Objective: Examine the effects of indicated interventions on attendance with chronic truant students. Method: Systematic review and meta-analytic methods, following Campbell Collaboration guidelines, were utilized. A comprehensive search identified 5 randomized and 11 quasi-experimental studies. Results: The mean effect on attendance outcomes was moderate, positive, and significant, g = .46, 95% confidence interval [.30, .62], p < .05, translating into an improvement in attendance by an average of 4.69 days; however, significant heterogeneity was observed. Moderator analyses found no significant differences in mean effects between studies on variables tested. Discussion: Chronic truant students benefit from interventions targeting attendance behaviors; however, no program stood out as being more effective than others. Mean rates of absenteeism at posttest in most studies remained above acceptable levels, indicating a need for more effective interventions. The paucity of research, gaps, and deficiencies affirm the need for strengthening the evidence base. Recommendations for practice, policy, and research are discussed.