Cited by 71Youth Substance Use and School AttendanceSchool Health and Nursing EducationWorkplace Health and Well-being

School attendance problems and absenteeism as early warning signals: review and implications for health-based protocols and school-based practices

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Kearney, Christopher A., Dupont, Randolph, Fensken, Michael, Gonzálvez, Carolina·2023·Frontiers in Education

Abstract

School attendance has been historically linked to healthy states of functioning, whereas school attendance problems/absenteeism have been historically linked to unhealthy states of functioning. Indeed, school attendance and its problems are deeply embedded within multiple domains of functioning at both analytic and systemic levels. This article utilizes complex systems theory and the concept of early warning signals to illustrate how changes in school attendance could indicate instability and perhaps sudden transitions to unhealthy states of functioning for students, families, schools, and communities. The article reviews how school attendance problems/absenteeism intersect with functioning at analytic (academic, social–emotional, mental health, physical health, family) and systemic (school and community) levels. The article also includes recommendations for how viewing changes in school attendance as early warning signals could improve health-based protocols (enhancing access to care; integrating systems of care) and school-based practices (developing multi-tiered systems of support models and community asset maps; modifying educational and policy perspectives). A primary theme involves more streamlined efforts to identify movement from healthy to unhealthy states among individuals to assign proactive and personalized treatment avenues (health-based protocols) and among systems to enact needed intervention supports and reforms (school-based practices).

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Crossref · 10.3389/feduc.2023.1253595

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  • Absence from school impedes social-emotional development and academic performance and increases future risks such as unemployment, school dropout, and social exclusion.

    “Conversely, the absence from school impedes socialemotional development, academic performance and poses future consequences such as unemployment and school dropout, increasing the risk of social exclusion”

    From “So That You Can Feel Well”: Perspectives of Students with Social, Emotional and Behavioral Difficulties on Factors that Support School Attendance (2025) · cites this paper as Kearney et al., 2023

    Sections 3.1 and 3.2 link absenteeism to poorer academic achievement, later dropout, and hindered social development. The Introduction describes occupational difficulties as a long-term consequence of dropout, but the copy does not specifically identify unemployment as a consequence of absence. It discusses social isolation and alienation, rather than establishing the claimed progression to social exclusion. (LLM, conf=0.86)

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1 of the 233 references couldn’t be matched to a known paper.

Research works printed but not linked: 9

  1. Brewer, D. J., and McEwan, P. J. (2010). Economics of education. San Diego: Elsevier.
  2. fam0000050 · DOI
  3. EDFP_a_00207 · DOI · Paper page
  4. McKay and E. A. Storch (Cham: Springer), 445-467.
  5. Kearney, C. A., and Albano, A. M. (2018). When children refuse school: A cognitive- behavioral therapy approach/therapist guide (3rd Edn). New York: Oxford University Press.
  6. Lall, S. S. (2020). Applying a multicomponent framework to manage school refusal: a case report. Int. J. Behav. Sci. 14, 116-121. doi: 10.30491/ijbs.2020.211632.1174 · DOI
  7. v11n2a3 · DOI
  8. nature08227 · DOI · Paper page
  9. Totsika, V., Hastings, R. P., Dutton, Y., Worsley, A., Melvin, G., Gray, K., et al. (2020). Types and correlates of school non-attendance in students with autism spectrum disorders. Autism 24, 1639-1649. doi: 10.1111/jir.13011 · DOI

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Authors
Kearney, C. A., Dupont, R., Fensken, M., & Gonzálvez, C.
Affiliations
  • University of Nevada, Las Vegas (US)
  • University of Alicante (ES)
Corresponding author
Kearney, Christopher A.
Venue
Frontiers in Education
Published
2023-08-30
Volume
8
ISSN
2504-284X (ISSN-L)
OpenAlex
W4386330902
Cited by
71
References
233
Citations by year
2026: 42 · 2025: 18 · 2024: 8 · 2023: 2
FWCI
51.78
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Education (publishedVersion, cc-by)
  • RUA, Repositorio Institucional de la Universidad de Alicante (Universidad de Alicante) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Universidad de Alicante
Topics
  • Social Sciences › Education › Youth Substance Use and School Attendance
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
Keywords
school attendance, absenteeism, early warning indicators, complexity theory, mental health, social-emotional functioning, family functioning, school-based practice, multi-tiered systems of support, community asset mapping, systems of care, health care access, education policy

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