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Return to school after brain injury.

C A Hawley1, A B Ward, A R Magnay

  • 1Centre for Health Services Studies, University of Warwick, Coventry, UK. c.a.hawley@warwick.ac.uk

Archives of Disease in Childhood
|January 23, 2004
PubMed
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Children with traumatic brain injury (TBI) often face significant challenges upon returning to school, with many experiencing academic difficulties and needing educational support. Schools require better information from healthcare professionals to assist these students effectively.

Area of Science:

  • Pediatric Neurology
  • Educational Psychology
  • Rehabilitation Medicine

Background:

  • Traumatic brain injury (TBI) can have lasting effects on children's cognitive and academic functioning.
  • Understanding the challenges children face when returning to school after TBI is crucial for providing adequate support.

Purpose of the Study:

  • To investigate school reintegration and classroom performance in school-aged children following a traumatic brain injury.
  • To identify the prevalence of academic difficulties and the provision of educational support for children with TBI.

Main Methods:

  • A cross-sectional study involving 67 children with TBI (mild, moderate, severe) and 14 matched controls.
  • Data collection included parent/child interviews, cognitive assessments (CMS, WISC-III, WORD), and teacher reports on academic performance and needs.

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  • Assessments were conducted approximately 2 years post-injury.

    • Main Results:

    • One-third of teachers were unaware of students' TBI.
    • Only 27% of children had special arrangements, and 24% were identified with special educational needs, but only 9% received specialist help.
    • Two-thirds of children with TBI experienced schoolwork difficulties, 39% had memory problems, and one-third performed below average academically. Severe TBI cases showed significantly lower IQ and reading deficits.

    Conclusions:

    • Schools often lack awareness and information regarding students' TBI and its potential long-term consequences.
    • There is a significant gap in providing appropriate educational support for children with TBI returning to school.
    • Healthcare professionals should proactively provide schools with TBI-related information at hospital discharge to ensure children receive necessary accommodations and support.