Emotionally Based School

Avoidance
Chris Atherton
Angela Merrylees
Monday 23rd August
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• In the next hour we hope to…
• Give an overview of Emotionally
Based School Avoidance and it’s
many other names
• Gather your views on what is
happening in your
establishment: what works and
what is challenging?
• Share strategies and support
approaches across the group

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Healthier Minds Data so far
76 (27%) referrals for YP who have school attendance issues/concerns.

• 37% are 15 y/o

• 33% have an ASN

• 38% main reason (code) is anxiety/stress, 17% for low mood (including
general, depression and suicide ideation)
School Avoidant Behaviours
• School avoidant behaviours are very common in children and young people
• Diverse in their presentation
• Visible and familiar:
• demonstrative behaviours – e.g. separation anxiety
• persistent late-coming
• leaving the school building
• patterns of absence around trigger points (e.g. transitions, specific classes)
• Subtle:
• regular periods of self-certified absence
• any others?
School Avoidant Behaviours

Many of these are addressed by effective parenting strategies

Some through collaboration, between parents / carers and school -

effective monitoring and support procedures.

In some cases, these behaviours can develop into severe and prolonged
periods of non-attendance that become deeply problematic.
• Anxiety Based School Avoidance
• Chronic School Absence
• Persistent School Absence
• School Disengagement
• School Refusal
• School Refusal Behaviour
• School Phobia
• School Attendance Problems
• Truancy
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If the list is endless, how
do you decide?

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ESBA: Also known as…

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 Attendance Matters: A Practitioner’s Guide for Responding to School
Avoidant Behaviours in East Renfrewshire (in Draft)

Emotionally Based School Avoidance (EBSA)

“A pattern of school avoidant behaviours indicating that a child or young
person is not attending school due to underlying emotional reasons. These
reasons can be due to factors within and out-with the school environment.”

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Risks
• Where sustained over a long period of time, EBSA can have a significant and
detrimental impact on the child or young person’s:
• Learning
• Social development
• Emotional regulation
• EBSA is closely associated with poorer short and long term outcomes, including:
• Relationship difficulty
• Difficulty mastering emotions in challenging situations
• Difficulty sustaining positive destinations such as further education, employment or
training
• Increased likelihood of poor mental wellbeing
(Kearney and Albano, 2018)
Contributing Factors/Motivating Conditions
Child-
specific
factors

Factors
Factors
at
school
ESBA at home

Systemic
Factors
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What is currently working well in your establishment to
support children and young people with EBSA?

• Break Out rooms

• Professional Dialogue
• Share your thoughts, ideas and questions

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Break out room discussion points
• What are the motivating conditions in your school/setting/context?

• What are the challenges in relation to ESBA?

• What works well: what strategies, supports or approaches do you feel

have had an impact?

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Motivating Conditions
There are some patterns which are worth considering where children and young
people may be more vulnerable. These include children and young people who have:
• anxiety
• low mood
• emotional lability
• neurodevelopmental differences such as an autistic spectrum condition, dyslexia, or significant learning
needs
• experienced significant trauma
• responsibilities as young carers

However, each case of school avoidance needs to be assessed in order to identify and
address the unique factors that are contributing to the behaviour
 An inclusive, welcoming environment that nurtures
and which celebrates diversity
Proactive
Whole School Commitment to understanding, supporting and
addressing the developmental, learning,
Characteristics environmental and psychological factors that
contribute to emotionally based school avoidance

Positive, solution focussed interactions between all

connected within the school that are characterised
by respect, empathy, a non-judgemental stance, and
a genuine commitment to both listen and help.
Proactive Whole School
Characteristics
An environment where people model and talk about the skills that build resilience, including
emotional regulation, impulse control, the ability to reach out when help is needed, to focus on
activities that individuals are good at (self-efficacy), to have realistic optimism about the future,
and good causal analysis over when things go wrong and how to resolve or recover from them.

Universally high level of staff knowledge, skill and ownership in supporting children and young
people with additional support needs

Emotional literacy, resilience and mental wellbeing featuring strongly within curricular
experiences.
 • Ensuring that every child and young person has
at least one key adult in their school life who
demonstrates unconditional positive regard for
them even when they are struggling.
Proactive • High expectations and standards of behaviour,
with measured and respectful approaches to
Whole School supporting those with behaviours that challenge
Characteristics and those who have experienced trauma
• Disciplinary management that is relationship
driven and characterised by restorative
approaches and natural consequences, avoiding
punishment and shaming, such as making public
examples of young people and egregious
demonstration of power and control
Proactive Whole School Characteristics

