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Therapy

Therapy Corner: Listening to My Body

27th January 2023Website Admin

Listening to my body: A brief guide to understanding the connection between sensations and feelings

Emotions aren’t only felt in the mind. Our bodies react to our environments just like our brains do, and it can be helpful to connect emotions with body sensations so we can better understand what’s going on within us. 

What is Sensation?

Sensation refers to the process in which information is taken and interpreted by the human brain. In order to take in information, the human body is equipped with five senses, which we are taught from childhood: sight, smell, taste, touch, and hearing. Even from a young age, we know to “use our senses” to investigate, enjoy and experience the world around us. 

What is Feeling?

Feelings can be understood as mental experiences of body states. Feelings can be of such diversity ranging from love, happiness, contentment to anger, bitterness and even rage. They alert us as to how we feel. If a person is feeling depressed, this feeling makes us aware of our situation. Feelings are connected to so many aspects such as our emotions, thoughts, moods and even sensations. Psychologists believe that feelings are often very subjective. They can be influenced by the memories, personal experiences, and beliefs that people have.

Learning How to Connect Emotions and Body Sensations

By teaching students that emotions are more than abstract concepts and can be perceived as concrete bodily experience, it can help them connect with their body and emotions more confidently. By practising identifying and naming what they are experiencing, they can better figure out what they need.

Below are a few strategies and activities intended on helping children develop an awareness of what their bodies are telling them. A list of sensations and feeling words is also provided below to give students the language to describe what they are experiencing. 

I recommend reading the book with your child: Listening to my body: A brief guide to understanding the connection between sensations and feelings by Gabi Garcia, from which some of the information and inspiration in this article is taken. 

1) There are many different ways you can continue to support your child to “listen” to their body. You can: 

  • Build a vocabulary of sensation words. Start with one from the list and build from there.
  • Help them connect their sensations and feelings. When they identify a feeling, you can ask questions like “How does your body tell you that you are happy, excited, angry, etc…?” or “Where in your body do you notice the calm, sad, nervous, etc. feeling?”
  • Model the process of “listening” to your body and showing care and kindness for yourself. 

2) Body scan intervention:

3) Below are a list of sensations that may be helpful to practise identifying and naming what they are experiencing:

4) Below are a list of feeling words that may be helpful to practise identifying and naming what they are experiencing:

References:

Books:

  • Listening to my body: A brief guide to understanding the connection between sensations and feelings by Gabi Garcia

Websites: 

  • What are Emotions, Feelings and Sensations? Composite or Hierarchical models? (https://emotionallyvague.wordpress.com/2014/10/23/what-are-emotions-feelings-and-sensations-composite-or-hierarchical-models/)

  • 100 Art Therapy Ideas and Prompts (https://www.alternativetomeds.com/blog/art-therapy-ideas/)

  • Learning How to Connect Emotions and Body Sensations (https://www.hope-wellness.com/blog/learning-how-to-connect-emotions-and-body-sensations)

  • Difference Between Sensation and Feeling (https://www.differencebetween.com/difference-between-sensation-and-vs-feeling/)

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How can a Life Skills Curriculum Support Children to Access Learning?

15th December 2022Website Admin

How can a Life Skills Curriculum Support Children to Access Learning?

Danielle Petar


‘More than just practising daily tasks…’ Gesher’s new life skills scheme

The idea of teaching life skills in schools as part of a young person’s education has been formalised since the late 1990s when the World Health Organisation (WHO) introduced its ten core life skills principles. They defined life skills as ‘a group of psychosocial competencies and interpersonal skills that help people make informed decisions, solve problems, think critically and creatively, communicate effectively, build healthy relationships, empathise with others, and cope with and manage their lives in a healthy and productive manner’. Before that, it was a core mission of the scouting movement (since the 1920s) and the Duke of Edinburgh’s Award (founded in 1956). We have long known that life skills are an essential thing to have. For specialist schools like Gesher, they are crucial to school success, future life chances and emotional well-being.

Despite this, what the student experience of life skills learning means for day-to-day teaching can be difficult to picture. Is it discrete individual lessons about part of the WHO’s definition? Is it traditional lessons like maths, literacy, and science which implicitly teach these skills? Is it practising skills that young people will need for daily life in their classrooms and beyond? Is it something which teachers teach, or should this learning be happening at home?

