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This book is intended to be both a practical evidence-based tool and an awareness-raising resource for teachers, teaching assistants, mentors and all adults who work with children and young people who present as 'extremely challenging' in the school context.In every school there are a small number of pupils, less than five percent, who take up more than fifty percent of the staff's time. This book provides school staff with an approach to personalised interventions that enable those children or young people to build life-long resilience skills.