This qualitative research study explores the promotion and practice of discipline in the Foundation Phase to create a culturally responsive learning environment. For this study, Grade 3 Foundation Phase teachers were identified as the participants and formed part of each case study. The researcher constructed understanding through using an interpretivist approach and was further guided by a conceptual framework. The literature on discipline in the Foundation Phase classroom informed me about the practices and strategies used to discipline learners. The literature highlighted the use of assertive discipline and positive discipline practices in Foundation Phase classrooms. The data collection methods and data collection instruments were tested using a pilot study before the research commenced, to ensure that these worked efficiently. This helped form the foundation on which my research was based. Grade 3 teachers who participated in the study helped answer the primary and secondary research questions. The constructivist theory was used to analyse and understand the findings. The data collection instruments include observations, semi-structured interview questions, field notes and photographs. These instruments were used to collect data from every research participant. This data was then coded and transcribed to formulate an in-depth understanding of the teacher's perspective on discipline. The teachers who participated in the study helped me understand and determine what the effective discipline practices in Foundation Phase classrooms, were to enable teachers to create a culturally responsive learning environment. The research participants also explained and discussed their definition of discipline in a Foundation Phase classroom. From the study it is evident that the teacher's definition of discipline is based largely on their own moral value systems, together with positive discipline strategies. The teachers also explained the diversities they were faced with, within a Foundation Phase classroom. Teachers in the study did not identify cultural differences as a factor, but focused more on parental involvement. Lastly, the research participants highlighted the factors that challenged teachers when applying discipline in a diverse Foundation Phase classroom. These factors were summarised and divided into external and internal factors which impact on a teacher's classroom. / Dissertation (MEd)--University of Pretoria, 2016. / Early Childhood Education / MEd / Unrestricted

Background: People with intellectual disability are more likely than the general population to be prescribed psychotropic agents. The most common indications include treatment of a psychiatric disorder and management of behaviours that challenge. Aim: The study aimed to assess the prescribing patterns of psychotropic medication to outpatients with intellectual disability at a psychiatric hospital. Setting: Alexandra hospital outpatient clinic, Cape Town. Methods: This was a retrospective folder and prescription chart review. Folders of all new patients (103) seen between January 2018 and August 2019 were examined at two points, the initial appointment and again at six months. The information was examined against the World Psychiatric Association (WPA) and the National Institute for Health and Care Excellence (NICE) guidelines for prescribing in people with intellectual disability. Results: psychotropic medication was prescribed to 88% of patients. Antipsychotics accounted for more than 56% of the medication prescribed and was used mainly to manage behaviours that challenge. Clinicians at Alexandra hospital followed prescribing guidelines to some extent; however, more still needs to be done to ensure best practice and care. Conclusion: This review revealed a few shortcomings in meeting prescribing guidelines by clinicians at Alexandra hospital. Measures to address these shortcomings could be the inclusion of medication review schedules and standardised forms for clerking and monitoring of side effects in patient files, the use of behavioural strategies as the primary management of behaviours that challenge, and the performance of regular clinical practice audits.

Challenging behaviour poses problems for teachers globally and yet very little research has been done with regard to the teacher-learner relationship and what challenging behaviour does to the teacher. The goal of this study was to explore teachers’ experiences of challenging behaviour within their relationships with learners that display challenging behaviour regarding teacher’s self-configuration. A qualitative approach was pursued in the form of an interpretive descriptive design in order to gain a better understanding of the teachers’ self-configuration experiences. For the purpose of this study the field theory was used as the theoretical framework, viewing teachers in their environment, specifically focusing on the teacher-learner relationship. A total of 12 teachers were purposefully selected from a school in Observatory, Johannesburg. The data were collected through in-depth interviews. Additionally, incomplete sentences were used to enrich data and to enhance trustworthiness. Triangulation was ensured by using two data collection methods to increase the credibility and validity of the results. The interviews and incomplete sentences were recorded via audio recording equipment. The recordings were then transcribed in order to identify emerging themes and subthemes. Thematic analysis was used once the data had been transcribed in order to gain meaningful information. This study revealed teachers’ self-configuration experiences in their relationships with learners with challenging behaviour and experienced their relationships with these children as a foundation for self-configuration. Teachers’ self-configuration is embedded in their different selves at school and their love and passion for teaching are reduced due to negative emotions. Experiences within the relationship escalate to the home environment and challenging behaviour causes stress for teachers. Teachers viewed challenging behaviour as behaviour that is an internal challenge for the learner, but also behaviour that is directed externally towards the teacher and other learners. Trust and respect, class size, individual attention and communication were identified elements contributing to self-configuration within the teacher-learner relationship. This study showed the importance of relationships in the school context and specifically focused on teachers’ self-configuration. / MA (Psychology), North-West University, Potchefstroom Campus, 2015

