This study aimed to conduct a practice-oriented investigation. In Study 1, we developed assessment scales for the person and family systems of school-refusing adolescents. We invited 434 counselors to complete the assessment scales, thereby revealing the personal and ecological characteristics of these adolescents. Exploratory factor analysis confirmed three factors in the individual avoidance aspect of the school refusal ecological system: ideal anxiety, fatigue and lack of motivation, and social withdrawal. Family enmeshment characteristics were found to include four factors: care and protection, contradictory bonds, discipline conflicts, and learning expectations. Finally, confirmatory factor analysis supported the factor structure of the developed scales. In Study 2, 304 counseling practitioners participated by assessing the ecological characteristics of specific school-refusing adolescents. Latent Profile Analysis (LPA) was utilized to construct ecological profiles of school refusal, aiming to understand the correlation between different profiles and instances of school refusal. The study results revealed four types of school refusal based on assessments of individual avoidance, family enmeshment, and school troubles: High Ecological Entanglement Type, Low Ecological Entanglement Type, Anxiety Coexists with Family Enmeshment Type, and Withdrawal Coexists with Interpersonal Trouble Type. Specifically, school-refusing adolescents of the High Ecological Entanglement Type and the Anxiety Coexists with Family Enmeshment Type demonstrated more severe school refusal behaviors, while adolescents of the Low Ecological Entanglement Type had less severe problems. Consequently, this study suggests that counseling guidance should continue to refine
ecological assessment tools and formulate intervention strategies tailored to different ecological types, thereby creating a reference map for school refusal assessment and intervention in the future.