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Mental health and school absenteeism in children with long-term physical conditions: a secondary analysis of the British Child and Adolescent Mental Health Surveys 2004 and 2007
- Authors:
- FINNING Katie, et al
- Journal article citation:
- Child: Care, Health and Development, 48(1), 2022, pp.110-119.
- Publisher:
- Wiley
Background: Children and young people (CYP) with long-term physical conditions (LTCs) are more likely to have poorer mental health and more school absenteeism compared with CYP with no LTCs. However, there is limited longitudinal research, and the extent to which these difficulties persist in CYP with LTCs is unknown. Furthermore, little is known about the relative impact of different types of LTC on mental health and absenteeism. Methods: This study investigated cross-sectional and longitudinal associations of different LTCs with mental health and school absenteeism in a large (N = 7977) nationally representative survey of CYP in Great Britain and its 3-year follow-up. Psychopathology was assessed using the parent-reported Strengths and Difficulties Questionnaire (SDQ), and diagnosis of any psychiatric disorder using the Development and Wellbeing Assessment (DAWBA). Days absent and persistent absence (missing 10% or more of school days) were reported by parents. Results: Compared with those with no LTCs, CYP with any LTC had higher SDQ total difficulties scores at baseline (adjusted mean difference 1.4, 1.1-1.6) and follow-up (1.1, 0.8-1.4) and were more likely to have a psychiatric disorder at baseline (adjusted odds ratio [aOR] 1.59, 1.34-1.89) and follow-up (1.75, 1.44-2.12). Children with any LTC also missed more days of school at baseline (adjusted incidence rate ratio 1.47, 1.31-1.64) and follow-up (1.17, 1.00-1.36) and were more likely to be persistently absent (aOR baseline 1.78, 1.48-2.14; follow-up 1.27, 1.00-1.61). Neurodevelopmental disorders, migraines and atopic conditions were particularly strongly associated with both mental health and absenteeism. Conclusions: Children with LTCs had poorer mental health and more school absence than those with no LTCs. Clinicians should routinely enquire about mental health and school attendance in CYP with LTCs and should collaborate with families and schools to ensure these children are provided with sufficient mental health and educational support. (Edited publisher abstract)
Integration and its future: a case study of primary education and physical disability
- Authors:
- HADLEY Roger, WILKINSON Heather
- Journal article citation:
- Disability and Society, 10(3), September 1995, pp.309-323.
- Publisher:
- Taylor and Francis
This article describes a case study of the integration in mainstream schooling in two LEA's of children of primary school age with physical disabilities. Levels of disability are compared with the location of the children in the school system and any special provision made for them. Quality of provision is also explored. Factors affecting the overall levels of integration in the LEA's and differences between them are examined and the wider implications of recent legislation for the future development of integration are discussed in the light of the findings of the study.
The prevalence of disabilities and maltreatment among runaway children
- Authors:
- SULLIVAN Patricia M., KNUTSON John F.
- Journal article citation:
- Child Abuse and Neglect, 24(10), October 2000, pp.1275-1288.
- Publisher:
- Elsevier
This American research was conducted to determine the prevalence among abused and nonabused runaways within a hospital population (study 1) and a community school population (study 2) and to identify any associations between disability, maltreatment, family stress factors, academic achievement, school attendance, domestic violence and runaway status. Results found children and youth with disabilities were at increased risk to become runaways in both populations. The presence of maltreatment significantly increased the association between running away and disability status. Concludes that professionals working with runaways and their families need to be aware of the special needs of the population and reconsider current policy within the family.