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Pathways to School Reentry for Children and Young People with a Medical or Mental Health Condition: An International Delphi Study

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Capurso, Michele, Moracci, Valentina, Borsci, Simone·2025·Continuity in Education

Abstract

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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  1. [2]* Barnett, T., Tollit, M., Ratnapalan, S., Sawyer, S. M., & Kelaher, M. (2023). Education support services for improving school engagement and academic performance of children and adolescents with a chronic health condition. Cochrane Database of Systematic Reviews, 2. 10.1002/14651858.CD011538.pub2 PMC9907052 36752365 · DOI
  2. [3]Belton, I., MacDonald, A., Wright, G., & Hamlin, I. (2019). Improving the practical application of the Delphi method in group-based judgment: A six-step prescription for a well-founded and defensible process. Technological Forecasting and Social Change, 147, 72– 82. 10.1016/j.techfore.2019.07.002 · DOI · Paper page
  3. [4]Bloor, M., Sampson, H., Baker, S., & Dahlgren, K. (2015). Useful but no Oracle: reflections on the use of a Delphi Group in a multi-methods policy research study. Qualitative Research, 15(1), 57– 70. 10.1177/1468794113504103 · DOI
  4. [5]Bradshaw, C., Atkinson, S., & Doody, O. (2017). Employing a Qualitative Description Approach in Health Care Research. Glob Qual Nurs Res, 4, 2333393617742282. 10.1177/2333393617742282 29204457 PMC5703087 · DOI · Paper page
  5. [6]Cahners, S. S. (1979). A Strong Hospital-School Liaison: A Necessity for Good Rehabilitation Planning for Disfigured Children. Scandinavian Journal of Plastic and Reconstructive Surgery, 13(1), 167– 168. 10.3109/02844317909013048 451465 · DOI
  6. [7]* Canter, K. S., & Roberts, M. C. (2012). A Systematic and Quantitative Review of Interventions to Facilitate School Reentry for Children With Chronic Health Conditions. Journal of Pediatric Psychology, 37(10), 1065– 1075. 10.1093/jpepsy/jss071 22718487 · DOI
  7. [8]Capurso, M., di Castelbianco, F. B., & Di Renzo, M. (2021). “My Life in the Hospital”: Narratives of Children With a Medical Condition. Continuity in Education, 2(1). 10.5334/cie.12 PMC11104414 38774894 · DOI
  8. [9]* Castro Ibáñez, C. (2023). The education of children in hospital schools. a literature review. Early Child Development and Care, 193(15–16), 1652– 1666. 10.1080/03004430.2023.2273789 · DOI
  9. [10]Clemens, E. V., Welfare, L. E., & Williams, A. M. (2011). Elements of Successful School Reentry After Psychiatric Hospitalization. Preventing School Failure: Alternative Education for Children and Youth, 55(4), 202– 213. 10.1080/1045988X.2010.532521 · DOI
  10. [11]* Cooper, M., Evans, Y., & Pybis, J. (2016). Interagency collaboration in children and young people’s mental health: a systematic review of outcomes, facilitating factors and inhibiting factors. Child: Care, Health and Development, 42(3), 325– 342. 10.1111/cch.12322 26860960 · DOI
  11. [12]Crisp, J., Pelletier, D., Duffield, C., Adams, A., & Nagy, S. (1997). The Delphi method? Nursing Research, 46(2), 116– 118. 10.1097/00006199-199703000-00010 9105336 · DOI
  12. [13]Dalkey, N., & Helmer, O. (1963). An experimental application of the Delphi method to the use of experts. Management science, 9(3), 458– 467. 10.1287/mnsc.9.3.458 · DOI · Paper page
  13. [14]de Rooij, I. J. M., van de Port, I. G. L., van der Heijden, L. L. M., Meijer, J.-W. G., & Visser-Meily, J. M. A. (2021). Perceived barriers and facilitators for gait-related participation in people after stroke: From a patients’ perspective. Physiotherapy Theory and Practice, 37(12), 1337– 1345. 10.1080/09593985.2019.1698085 31793365 · DOI
  14. [15]Dickey, K., Castle, K., & Pryor, K. (2016). Reclaiming Play in Schools. Childhood Education, 92(2), 111– 117. 10.1080/00094056.2016.1150742 · DOI
  15. [16]Doyle, L., McCabe, C., Keogh, B., Brady, A., & McCann, M. (2020). An overview of the qualitative descriptive design within nursing research. Journal of Research in Nursing, 25(5), 443– 455. 10.1177/1744987119880234 34394658 PMC7932381 · DOI
  16. [17]Engel, G. L. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196(4286), 129– 136. 10.1126/science.847460 847460 · DOI · Paper page
  17. [18]Everett, N., Hubbuck, C., & Brown, F. (2023). Play in Hospitals: Real Life Perspectives. Taylor & Francis. 10.4324/9781003255444 · DOI
