For young people that are struggling within the school environment, for whatever reason, it is often about thinking 'outside of the box'; particularly when the usual strategies have not worked or staffing resources are limited.
It might just be a short intervention at school or home to get things moving in the right direction. It could take longer depending on what is behind it.
I work with a trauma informed approach, and with the thought that there is potentially SEND concerns that have not yet been considered. When working with vulnerable students it is initially about building a trusting and honest relationship; both with the child and the adults involved in their care.
Having worked in this field for many years I know the importance of building a trusting relationship with school staff, parents and carers, as well as of course the young person.
I have an honest, open, fair approach. It is first about finding out the 'why', listening attentively, creating a 'safe' environment and importantly, working on the young person's internal narrative and then self-esteem.