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Hawkrigg and Payne provide a very helpful medically focused approach to the management of prolonged school non-attendance in adolescence.1 Their emphasis on a multiagency systemic approach and on rehabilitation is particularly welcome. I would suggest that consideration of potential child protection issues is equally important in these cases. There are at least four situations in which this may arise, all of which I have come across in my own practice:
The young person who is experiencing maltreatment in the home and the non-attendance is a reaction to this. …
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