Found this article via a LinkedIn contact Daniel Sobel. He always talks a lot of sense. Although the article is aimed at avoiding exclusion many of the suggestions are worthy of consideration for school refusers or those that find it difficult to face school on a daily basis.
Worth a read.

http://www.sec-ed.co.uk/best-practice-ezine/avoiding-permanent-exclusion/195222/299358/?utm_content=Avoiding%20permanent%20exclusion&utm_campaign=SecEd15Nov18&utm_source=SecEd&utm_medium=adestra_email&utm_term=http%3A%2F%2Fwww.sec-ed.co.uk%2Fbest-practice-ezine%2Favoiding-permanent-exclusion%2F195222%2F%24AMF_FIELD_mab_userid%24%2F