school non-attendence Flashcards
persistent absentees
attendance less that 90%
severe absentees
attendance less than 50%
anna freud centre on prevalence of persistent absence
further reading
- in Autum 2021, 1 in 4 children were persistently absent
- in 2018/2019, this figure was 1 in 9 - meaning that persistent absence has more than doubled in the time period
square peg CIC on prevalence of persistently absent groups
further reading
- 36% of those with an EHCP
- 31% receiving SEN support
- 35% receiving free school meals
- 46% young carers
early typology of non-attendance
- blagg (1987)
- school phobia
- truancy
- other poor attenders
school phobia
blagg (1987)
- severe difficulties with attendance
- high levels of emotional distress - anxiety
- parents often know the child is at home
- no other anti-social problems
- fearful of coming to school
truancy
blagg (1987)
- absent but without good reason
- no evidence of emotional distress
- parents unaware or unable to exert influence
- often child not at home
critical evaluation: is there different ways that children show emotional distress
school refusal behaviours
recent distinctions
- “child motivated refusal to attend school or difficulties remaining in school for the entire day” (Kearney & Silberman, 1999)
- school refusal (AKA emotionally-based school avoidance)
- truancy - absence without good reason or permission
- school withdrawal - absence motivated, initiated or condoned by parents
school refusal/EBSA
- reduced attendance or attending with significant reluctance e.g. a spectrum (Kearney, 2006)
- emotional distress connected with learning or social factors
EBSA not just meaning not attending school - anna freud centre
further reading
- not going to classroom
- not staying in class
- not attending some lessons
- avoiding some lessons
linking EBSA to mental health
- associated with emotional regulation problems, negative thinking, low self-efficacy, and somatic complains (Ingul et al., 2019)
- anxiety is evoked by going to school (Thambirajah et al., 2008)
- perhaps: if children didn’t feel anxious, they would go to school?
linking truancy to mental health
- child is absent ‘without good reason’ (Havik & Ingul, 2021)
- associated with disaffection & externalising beh
- could potentially be quite disruptive in lessons
using flooding to reduce non-attendance
make child come to school, see it isn’t that bad, ethical issues in making child come into school for 8 hours in a really distressing situation for them.
Tends not to work as overwhelming and tends to make it worse
using systematic desensitisation to reduce non-attendance
build up time in school step by step, phased reintegration to school, more success. Stand at gates –> meet key adults –> reception –> areas that are safe…
manipulating reinforcement factors to reduce non-attendance
make school a positive experience (do fun stuff, rewards), but also reduced positive experiences at home (e.g. limit access to video games during school hours), quite a bit of success
developing coping through behaviourist ideas
non-attendance
- gulliford & miller (2023)
- CC: flooding, systematic desensitisation
- OC: manipulating reinforcement factors
- small scale studies & professional experience provides evidence for effectiveness
resolving anxiety through psychotherapy
- addressing the anxiety, primarily, through mental health services
- individual psychotherapy - slow & not supportive of a rapid return
- if low attendance in school, the likelihood of getting the child to the therapy regularly is also quite low
- family therapy has mixed ev for anxiety disorders generally (Carr, 2009)
CBT for non-attendance
- how has the child’s experiences shaped their thoughts, feelings and beh toward school? - Heyne et al. (2005)
- combining cog restructuring (thinking differently) & coping skills
- widely accepted as a helpful tool - King & Bernstein (2001)
- anxiety in terms of anxious thinking (internal feelings) body sensations which lead to beh (in this case avoiding school)
- teaching them to regulate physiological responses to anxiety
issues with CBT for non-attendance
- high rates of persistent anxiety after psychotherapy - will still feel anxious, CBT is a tool for managing the distress
- ~60% of children show little improvement in attendance - not just the distress
- outcomes seem stronger with younger children
4 functions of non-attendance
kearney & silverman (1990)
- avoidance of negative affect
- escape from social and/or evaluative situation
- pursuit of attention, or reduction of separation anxiety
- pursuit of tangible reinforcement
these are the textbook explanations for kearney & silverman’s four functions
how do we account for complexity?
non-attendance
- school refusal “is produced by many contributing factors rather than a single cause” - Knage (2021)
- ecological approaches consider the interaction between the child & factors in their envs
- using functional formulations to guide intervention
systematic integrated cognitive approach to non-attendance
havik & ingul (2021)
- interaction between the child’s personal qualities & appraisal of stressors in the environment
- ev that some personal factors raise vulnerability e.g. neurodivergence
- activation of new coping strategies when stress outweighs coping resources
- for some children, coping might mean avoidance of school - even when school isn’t the source of stress
- through school avoidance, risk of school alienation might rise
ecology of school refusal
- child, school, home interplaying factors
- need to consider that child develops within multiple systems
- bioecologicalmodel of development (Bronfenbrenner & Morris, 2007)
- push and pull factors - tipping point
ingul et al. (2019), melvin et al. (2019)
bioecological model of development
bronfenbrenner & morris (2007)
dev = child + process + context