Wellbeing First

The understanding that young people are at their best when we prioritise their wellbeing. 

Wellbeing First

The Current Picture

It is widely acknowledged that for young people to thrive in all aspects of life, including at school, we must first consider and prioritise their wellbeing. Without this, young people are unable to have the cognitive resources needed to engage optimally in their learning. The Department for Education recognises that wellbeing underpins children’s abilities to “develop, attend school, engage in learning, [and] fulfil their potential” (Promoting and Supporting mental health and wellbeing in schools and Colleges, 2021).

There have been growing concerns over the general wellbeing of young people in the UK and with good reason. Following the COVID pandemic, the UK has seen a crisis in the cost of living, an increase in homelessness, funding cuts to all major public services and increasing waiting lists for accessing mental health services. NHS survey data (Mental health of children and young people in England, 2023) suggests that as many as 1 in 5 young people have a probable mental health condition. Furthermore, The Good Childhood Report 2024 (The Children’s Society, 2024) measured children and young people’s subjective wellbeing in the UK and found that young people’s happiness with their life as a whole has significantly decreased. Across the 10 key life areas that were examined, children and young people, were on average, most happy with their family and were most unhappy at school. 

Schools are working incredibly hard to ensure that each and every young person feels the necessary safety within their setting to learn and thrive, often having dedicated staff teams who provide pastoral and mental health support. There are accounts given of individual teachers and professionals going over and above their duties, to make life changing differences to young people through their care, understanding and support. There is however a growing frustration in relation to a number of constraints that schools experience, such as a lack of funding and resources, large class sizes, a rigid curriculum, test data driven performance and a lack of staff support. These constraints and their impact on teaching staff, often make it challenging to meet the needs of a diverse class group. 

The result of increasing demands, pressure and workload on educators is also evident through measures of Teacher Wellbeing and staff retention. The Teacher Wellbeing Index 2024 (Education Support, 2024) reports that 78% of all staff are stressed, 77% experienced physical, psychological or behavioural symptoms due to their work and 50% consider their organisation’s culture to have a negative effect on staff’s mental health and wellbeing. Furthermore, the NASUWT Wellbeing at Work Survey 2024 found that 86% of teachers report that their job has adversely impacted their mental health in the last 12 months and 70% disagree/strongly disagree that government policies support schools to respond to mental health and wellbeing issues that affect teachers. It is therefore no surprise that teachers are leaving the profession at alarmingly high rates:

  • 5% of Early Career Teachers leave the teaching profession after 5 years and 73% of teachers are considering leaving the profession.
  • There was a 44% increase in those intending to leave the teaching profession in England between 2021-2022 and 2022-2023 (McLean, Worth, & Smith, 2024)
  • According to the school workforce census, in 2023, 43,522 teachers left the profession (Department for Education, 2024)

CURRENT APPROACHES/WHAT CAN MAKE THINGS MORE DIFFICULT?

There is an underlying societal belief, backed up by government rhetoric, that school is always the best place to be and the only route to positive outcomes. This creates a strong focus on school attendance. To try and achieve full attendance there has been:

  • Increasing pressure on both schools and families through the means of punitive approaches such as fines and attendance related performance targets

  • A focus on returning the young person back into school as soon as possible


In the case of school non-attendance, young people are perceived to be making an irrational choice to avoid school based on irrational anxiety (termed Emotionally Based School Avoidance or EBSA) or to refuse school based on an inherent lack of motivation to learn (assuming there is a choice involved in attendance and that punishment encourages a ‘better’ choice).

However, through our work at Barriers to Education, we have discovered 3 key messages: 

  1. Most children who are out of school would prefer to be in school

  2. Increasing pressure on young people and families often increases stress and leaves them feeling unsupported.

  3. Pushing young people back to school as soon as possible is not an effective longer term solution


We will explore these 3 key messages in more detail below:

1. Most children who are out of school would prefer to be in school.

Young people want to learn but cannot cope with the school environment and/or have barriers to attendance. This indicates that young people are often not making a choice to be out of school and are intrinsically driven to learn. Many young people describe very rational responses to what becomes a challenging situation for them; there are very real reasons for their struggles with attending school, rather than this being a result of defiance or irrational anxiety.

“Let’s forget about the pupils and without them school was ok. Now add the pupils and school is hell.”

