This free school refusal clinical mapping sheet helps clinicians examine a repeated morning sequence without reducing the problem to attendance alone. It organizes the trigger, distress, child response, caregiver response, school outcome, short-term effect and possible longer-term pattern so that hypotheses can be tested before a return or support plan is chosen.
Professional-use sample. Use within your role, training, service procedures and local requirements.
What happens immediately before distress rises?
What changes after staying home, arriving late or entering school?
Which part of the sequence may require information from school or another professional?
No. Anxiety may be relevant, but attendance difficulties can have multiple contributors. The map is meant to organize the sequence and questions, not determine the cause automatically.
No. It can inform assessment and planning, but an individualized return or attendance plan requires the relevant people and context.
The free sample is available in US Letter and A4 versions.
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