In2School : home, school, and clinic-based collaboration for school - - PowerPoint PPT Presentation

In2School: home, school, and clinic-based collaboration for school refusal

Lisa McKay-Brown, PhD The University of Melbourne Judy Ring and Rebecca McGrath Travancore School Chrystie Mitchell Royal Children’s Hospital, Melbourne

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What is school refusal?

School refusal is said to occur when: (1) a young person is reluctant or refuses to attend school, in conjunction with emotional distress that is temporal and indicative of aversion attendance, or emotional distress that is chronic and hindering attendance, usually but not necessarily manifest in absence; and (2) the young person does not try to hide associated absence from their parents, and if they previously hid absence then they stopped doing so one the absence was discovered; and (3) the young person does not display severe antisocial behaviour, beyond resistance to parental attempts to get them to school; and (4) the parents have made reasonable efforts, currently or at an earlier stage of the problems, to secure attendance at school, and/or the parents express their intention for their child to attend school full-time. (Heyne, Gren Landell, Melvin, & Gentle Genitty, 2019, p. 22)

Tiered responses to School Attendance Problems

Kearney and Graczyk (2014)

Wraparound model of care

• Defined planning process used to build constructive relationships and support networks
• Emerged from work with young people and families in cases involving emotional and

behavioral disorders

• Community-based, culturally relevant, individualised, strengths-based, and family-

centered

• Intervention plans address multiple life domains across home, school, and community
• Delivers specific interventions where there is a highly disproportionate level of risk

factors relative to protective factors

(Eber et al., 2008; Eber et al., 2009).

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Phase 1

Relationship building and assessment

Phase 2

Therapeutic & educational programs delivered in transitional classroom

Phase 3

Return to mainstream school

Intervention

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Therapy Education

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Return to school plans

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Recommended Timeline Attendance expected on the In2School Program Monday – Thursday, and a negotiated attendance at base school on a Friday until the end of the year, except…

Week… Monday Tuesday Wednesday Thursday Friday

I2S I2S I2S I2S Base Base I2S I2S I2S Base Base I2S I2S Base Base Base Base I2S Base Base

Return to School meeting

Return to School Goals

I want to catch up on all school work I’ve missed I want school staff to understand how to best support me when I am feeling

• verwhelmed, whilst still treating me normally.

PE teacher – Break Card – X will hand it in – no questions asked – then X will rejoin after the activity.

Who are the students?

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Male = 14; Female = 30; Gender diverse = 4 Aged 11-15 years (M=13.29, SD=0.94) Public = 38; Catholic = 9; Private = 1

Type of attendance Students

Not at school 32 1-2 days per week 6 2-3 days per week 3 3-4 days per week 7

Health of the Nation Outcome Scales for Children and Adolescents

Quality of life - student

Quality of life - parent

Parent work within a wraparound response

• Psycho-education
• Positive and negative consequences
• Family of origin – learnt parenting styles
• Emotional blocks for parents
• Boundary setting
• Keeping parents accountable
• Parent roster
• In-home role modelling.

• Attendance in In2School classroom - 86%
• Average attendance 6 months after return to mainstream school - 71% (Range

2%-100% attendance)

• Qualitative data shows that parents and young people are highly satisfied with

the program

• Student voice data is providing information on barriers to and facilitators for

returning to school

So what’s happened?

Kate

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Questions?

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@lisa_mckaybrown lisamb@unimelb.edu.au www.insa.network T: @INSAttendance