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Emotionally Based School Avoidance (EBSA)

Emotionally Based School Avoidance (EBSA) - Supporting Children and Young People to Feel Safe, Confident and Able to Attend School

Emotionally Based School Avoidance (EBSA) is a term used when a child or young person experiences difficulties attending school due to emotional factors such as anxiety, stress, low mood, social difficulties, or concerns about their educational environment.

In Redbridge, EBSA is recognised as a complex issue that can arise from a range of factors affecting the child, family, school, or wider circumstances.

At RIASS, we understand that attendance difficulties are rarely about a child simply refusing to attend school. Instead, many children desperately want to attend but find their emotional wellbeing makes regular attendance feel overwhelming.

What is EBSA?

EBSA can present in many different ways, including:

  • Frequent absences from school
  • Difficulty attending on certain days
  • Increasing lateness or reluctance to enter school
  • Distress before or during the school day
  • Periods of attendance followed by periods of absence
  • Physical symptoms such as headaches, stomach aches, dizziness or panic when preparing for school
  • Long-term non-attendance linked to anxiety or emotional distress

Every child’s experience is unique, and there is often no single cause.

Why Does EBSA Happen?

There are many reasons why a child may struggle to attend school. Contributing factors may include:

School Factors

  • Academic pressures
  • Difficulties with peers or friendships
  • Bullying
  • Transitions between year groups or schools
  • Sensory challenges within the school environment

Individual Factors

  • Anxiety
  • Autism Spectrum Condition (ASC)
  • ADHD
  • Social communication difficulties
  • Low self-esteem
  • Emotional regulation difficulties

Family and Environmental Factors

  • Family changes or difficulties
  • Bereavement or loss
  • Health concerns
  • Caring responsibilities
  • Significant life events

Understanding the reasons behind a child's attendance difficulties is the first step towards providing effective support.

Understanding the Cycle of Avoidance

When a child avoids school, their anxiety often reduces temporarily. However, the longer they remain away from school, the more difficult returning can become. This can create a cycle where avoidance increases anxiety over time. Supporting a child to take small, manageable steps towards attendance can help break this cycle and build confidence.

How Can Parents and Carers Help?

Parents and carers can support children by:

  • Listening to their concerns without judgement
  • Acknowledging and validating their feelings
  • Working closely with school staff
  • Encouraging small steps towards attendance
  • Maintaining routines where possible
  • Celebrating progress, however small
  • Seeking support when needed

Approaches such as Emotion Coaching can help children feel understood while developing strategies to manage their worries and anxieties.

How Schools Can Support

Schools play a vital role in supporting children experiencing EBSA. Effective strategies may include:

  • Early identification of concerns
  • A graduated and person-centred approach
  • Attendance plans tailored to individual needs
  • Safe spaces and trusted adults
  • Flexible transitions into school
  • Reasonable adjustments
  • Multi-agency collaboration
  • Regular reviews with families

A coordinated approach between the child, family, school and other professionals can significantly improve outcomes and engagement.

When to Seek Additional Support

You may wish to seek further support if:

  • Your child's attendance is becoming increasingly difficult
  • Anxiety is significantly impacting daily life
  • School-related distress is worsening
  • Current strategies are not helping
  • You are unsure how best to support your child

Early intervention is often the most effective way to prevent difficulties from escalating.

How RIASS Can Help

RIASS provides impartial information, advice and support for parents, carers, children and young people. We can:

  • Explain your rights and available support
  • Help you understand school attendance concerns
  • Support conversations with schools
  • Provide information about SEND and EBSA
  • Signpost to relevant services and resources
  • Help families prepare for meetings and reviews

If you are concerned about your child’s school attendance due to emotional wellbeing difficulties, please contact us for information and support.

EBSA - Guidance for parents and carers

EBSA - Guidance for young people

EBSA - Guidance for schools