What the student experience of life skills learning really means for day-to-day teaching can be difficult to picture.

These are some of the problems that Gesher’s Inclusion Team, (Danielle Petar and Matt Summers), grappled with when they first set out to develop Gesher’s own life skills scheme at the start of 2020 — and they are sharing their experience in the hope that it will be of value to others. Two years on, this scheme, called Bridges: Foundation, has been launched to Gesher’s students and will shortly also be introduced to parents. In anticipation of this, we sat down with Danielle and Matt to find out more about the journey they went on to design the scheme as well as some of its features.

Setting Up The Scheme

‘The notion of creating something which meets all of the WHO definition of life skills was exciting but also rather daunting. In the first stage of the process, we looked at the four key areas in the Government’s ‘pathway to adulthood’ guide. These are employment; independent living; good health; and friendships, relationships and community. However, we quickly realised that we’d need some more focus and to break these down further’. After going through various combinations of themes, the team decided on eight child-friendly themes.

Within each of these themes, there are eleven badges for the students to work towards achieving. In the ‘My Home’ theme, for example, the badges range from ‘Clearing the Table’ to ‘Preparing for Social Occasions’. ‘While each badge is very different they are all designed to focus on developing creativity, critical thinking, problem-solving, decision-making, the ability to communicate and collaborate, as well as commitment to personal and social responsibility.’

The approach is driven by the student’s motivation to learn new skills,  explore their areas of interest and develop their independence, as well as encouraging them to think about their future. Therefore, they have some autonomy in choosing their badges.

‘We were also eager to ensure that the young people themselves were included in the design process and it’s safe to say their feedback was refreshingly honest… It ultimately had a huge impact on the way the scheme looks from a visual perspective. Given that it’s the young people themselves who will be using the scheme, this is exactly what we wanted.’

The final stakeholder group that Danielle and Matt sought views from while in that crucial design phase was parents from the Gesher community. ‘The scheme was designed as an exciting journey that would foster a partnership between home and school, with students completing badges both at home and at school. As parents were going to be a vital part in implementing it, then it was equally important to get their input in the design process.’

Taking Ownership

The design of the Bridges scheme was very much focused on ensuring that students can take ownership of their learning. Within each life skill, there are four ‘steps’ to achieve along their journey that reflect an increasing level of independence and in this way students can see their progress.

As you journey through the different life skills badges, there are different steps along the way that you can take; each step leading you to be more independent.

 

 

 

Each step has a number of success criteria provided, which are visible and accessible to students. These were created by extensive research from the Inclusion team and in consultation with a wealth of other educational professionals (Occupational Therapists, Speech and Language Therapists, Educational Psychologists, Art Therapists, Teachers, Teaching Assistants and Dramatherapists).

The different steps are not age-related but rather based on a child’s own stage of development at any given time. Both the approach and the journey navigation are highly personalised.

‘Unlike the way that learning is normally structured, both the approach and the journey navigation are highly personalised. The different steps are not age-related but rather based on a child’s own stage of development at any given time and based on their individual skills and needs. We did this to reflect the fact that a young person’s journey to adulthood is not linear and they will navigate their own winding path.’ Put another way, both the approach and the journey navigation are highly personalised.

Beyond Practising Daily Skills and Student Ownership

Unlike more traditional life skills schemes, Gesher’s reach is broader in terms of the themes it covers and has a greater focus on softer skills like decision-making and critical thinking. ‘We wanted the scheme to be aspirational, more than a means by which to practise daily tasks.’ This is evident in the inclusion of themes like ‘My Imagination’ and ‘My World’, which encompass skills like ‘Making a gift’ and ‘Learning about a religion’.

This breadth means that young people don’t just work on their life skills badges in the classroom but in a home context as well. ‘The success criteria for each level have been designed to include language that is accessible for students as well as the adults in their lives.’ To further promote this, students work on a minimum of three badges at a time. The idea is that one is chosen by their teacher to work on in the classroom and relates to their project-based learning; one is chosen alongside the adults at home; while the last is selected by the young people themselves. This badge they will work on both at home and at school. ‘Obtaining these badges at home and at school should be both meaningful and fun and will hopefully open up new experiences for students as they navigate their own journeys to adulthood. It’s also important to say that there is no limit on how many badges a student can be working on at any one time. The scheme is designed to give them the opportunity to explore and to be ambitious.’

