Treatment of school refusal behavior in children with mixed functional profiles Original Research Article

Many children refuse school for multiple reasons, although this complex type of absenteeism has not been largely addressed in the literature. This article presents two cases that were treated for complex school refusal behavior. Each case was subjected to functional analysis to determine what reasons were primarily maintaining the behavior. Following this process, a multicomponent prescriptive treatment approach was used to reintroduce the children to school. Treatment was effective, even at 1-year follow-up. Challenges in treating cases of complex school refusal behavior are discussed.