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Author Spotlight: Addressing Technical and Subjective Challenges in Measuring Classroom Attention

Author Spotlight: Addressing Technical and Subjective Challenges in Measuring Classroom Attention

Published on: December 15, 2023

Addressing school absence in clinical practice

Catherine James¹, Shira Neville², Tahirah Chaves³

¹Mohn Centre for Children's Health and Wellbeing, Imperial College London, London, UK catherine.james24@imperial.ac.uk.

Archives of Disease in Childhood

|February 19, 2026

Abstract

Introduction:

School absence is a major challenge, with one in five pupils persistently absent in 2022/2023. School attendance is an important predictor of long-term educational, health, economic and social outcomes in children and young people (CYP).

Methods:

This article reviews recent trends, determinants, effects and proposed strategies relating to school absence. It provides practical guidance for paediatricians to address absence in consultations and draws out key themes for future research. While focusing mainly on the English context, common challenges and solutions in the USA and other countries are also discussed.

Conclusions:

The importance of CYP-parent-school partnerships, special educational needs and disabilities and mental health provision, collaborative interagency support, flexible, individualised plans and curricula for absence and positive school cultures is raised. Despite current challenges, there may be opportunities for improvement by engaging further with integrated neighbourhood teams and mental health support teams in schools.

Keywords:

Adolescent Health Child Health Child Health Services Paediatrics

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