Pathways to School Reentry for Children and Young People with a Medical or Mental Health Condition: An International Delphi Study
Open accessAbstract
Prolonged school absences among children and young people hospitalized due to medical or mental health conditions can significantly disrupt their social and academic development. This study addresses the critical process of reintegrating these learners into their school environments and develops a comprehensive, consensus-based model to facilitate successful school reentry. Utilizing the Delphi method, the research collected insights from 56 experts across 18 countries, representing education, healthcare, and academia, over three rounds of consultation between 2022 and 2024. The findings identify key temporal phases and actions crucial for planning and executing reentry strategies. The resulting models (one for physical health conditions and another for mental health conditions) offer structured guidance, emphasizing multidisciplinary collaboration, context-specific adaptations, and the active participation of the students in the process. The study underscores the need for tailored interventions that address the unique challenges faced by each learner, emphasizing the importance of integrating educational, healthcare, and social support systems with the local culture and values of children and their families to foster resilience and successful reintegration.
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Prolonged absence and limited communication may undermine sense of belonging.
“whereas prolonged absence and limited communication may undermine sense of belonging [20, 29, 30, 31, 32].”
From Sense of School Belonging and School Reintegration for Students Hospitalized With Chronic or Complex Medical Diseases: Insights From a Grounded Theory Study (2026) · cites this paper as [30]
The paper’s introductory discussion (indexed under Abstract; page unavailable) says school absences disrupt social interactions and can leave learners feeling isolated and alienated from their school community. It also emphasizes communication in reentry planning, but does not link limited communication specifically to a diminished sense of belonging. (LLM, conf=0.83)
Experimental — accuracy not yet measuredStudents remain part of their school community throughout hospitalization, supporting meaningful inclusion and a smoother reintegration process.
“From this perspective, students remain part of their school community throughout hospitalization, supporting meaningful inclusion and a smoother reintegration process, in line with recent work on school reentry pathways [30].”
From Sense of School Belonging and School Reintegration for Students Hospitalized With Chronic or Complex Medical Diseases: Insights From a Grounded Theory Study (2026) · cites this paper as [30]
The paper’s discussion of school reentry (page unavailable) supports coordinated planning and communication to ease students’ return to school. It also says hospitalization can alienate students from classmates and the wider school community. It does not establish that students remain included in that community throughout hospitalization. (LLM, conf=0.82)
Experimental — accuracy not yet measuredPsychological support emerged as essential during reintegration.
“Psychological support emerged as essential during reintegration, aligning with interdisciplinary and systemic models [30, 75, 76].”
From Sense of School Belonging and School Reintegration for Students Hospitalized With Chronic or Complex Medical Diseases: Insights From a Grounded Theory Study (2026) · cites this paper as [30]
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Cited by
Sorted by citations
Tomberli, L., Vagnoli, L., Pavone, L., Amore, E., & Ciucci, E. (2026) · Journal of School Health · doi:10.1111/josh.70176
- Authors
- Capurso, M., Moracci, V., & Borsci, S.
- Affiliations
- University of Perugia (IT)
- Imperial College London (GB)
- Corresponding author
- Capurso, Michele
- Venue
- Continuity in Education
- Publisher
- Ubiquity Press, Ltd.
- Published
- 2025-03-05
- Volume
- 6
- Issue
- 1
- Pages
- 38-57
- ISSN
- 2631-9179 (ISSN-L)
- PMC
- PMC11887473
- OpenAlex
- W4408248248
- Cited by
- 3
- References
- 5
- Citations by year
- 2026: 2 · 2025: 1
- FWCI
- 9.28
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Continuity in Education (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Twente Research Information (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Education › Youth Substance Use and School Attendance
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Keywords
- school re-entry, school absenteeism, hospitalization, health conditions, mental illness, children and young people, multidisciplinary collaboration, student participation, social support, resilience
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