My eldest began showing signs of school avoidance in year 4 by delaying leaving the house and developing OCD.
I carried on sending them in to school, albeit late every day. It was so bad that I had to have someone else take my younger child to school. No matter what I did or how hard I tried, my eldest would perform OCD rituals at the time we were about to leave for school. If I pushed them, they would be in severe distress. However, they still went to school every day.
By the October of year 7, my eldest had a breakdown. They were rocking back and forth in the class in front of all of the other kids and really didn't care that they were being stared at as they produced vocal sounds of distress at the same time. They stopped eating too.
It was at this point I decided to stop forcing my child into school. Someone that would be termed a 'school refuser'.
In my position, would you have carried on sending your child to school? Especially given the distress and no learning going on, being stared at and talked about by their peers?
When my younger child began showing signs of school avoidance in year 6, I didn't force them in to school. I'd encourage but if they really didn't think they could manage, I didn't drag them kicking and screaming in to school.
Which child do you think still has serious mental health issues now, four years later?
Which child has come out the other side relatively unscathed?
The cause of this avoidance was their mainstream primary refusing to accept and support their (NHS diagnosed) additional needs.
Funnily enough, now that they're in a special school, they've had 98% attendance consistently and my eldest has walked away with 8 GCSEs, grades 7-8. Get the environment right for the child and they don't 'refuse school', they flourish!