  18. [19]Faulkner, R., Trenchard, S., Taylor, C., & Murray, C. D. (2021). Experiences of Transition to Secondary School in the United Kingdom for Children With Cleft Lip and/or Palate: A Qualitative Study. Continuity in Education. 10.5334/cie.33 PMC11104331 38774895 · DOI
  19. [20]Federici, S., Scherer, M. J., & Borsci, S. (2014). An ideal model of an assistive technology assessment and delivery process. Technology and Disability, 26, 27– 38. 10.3233/TAD-140402 · DOI
  20. [21]Fotheringham, S., Karabon, P., Wunderlich-Barillas, T., Traynor, J., & Gowans, K. (2021). Optimization of School Reintegration for Pediatric Oncology Patients and Their Peers. Continuity in Education. 10.5334/cie.27 PMC11104304 38774892 · DOI
  21. [22]Galligan, M. M., & Hogan, A. K. (2021). The Goldilocks problem: Healthcare delivery models for children with medical complexity. Current Problems in Pediatric and Adolescent Health Care, 51(12), 101127. 10.1016/j.cppeds.2021.101127 35000837 · DOI
  22. [23]Gordon, T., & Pease, A. (2006). RT Delphi: An efficient, “round-less” almost real time Delphi method. Technological Forecasting and Social Change, 73(4), 321– 333. 10.1016/j.techfore.2005.09.005 · DOI
  23. [24]Harris, M. S. (2009). School reintegration for children and adolescents with cancer: The role of school psychologists. Psychology in the Schools, 46(7), 579– 592. 10.1002/pits.20399 · DOI
  24. [25]* Helms, A. S., Schmiegelow, K., Brok, J., Johansen, C., Thorsteinsson, T., Simovska, V., & Larsen, H. B. (2016). Facilitation of school re-entry and peer acceptance of children with cancer: a review and meta-analysis of intervention studies. European Journal of Cancer Care, 25(1), 170– 179. 10.1111/ecc.12230 25204197 · DOI
  25. [26]Hopkins, D., Stringfield, S., Harris, A., Stoll, L., & Mackay, T. (2014). School and system improvement: a narrative state-of-the-art review. School Effectiveness and School Improvement, 25(2), 257– 281. 10.1080/09243453.2014.885452 · DOI
  26. [27]Keeney, S., Hasson, F., & McKenna, H. (2011). The Delphi Technique. In S. Keeney, F. Hasson, & H. McKenna (Eds.), The Delphi Technique in Nursing and Health Research (pp. 1– 17). 10.1002/9781444392029.ch1 · DOI
  27. [29]Kushner, S., & Rengasamy, M. (2024). Achieving a Brighter Future: A Career-Focused Mentoring Program Designed for Adolescents and Young Adults with Cancer. Continuity in Education. 10.5334/cie.106 PMC11192099 38910896 · DOI
  28. [30]Layte, R., & McCrory, C. (2013). Paediatric chronic illness and educational failure: the role of emotional and behavioural problems. Social Psychiatry and Psychiatric Epidemiology, 48(8), 1307– 1316. 10.1007/s00127-012-0609-3 23090283 · DOI
  29. [31]Lee, D. H. (1975). Children in Hospital Schools. British Journal of Special Education, 2(4), 25– 27. 10.1111/j.1467-8578.1975.tb01040.x 1209344 · DOI
  30. [32]Lerner, R. M., Liben, L. S., & Mueller, U. (2015). Handbook of child psychology and developmental science, cognitive processes (Vol. 1). John Wiley & Sons. 10.1002/9781118963418 · DOI
  31. [33]* Lindsay, S., Hartman, L. R., Reed, N., Gan, C., Thomson, N., & Solomon, B. (2015). A Systematic Review of Hospital-to-School Reintegration Interventions for Children and Youth with Acquired Brain Injury. PLoS ONE, 10(4), e0124679. 10.1371/journal.pone.0124679 25923534 PMC4414587 · DOI
  32. [34]Linstone, H. A., & Turoff, M. (2002). The Delphi Method: Techniques and Applications. Boston, MA: Addison-Wesley Publishing Company.
  33. [35]* Lum, A., Wakefield, C. E., Donnan, B., Burns, M. A., Fardell, J. E., & Marshall, G. M. (2017). Understanding the school experiences of children and adolescents with serious chronic illness: a systematic meta-review. Child: Care, Health and Development, 43(5), 645– 662. 10.1111/cch.12475 28543609 · DOI · Paper page
  34. [36]* Midura, S., Fodstad, J. C., White, B., Turner, A. J., & Menner, S. (2023). Supportive Transition Planning for Adolescents Transitioning From Psychiatric Hospitalization to School: A Systematic Literature Review and Framework of Practices. Continuity in Education. 10.5334/cie.61 PMC11104309 38774904 · DOI
  35. [37]Mockler, N., & Groundwater-Smith, S. (2014). Engaging with Student Voice in Research, Education and Community: Beyond Legitimation and Guardianship. Springer International Publishing. 10.1007/978-3-319-01985-7 · DOI
