School Reintegration Post-Psychiatric Hospitalization: Protocols and Procedures Across the Nation

Abstract

Youth returning to schools following psychiatric hospitalization are at high risk for mental health crises and rehospitalization. Yet, little is known about the current practices schools use to support student reintegration. This study administered a self-report questionnaire to 133 school psychologists across the nation to identify the prevalence and scope of school reintegration protocols and procedures in middle and high schools. Sixteen percent of respondents identified having a formal (i.e., written) school reintegration protocol in place, 45% reported having an informal procedure, and the remaining 38% reporting no such protocol or procedure. Respondents identified several components to successful reintegration including (1) establishing communication with the hospital, (2) meeting with the family prior to the student’s return, and (3) developing an individualized re-entry plan. Having a school reintegration protocol was positively associated with perceived quality of services for students returning from psychiatric hospitalization. Implications for schools considering adopting a consistent strategy for supporting students during this transitionary time are discussed.