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hi welcome back to everyday behavior my name is mary ann shepard and today were talking about how to remove barriers that could lead to refusal um school refusal truancy or chronic absenteeism and so when were looking at those barriers to school attendance you want to look at are there any deficits and adaptive skills or learning skills um specifically those adaptive skills that could lead to a student or a child finding school punishing or wanting to escape or avoid school if there are any kind of speech or communication delays you want to refer to speech therapy when youre looking at speech and communication delays you dont want to just look at their articulation but you also want to look at their development in their communication their broad communication so are they having trouble with joking sarcasm humor are they having trouble with receptive communication being able to follow two three-step directions or instructions being able to process whats being said are they having d