Challenging behaviour poses problems for teachers globally and yet very little research has been done with regard to the teacher-learner relationship and what challenging behaviour does to the teacher. The goal of this study was to explore teachers’ experiences of challenging behaviour within their relationships with learners that display challenging behaviour regarding teacher’s self-configuration. A qualitative approach was pursued in the form of an interpretive descriptive design in order to gain a better understanding of the teachers’ self-configuration experiences. For the purpose of this study the field theory was used as the theoretical framework, viewing teachers in their environment, specifically focusing on the teacher-learner relationship. A total of 12 teachers were purposefully selected from a school in Observatory, Johannesburg. The data were collected through in-depth interviews. Additionally, incomplete sentences were used to enrich data and to enhance trustworthiness. Triangulation was ensured by using two data collection methods to increase the credibility and validity of the results. The interviews and incomplete sentences were recorded via audio recording equipment. The recordings were then transcribed in order to identify emerging themes and subthemes. Thematic analysis was used once the data had been transcribed in order to gain meaningful information. This study revealed teachers’ self-configuration experiences in their relationships with learners with challenging behaviour and experienced their relationships with these children as a foundation for self-configuration. Teachers’ self-configuration is embedded in their different selves at school and their love and passion for teaching are reduced due to negative emotions. Experiences within the relationship escalate to the home environment and challenging behaviour causes stress for teachers. Teachers viewed challenging behaviour as behaviour that is an internal challenge for the learner, but also behaviour that is directed externally towards the teacher and other learners. Trust and respect, class size, individual attention and communication were identified elements contributing to self-configuration within the teacher-learner relationship. This study showed the importance of relationships in the school context and specifically focused on teachers’ self-configuration. / MA (Psychology), North-West University, Potchefstroom Campus, 2015

<b>Background:</b> Individuals with intellectual disabilities (ID) have a higher prevalence of comorbid psychiatric disorders and challenging behaviours compared to the general population. Though less common, one area of concern among those with ID is pica (the ingestion of inedible substances). To date, there is little knowledge of pica, particularly with respect to its risk factors and social consequences. The closure of Ontario's three remaining facilities by 2009 underscores the importance of having knowledge of complex behaviours such as pica for improving supports and services in the community for these individuals. The aim of this study is to better understand the characteristics and support needs of adults with ID and pica. This study is comprised of a quantitative and qualitative component. <b>QUANTITATIVE STUDY</b> <b>Objectives:</b> To investigate the prevalence, risk factors, social and medical characteristics of pica. To determine how pica is managed in terms of hours of supervision, receipt of interventions, and psychotropic medication. <b>Methods:</b> Secondary data analysis was performed on two samples as part of cross-sectional study: 1008 persons with ID from Ontario's facilities and 420 community-dwelling adults with ID from southwestern Ontario. All persons had been assessed using the interRAI Intellectual Disability (interRAI ID)?a comprehensive and standardized instrument that measures a variety of domains for support planning. Bivariate and multivariate analyses were restricted to the facility sample due to the small size of persons with pica in the community. <b>Results:</b>The overall prevalence of pica was 22. 0% and 3. 3% in the facilities and the community, respectively. Logistic regression analysis showed that being male, cognitive functioning, autism, and being non-verbal were associated with a higher odds of having pica, whereas activities of daily living (ADL) was a protective factor. A quadratic relationship was observed between cognitive function and pica: the risk of pica increased with severity of cognitive impairment up to moderate to severe levels of impairment and then diminished among those with very severe cognitive impairment. Behaviour management, self-care skills, and 8 hours or more of one-to-one supervision were more likely to be provided to persons with pica. Compared to persons without pica, persons with pica had higher rates of being prescribed antipsychotic medication. Surprisingly, pica was not associated with higher rates of gastrointestinal health problems, with the exception of acid reflux. The negative social outcomes of pica, however, were many: pica was associated with higher odds of not having a strong and supportive relationship with family, lack of contact with family or other close relations, and absence of participation in social and recreational activities. <b>QUALITATIVE STUDY</b> <b>Objective:</b> To determine the support needs of adults with ID and pica from the perspective of direct-care staff of facility and community settings. <b>Methods</b>: Through two focus groups, the perspectives of four staff from Huronia Regional Centre (HRC), and six staff from community agencies from southwestern Ontario were examined. Transcripts were analyzed thematically for factors that facilitated or hindered the management of pica. <b>Results:</b> Qualitative data revealed three categories that underpinned reduction in pica: preventative measures (environmental controls, close supervision, and the provision of alternative activities), formal supports, and familiarity with the individual. On the other hand, inadequate staff support, lower functioning level of the individual, and lack of knowledge acted as barriers to managing and reducing pica. These barriers were associated with persons participating in fewer recreational activities and community outings, and in some cases the use of mechanical restraints. Barriers specific to each setting in the management of pica were also illuminated. Staff in both settings tended to be self-sufficient and isolated in managing this complex behaviour. <b>Conclusions:</b> Results suggest that attention should be equally paid to the potential social consequences of pica rather than solely to its health risks. Higher staff to client ratios, and training and education for staff to provide more active support to promote individuals' engagement in recreational activity and community integration is needed. Key recommendations also focus on educating and training staff on the risk factors and appropriate management of pica. Improving the collaboration and knowledge exchange among developmental service agencies is also recommended to enhance the management of pica among caregivers. Lastly, the community at large needs education on pica to foster more inclusive community living for those with ID.

