theoretical framework for the book. The evolving role of schools from nurturing environments to frontline support for pupils’ mental health and wellbeing is scrutinised in the context of demand, capacity and constraints in a post-pandemic world. Alongside this is a critical consideration of schools’ and education staff’s role, responsibilities and boundaries. The disparate mental health needs of pupils within the school population are discussed, as well as key risk and protective factors to help facilitate timely identification and appropriate support pathways for vulnerable pupils. Key topics and case studies which comprise the remainder of the book are introduced to navigate the reader, and this concludes the chapter.

Graphical abstract

This final chapter draws together the key findings presented in the preceding pages and considers emergent conclusions and implications for mental health and wellbeing in schools. The author draws upon the evidence presented by the book’s eclectic range of contributors and the health promoting schools’ (HPSs) framework to provide a road map of what an effective whole school approach (WSA) might look like moving forward. Crucially, lessons from recent crises in education, including COVID-19-driven changes in pathways to support, are highlighted as pivotal factors in a future vision which sees schools as an effective and sustainable frontline force to help tackle the global burden of child and adolescent mental health through a proactive, preventive stance. With this future focus in mind, next steps are considered in terms of developing effective and sustainable mental health and wellbeing support for all within healthy school settings.