Hiding in Plain Sight

The eight themes ensure that the life skills curriculum is incorporated across the school from the Early Years class to the students in Year 8. This will allow students to become familiar with the skills they need for adulthood as early as possible in their education journey. Each class has one discrete life skills session a week where they work on their chosen badges. This is led by the school’s ‘life skills champion’ and the class teacher. In addition, for students at Gesher who are less likely to graduate with traditional academic qualifications such as GCSE and may follow a more vocational route, life skills sessions are taught daily in small groups.

As well as this dedicated time, the school’s holistic approach to learning means that badges can be worked on during students’ therapy sessions or in-class sessions through project-based learning. What will be obvious is that the approach (student ownership, personalisation, real-world tasks, school and community, etc) has many features in common with the project-based learning approach to the wider curriculum.

Next Steps

Whilst the Bridges scheme is very much underway, it will evolve and the team is already planning to create further resources to support the teaching of each life skill. They are also in the process of creating the next stage of the scheme, Bridges: For Life. This will expand on the four areas of preparing for adulthood and ensure that the students build on the life skills they’ve already developed through the Foundations scheme. This article offers a window into an important aspect of our work, one of which we are proud — both the scheme itself and the process through which it was developed. If you want to know more, please contact Gesher.

Legacy

Gesher is both privileged and humbled that this scheme has been made possible by working in collaboration with the Daniels family in order to honour the extraordinary life of Sonya Daniels, their wife, mother and grandmother.

 


Professional Prompt Questions

  • We all know how important life skills are for young people. How well established is (a) your curriculum for life skills; (b) your assessment processes?

  • In particular, how coherent is your life skills work with SEND youngsters?

  • Does the idea of badges have any merit for you?

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Making the Most of Therapies in Your Setting

15th December 2022Website Admin

Making the Most of Therapies in Your Setting

Victoria Rutter


The ever-changing political landscape has seen far-reaching implications for education and health services; spending cuts have been severe and there is currently a real disparity across the country in the amount and type of therapeutic provision available to children with SEND. It is interesting to reflect on the journey of how therapies emerged in schools, and to observe the inherent successes, but also the frustrations; frustrations largely due to ‘not enough’ rather than the quality of provision.

It is abundantly clear, from both research and anecdotal evidence, that the best possible model for effecting quality provision for each child is to do this within a team. In this case, the team would be school, parents and therapies.

Within School, Not Withdrawn

Historically children were taken out of school to attend therapy sessions in local community clinics and hospitals. This obviously disrupted children’s education and meant there was limited opportunity for liaison with school staff, and also that skills acquired in therapy had little chance of being generalised into everyday school life. With the advent of Statements of Special Educational Needs (Statements) — now Education, Health Care Plans  (EHCPs) — the NHS began to place Therapists in both mainstream and SEND schools. Subsequently, Local Authorities (LAs), through joint funding with the NHS, began financially and operationally to support this model and Therapists began to work regularly in schools to see children — both with and without EHCPs.

Therapists as Members of Staff

Schools and parents could really see the benefit of children receiving therapies in their school environment. However, they also became increasingly frustrated by the amount of input they were being offered, with both the NHS and LAs rationing services due to a never-ending series of spending cuts. Schools began to recruit their own Therapists, giving them more control over the frequency of input, and allowing Therapists and school staff the opportunity truly to work collaboratively as part of a team around the children and young people in education.

Cut to today and this model is seen in both SEND and mainstream schools across the UK. Some settings have multi-disciplinary therapy teams on site full-time, while others have Therapists either employed directly by them or contracted via independent Therapists and practices. Therapists may visit weekly, half-termly or termly depending on the needs and budgets of individual schools.

Arrangements in one SEND School

At Gesher, therapy is not seen as an ‘add-on’, instead, it is part of the overall curriculum and is designed and delivered in tandem with the educational and social curriculum. Therapy targets are woven into all aspects of day-to-day school life, and therapies can be delivered in a variety of ever more creative ways. Staff upskill each other and are able to plan jointly and run interventions.

