School Absenteeism

School Absenteeism

SCHOOL ABSENTEEISM – what patients from Viersen (D) - Nijmegen (NL) – Essen (D) may tell us … Volker Reissner, Bas deVeen, Martin Knollmann, Alexandra Wühl, Ingo Spitczok von Brisinski, Freia Hahn, Wouter Staal, Johannes Hebebrand Department of Child and Adolescent Psychiatry, LVR-Clinic Essen, University of Duisburg-Essen EuRegio Symposium 2019 DGKJP (3/2009) Kleve, 11.12.2019 Agenda 1. School absenteeism 2. Comparison: Viersen – Nijmegen – Essen 3. Preliminary Results 4. Discussion Zur Verfügung gestellt von Hr. Plassmann School absenteeism Paul, 302 years later … By Thomas Plassmann School absenteeism Differentiation of School absenteeism School absenteeism Disengagement School avoidance School- withdrawal (Schulmüdigkeit) (Vermeidung) (Fernhalten) School refusal School truancy (Schulverweigerung) (Schulschwänzen) School absenteeism Prevalence of school absenteeism Smoky Mountains Study, USA: N=4,500 children (9 – 13 years) 3-month- % with Associated symptoms / prevalence mental mental disorders disorder School 1.5% 25% Depression refusal Separation anxiety disorder etc. School 5.8% 25% Conduct disorder truancy Oppositional-defiant disorder etc. Mixed group 0.5% 88% Separation anxiety disorder & Conduct disorder etc. Egger et al., 2003 School absenteeism Prevalence of school absenteeism 60% „Staying away from school …“ for some lessons or some days during their time at primary and secondary school 8.9 % Percentage of German students reported that they skipped a day of school at least once in the two weeks prior to the PISA test 5.3 % Percentage of Dutch students reported that they skipped a day of school at least once in the two weeks prior to the PISA test z.B. Oberwittler et al. 2001; Wagner et al. 2004; Weiss, 2007; OECD, 2016 (PISA 2015) 6 Agenda 1. School absenteeism 2. Comparison: Viersen – Nijmegen – Essen 3. Preliminary Results 4. Discussion Comparison Study aims: Differences & Predictors? Three clinical samples of children/adolescents with mental disorders from LVR, Viersen – Karakter, Nijmegen – LVR, Essen: Are there differences in … Age & Gender Diagnoses School absenteeism Severity of psychopathology Which of these factors predict school absenteeism? Comparison Questionnaires / Assessment Age & Gender Diagnoses ICD-10 / DSM-5 School absenteeism School Non-Attendence ChecKlist (SNACK) Severity of psychopathology Strengths and Difficulties Questionnaire (SDQ) Cross-sectional design: One measurement Comparison Patient-Recruitment 2019 Jan. Feb. Mar. Apr. May Jun. LVR In-p. Viersen Out-p. Karakter, „In-p.“ Nijmegen Out-p. LVR In-p. Essen Out-p. Viersen - Total 4 month: N=102 patients Nijmegen - N=159 Essen - N=101 Agenda 1. School absenteeism 2. Comparison: Viersen – Nijmegen – Essen 3. Preliminary Results 4. Discussion Results Age & Gender Age *** N Mean Standard Deviation (SD) Viersen 102 13.2 3.5 Nijmegen 153 12.0 3.5 Essen 101 13.8 3.3 Females * N % out of sample Viersen 41 40.2 % Nijmegen 63 39.6 % Essen 58 57.4 % Results (multiple) Diagnoses (ICD-10) Viersen Organic Substance Schizo- Mood Neurotic Eating Person- Mental Develop- Childhood use phrenia disorder ality retard. mental adolescence Nijmegen Organic Substance Schizo- Mood Neurotic Eating Person- Mental Develop- Childhood use phrenia disorder ality retard. mental adolescence Essen Organic Substance Schizo- Mood Neurotic Eating Person- Mental Develop- Childhood use phrenia disorder ality retard. mental adolescence Results Number of Diagnoses Number of N Mean SD diagnoses * Viersen 102 2.6 1.6 Nijmegen 159 2.1 1.1 Essen 101 1.8 0.8 Results School Absenteeism