“Mainstream is no good for me, I’m not learning anything, I can barely attend.
It’s not fair, it upsets me and stresses me out that I’m missing my education.”

“There have been countless times staff have not only misunderstood but blatantly ignored. I have needed space and time, expressed this, but I have been forced back into classes panicking.”

When adjustments are made within the environment, young people describe how school has become accessible for them as a result, enabling their attendance. Currently this tends to be as a result of the positive impact that individual members of teaching staff have: 

“In secondary school, my biology teacher helped me get back into my classes when I couldn’t attend and would cater to my needs without question, he also wouldn’t blame me for needing these changes.”

“My Head of year in my final year and my Drama teacher through GCSEs were extremely helpful, they both gave support where it was needed and had an understanding of how I felt, my Drama teacher provided me with a safe space to go to when I was not doing great and my Head of Year always was available to chat and listen.”

Young people may not attend school for a wide variety of reasons including caring for a parent or siblings, illness, poverty or other adverse home circumstances (Sonuga-Barke & Fearon, 2021). Heyne et al., (2024)  emphasises the need to respond to wider systemic issues beyond the young person and family, such as inequality, school structures and how learning is delivered.

Attendance needs are also not static and individual patterns of non-attendance may shift over time (Finning et al., 2019).

Being curious ensures that we can identify barriers and having a compassionate approach to these barriers means that we can effectively remove them.

I woke myself up
Because we ain’t got an alarm clock
Dug in the dirty clothes basket,
Cause ain’t nobody washed my uniform
Brushed my hair and teeth in the dark,
Cause the lights ain’t on
Even got my baby sister ready,
Cause my mama wasn’t home.
Got us both to school on time,
To eat us a good breakfast.
Then when I got to class the teacher fussed
Cause I ain’t got no pencil.

By Joshua T. Dickerson

2. Increasing pressure on young people and families often increases stress and leaves them feeling unsupported.

“You can’t make someone feel less pressured and anxious using pressure and anxiety.”

Dr Naomi Fisher

There are accounts given by young people describing feelings of shame around their struggles to attend, with beliefs like “other people find it easy so why can’t I?”. They may also witness the emotional impact and negative consequences on their family which can exacerbate these feelings.  

Common worries for young people:

  • The impact and guilt of a parent/carer having to give up work 

  • Seeing their parents/carers upset/anxious and feeling they are to blame

  • Fears of a parent/carer going to prison


They are already highly stressed about missing school, falling behind on learning and lost time with friends without these additional stressors. 

When we recognise the impact of an increase in pressure, it becomes clear that punitive measures are often not the most appropriate approach to tackle school attendance.

While these measures are suggested and used with the best of intentions; and there is a unified goal in wanting what is best for young people, many people are unaware of the role that punitive measures can play in longer lasting negative impacts affecting young people and their families. 

Below is some feedback shared by families:

“School focus on attendance over everything else was exhausting. Threatening action over non attendance was nonsense as we couldn’t get our child into school whatever they threatened.”

“Rewarding or incentivising children for attendance is ridiculous, as this is an achievement largely out of their hands. They cannot help being sick, they cannot and should not be required to push through their anxiety and it places further pressure on children at a disadvantage to keep up with their peers in order to receive a reward.”
“On numerous occasions after physically being forced into school he was then left crying in the corridor all morning. [Punitive measures] have been extremely unhelpful and caused significant distress to my son. Schools need to stop putting attendance above mental health.”

In addition to hearing from families, research highlights that punitive measures for low school attendance, such as suspensions and fines, are ineffective and can cause further disengagement (Kearney & Graczyk, 2022). For students with long-term health conditions, punitive policies can feel like punishment for circumstances beyond their control, creating a sense of exclusion and detachment from school (Williams & Thomas, 2024). Additionally, research from Hunt (2024) shows that increasing fines fails to address broader socio-economic issues that impact on attendance, which can include poverty and mental health challenges. 

Instead, restorative approaches such as building relationships, increasing a sense of belonging, and addressing barriers are more effective (Reid, 2021). Large-scale UK data also shows that supportive, relationship-based strategies improve attendance while punitive measures were shown to be largely ineffective (ImpactEd, 2024).