An expectation that class teachers Individual school departments each

take the lead in developing taking ownership for their inclusivity,
relationships with the most the level of differentiation they can
vulnerable children and young provide and attendance patterns
people – calls for support to include within their subject, with
rather than withdraw children and appropriate support and challenge
young people from class from the leadership team.
Identification, Assessment and
Intervention
Age Related Patterns
• Ages 5 – 11
• Children will tend to refuse school due to negative affectivity or for
attention

• Ages 12-17
• Young people will tend to refuse school to escape social or evaluative
situations and or obtain tangible rewards outside of school

Kearney and Albano (2018)

 • Early identification, assessment and response is key.
• Initial threshold for concern is two weeks
• Monitoring and checking in with parents is often best through
the very early stages – parental empowerment to address the
situation is very important, however adaptations should still
be considered early on by the school to alleviate stressors that
Early will undermine the parents' efforts (e.g. being challenged for
timekeeping, attending to smaller details like uniform policy
Identification compliance, deadlines for homework, upcoming assessments
etc.)
• Initiating contact and developing a relationship with the
parents is critical. Creating an alliance base on honest,
empathy and respect will help in times ahead if things get
particularly stressful. If the parent is struggling and or feeling
judged / blamed, the possibility of ‘splitting’ between home
and school is strengthened (parents blame the school, school
blame the parents – the stalemate in which everyone loses,
especially the young person).
Early Intervention – Guiding principles

Support parents and the child / young

person to engage with all relevant
appointments with school and multi-
agency partners where appropriate

Support the parents to implement a

‘school day’ within the home (no access
Ensure academic work is made available to phones / tv. Boredom is an effective
for completion at home when the strategy in itself. Encourage school
child / young person doesn’t make it preparatory behaviours include
into school morning routines, breaks, lunch and
wearing of school uniform, even when
home.
 Discourage peer contact out with school. If peers are a motivator,
making in school attendance the easiest way to feel included can
Early be a strong influence and an effective strategy.

Intervention If the young person can link with their peers too easily when they
are avoiding school, where is the motivation to attend? (In some
– Guiding circumstances this can lead to isolation if ESBA continues over a
longer period of time and needs to be carefully considered e.g.

Principles
social phobia cases that aren’t necessarily school specific).

Maintain accurate records and monitor attendance patterns, share

these with parents, and look for patterns of success and failure in
attendance.
Examining the impact of contributing factors
Don’t get trapped - too easy to point to ineffective parenting - even where this is a
valid factor, it is very difficult to influence and change, especially when things are
entrenched (this doesn’t mean we don’t try to help and support change!)

What are the contributing factors?

What are the dominant factors?

 Developmental – acquiring a good understanding of the young person’s growth and development
e.g. their journey with their family, their friends, their experience of educational environments,
and any additional support needs arising from developmental or neurodevelopmental differences
that they may have (e.g. physical, sensory, social communication, learning differences etc.)

Relational – examining relationships the child / young person has with peers and adults at home
and in the school, and also the relationship between parents /carers and key members of school
staff
Effective
Assessment and Interactional – acknowledging that factors which can be considered within-child (e.g. anxiety, low
mood, social communication differences) only become problematic as a result of the individuals
Intervention experience of their environment and their interactions within that – e.g. through people, subjects
places and rules / expectations.

Functional – developing a more forensic understanding of what is strengthening the school

avoidant behaviours and what is weakening the desire to attend school (the push and pull factors)

Targeted – Holistic wellbeing assessment that is ecological and contextual – taking account of
home, school and community factors (a robust GIRFEC approach) – that leads to clearly identified
plans that minimise risks and maximise opportunities to change the course of the child / young
person’s journey.
Contextual Factors
Contextual information guides the scope, pace and length of the
intervention
• Child-related
• Parent-related
• Family-related
• Peer-related
• School-related
• Community-related
Kearney and Albano (2018)
Functional Analysis
• What is the problematic behaviour?
• What is maintaining the behaviour?
• What is the behaviour trying to achieve?

