{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T19:00:48Z","timestamp":1789498848808,"version":"build-2803163510"},"reference-count":58,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T00:00:00Z","timestamp":1699920000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Problematic externalising behaviours in adolescents are associated with high individual and societal burden. A school\u2010based multidisciplinary health clinic, Ngaramadhi Space (NS), was developed at Yudi Gunyi School, a specialised behavioural school in Sydney, Australia, to improve access to holistic health\u2010care and behavioural support. This evaluation aimed to describe the demographics, clinic attendance, health screening, recommendations made, and changes in Strengths and Difficulties Questionnaire (SDQ) scores of students attending the clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective evaluation of students including changes in SDQ scores using descriptive statistics (26 July 2016 to 14 May 2019; <jats:italic>n<\/jats:italic>\u2009=\u200979).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Prior to the assessment, few students engaged with a paediatrician or mental health professional (22.8%; 27.8%, respectively). Child protection services were involved with 76%. NS attendance was high (failure\u2010to\u2010attend\u2009=\u20097.6%; cancellations\u2009=\u20098.9%). New issues found at the assessment included: parental separation (31.6%); trauma history (27.8%); substance use (19%); emotional wellbeing concerns (16.5%), learning difficulties (12.7%), domestic violence (12.7%) and medical conditions (10.1%). SDQ teacher reports showed a significant decrease in total difficulties scores (M\u2009=\u20096.2, SD\u2009=\u20096.165, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05, eta squared\u2009=\u20091.013 (large effect)) and all subsets. No significant differences in parent and self\u2010reported SDQ.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Students with problematic externalising behaviour have unmet health and social needs. The NS school\u2010based integrated health\u2010care model offers a novel, convenient and innovative way to engage these students. This approach has high initial attendance rates with teacher\u2010reported SDQ results showing some behavioural improvement. 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