3. Pushing young people back to school as soon as possible is not an effective longer term solution

It is understandable that there is a drive to encourage young people back into school as soon as possible when this is considered to be the best place for them and a necessary route to thriving. There is a presumption that as soon as the young person has returned to school, their wellbeing will follow. This idea is sometimes based on a fear that the longer they avoid school, the greater their anxiety around it will become. 

Unfortunately, pushing young people back into school as quickly as possible can actually increase longer term problems with attendance, rather than reduce them. There are a number of reasons for this including:

  • Environmental adjustments are needed for school to be accessible (see key finding 1 above) School related anxiety is often a direct result of the environment/unmet support needs. 

  • There is a need for time and support through which young people can process experiences and understand their own strengths and challenges/receive mental health support. Without this, the school environment can continue to be a triggering experience for them, even if environmental adjustments have been made. 

  • Young people are experiencing acute burnout (and need a period of reduced demands). Pushing them back into school can lead to chronic burnout (requiring a more extensive recovery period). 
“I feel totally gaslighted by professionals. I feel like I’ve made my children break on the advice given to me. I don’t think there is any consideration that constantly exposing a child to an environment that has broken them can lead to trauma.”
“Had they taken seriously what our child had told them he may not have gotten to a point where he tried to take his own life. Even then they still tried to force him back to school. He needed time to recover and instead was pushed to such an extent that he felt suicide was the only way out of his situation. I was told to make home life uncomfortable so that school would be more appealing.”

“We experienced a teacher who was off “sick” with mental health challenges for half the school year, who was supported, nurtured, and understood. Whereas our child in the same situation was treated as refusing, us as bad parents and that we should do “whatever it took” to get him in – presumably including physical force.”

For many young people the need for reduced demands during recovery from poor mental health requires consideration. Within the context of adult employment, there is legislation to ensure that adults who experience periods of poor mental health can have time off work when this is recommended by their general practitioner (GP). It is recognised that this is beneficial to their recovery and that their general wellbeing needs to come first. In contrast to this, for young people who attend a school  pressure and demands can be increased at this time. They can receive the message that if they do not continue to attend school everyday, there will be long lasting negative impacts, not just for themselves but for their families. In this way, it could be argued that their attendance at school is prioritised over their current wellbeing.

A DIFFERENT UNDERSTANDING

When acknowledging the lived experiences of young people and their families, it becomes clear that a lack of motivation and/or commitment is not what is driving the high number of school absences. Instead, what becomes obvious is that, at every level, people are struggling and want to do well. 

When considering how to make it possible for people to be well and therefore capable of doing well, Self-determination theory (SDT; Deci & Ryan, 2017) can provide some helpful answers. SDT outlines how all human beings have an innate motivation to learn, develop and grow. This requires three basic psychological needs, without which wellbeing and motivation will be lost: 

  1. Autonomy: Having choice and control over your actions.

  1. Competence: Feeling that you are learning and developing skills.

  2. Relatedness: Feeling connected with and accepted by the people around you.

Extensive SDT research has shown that when we experience environments that are not compatible with these needs, such as those with highly authoritarian and/or competitive frameworks, we are much more likely to become “self-focused, defensive, amotivated, aggressive, and antisocial” (Deci & Ryan, 2017).  Essentially, if our need for autonomy, competence and relatedness are not met, we may struggle.  

Applying this knowledge to the issue of declining wellbeing in both teachers and young people in our schools helps us to plan for proactive and sustainable solutions.

When young people are struggling; to learn, to meet expectations, or to attend school, it is recognised that they have an innate motivation to do well, but that there are barriers that they are experiencing. This recognition allows a shift from a solely ‘within child’ view to one that is more holistic. 

The Department for Education has outlined that ‘…In the first instance, all schools are expected to support pupils and parents by working together to address any in-school barriers to attendance’ (Working together to improve school attendance, 2024). It will be important to recognise that these barriers may not always be immediately obvious and take dedicated time and collaborative working to uncover, through the development of trusting and supportive relationships. 

Teaching staff are also doing the best that they can to support young people based on their current understanding, skillset, capacity and wellbeing. Through the lens of SDT, a need for a wider focus on enabling staff wellbeing within schools also becomes apparent. 

For examples of how this might look in practice, we can look at the growing number of schools that have been established with wellbeing intentionally at the centre of all they do. 

