Which children and young people are excluded from school? Findings from a large British birth cohort study, the Avon Longitudinal Study of Parents and Children (ALSPAC)

BACKGROUND

Exclusion from school is increasingly recognized as pertinent to child health. National educational data reveal that boys, children who are looked-after, living in poverty, have special educational needs, or from certain ethnic minorities, are disproportionately excluded from school. As population-based data on the wider characteristics of excluded children are scarce, we aimed to describe predictors of school exclusion in the Avon Longitudinal Study of Parents and Children.

METHOD

Avon Longitudinal Study of Parents and Children, a prospective U.K. population-based birth cohort study, collected parent reports of permanent school exclusions by 8 years and parent and self-reports of permanent and fixed-term exclusions in the preceding 12 months at 16 years. Potential risk factors were examined for associations with exclusion using logistic regression, with a focus on child mental health and neurodevelopment.

RESULTS

Analyses were based on all available data on 53/8,245 (0.6%) pupils excluded from school by 8 years and 390/4,482 (8.7%) at 16 years. Key factors associated with exclusion at both time points included male gender, lower socio-economic status, maternal psychopathology, mental health and behavioural difficulties, psychiatric disorder, social communication difficulties, language difficulties, antisocial activities, bullying/being bulled, lower parental engagement with education, low school engagement, poor relationship with teacher, low educational attainment, and special educational needs (all p < .05).

CONCLUSION

Exclusion from school was associated with child, family and school-related factors identifiable at, or prior to, primary school age. Child health professionals have an important role in the holistic, multidisciplinary assessment of children who are at risk of exclusion from school. Mental health and neurodevelopmental difficulties should be recognized and supported, to improve the health and educational outcomes among this vulnerable group.

[Evaluation of the views of 189 mothers on the sensory capacities of their newborn infants. Can the information be a tool for prevention?]

IS INFORMATION A TOOL FOR PREVENTIVE ACTION? The aim of this study was to evaluate maternal beliefs concerning neonatal performances, to compare them with currently accepted knowledge and to analyse parameters that could influence the maternal judgement.

POPULATION AND METHODS

A total of 189 mothers in the postpartum period were prospectively questioned about their beliefs concerning the developmental visual, auditive, olfactive, gustative and sensitive functions of their neonates.

RESULTS

Only 57.7% of mothers agreed with the fact that their neonates were able to see. Similarly, there were more than 80% for the olfactive and gustative function and more than 90% for the auditive function and pain discrimination. Multiparity and high level of professional activities improved the mothers' answers about the visual abilities of their neonates. Scientific information through media appeared poorly assimilated.

CONCLUSIONS

The time spent by the mothers in the maternity home or word could be used to inform them.

[Evaluation of the psychosocial care in maternity: experience at the Poitiers University Hospital]

BACKGROUND

High psychosocial risk pregnancies require specialized multidisciplinary help and follow-up in order to improve the outcome of babies.

POPULATION AND METHODS

Thirty pregnancies were selected among 3500 and followed by a multidisciplinary team during 1990 and 1991. Evaluation included risk predictors, neurodevelopmental outcome of children at 9 and 24 months, number and time of judicial notifications. Evaluation of the mother-to-baby relationship by a psychologist as well as the environmental variables were performed.

RESULTS

Four families had one or two, 20 families three or five and six families, six or more of the 15 risk predictors studied. Over the babies followed-up until the age of 24 months, four were placed out of the family, three hospitalizations were medically unjustified and there was no hospitalization for child abuse or neglect. Twelve children had development delay and two developed an environmental-related staturo-ponderal delay. Judicial notifications were realized 18 times during pregnancy or just after delivery and six times during the follow-up for child abuse and neglect.

CONCLUSIONS

Taking care of high psychosocial risk pregnancies could be improved in special hospitalization units for mother and child. A better awareness of this problem could also improve the outcome of children, which remains very alarming.