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The Greenwood Institute of Child Health is a unique collaboration between the University and public service providers such as the NHS, which aims to improve psychological outcomes for children in high-risk settings. From 1993 to 2013, Greenwood's research has highlighted the increased risk of mental health, drug dependence and criminal activity among children who suffer trauma — through abuse, living in care, homelessness or war. Greenwood's programme of research has identified the complex and persistent needs of vulnerable children and contributed to changes in policy guidelines and service provision across social care in the UK (foster care / adoption, juvenile detention and homelessness) and abroad (war). Collaboration between researchers at the Greenwood Institute, service providers and practitioners has been instrumental in the establishment of clinically relevant and cost-effective care pathways, while community engagement has led to improved service provision and outcomes for vulnerable children and their families / carers in the UK and further afield.
Some 480,000 UK children show persistent antisocial behaviour (Conduct Disorder), a major mental health problem in childhood with strong continuity to adult substance misuse, violence and criminality. Research at King's College London (KCL) showed that these children cost the public ten times more than individuals without Conduct Disorder by age 28. To tackle the problem, KCL researchers were the first to demonstrate that a rigorous parenting programme is a highly effective treatment, even for severe cases. KCL leads the National Academy for Parenting Research which has trained 3,192 practitioners in these approaches, who are estimated to have treated 192,000 troubled children. This success has contributed to the programmes being recommended in NICE guidance and incorporated in a new nation-wide Department of Health-funded rollout reaching 54% of 0-19 year olds in England. The training has also been disseminated internationally.
Research led by Professor Roger Mackett of the Department of Civil, Environmental and Geomatic Engineering at UCL on children's physical activity has been used by central and local government, other public bodies and various advocacy groups to encourage children to be more active. It has been used to support policy documents and proposals aimed at improving children's health and wellbeing. It has led to improvements in the health, welfare and quality of life of many UK communities through, for example, their greater use of walking buses, which also contributes to reduced CO2 emissions.
We have carried out research into children's perception and behaviour around dogs, which has led to the development of an effective safety training programme, as well as improving public understanding of child-dog interactions and risk contexts for dog bite injury in children. The `Blue Dog' (BD — www.thebluedog.org) project has led to changed educational and veterinary practice, public policy change and animal welfare benefits internationally. A key part of the project was the development and validation of an interactive DVD, with training tools that teach children how to be safe around dogs. The results of the research were integrated into the injury prevention messages disseminated by the BD project. The research programme has received publicity worldwide, and over 80,000 copies of the BD DVD have been distributed to 21 different countries, with the accompanying BD booklet translated into 17 different languages. The research was carried out from 2005 onwards, with the impact of the research accruing from 2008 to date.
Professor Dieter Wolke has led several research programmes that delineate the long-term health effects of prenatal exposure to stress and moderate/late preterm, very preterm, and extremely preterm birth. His research has had a direct impact on international medical guidelines and educational recommendations for babies born preterm. The research has also informed European political debate (via a White Paper for the European parliament) on healthcare policy related to after care for preterm or sick children; has influenced UK policy regarding the education of children born preterm; and has contributed to public and practitioner understanding through media items issued, for example, by the NHS and the Royal College of Obstetricians and Gynaecologists.
Cardiff University has established the world's largest single cohort of children and young adults with Down's syndrome in which visual deficits have been characterised. Cardiff research studies over 20 years have informed evidence-based guidelines published by the Department of Health and national practitioner bodies for the recognition and practical management of common visual problems in children with Down's syndrome. Consequently, eye care specialists now recommend bifocals for these children. The Cardiff research has also supported changes to teaching methods and resources for children with Down's syndrome. Collectively these children are now benefiting from better eye care and improved learning and educational opportunities.
Looked after children (children in public care) generally have poorer outcomes in educational achievement and mental health than the wider population. The `Letterbox Club' improves the educational attainment and well-being of looked after children in the UK, and now involves nearly 6,000 children and 130 supporting organisations each year. Each child is sent a parcel of books, number games and stationery once a month for six months, addressed to them at their home. Evaluation consistently demonstrates above-predicted average gains in reading and number skills, high levels of enjoyment, and improvements in educational support provided by foster carers. The scheme has led to changes in policy and practice at local and national levels.
Time to Change (TTC) is a national programme to reduce stigma and discrimination related to mental health. King's College London (KCL) researchers have conducted most of the original research that led to the intervention, had a major role in planning TTC with two leading mental health charities, Mind and Rethink Mental Illness, and have led the evaluation of the programme. That TTC is making a difference across England is evidenced by gradual positive changes in attitudes and behaviour. KCL measures are also being used by the UK Government and to evaluate anti-stigma campaigns in Denmark, New Zealand and Sweden.
Research at Kingston University led to the development of a preschool number learning scheme ("PLUS") which uses short matching and estimation games to improve the number abilities of preschool children. The programme was first delivered by trained postgraduate students to 60 children at five regional nursery schools. An evaluation study confirmed the efficacy of the programme in enhancing the children's numerical (and other) skills. Next, Dr Van Herwegen trained staff members in these five preschools and five others to deliver PLUS on a daily basis, to reach over 500 pre-schoolers across the region. This resulted in a change to institutional practices within these preschools.
This case study represents the work of the Pyramid research team within the INSTIL Education Research Group (INSTIL ERG). Research at the University of West London is characterised by an ambition to promote `useful knowledge' and this case study, with its focus on providing evidence to inform and direct practice, fits within this approach. The case study describes the first rigorous evaluation of the impact of Pyramid after-school clubs that aim to improve the socio-emotional wellbeing of vulnerable children. The work of the Pyramid research team provides an empirical evidence base to support the work of a range of stakeholders including: practitioners; policy makers and researchers in the field of children's socio-emotional well-being, and the children and their families. Drawing on the evidence base, these impacts include the securing of funding for the continuation of Pyramid clubs in schools and informing future development and extension of the Pyramid club intervention for delivery to other age groups.