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A guiding hand

Nursery staff reflected usefully on their own practice when Camden's Early Years Intervention Team helped them to turn around a child's challenging behaviour Not all our interventions and referrals have wide-reaching benefits, but when we were asked to help Chris, a child with multiple behavioural needs, we were pleased that we were also able to support our colleagues in their work.

Not all our interventions and referrals have wide-reaching benefits, but when we were asked to help Chris, a child with multiple behavioural needs, we were pleased that we were also able to support our colleagues in their work.

Nursery staff were struggling to know which needs to focus on with Chris, but felt they needed immediate help in managing his behaviour in the nursery. The child's keyworker discussed concerns with his mother and gained consent to refer him to us.

The EYIT referral form asks the nursery to give details of their concerns.

With Chris, these included temper tantrums and aggression towards the other children, problems focusing his attention on activities, rare use of words and poor physical co-ordination. This combination of needs meant nursery staff were struggling to include Chris in activities that would help him to develop attention and listening skills, especially in the social environment of a busy classroom. Chris had learned that an adult would be attentive when he cried - something that happened often due to frequent trips and bumps.

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