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School refusal: a hidden challenge for working parents.

Natsu Sasaki1

  • 1Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.

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School refusal impacts working parents, causing significant work-family conflict. Occupational health must address this growing public health issue to support parents and their employment.

Keywords:
fathermental healthmotherparentswell-beingwork–family

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Area of Science:

  • Occupational Health
  • Public Health
  • Psychology

Background:

  • School refusal is a growing global concern, particularly in Japan.
  • It creates substantial work-family conflict for employed parents, linked to job loss, depression, and anxiety.
  • Existing research on work-family conflict in school refusal is limited, especially within occupational health.

Purpose of the Study:

  • To review current research on parents experiencing school refusal.
  • To explore the role of occupational health professionals in supporting this population.
  • To identify future research priorities for mitigating health and employment impacts.

Main Methods:

  • Literature review of existing studies on school refusal and parental work-family conflict.
  • Analysis of the intersection between school refusal, parental employment, and occupational health.
  • Synthesis of findings to propose recommendations for practice and research.

Main Results:

  • School refusal significantly disrupts parental employment and well-being.
  • Occupational health has a crucial, yet underutilized, role in supporting affected parents.
  • There is a critical need for targeted research and interventions.

Conclusions:

  • Addressing work-family conflict from school refusal is essential for occupational health.
  • Occupational health professionals can provide vital support to parents of school-refusing children.
  • Future research should focus on practical interventions and policy development.