Traditionally, mental health professionals and school authorities have
found school refusal to be a perplexing and challenging problem. Rele
vant to an understanding of school refusal, we initially review some i
mportant developmental-normative considerations. The clinical features
, epidemiology, and etiology of school refusal are also briefly discus
sed. We then describe a number of behavioural strategies that have bee
n used in the management of school refusal. Finally, we review the res
earch support for the efficacy and acceptability of behavioural strate
gies in the treatment of school refusal.