Concussion Program

For Schools

Young athletes are students first, and returning to school after an injury is as important – if not more so – as returning to the field of practice or play. It is important that teachers, school nurses and school officials coordinate and monitor the treatment of injured students to be sure recovery is complete.

Facts

All concussions are serious.
Most concussions occur without loss of consciousness.
Recognition and proper response to concussions when they first occur can help prevent further injury.
When in doubt, sit them out.

Returning to School

Students who have been injured often need additional support to perform school activities during their recovery. After a concussion, teachers, nurses, counselors, school psychologists and administrators should watch for:

Problems paying attention or concentrating
Problems remembering or learning new information
Longer time needed to complete tasks or assignments
Greater irritability and less ability to cope with stress
Increased symptoms (headache or fatigue) when doing schoolwork

The Importance of Full Recovery

Full recovery should be documented with an assessment by a healthcare professional before the student returns to a full academic schedule.

Full Recovery Definition

No active post-concussive symptoms (physical and cognitive) at rest or with exertion
Neurocognitive functioning is back to pre-injury level
No problems with balance or coordination
No other associated medical or neurological complications

Incomplete Recovery Risks

Children or teens who still have symptoms and who return to school without a plan for supporting their schoolwork are at risk for delayed recovery and at risk for ongoing problems with learning and performance. Please consult with a healthcare professional about the child or teen’s readiness to return to school. To best support youth throughout their recovery, designate a team or person within each school to regularly monitor the child’s progress and symptoms, adjust supports and accommodations as needed, and communicate with the family and medical team.

What Children's National Hospital Offers

The Children’s National SCORE Concussion program partners with school officials across the DC/Maryland/Virginia region and beyond to support them in recognizing and responding to concussions in their students and athletes. If you are interested in learning about concussion education or further consultation please contact us.

Frequently Asked Questions for Schools

What should a school or school-system do to prepare for concussions?

School preparedness is an important safety measure to support students with concussions. Schools and school systems should have written policy related to concussion, that is periodically updated to reflect current standards in concussion care. Teacher and staff training, including knowledge of concussion but also an awareness of danger signs for more serious brain injury is critical. When a concussion is suspected, parents and appropriate healthcare providers should be notified. Post-injury management in schools is best provided through coordination between the school, the parents and child, and knowledgeable healthcare providers who have evaluated that child.

After a concussion is diagnosed, when should my child return to school?

It depends on the type and severity of your child's symptoms, and how those symptoms respond to doing the cognitive (thinking) activities of school. If at all possible, it may be best to stay out of school the first few days after a concussion to determine what kinds of activities the child can handle. Many children miss a few days, then return to school for a partial day, and gradually increase to a full day as their symptoms can tolerate. The simple rule is that if the mental activity worsens the child's symptoms, the activity should be avoided or reduced.

What kind of help might a child need in school?

The kind of school help will depend on the kinds of symptoms the child is experiencing. The school accommodation plan should be individualized for the child and modified as the child recovers and symptom patterns change. The kinds of supports the child needs will change throughout recovery as the symptoms improve. Some common accommodations include rest breaks, shortened days, reduced homework, modified or no tests, provision of notes and outlines, and extra time for assignments and tests. Certainly, early on after the injury, it may be necessary for the child to stay home from school entirely in order to maximize rest.

Resources for Schools

Heads Up to Schools: Know Your Concussion ABCs