Absent from N % out of school *** sample Viersen 74 72.5 % Nijmegen 71 44.7 % Essen 95 94.1 % Results School Absenteeism: Total number of days Number of N Mean SD days absent*** Viersen 102 7.5 8.0 Nijmegen 159 3.4 6.1 Essen 101 9.8 7.5 Results School Absenteeism: Refusal & Truancy School N % refusal *** Viersen 28 27.5 % Nijmegen 20 12.6 % Essen 30 29.7 % School N % truancy *** Viersen 16 15.7 % Nijmegen 0 0 Essen 10 9.9 % Results School Absenteeism: Family & School Family N % „withdrawal“ Viersen 4 3.9 % Nijmegen 14 8.8 % Essen 5 5.0 % School N % „exclusion“ *** Viersen 13 12.7 % Nijmegen 18 11.3 % Essen 45 44.6 % Results Psychopathology Strengths & N Mean SD Difficulties Question. Total difficulties * Viersen 97 34.0 5.8 Nijmegen 154 31.4 5.1 Essen 100 33.2 5.4 Differences between Nijmegen & Viersen** and between Nijmegen & Essen* SDQ Total difficulties score >15 clinically relevant. Results What predicts the number of days absent? B P Lower CI Upper CI Age .298 .016 .056 .539 Gender -1.549 .040 -3.029 -.069 Living in Essen (compared to Nijmegen) 4.018 .000 2.151 5.886 Severity of psychopathology (SDQ) .139 .031 .013 .265 Schizophrenia, schizotypal … 5.911 .049 .024 11.798 disorders (F2) Neurotic, stress-related, somatoform 2.146 .031 .194 4.098 disorders (F4) Behavioral & emotional disorders in -2.851 .006 -4.879 -.822 childhood/adolescence (F9) Corrected R2 = 0.31 B – Regression Coefficent; p – probability; CI – Confidence Interval Agenda 1. School absenteeism 2. Comparison: Viersen – Nijmegen – Essen 3. Preliminary Results 4. Discussion Curtesy of INSA Summary & Discussion Comparison of patients from 3 child-&adolescent clinics with different concepts: Differences with regard to diagnoses (Viersen: F1, Nijmengen: F8, Essen: F3) Severity of school absenteeism: Essen > Viersen > Nijmegen Severity of psychopathology: Viersen/Essen > Nijmegen Keep an eye on severely affected males with schizophrenia and anxiety? Are children / adolescents in D more severely affected than in NL? Are we comparing tulip bulbs and potatoes – or which additional information do we need? Paul again … Curtesy of T. Plassmann That´s what we strive for … Thank´s to the Viersen team, the Nijmegen team, the Essen team, and thank you very much for your attention. Curtesy of T. Plassmann 25 With ≥ 3 N % diagnoses Viersen 48 47.1 % Nijmegen 45 28.4 % Essen 19 18.9 % 26 Results School Absenteeism: Refusal & Truancy School N Mean SD refusal *** Viersen 102 3.5 6.8 Nijmegen 159 1.2 4.1 Essen 101 3.0 6.1 School N Mean SD truancy *** Viersen 102 1.5 4.6 Nijmegen 159 0 0 Essen 101 0.8 3.7 Results School Absenteeism: Family & School Family N Mean SD „withdrawal“ Viersen 102 0.1 0.9 Nijmegen 159 0.4 1.9 Essen 101 0.1 0.4 School N Mean SD „exclusion“ *** Viersen 102 0.9 3.5 Nijmegen 159 0.4 1.8 Essen 101 1.7 3.4.

View Full Text

Details

  • File Type
    pdf
  • Upload Time
    -
  • Content Languages
    English
  • Upload User
    Anonymous/Not logged-in
  • File Pages
    28 Page
  • File Size
    -

Download

Channel Download Status
Express Download Enable

Copyright

We respect the copyrights and intellectual property rights of all users. All uploaded documents are either original works of the uploader or authorized works of the rightful owners.

  • Not to be reproduced or distributed without explicit permission.
  • Not used for commercial purposes outside of approved use cases.
  • Not used to infringe on the rights of the original creators.
  • If you believe any content infringes your copyright, please contact us immediately.

Support

For help with questions, suggestions, or problems, please contact us