Outcome of a Multi-modal CBT-based Treatment Program for Chronic School Refusal.

Area of Science:

• Child and Adolescent Psychology
• Clinical Psychology
• Educational Psychology

Background:

• School refusal (SR) is a complex issue with significant negative consequences for students and families.
• Chronic school absence necessitates comprehensive and effective treatment strategies.
• Cognitive Behavioral Therapy (CBT) models have demonstrated efficacy in addressing SR.

Purpose of the Study:

• To evaluate the effectiveness of the Hemmasittarprogrammet (HSP), a CBT-based intervention, for treating school refusal.
• To assess the impact of HSP on school attendance, anxiety, depression, quality of life, and emotional/behavioral symptoms.

Main Methods:

• The study involved 84 students (aged 10-17) with SR and their parents.
• Participants received the HSP intervention, with assessments conducted pre-treatment, post-treatment, and at follow-up.
• Outcome measures included school attendance, anxiety, depression, quality of life, and emotional/behavioral symptoms.

Main Results:

• School attendance significantly increased post-treatment and at follow-up.
• The proportion of students with total absence decreased, while acceptable attendance levels increased.
• Anxiety and depression levels were significantly reduced for both students and parents post-treatment and at follow-up.

Conclusions:

• The Hemmasittarprogrammet (HSP) is a promising intervention for school refusal, demonstrating positive outcomes in attendance and mental health.
• HSP aligns with established CBT principles for SR treatment.
• Further research with robust designs and independent evaluation is recommended to confirm HSP's effectiveness.