Biomaterial Database

Medical-School Partnership in Guiding Return to School Following Mild Traumatic Brain Injury in Youth. 2016

Gerard A Gioia

Division of Pediatric Neuropsychology, Children's National Health System, George Washington University School of Medicine, Rockville, MD, USA ggioia@childrensnational.org.

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.

UI	MeSH Term	Description	Entries
D001930	Brain Injuries	Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits.	Brain Lacerations,Acute Brain Injuries,Brain Injuries, Acute,Brain Injuries, Focal,Focal Brain Injuries,Injuries, Acute Brain,Injuries, Brain,Acute Brain Injury,Brain Injury,Brain Injury, Acute,Brain Injury, Focal,Brain Laceration,Focal Brain Injury,Injuries, Focal Brain,Injury, Acute Brain,Injury, Brain,Injury, Focal Brain,Laceration, Brain,Lacerations, Brain
D006287	Health Planning Guidelines	Recommendations for directing health planning functions and policies. These may be mandated by PL93-641 and issued by the Department of Health and Human Services for use by state and local planning agencies.	Guidelines for Health Planning,Recommendations, Health Planning,Guideline, Health Planning,Guidelines, Health Planning,Health Planning Guideline,Health Planning Recommendation,Health Planning Recommendations,Planning Guideline, Health,Planning Guidelines, Health,Planning Recommendation, Health,Planning Recommendations, Health,Recommendation, Health Planning
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012574	Schools	Educational institutions.	Primary Schools,Schools, Secondary,Secondary Schools,Primary School,School,School, Primary,School, Secondary,Schools, Primary,Secondary School
D013334	Students	Individuals enrolled in a school or formal educational program.	School Enrollment,Enrollment, School,Enrollments, School,School Enrollments,Student
D020127	Recovery of Function	A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.	Function Recoveries,Function Recovery