Section 1. Literature Review. Methodological limitations in the existing research are discussed and future research ideas are proposed to enable a more holistic understanding of direct care staff's experiences.;Section 2. Research Report. The aim was to explore the experiences of staff who have worked with learning disabled patients who also have a diagnosed borderline personality disorder. A free association narrative interview approach was used to analyse the accounts of eight direct care staff (Hollway and Jefferson, 2000). Working with patients who have a learning disability and a diagnosed borderline personality disorder is emotionally demanding. Participants did not appear comfortable in sharing their personal emotional experiences. It was thought this was because these were very painful and staff were concerned they would be criticised for voicing negative feelings about these patients. Staff appeared to manage their painful emotional experiences of their work by using a number of psychological defence mechanisms. These included projecting and expressing their negative feelings onto the organisation, and/or by trying to forget and repress these negative experiences. Organisational factors can be problematic and need to be addressed to reduce the obstacles staff experience in their work with patients who have a learning disability and also a borderline personality disorder. However, when staff comment upon these organisational factors they may also be indirectly expressing the emotional impact these patients are having upon them. Once the organisational factors have been addressed staff may begin to feel more supported and safe enough to explore the painful emotional reactions they have experienced in their work with their patients without the fear of being criticised by others.

Current government statistics show that the fastest growing ages for exclusion in English schools is in children between five and seven years old (DfE, 2013). This trend of young children being excluded for behaviour difficulties can have long term consequences for the children and their families, and has costs to society (Castle & Parsons, 1997). It has also been found that children with challenging behaviour can attract less sympathy than other areas of difficulty (Ofsted, 2010). There is limited research regarding parents' experiences of engaging with school staff when issues are raised about their child's behaviour, particularly when the children are being referred to external agencies. In the present study, three mothers of young children, whose child had been referred to the Educational Psychology Service for challenging behaviour, were interviewed. The method used to examine the interview data is Interpretative Phenomenological Analysis (IPA) as it aims to explore the experiences of the mothers from their interpretation of the situation. Although the mothers had diverse experiences of working with school staff and external professionals with regard to their child's challenging behaviour they provided evidence for five key superordinate themes, which are: development of shared understanding; the child as an individual; the role of being a parent; finding solutions; and social perceptions of behaviour. Implications for theory are discussed in order to further develop a model of working with parents which challenges some the inherent disempowerment and difficulties of managing within the compulsory education system. Implications for practice are explored to consider how school staff and professionals need to develop their communication strategies to enable parents to have access to information, to actively listen to the views of parents, and for parents to be actively involved and work collaboratively in the child's best interests. Further research to identify the relative influence of themes in the present findings would enable targeting of resources to improve the outcomes for young children with challenging behaviour in school.