Specialist support spaces

Some schools have created dedicated “Specialist Support Spaces” to provide young people with a safe environment and staff who understand their challenges. These spaces vary:

  • Enhanced Resource Provisions (ERPs) are LA-funded and require an EHCP specifying that provision. These places are limited, allocated by the local authority, and often require students to travel to a school that has an ERP for their specific area of need (e.g., autism, SEMH).

  • In-house support spaces are created by schools themselves, designed to proactively support students before attendance issues escalate. These do not require an EHCP so are more accessible.

Young people from 6 Greater Manchester schools have reported that having access to a Specialist Support Space has been massively important for them:

“When I come into school I know I have somewhere safe to go”
“I have a key person to go to and I am not trapped”
“I am in a space with others who have similar difficulties to me”

“I won’t be judged there”

“It has helped with going back into my lessons”

“I can feel really anxious in the mornings but I can make it in because I have a space to go to. Without it I would not come in”

“Without it I would spend all the time sat in the toilets on my own”

It is clear that Specialist Support Spaces have been massively impactful, however there are some improvements that need implementing whilst increasing the number of these facilities. 

  • All young people said that feeling safe and understood isn’t translated to the rest of the school; outside of this nurturing space they aren’t treated with the same compassion and care. Work still needs to be done to ensure that the understanding of young people shown in the Specialist Support Spaces is embedded into the whole school environment.
    “You have been to the room where people understand how much you are struggling, but then when you go your class and are a few minutes late they shout at you and say ‘well why are you different to any other children’, rather than seeing how much it took to be there”

  • Specialist Support Spaces are most effective when they are used proactively; they should be accessible before young people start to struggle or when they first start to struggle and before their stress is too extreme.We have spoken with over 20 young people in Greater Manchester, who were offered a place once they were already “severely absent” but by this time their stress was too high and they had too many difficulties associated with school to be able to attend.

FINDING A WAY FORWARD

To find the best way forward it is immensely helpful to reflect upon what young people share has increased their wellbeing in school: 

“Teachers being nice to me and trying to understand me. Asking me what will help. Letting me do what I need to not feel anxious like using fiddle toys or wearing ear defenders or not having to look at their face.”
“Animals in school have really helped me to open up and to feel comfortable. Having someone who you can always go to no matter what has happened.”

When consulted, young people also have ideas on how things could be improved: 

“Schools would focus more on pupils and their happiness and not so much on the curriculum and stuff.”
“More inclusive learning techniques rather than telling everyone the same thing and expecting that everyone learns the same way.”
“There should be less pressure.”
“For children to have more of a say in schools”
“It would be more open and creative for the students and allow them to express their opinions and not get told off for it. Students should be placed on equal grounds with the teachers in respect to their thoughts, opinions and arguments.”

To put wellbeing first, there is a need for a shift in culture to one which values understanding, care and compassion and moves away from blame and pressure. This is important, primarily for young people and their families but also for those professionals in education, health and social services who have the best interests of the young people that they support at heart but are struggling to navigate the best way forward within the current systems and structures. 

Through shifting our focus to centre on wellbeing, rather than just attendance, young people are more likely to be able to regularly and happily attend school settings and experience a sense of belonging. When young people are experiencing mental health concerns they should be afforded the same rights as adults are, having the time and space for recovery as well as access to the right support at the right time. 

Moreover, there is a critical need to address the poor wellbeing of teachers in our schools. Stressed teachers who are constantly stretched and in survival mode themselves, will not have the consistent capacity to provide young people with the quality of presence, patience and co-regulatory support that they need. 

None of this is possible for schools to do in isolation. When considering the rapidly growing numbers of young people that experience difficulties attending school and the high numbers of teachers leaving the profession, it is helpful to critically examine and reflect upon how well the current structures, systems and cultures underpinning our education system prioritise wellbeing for all. 

SUMMARY OF KEY POINTS TO CONSIDER FOR WELLBEING FIRST

  1. In recent years we have seen a rapid decrease in wellbeing amongst both young people in schools and teaching staff.

  2. Everyone is doing the best that they can within the limitations that they encounter. People do well when they can. Remaining curious and questioning why people are struggling within a particular environment, helps us to find the right support.

