Perfect storm: emotionally based school avoidance in the post-COVID-19 pandemic context.

0 PSYCHIATRY BMJ mental health Pub Date : 2024-04-05 DOI:10.1136/bmjment-2023-300944
Kathryn J Lester, Daniel Michelson
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Abstract

School absences have risen following the COVID-19 pandemic and persistent absenteeism remains high in primary and secondary schools in England compared with pre-pandemic levels. This coincides with an upward trend in emotionally based school avoidance (EBSA). EBSA adversely affects children's educational attainment, health, social functioning and life prospects and warrants early intervention before a pattern of absenteeism becomes entrenched. In this article, we consider how the COVID-19 pandemic and its sequelae have created a 'perfect storm' of conditions, amplifying known school, family and child-based risk factors for EBSA while simultaneously reducing access to support services. We then outline priorities for developing new EBSA interventions and argue for a multi-component approach, which works across education, health and social care, and voluntary sectors to address the complex interplay between risk factors. Given the difficulties that families often face in obtaining timely support for EBSA, it is also essential that new interventions are accessible, resource-efficient and scalable. To this end, we specifically discuss the potential for contextually-sensitive, parent-focused interventions that can be delivered online with minimal synchronous support from a trained coach or facilitator.

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完美风暴:COVID-19 大流行后基于情绪的学校回避。
COVID-19 大流行后,学校缺勤率上升,与大流行前的水平相比,英格兰中小学的持续缺勤率仍然很高。与此同时,情绪性逃学(EBSA)也呈上升趋势。情绪性厌学对儿童的学业成绩、健康、社会功能和生活前景产生了不利影响,因此需要在旷课模式变得根深蒂固之前进行早期干预。在这篇文章中,我们将探讨 COVID-19 大流行及其后遗症是如何形成一场 "完美风暴",在扩大已知的学校、家庭和儿童 EBSA 风险因素的同时,又减少了获得支持服务的机会。随后,我们概述了制定新的 EBSA 干预措施的优先事项,并主张采用多要素方法,即在教育、卫生和社会保健以及志愿部门之间开展合作,以解决风险因素之间复杂的相互作用。鉴于家庭在及时获得对幼儿保育和教育的支持方面往往面临困难,新的干预措施必须是可获得的、具有资源效率的和可扩展的。为此,我们特别讨论了针对具体情况、以家长为重点的干预措施的潜力,这些干预措施可以在受过培训的教练或主持人提供最少同步支持的情况下在线实施。
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来源期刊
CiteScore
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