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. 2016 Jan;31(1):93-108.
doi: 10.1177/0883073814555604. Epub 2014 Dec 22.

Medical-School Partnership in Guiding Return to School Following Mild Traumatic Brain Injury in Youth

Gerard A Gioia  1
Affiliations

Medical-School Partnership in Guiding Return to School Following Mild Traumatic Brain Injury in Youth

Gerard A Gioia. J Child Neurol. 2016 Jan.

Abstract

Mild traumatic brain injury is recognized as a prevalent and significant risk concern for youth. Appropriate school return is particularly challenging. The medical and school systems must be prepared partners to support the school return of the student with mild traumatic brain injury. Medical providers must be trained in assessment and management skills with a focused understanding of school demands. Schools must develop policies and procedures to prepare staff to support a gradual return process with the necessary academic accommodations. Ongoing communication between the family, student, school, and medical provider is essential to supporting recovery. A systematic gradual return to school process is proposed including levels of recommended activity and criteria for advancement. Targets for intervention are described with associated strategies for supporting recovery. A 10-element Progressive Activities of Controlled Exertion (PACE) model for activity-exertion management is introduced to manage symptom exacerbation. A strong medical-school partnership will maximize outcomes for students with mild traumatic brain injury.

Keywords: TBI; concussion; mild traumatic brain injury; pediatric; youth.

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Conflict of interest statement

Declaration of conflicting interests: GAG is a test co-author of the Behavior Rating Inventory of Executive Function for which he receives royalties. He is a co-author of the Acute Concussion Evaluation (ACE), ACE Care Plan, ACE Home/School Instructions for which he receives no remuneration.

References

    1. Sady MD, Vaughan CG, Gioia GA. School and the concussed youth: Recommendations for concussion education and management. Phys Med Rehabil Clin N Am. 2011;22(4):701–719. - PMC - PubMed
    1. McGrath N. Supporting the student-athlete’s return to the classroom after a sport-related concussion. J Athl Train. 2010;45(5):492–498. - PMC - PubMed
    1. Centers for Disease Control. [Accessed January 17, 2014];Heads up to schools: Know your concussion ABCs [updated March 23, 2012] Available at: http://www.cdc.gov/concussion/HeadsUp/schools.html.
    1. Centers for Disease Control. [Accessed January 17, 2014];Returning to School After a Concussion: A Fact Sheet for School Professionals [updated March 23, 2012] Available at: http://www.cdc.gov/concussion/HeadsUp/schools.html.
    1. Centers for Disease Control. [Accessed January 17, 2014];Helping Students Recovery from a Concussion: Classroom Tips for Teachers [updated March 23, 2012] Available at: http://www.cdc.gov/concussion/HeadsUp/schools.html.

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