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Abstract
This paper looks at exclusion as a mental health issue. It describes the aims of the National Pyramid Trust and its work to reduce exclusion by boosting the self‐esteem and resilience of primary age children causing their teachers concern. The Trust uses a package of three measures: systematic identification of 7 and 8 year old children at risk of social and educational failure in school, multi‐agency consultation to formulate a preventive strategy on their behalf and short term activity group therapy to promote confidence, social skills and maturation.