When Children Refuse School - Socca
When Children Refuse School
Anne Marie Albano, Ph.D., ABPP Columbia University Clinic for Anxiety and Related
Disorders
With gratitude
For Christopher A. Kearney, Ph.D.
Thought-leader and generous colleague who has taken the study and treatment of school refusal from
theoretical to empirical, and in the process has changed for the better the lives of many school-aged
youth and their families.
Agenda
Understanding School Refusal: Model and Assessment
The scope and consequences of school refusal behavior. Assessment of school refusal behavior: Examining the motivating conditions underlying school
absence. Consultation with school personnel and parents: Calling a truce to assist the youth. Case Conceptualization: Planning the prescriptive treatment of school refusal.
The Prescriptive Treatment Approach
Treatment of school refusal behavior motivated by escape from negative affect: A focus on generalized anxiety, phobia, panic, depression and social phobia.
Treatment of school refusal behavior motivated by positive attention and reinforcement: A focus on separation anxiety and when parents give up and give in.
Pharmacotherapy and Alternative Strategies for Intractable School Refusal
The role of medication in combination treatment of school refusal. Strategies for difficult-to-treat youth and families: Considerations for intensive treatment and
residential programming.
The Scope and Consequences of School Refusal Behavior
School Refusal Behavior (SRB) is an overarching term representing an inability to maintain age-appropriate functioning vis?-vis school attendance and/or to adaptively cope with schoolrelated stressors that contribute to nonattendance
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