Table 1
Survey Participant Demographics (N = 40).
| DEMOGRAPHIC / CHARACTERISTIC | COUNT (%) |
|---|---|
| Level (select all that apply) | |
| Preschool | 5 (12.5%) |
| Primary | 15 (37.5) |
| Intermediate | 13 32.5) |
| Middle school/Jr. high | 16 (40) |
| High school | 20 (50) |
| School Locale | |
| Rural | 7 (17.5) |
| Town | 3 (7.5) |
| Suburban | 12 (30) |
| Urban | 18 (45) |
| Professional Role | |
| School counselor | 15 (37.5) |
| Classroom teacher | 8 (20) |
| Administrator | 7 (17.5) |
| Special education | 5 (12.5) |
| Social worker | 2 (5) |
| Health aide/nurse | 2 (5) |
| Sex | |
| Woman | 32 (80.0) |
| Man | 6 (15.0) |
| Non-binary | 1 (5.0) |
| Did not respond | 1 (5.0) |
| Race/Ethnicity | |
| Black (African or African American) | 2 (5) |
| White (Caucasian) | 37 (92.5) |
| Multiple races | 1 (2.5) |
| Years Working in Education | |
| 1–3 | 2 (5) |
| 4–6 | 2 (5) |
| 7–10 | 6 (15) |
| 11–15 | 9 (22.5) |
| 16–20 | 5 (12.5) |
| 21+ | 16 (40) |
| Highest Degree Earned | |
| Bachelor’s | 9 (22.5) |
| Master’s | 30 (75.0) |
| Did not respond | 1 (2.5) |
Table 2
How Often Was Each of the Following Individuals Involved in Any Process Related to Students Returning to School Following Hospitalization While Working with the [Hospital] School Program?
| ROLE | ALMOST ALWAYS COUNT (%) | SOMETIMES COUNT (%) | NEVER COUNT (%) |
|---|---|---|---|
| Parents/family | 28 (90.3%) | 2 (6.4%) | 1 (3.2%) |
| Student | 23 (79.3) | 6 (20.7) | 0 (0) |
| School counselor | 21 (77.8) | 4 (14.8) | 2 (7.4) |
| General education teacher | 17 (54.8) | 10 (32.2) | 4 (12.9) |
| Special education teacher | 13 (44.8) | 14 (48.3) | 2 (6.9) |
| School nurse | 12 (44.4) | 13 (48.1) | 2 (7.4) |
| Principal | 10 (32.2) | 11 (35.5) | 10 (32.2) |
| Vice/assistant principal | 7 (24.1) | 18 (62.1) | 4 (13.8) |
| School social worker | 7 (30.4) | 12 (52.2) | 4 (17.4) |
| School psychologist | 2 (8.3) | 14 (58.3) | 8 (33.3) |
[i] Note. Frequency count. Response rates varied (N = 23–31).
Table 3
Which of the Following Are Typically Included in Your School’s Re-Entry Plans for Students Returning to School Following Hospitalization?
| RE-ENTRY PLAN ELEMENT | MANDATORY COUNT (%) | OPTIONAL COUNT (%) | NOT AVAILABLE COUNT (%) | UNSURE/UNKNOWN COUNT (%) |
|---|---|---|---|---|
| Consideration of hospital evaluations/recommendations | 23 (63.9%) | 6 (16.7%) | 0 (0.0%) | 7 (19.4%) |
| Consideration of previous school-based evaluations | 15 (41.7) | 10 (27.8) | 1 (2.8) | 10 (27.8) |
| Recommendations provided by outside mental health professionals | 13 (36.1) | 14 (38.9) | 0 (0.0) | 9 (25.0) |
| Recommendations provided by parents/other family members | 12 (33.3) | 17 (47.2) | 0 (0.0) | 7 (19.4) |
| Recommendations provided by school counselors | 10 (27.8) | 17 (47.2) | 2 (5.6) | 7 (19.4) |
| Recommendations provided by school psychologists | 9 (25.0) | 17 (47.2) | 3 (8.3) | 7 (19.4) |
| Recommendations provided by school social workers | 9 (25.0) | 16 (44.4) | 4 (11.1) | 7 (19.4) |
| Recommendations provided by teachers | 9 (25.0) | 20 (55.6) | 0 (0.0) | 7 (19.4) |
| Recommendations provided by student | 6 (16.7) | 23 (63.9) | 0 (0.0) | 7 (19.4) |
| Separate school for transition prior to return to classes | 1 (2.8) | 13 (36.1) | 15 (41.7) | 7 (19.4) |
| Gradual return to school using transition space outside of school (e.g., separate facility for academic and social-emotional support; home-bound educational services) | 1 (2.8) | 20 (55.6) | 6 (16.7) | 9 (25.0) |
| Gradual return to academic classes using transition space within school (e.g., separate area for academic and social-emotional support) | 1 (2.8) | 23 (63.9) | 4 (11.1) | 8 (22.2) |
| Recommendations provided by others | 0 (0.0) | 21 (58.3) | 3 (8.3) | 12 (33.3) |
| Gradual return to school using another type of service | 0 (0.0) | 6 (16.7) | 4 (11.1) | 26 (72.2) |
[i] Note. Frequency count (N = 36).
