Frequent Fliers, School Phobias, and the Sick Student: School Health Personnel's Perceptions of Students Who Refuse School
Article first published online: 11 AUG 2011
© 2011, American School Health Association
Journal of School Health
Volume 81, Issue 9, pages 552–559, September 2011
How to Cite
Torrens Armstrong, A. M., McCormack Brown, K. R., Brindley, R., Coreil, J. and McDermott, R. J. (2011), Frequent Fliers, School Phobias, and the Sick Student: School Health Personnel's Perceptions of Students Who Refuse School. Journal of School Health, 81: 552–559. doi: 10.1111/j.1746-1561.2011.00626.x
- Issue published online: 11 AUG 2011
- Article first published online: 11 AUG 2011
- Received on April 20, 2009, Accepted on October 25, 2010
- school refusal;
- school health;
- child and adolescent health;
- school health services;
- school nurses
BACKGROUND: This study explored school personnel's perceptions of school refusal, as it has been described as a “common educational and public health problem” that is less tolerated due to increasing awareness of the potential socioeconomic consequences of this phenomenon.
METHODS: In-depth interviews were conducted with school personnel at the middle school (N = 42), high school (N = 40), and district levels (N = 10). The findings focus on emergent themes from interviews with school health personnel (N = 12), particularly those themes related to their perceptions of and role in working with school-refusing students.
RESULTS: Personnel, especially school health services staff, constructed a typification of the school-refusing student as “the sick student,” which conceptualized student refusal due to reasons related to illness. Personnel further delineated sick students by whether they considered the illness legitimate. School health personnel referenced the infamous “frequent fliers” and “school phobics” within this categorization of students. Overarching dynamics of this typification included parental control, parental awareness, student locus of control, blame, and victim status. These typifications influenced how personnel reacted to students they encountered, particularly in deciding which students need “help” versus “discipline,” thus presenting implications for students and screening of students.
CONCLUSIONS: Overall, findings suggest school health personnel play a pivotal role in screening students who are refusing school as well as keeping students in school, underscoring policy that supports an increased presence of school health personnel. Recommendations for school health, prevention, and early intervention include the development of screening protocols and staff training.