Attachment for Teachers: An Essential Handbook for Trainees and NQTs

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Recognising and assessing attachment difficulties and parenting quality, including parental sensitivity

The ACE score, a total sum of the different categories of ACEs reported by participants, is used to assess cumulative childhood stress. Study findings repeatedly reveal a graded dose-response relationship between ACEs and negative health and well-being outcomes across the life course. As the number of ACEs increases so does the risk for the following: When implementing consequences, remain unemotional and assume a tone that says, effectively, ‘That’s just the way business is done – nothing personal.’ Peter Elfer - Early Years attachment and the Key Adult, including why nursery and early years settings need to be attachment aware A limitation of the systematic review is that it does not intend to include qualitative research, which means that impact that cannot be recorded using quantitative measures will not be captured. Mendelson, T et al. (2015) Brief report: Moving prevention into schools: the impact of a trauma-informed school-based intervention ( Available with NHS Scotland OpenAthens username) This evidence suggests that such strategies provide longer-term solutions and are more cost-effective than many of the existing systems in place. As one deputy headteacher noted:The original ACE Study was conducted at Kaiser Permanente from 1995 to 1997. Around 17,000 mostly white, middle class college-educated people in Southern California completed surveys about their childhood experiences and current health status and behaviours, and received physical exams ( Centers for Disease Control and Prevention (CDC) 2016). The findings of this research resulted in the development of the ‘ACE Pyramid’, which represents the conceptual framework for the ACE Study and the study’s findings identify a link between childhood experiences, and adult health and wellbeing outcomes:

Disorganised attachment refers to children who have what might seem an unpredictable “love-hate” relationship with their carers. In this group, parents or carers may be a source of both fear and comfort for a child. If you recognise me, as an agent as a person, I will be more likely to learn from you,” he explains. Kalmakis, K and Chandler, G (2015) Health consequences of adverse childhood experiences: a systematic review. Journal Of The American Association Of Nurse Practitioners, 27(8) pp.457-465 ( Open Access)

The Attachment in Practice™ course covers a great deal:

National Institute for Health and Care Excellence (2015) Children’s attachment: attachment in children and young people who are adopted from care, in care or at high risk of going into care. NICE Guideline 26 ( pdf) It is also possible for a child to develop an attachment to someone who is maltreating them (Blizard & Bluhm, 1994) 2.

This evidence briefing conducted for NHS Health Scotland and Education Scotland examines the effectiveness of health and wellbeing interventions in a school setting to potentially reduce inequalities in educational outcomes.

Garland, A et al. (2005) Racial and ethnic differences in utilization of mental health services among high-risk youths. American Journal of Psychiatry, 162(7), pp.1336–1343 ( author manuscript).