Table 4
Which of the Following Services Did the [Hospital] School Program Help Develop for Students Returning to School Following Hospitalization?
| SERVICE | AVAILABLE COUNT (%) | NOT AVAILABLE COUNT (%) |
|---|---|---|
| Support with time management/assignment make up | 17 (51.5%) | 16 (48.5%) |
| Student checks in regularly with an adult | 15 (45.5) | 18 (54.5) |
| Transition space within school (e.g., separate area for academic or social-emotional support) | 13 (39.4) | 20 (60.6) |
| Individual counseling | 13 (39.4) | 20 (60.6) |
| Early outreach (e.g., personalized outreach for students with high absence rates) | 12 (36.4) | 21 (63.6) |
| Self-monitoring instruction | 11 (33.3) | 22 (66.7) |
| Tutoring | 9 (27.3) | 24 (72.7) |
| Group counseling | 9 (27.3) | 24 (72.7) |
| Transition space outside of school (e.g., separate facility for academic or social-emotional support) | 8 (24.2) | 25 (75.8) |
| Social skills group | 8 (24.2) | 25 (75.8) |
| Peer mentoring program | 3 (9.1) | 30 (90.9) |
| Adult mentoring program | 3 (9.1) | 30 (90.9) |
[i] Note. Frequency count (N = 33).
Table 5
Which of the Following Accommodations Did the [Hospital] School Program Help Implement for Students Returning to School Following Hospitalization?
| ACCOMMODATION | AVAILABLE COUNT (%) | NOT AVAILABLE COUNT (%) |
|---|---|---|
| Excused absences following return to school | 26 (92.8%) | 2 (7.1%) |
| Extended deadlines for assignments | 24 (85.7) | 4 (14.3) |
| Missing work forgiveness | 24 (85.7) | 4 (14.3) |
| Reduced assignments/workload | 23 (82.1) | 5 (17.8) |
| Extended time limits for tests | 21 (75.0) | 7 (25.0) |
| Opportunity to take tests in quiet location | 21 (75.0) | 7 (25.0) |
| Breaking long tests into shorter time blocks | 20 (71.4) | 8 (28.6) |
| Alternatives to traditional testing (oral presentation, projects, etc.) | 19 (67.8) | 9 (32.1) |
| Health plan | 19 (67.8) | 9 (32.1) |
| Opportunity to retake tests | 16 (57.1) | 12 (42.9) |
| Pass to attend school late or leave school early | 16 (57.1) | 12 (42.9) |
| Open-book tests | 13 (46.4) | 15 (53.6) |
| Universal pass (to visit school counselor, social worker, etc., at any time) | 13 (46.4) | 15 (53.6) |
| Emergency response/evaluation plan | 13 (46.4) | 15 (53.6) |
| Medication administration | 12 (42.9) | 16 (57.1) |
| Special dietary plan | 11 (39.3) | 17 (60.7) |
| Nurse visits | 5 (17.8) | 23 (82.1) |
[i] Note. Frequency count (N = 28).
Table 6
Which of the Following Procedures Should the [Hospital] School Program Provide to Schools for Students Returning to School Following Hospitalization?
| RE-ENTRY PLAN ELEMENT | MANDATORY COUNT (%) | OPTIONAL COUNT (%) | NOT NEEDED COUNT (%) | UNSURE/UNKNOWN COUNT (%) |
|---|---|---|---|---|
| Meeting with family about re-entry needs | 24 (70.6%) | 8 (23.5%) | 0 (0.0%) | 2 (5.9%) |
| Development of an individualized re-entry plan | 21 (61.8) | 9 (26.5) | 0 (0.0) | 4 (11.8) |
| Meeting with student about re-entry needs | 19 (55.9) | 13 (38.2) | 0 (0.0) | 2 (5.9) |
| Phone communication with hospital staff | 15 (44.1) | 16 (47.1) | 0 (0.0) | 3 (8.8) |
| Referral for special education/504 evaluation | 8 (23.5) | 23 (67.6) | 1 (2.9) | 2 (5.9) |
| In-person visits by school staff to the hospital | 0 (0.0) | 23 (67.6) | 7 (20.6) | 4 (11.8) |
| In-person visits by hospital staff to the school | 0 (0.0) | 26 (76.5) | 5 (14.7) | 3 (8.8) |
[i] Note. Frequency count (N = 34).
Table 7
Educator Perceptions of Interactions with the [Hospital] School Program.
| INTERACTION ITEM | STRONGLY AGREE/AGREE COUNT (%) | NOT SURE COUNT (%) | STRONGLY DISAGREE/DISAGREE COUNT (%) |
|---|---|---|---|
| The [H]SP communicated well with the school regarding the student’s return to school. | 14 (53.8%) | 8 (30.8%) | 4 (15.4%) |
| The [H]SP communicated well with me regarding the student’s return to school. | 16 (61.5) | 5 (19.2) | 5 (19.2) |
| The [H]SP provided the school with information related to the student’s academic progress during hospitalization. | 14 (53.8) | 7 (26.9) | 5 (19.2) |
| The [H]SP helped the student transition back to school following their hospital stay. | 13 (50.0) | 9 (34.6) | 4 (15.4) |
| The [H]SP helped create an individualized return plan for the student’s return to school. | 16 (61.5) | 6 (23.1) | 4 (15.4) |
| The individualized return plan considered my/the school’s needs upon return to school. | 15 (57.7) | 7 (26.9) | 4 (15.4) |
| Overall, I am satisfied with the services the student received from RSP during the inpatient stay | 15 (57.7) | 9 (34.6) | 2 (7.7) |
| Overall, I am satisfied with the services received from RSP as the student returned to school. | 16 (61.5) | 8 (30.8) | 2 (7.7) |
[i] Note. Likert Scale ranged from strongly disagree to strongly agree (N = 26).
Figure 1
Average Services, Accommodations, and Satisfaction by School Locale.