  36. [38]* Pan, R., dos Santos, B. D., Nascimento, L. C., Rossi, L. A., Geenen, R., & Van Loey, N. E. (2018). School reintegration of pediatric burn survivors: An integrative literature review. Burns, 44(3), 494– 511. 10.1016/j.burns.2017.05.005 28624354 · DOI
  37. [39]Plsek, P. E., & Greenhalgh, T. (2001). The challenge of complexity in health care. BMJ, 323(7313), 625– 628. 10.1136/bmj.323.7313.625 11557716 PMC1121189 · DOI · Paper page
  38. [40]Polisena, J., Castaldo, R., Ciani, O., Federici, C., Borsci, S., Ritrovato, M., … Pecchia, L. (2018). Health technology assessment methods guidelines for medical devices: how can we address the gaps? The international federation of medical and biological engineering perspective. International Journal of Technology Assessment in Health Care, 34(3), 276– 289. 10.1017/S0266462318000314 29909792 · DOI
  39. [41]* Prevatt, F. F., Heffer, R. W., & Lowe, P. A. (2000). A Review of School Reintegration Programs for Children with Cancer. Journal of School Psychology, 38(5), 447– 467. 10.1016/S0022-4405(00)00046-7 · DOI
  40. [42]Sameroff, A. (2010). Dynamic developmental systems: Chaos and order. In Chaos and its influence on children’s development: An ecological perspective. (pp. 255– 264). Washington, DC, US: American Psychological Association. 10.1037/12057-016 · DOI
  41. [43]Schilling, E. J., & Getch, Y. Q. (2018). School reentry services for students with chronic health conditions: An examination of regional practices. Psychology in the Schools, 55(9), 1027– 1040. 10.1002/pits.22154 · DOI
  42. [45]Shaw, S. R., & McCabe, P. C. (2008). Hospital-to-school transition for children with chronic illness: Meeting the new challenges of an evolving health care system. Psychology in the Schools, 45(1), 74– 87. 10.1002/pits.20280 · DOI · Paper page
  43. [46]Shiu, S. (2001). Issues in the education of students with chronic illness. International Journal of Disability, Development and Education, 48(3), 269– 281. 10.1080/10349120120073412 · DOI
  44. [47]Steiner, M. J., Hall, M., Sutton, A. G., Stephens, J. R., Leyenaar, J. K., Chase, L., & McDaniel, C. E. (2023). Pediatric Hospitalization Trends at Children’s and General Hospitals, 2000–2019. JAMA, 330(19), 1906– 1908. 10.1001/jama.2023.19268 37902774 PMC10616761 · DOI
  45. [50]Tougas, A.-M., Houle, A.-A., Leduc, K., Frenette-Bergeron, É., & Marcil, K. (2023). Framework for successful school reintegration after psychiatric hospitalization: A systematic synthesis of expert recommendations. Psychology in the Schools, 60(3), 793– 813. 10.1002/pits.22791 · DOI
  46. [51]* Tougas, A.-M., Rassy, J., Frenette-Bergeron, É., & Marcil, K. (2019). “Lost in Transition”: A Systematic Mixed Studies Review of Problems and Needs Associated with School Reintegration After Psychiatric Hospitalization. School Mental Health, 11(4), 629– 649. 10.1007/s12310-019-09323-3 · DOI
  47. [53]* Vanclooster, S., Benoot, C., Bilsen, J., Peremans, L., & Jansen, A. (2018). Stakeholders’ Perspectives on Communication and Collaboration Following School Reintegration of a Seriously Ill Child: A Literature Review. Child & Youth Care Forum, 47(4), 583– 612. 10.1007/s10566-018-9443-4 · DOI
  48. [54]von der Gracht, H. A. (2012). Consensus measurement in Delphi studies: Review and implications for future quality assurance. Technological Forecasting and Social Change, 79(8), 1525– 1536. 10.1016/j.techfore.2012.04.013 · DOI · Paper page
  49. [55]Weiss, A. J., Liang, L., & Martin, K. (2022). Overview of Hospital Stays Among Children and Adolescents, 2019. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK588376 36622925
  50. [56]* Wikel, K., & Markelz, A. M. (2023). Chronic Health Conditions, School Attendance, and Socioeconomic Factors: A Literature Review. The Journal of Special Education Apprenticeship, 12(2), 9. 10.58729/2167-3454.1173 · DOI

Cited by

Sorted by citations

Authors
Capurso, M., Moracci, V., & Borsci, S.
Affiliations
  • University of Perugia (IT)
  • Imperial College London (GB)
Corresponding author
Capurso, Michele
Venue
Continuity in Education
Published
2025-03-05
Volume
6
Issue
1
Pages
38-57
ISSN
2631-9179 (ISSN-L)
OpenAlex
W4408248248
Cited by
3
References
5
Citations by year
2026: 2 · 2025: 1
FWCI
9.28
Type
journal article
Language
en
Open access
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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