Paeds Cases · adolescent-and-young-adult-medicine
Explain school refusal and bullying plan to an adolescent and parent — OSCE
OSCE communication station: explaining overlapping school refusal and bullying victimisation in plain language, a graded return and anti-bullying response, when an SSRI such as sertraline might help, and safety monitoring — without blame.
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Explain that school refusal is a treatable behaviour linked to anxiety and bullying (not laziness or bad parenting), outline exposure-based CBT and a graded return-to-school, describe how the school will respond to the bullying and rebuild belonging, discuss reducing family accommodation without blame, cover when an SSRI such as sertraline might be added and how you monitor safety, and respond to the request for indefinite home schooling. The examiner plays the parent; a co-actor plays the young person. [1] [2] [5]
References8ShowHide
- [1]Kearney CA, Albano AM The functional profiles of school refusal behavior. Diagnostic aspects. Behavior Modification, 2004.PMID 14710711
- [2]Walkup JT, Albano AM, Piacentini J, Birmaher B, et al. Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. New England Journal of Medicine, 2008.PMID 18974308
- [3]Melvin GA, Dudley AL, Gordon MS, Klimkeit E, et al. Augmenting Cognitive Behavior Therapy for School Refusal with Fluoxetine: A Randomized Controlled Trial. Child Psychiatry and Human Development, 2017.PMID 27485100
- [4]Bridge JA, Iyengar S, Salary CB, Barbe RP, et al. Clinical response and risk for reported suicidal ideation and suicide attempts in pediatric antidepressant treatment: a meta-analysis of randomized controlled trials. JAMA, 2007.PMID 17440145
- [5]King NJ, Tonge BJ, Heyne D, Pritchard M, et al. Cognitive-behavioral treatment of school-refusing children: a controlled evaluation. Journal of the American Academy of Child and Adolescent Psychiatry, 1998.PMID 9549960
- [6]Heyne D, King NJ, Tonge BJ, Rollings S, et al. Evaluation of child therapy and caregiver training in the treatment of school refusal. Journal of the American Academy of Child and Adolescent Psychiatry, 2002.PMID 12049443
- [7]Holt MK, Vivolo-Kantor AM, Polanin JR, et al. Bullying and suicidal ideation and behaviors: a meta-analysis. Pediatrics, 2015.PMID 25560447
- [8]Fraguas D, Díaz-Caneja CM, Ayora M, et al. Assessment of School Anti-Bullying Interventions: A Meta-analysis of Randomized Clinical Trials. JAMA Pediatrics, 2021.PMID 33136156