Schoolrefusing and schooltruant youth with mental disorders F99
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Students avoiding school, i.e. students avoiding school regularly and at least for a few lessons. • Age: 6 to inclusively 20 • Child/youth must be fluent in German so that participation in therapy is possible. • Adequate reading and writing skills • Informed consent to participation in study of parents or person holding the right of child custody • Child’s completion of screening- and pretests • Consent to release confidential or privileged information to the current class teacher and in case of changing class or school towards his replacement • Diagnosed mental disorder (according to ICD-10) • Exclusion of major or severe illness concerning the cardio-pulmonary, abdominal, nervous or locomotor system
Exclusion criteria
Exclusion criteria: • IQ < 70 (as measured by CFT 20-R) • Physically handicapped students and /or students with a severe physical disease (e.g. cardiac insufficiency, tumor) • Lack of a diagnosis of a mental disorder (according to ICD-10) • Students with a diagnosed mental disorder such as Schizophrenia and delusional disorders or other F2-Diagnosis from ICD 10 or acute risk-to-self or risk-to-others • Students avoiding school only by displaying little interest for school and by not participating in lessons • Students regularly arriving too late to lessons but without absence for at least one lesson • Students who are kept away from school by their parents (e.g. because of concealing abuse or because of financial advantages) • Students that are not allowed to attend school because of school penalty • Students currently undergoing a regular psychotherapy which also focuses school avoiding behavior
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of attended school lessons within the five school days before the initial interview, after 16 weeks (post), after 26 (follow-up 1) and after 52 weeks (follow-up 2), each with teachers’ and parents’ information. For data analysis teachers’ information are favored. If teachers’ information are not available, parents’ information are used. The data are surveyed using the SV-outcome-questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome: Percentage of school weeks during which school lessons were attended regularly within the last 25 weeks before the initial interview, before the first (after 26 weeks) and the second follow-up measurement (after 52 weeks) (teachers’ and parents’ information). A regularly attended school week is defined as school week with no more than 60 minutes absence from school (this corresponds a 95% quota of attendance). Tertiary outcome: Tertiary outcome variables are mental well-being (Child Behavior Checklist - CBCL, Teacher's Report Form -TRF, Symtom-Checklist 90-Revised - SCL 90-R (during the phone interview are only the scales for anxiety and depression surveyed, KINDL - questionnaire for assessment of health-related well-being), general self-efficacy or rather self-efficacy concerning school situations (questionnnaire of general self-efficacy - WIRKALL), patients’ functioning (Global Assessment of Functioning -GAF) as well as parents’ well-being (SCL 90-R) and parents’ self-efficacy (WIRKALL). | — |
Countries
Germany
Contacts
LVR-Klinikum Essen d. Universität Duisburg-Essen Klinik f. Psychiatrie u. Psychotherapie des Kindes- und Jugendalters