As in most settings, therapy staff work to a three-tiered approach: Universal (for all), Targeted (for small groups) and Specialist (for individuals). It is at the Universal level that the work can really make an impact: devising, teaching, modelling and reviewing whole-school approaches such as communication and sensory-friendly classrooms, signs and visually supported speech, Zones of Regulation, Movement breaks, facilitating lunchtime chats, playground games and Fun with Food.

Some Lessons For Any School

This model can differ from setting to setting, particularly in mainstream schools. So, what can a regular school do to maximise the impact of therapeutic support where provision can be limited in frequency?

Preparation is Key

Identify the key person who will liaise and plan with the Therapist. This is usually the Special Educational Needs and/or Disabilities Coordinator (SENDco). The SENDco can then ask school staff and senior leaders to come up with a list of priorities and areas for development with regard to the particular Therapist that is working with your school; this could include:

  • Identifying particular children (specialist) or groups of children (targeted) who may require assessment and/or intervention
  • Identifying areas of universal need for your particular school, for example: vocabulary, listening, play, handwriting, sensory regulation, etc
  • Creating optimal learning environments such as communication and sensory-friendly classrooms
  • Identifying opportunities for Team Teaching to model and embed Quality First teaching strategies
  • You may wish to identify a Teaching Assistant with relevant skills and/or interest to also liaise with the Therapists and who helps to coordinate and deliver the therapeutic interventions in school
  • Identifying training needs for all staff
  • Identifying training needs for identified staff
  • Identifying pieces of work with parents.

Plan For Each Visit

The SENDco and Therapist can make a joint plan prior to the visit, by email, which ensures:

  • The priorities of the school are met in a timely way
  • School staff are aware that Therapists will be in school/class
  • Parents are informed
  • The Therapist knows in advance what assessments/resources to bring in
  • Time is ring-fenced for the SENDco and Therapist to meet
  • A room can be booked in which to assess children and meet with staff and/or parents.

Taking children out for one-to-one work may be necessary if outlined in a child’s EHCP. In these circumstances, a Teaching Assistant should be able to accompany the child to observe and participate in the session and effect meaningful carry-over. If you are unavailable to catch up at the end of the visit, ask the Therapist to send you a summary of who was seen, meetings that took place, interventions/training carried out, etc.


How Do I Go About Commissioning a Therapist?

It may be cost-effective to link up with other local schools to ‘buy in’ Therapists and many independent Therapists and practices have a choice of bespoke packages to suit a range of needs and budgets.

For further guidelines and information on commissioning Therapies in schools, see the links below:

Speech & Language Therapy

Independent Speech & Language Therapists

Occupational Therapy

Dramatherapy

Art Therapy

Educational Psychology

 


Therapists share the frustration and challenges of our colleagues in education regarding provision.  However, as suggested above, there are ways to maximise outcomes and utilise the therapy provision a school does have.

In essence, those universal approaches will have a significant impact and are achievable and sustainable. Investing in staff training and setting up whole-school approaches benefits all students, leaving the precious remaining Therapy time directed where it is needed the most.

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Three Houses Model

15th December 2022Website Admin

Three Houses Model


The Three Houses model is a tool which provides a visual way for people to express their views about a topic or experience. The tool was originally developed in 2003 in New Zealand for use in the field of child protection, but since then has been adapted for use with other groups. The version here is based on that created by Cunningham (2020) who used the tool as a way of eliciting the views of autistic children about what made their school autism-friendly. 

How Does It Work? 

The Three Houses model is a very flexible tool, which can be adapted to suit the needs or preferences of the young people you work with. Below are two options for how the tool could be used.

Option 1: The adult and young person draw three houses together. Once the houses are drawn the adult explains the name of each house: house of good things; house of less good things; house of dreams. The adult then asks the young person some questions and the young person’s responses are recorded in each house. For example, the adult could ask questions about what

 is going well at school. After the young person has given their responses, the adult would add these to the relevant house, in this case, the house of good things. This would be repeated until all three houses are filled.

Option 2: The adult shows a young person a picture of three houses and then asks the young person to draw their own version on a separate piece of paper. The adult would then explain the name of each house: house of good things; house of less good things; and house of dreams. Next, the young person would be asked to write or draw pictures of all the ‘good things’ about something, for example, school. As the young person draws or writes, the adult can ask the young person for more information about what they have drawn or written. This process would be repeated with all three houses.

Example

The below three houses are from Gesher’s conversation with students for the Changing Schools, Changing Lives article.

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