  3. Increasing pressure through punitive approaches has the potential in many cases to miss the reasons leading to school non-attendance and can exacerbate stress.  ‘You can’t make someone feel less pressured and anxious using pressure and anxiety.’

  4. Prioritising wellbeing and addressing wider wellbeing needs first (belonging, friendships, self identity) supports access to learning in the longer term.

  5. To enable wellbeing we need to examine how much an environment is meeting  human needs for autonomy, competence and relatedness. When these needs are met, we enable regular attendance and optimal learning.

  6. The wellbeing of teaching staff needs careful consideration at a policy level to ensure that they have the necessary resources which enable their autonomy, competence and relatedness. 

References

Children’s Commissioner. (2024). Over a quarter of a million children still waiting for mental health support. https://www.childrenscommissioner.gov.uk/blog/over-a-quarter-of-a-million-children-still-waiting-for-mental-health-support

Deci, E. L., & Ryan, R. M. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford Press.

Department for Education. (2021). Promoting and supporting mental health and wellbeing in schools and colleges. https://www.gov.uk/guidance/mental-health-and-wellbeing-support-in-schools-and-colleges

Department for Education. (2024a). School workforce in England: November 2023. https://explore-education-statistics.service.gov.uk/find-statistics/school-workforce-in-england

Department for Education. (2024b). Working together to improve school attendance. https://www.gov.uk/government/publications/working-together-to-improve-school-attendance

Education Support. (2024). Teacher Wellbeing Index 2024. Education Support. https://www.educationsupport.org.uk/media/ftwl04cs/twix-2024.pdf

Finning, K., Ford, T., Moore, D. A., & Wolpert, M. (2019). The association between child and adolescent mental health conditions and school attendance: A systematic review and meta-analysis. Child and Adolescent Mental Health, 24(3), 222–234. https://doi.org/10.1111/camh.12322

Heyne, D., King, N., Tonge, B., & Rollings, S. (2024). School refusal: Assessment and intervention strategies (2nd ed.). Academic Press.

Hunt, E. (2024, February 29). EPI comments on new government regulations to improve school attendance. Education Policy Institute. https://epi.org.uk/comments/epi-comments-on-new-government-regulations-to-improve-school-attendance

ImpactEd. (2024). Understanding attendance: Using data to inform practice. ImpactEd. https://www.impactedgroup.uk/research-campaigns-and-resources/understanding-attendance-4e8e8

Kearney, C. A., & Graczyk, P. A. (2022). School attendance and school absenteeism: A primer for the past, present, and future. Frontiers in Education, 7, 1044608. https://doi.org/10.3389/feduc.2022.1044608

McLean, D., Worth, J., & Smith, A. (2024). Teacher labour market in England: Annual report 2024. National Foundation for Educational Research. https://www.nfer.ac.uk/publications/teacher-labour-market-in-england-annual-report-2024

NASUWT. (2024). Wellbeing at work survey 2024. NASUWT. https://www.nasuwt.org.uk

NHS Digital. (2023). Mental health of children and young people in England 2023: Wave 4 follow-up. https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-of-children-and-young-people-in-england/2023-wave-4-follow-up

Reid, K. (2021). School disciplinary responses to unexcused absences: Best practices and approaches (Doctoral dissertation). University of the Pacific. https://scholarlycommons.pacific.edu/cgi/viewcontent.cgi?article=3967&context=uop_etds

Ryan, R. M., & Vansteenkiste, M. (2023). Self-determination theory. In R. M. Ryan & M. Vansteenkiste (Eds.), The Oxford handbook of self-determination theory (pp. 3–30). Oxford University Press. https://psycnet.apa.org/record/2023-65872-001

Sonuga-Barke, E. J. S., & Fearon, P. (2021). Annotation: Long-term impact of COVID-19 pandemic on child and adolescent mental health. Journal of Child Psychology and Psychiatry, 62(8), 835–841. https://doi.org/10.1111/jcpp.13537

The Children’s Society. (2024). The good childhood report 2024. The Children’s Society. https://www.childrenssociety.org.uk/information/professionals/resources/good-childhood-report-2024

Williams, K., & Thomas, L. (2024). Qualitative study examining attendance for secondary school students with long-term physical health conditions. Journal of Pediatric Psychology, 49(3), 321–336. https://continuityineducation.org/articles/10.5334/cie.111

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