<b>Background:</b> Individuals with intellectual disabilities (ID) have a higher prevalence of comorbid psychiatric disorders and challenging behaviours compared to the general population. Though less common, one area of concern among those with ID is pica (the ingestion of inedible substances). To date, there is little knowledge of pica, particularly with respect to its risk factors and social consequences. The closure of Ontario's three remaining facilities by 2009 underscores the importance of having knowledge of complex behaviours such as pica for improving supports and services in the community for these individuals. The aim of this study is to better understand the characteristics and support needs of adults with ID and pica. This study is comprised of a quantitative and qualitative component. <b>QUANTITATIVE STUDY</b> <b>Objectives:</b> To investigate the prevalence, risk factors, social and medical characteristics of pica. To determine how pica is managed in terms of hours of supervision, receipt of interventions, and psychotropic medication. <b>Methods:</b> Secondary data analysis was performed on two samples as part of cross-sectional study: 1008 persons with ID from Ontario's facilities and 420 community-dwelling adults with ID from southwestern Ontario. All persons had been assessed using the interRAI Intellectual Disability (interRAI ID)?a comprehensive and standardized instrument that measures a variety of domains for support planning. Bivariate and multivariate analyses were restricted to the facility sample due to the small size of persons with pica in the community. <b>Results:</b>The overall prevalence of pica was 22. 0% and 3. 3% in the facilities and the community, respectively. Logistic regression analysis showed that being male, cognitive functioning, autism, and being non-verbal were associated with a higher odds of having pica, whereas activities of daily living (ADL) was a protective factor. A quadratic relationship was observed between cognitive function and pica: the risk of pica increased with severity of cognitive impairment up to moderate to severe levels of impairment and then diminished among those with very severe cognitive impairment. Behaviour management, self-care skills, and 8 hours or more of one-to-one supervision were more likely to be provided to persons with pica. Compared to persons without pica, persons with pica had higher rates of being prescribed antipsychotic medication. Surprisingly, pica was not associated with higher rates of gastrointestinal health problems, with the exception of acid reflux. The negative social outcomes of pica, however, were many: pica was associated with higher odds of not having a strong and supportive relationship with family, lack of contact with family or other close relations, and absence of participation in social and recreational activities. <b>QUALITATIVE STUDY</b> <b>Objective:</b> To determine the support needs of adults with ID and pica from the perspective of direct-care staff of facility and community settings. <b>Methods</b>: Through two focus groups, the perspectives of four staff from Huronia Regional Centre (HRC), and six staff from community agencies from southwestern Ontario were examined. Transcripts were analyzed thematically for factors that facilitated or hindered the management of pica. <b>Results:</b> Qualitative data revealed three categories that underpinned reduction in pica: preventative measures (environmental controls, close supervision, and the provision of alternative activities), formal supports, and familiarity with the individual. On the other hand, inadequate staff support, lower functioning level of the individual, and lack of knowledge acted as barriers to managing and reducing pica. These barriers were associated with persons participating in fewer recreational activities and community outings, and in some cases the use of mechanical restraints. Barriers specific to each setting in the management of pica were also illuminated. Staff in both settings tended to be self-sufficient and isolated in managing this complex behaviour. <b>Conclusions:</b> Results suggest that attention should be equally paid to the potential social consequences of pica rather than solely to its health risks. Higher staff to client ratios, and training and education for staff to provide more active support to promote individuals' engagement in recreational activity and community integration is needed. Key recommendations also focus on educating and training staff on the risk factors and appropriate management of pica. Improving the collaboration and knowledge exchange among developmental service agencies is also recommended to enhance the management of pica among caregivers. Lastly, the community at large needs education on pica to foster more inclusive community living for those with ID.

The aim of this study is to examine what social workers consider as ‘challenging behaviour’ among adolescents, but also to examine the connection between investigation and intervention in cases where such behaviour is being displayed. The questions of the study are to examine what social workers think of the instrument of assessment BBIC (Children’s Needs in Focus) and how the usage of BBIC affect social workers understanding of challenging behaviour. Moreover, it is a qualitative study and the respondents are all social workers with various length of professional experience who work with making decisions in juvenile welfare cases. The social workers’ opinion about which behaviours among adolescents that were important to intervene in could be understood with what was considered as moral panic for some behaviour. The social workers use of and opinion towards BBIC could be understood in relation to practical theory, tacit knowledge and naïve theories.

This thesis is a critical reflection of the author’s time as a Principal of an Indigenous state school from 2003-2004. The purpose is to reassess the impact of her principalship in terms of the staff, students and Community change that affected learning outcomes at the school and to reanalyse to what actions and to whom positive changes could be attributed. This thesis reflects and identifies, in light of the literature, strategies which were effective in enhancing student learning outcomes. The focus of this thesis was the Doongal State School*, its students, staff and facilities. The author will attempt to draw out theoretical frameworks in terms of: (1) what changed educationally in Doongal State School, (2) what seemed to be important in the Principal’s role, (3) the processes that took place, and (4) the effect of being non- Indigenous and a female. Overall, the author undertook this critical reflection in order to understand and embrace educational practices that will (a) lessen the gap between the academic outcomes achieved by Indigenous and non-Indigenous students, and (b) enhance life choices for Indigenous children. The findings indicate that principal leadership is critical for success in Indigenous schools and is the centrepiece of the models developed to explain improvement at Doongal State School. School factors, Principal Leadership factors, Change factors and factors relating to being a non-Indigenous female principal, which, when implemented, will lead to improved educational outcomes for Indigenous students, have evolved as a result of this thesis. Principal Leadership factors were found to be the enablers for the effective implementation of the key components for success.