• Effective monitoring of attendance and late coming will give insight:

• Examine total absences from school, whether authorised and explained or not
• Look for patterns –
• Parental acquiescence
• Family transitions
• School based threats
• Social isolation
• Difficulties with academic work

Kearney and Albano (2018)

 Direct Functional Assessment
The School Refusal Assessment Scale (Revised) by Kearney and
Albano (2018) supports practitioners to identify which of these
four common functions is most dominant:

• To avoid school-related objects and situations

(stimuli) that provoke negative affectivity
(symptoms of dread, anxiety, depression, and
somatic complaints)
• To escape aversive social and or evaluative
situations at school
• To receive or pursue attention from significant
others outside of school
• To pursue tangible rewards outside of school
Other Examples of Direct Assessment

Anxiety (e.g. Spence)

Academic self concept (e.g. Reading self concept scale, Motivation for Reading
Questionnaire)

Educational assessment (e.g. WIAT)

Resilience assessment (e.g. Resiliency Scales for Children and Adolescents)

Intervention – Guiding Principles
For plans of reintegration, target areas of the
school day that the young person is most
willing to attend, focussing on their strengths Outline a clear strategy and timeline of graded
and areas of interests, their peer relationships, exposure / reintegration
and their relationships with key staff members.
Create a clear plan and stick to it.

Support parents to encourage and make

opportunities for in school attendance every
Praise and build on the success of small
single day, even if it is for the last few minutes
positive steps, make the next step only slightly
of the day or in the building after school is
more challenging
finished. Never minimise any successful step
over the threshold of the school building.
 Targets: Tick
Week 1: 8 -11 June
th th
Get up and ready for school by 9am each morning.
Drive to school with family members then come back home if you
want to.
Log on to Google Classroom and check work for 1 subject per day.

Any other
achievements

Week 2: 14th – 18th June Continue to get up and ready for school by 9am each morning.

Continue to drive to school with family members then come back

home if you want to.
If at home, continue to Google Classroom and check work for 1
subject per day.
Travel in the car to the school on one day to collect some work from
Mr Smith, from the car park.
Any other
achievements

Week 3: 21st - 25th June Continue to get up and ready for school by 9am each morning.

Continue to drive to school with family members then come back

home if you want to.
If at home, continue to Google Classroom and check work for 1
subject per day.
Travel in the car to the school on one day to collect some work from
Mr Smith, from the car park.
Write a list of school achievements over the past year and email it
to Mr Smith.
Any other
achievements
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Intervention – Guiding Principles

Encourage school
Maintain daily records of
attendance at every point
success and challenge
of vulnerability – for
within the school day when
example, if the young
the young person makes it
Agree clear, natural person is experiencing mild
in. Involve them in this as a
consequences for illness or headaches – these
way to talk over what they
attendance and non can be assessed in school
have achieved as well as
attendance, making use of (coming in and being sent
what they need more
the young person’s home by school staff is
support or adaptation with.
interests as motivational better than potentially
(This level of maintenance
tools reinforcing this as a strategy
is crucial and often
for avoidance). Be
overlooked when a child
transparent with parents
comes in as that is ‘what’s
about why this should be a
expected’).
collaborative target.
Intervention – Guiding Principles
Help the parent to identify their own
network of support from family
members and friends who may be able
to help in different ways (e.g. multiple
children getting to school, job related
factors that make certain points more
difficult, positive role models that the
young person admires).

Develop parent and pupil resources to

support what your school is trying to
Offer psychoeducational self help achieve so that they can see the
resources to support better mental approach is standard practice and
wellbeing (e.g. Healthier Minds) evidence based – help people to feel
less isolated and less judged through
the language that is used.
 Intervention – Guiding
Principles
Where possible, be solution focussed and try
and reduce practical barriers (e.g. temporary
transport issues, worries about taking a
particular route to school) that present as
further obstacles.
Be sure to rule out actual school based threats as
a cause of the behaviour (e.g. peer relationship
threats or difficulties, social media).
Severe cases

Prolonged non attendance at school, where a young person has been absent for over 1 year, is extremely difficult to unpick and change.

Patterns of behaviour are entrenched

Underlying emotional needs are more difficult to address and support in context

Often very low willingness or capacity to change the dynamics of critical relationship at home

Again, this doesn’t mean we don’t try to support change in these areas

However, by this stage more emphasis needs to be placed on supporting the young person to access their education to achieve and attain
as best they can so that they are as ready, as is possible in the circumstances, to access further education, training or employment.
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In Summary
• Early Intervention
• Planning – with the child/young person, their family, school staff and
partners
• Individualised assessment and intervention
• Smart Outcomes: Universal, Targeted or Individual
• Connectedness and Relationships
• Small Steps (sometimes tiny) E.g. Gradual Exposure: treat each
success as a win to be developed and progressed.
• Flexibility
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• Chris.Atherton@eastrenfrewshire.gov.uk

• Angela.Merrylees@eastrenfrewshire.gov.uk

• https://blogs.glowscotland.org.uk/er/PsychologicalService/school-staf
f/building-resilience/healthier-minds/

• https://youtu.be/1s8UxUxga78