School refusal

The following is an excerpt from the ebooklet Working with children who refuse to go to school (School refusal) by Murray Evely and Zoe Ganim.

School refusal can become an entrenched on-going issue. It can become more difficult to address in the later years of schooling because the anxiety may be based on a distant anxious memory and staying at home may have become a comfortable habit.

Is school refusal the same as truancy?

School refusal is different from truancy. Parents of the school refuser generally know their child is not at school, while those of a child who truants may not. The child who truants avoids school because they want to engage in activities (often antisocial in nature) that are typically outside both school and home. The school refuser often wants to be at school but cannot summon the courage to go.  School refusal is also different from school withdrawal, where a parent or parents either condone or collude with the child to stay home.

School refusal primary schoolBehaviours of school refusers

Children who school refuse may exhibit the following signs:

  • 50 per cent or less school attendance during the past month
  • tearfulness
  • increase in stomach-aches, dizziness, headaches and other physical complaints
  • lack of friends, social isolation or withdrawal
  • decreased participation in class activities
  • nervousness
  • difficulty concentrating or remaining on task.

The onset of behavioural signs of school refusal can be very gradual. At home, the symptoms can escalate at night but will diminish once the child is sure they don’t have to go to school.


School refusal is most successfully treated if addressed early. The longer the child remains away from school, the greater their anxiety can become and the more difficult it will be for them to return to school. Involvement with one or both parents, a school psychologist or social worker and other school personnel is essential for successful treatment.

For the secondary-school refuser who has a long history of staying at home, referral to a multidisciplinary mental health program or team may be required. Without treatment and support, there is increased risk of escalating mental health issues and significant problems with social skills, occupational difficulties and the skills required for independence in daily living in later adolescence and adulthood.

Strategies to support the child who school refuses

  • Every school refuser needs an individually tailored program that involves parents, teachers and professional services. The child cannot be forced back to school; usually a gradual reintroduction is necessary.
  • Classroom teachers may elicit support from senior school staff to help them to implement the recommendations and guidelines.

If the child is not at school

  • Respond to multiple absences immediately. It is important that you or another designated person such as the deputy or assistant principal contact the parents to enquire why the child is absent if they have been away for three or more days or have been absent frequently.
  • Meet with the parents and the child at school. After consulting senior school staff, it can be helpful to request the expertise of the school psychologist and deputy or assistant principal at the meeting. Use the meeting to discuss possible causes of the child’s anxiety. If the child cannot or does not want to tell you the reasons for their school refusal, list reasons they might not want to come to school and carefully observe their body language. Look for head nodding or active avoidance of your gaze after each suggestion as an indicator of a possible cause. If a reason can be identified, ask the child to suggest a solution to the problem, and ask others at the meeting to help brainstorm solutions.

ISBN 978-1-921908-18-7

Copyright © Murray Evely and Zoe Ganim 2011

No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.

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