Youth health care, Youth health care physician, medical absenteeism in Intermediate Vocational Education, drop out, school absenteeism, MASS protocol. M@ZL, ziekteverzuim, Jeugdgezondheidszorg
Conditions
Interventions
The control group consists of IVE schools that have not (yet) implemented the MASS protocol. They continue to provide care as usual using their current absenteeism policy. This consist usual guidance
the school level and the individual level. At school level, the policy will be tightened around absenteeism. Key elements of the MASS protocol at school level consists of active monitoring of student
Sponsors
Erasmus Medisch Centrum Rotterdam.
Eligibility
Inclusion criteria
Inclusion criteria: All students at intervention schools and control schools are included in the study if they meet the criterion of extensive absenteeism. This criterion is derived from the MASS protocol and means that a student meets the criterion after every fourth reporting absences in twelve weeks of school or after seven consecutive days of absence. This data is converted from the registration system of the school. Once students have been detected they will be asked to participate in the study followed by an informed consent process.
Exclusion criteria
Exclusion criteria: Students that do not want to participate in the study. Students under the age of 18 whose parents object. Students that do not meet the MASS criteria. Students who meet the criteria but do not complete the intervention or control will not be part of the statistical analysis but will be discussed seperately.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Outcomes are measured in students with alarming absenteeism in the control group and the intervention group. The effects of the MASS protocol will be evaluated at 6-months follow-up by comparing the outcomes on mental health status and absenteeism between the students in the intervention group and students in the control group. Furthermore, presence of medical diagnoses, psychosocial problems, psychiatric problems and existing risk factors such as depression, ADHD, addiction, ethnicity, debts and having a job, will be examined. 1. Average duration of the absence in the past two months, and six months after determining alarming absenteeism. 2. Cumulative incidence of the absenteeism, measured in six months after identifying alarming absenteeism. 3. Academic performances as measured by the number of students passing onto the next year or obtaining a basic educational qualification degree. 4. The extent to which the chosen education program matches the student’s talents and interests. Outcomes process evaluation (measured in intervention schools only): 1. The extent to which a YHC professional have followed the MASS protocol, measured by the adequate implementation of the consultations 2. The method of applying the protocol to the problem analysis 3. Method of communicating with the student about the agreed arrangements 4. Method of communication with the school 5. Method of monitoring the agreed arrangements 6. Evaluating the features of students referred to a YHC professional by the IVE schools such as gender, age, educational level, home environment, police contacts, drug abuse, pregnancy and abortion. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Psychosocial problems within IVE students with alarming absenteeism, measured on the basis of a number of questionnaires, conducted at the period of alarming absence and six months afterwards; it involves medical, physical, mental and psychiatric problems (such as depression, ADHS and ASD) within the students and other areas such as housing, money, debt and police contact problems. 2. Comprehensive changes in treatment policy by health care professionals on students with depression, anxiety, ADHD, ASD and/or realized adaptation of appropriate care and education. | — |
Contacts
Public ContactMadelon K. van der Vlis
Erasmus MC. Department of Public Health
Outcome results
None listed