Supporting academic success

Getting back to school is often a main goal of our students recovering from injury.

Many of our patients work on returning to school while they are with us, and some may even take several classes while still in therapy. Our patients include students in middle school, high school, college, trade or technical school, and those working toward completing their GED.

Your entire therapy team can help you work on skills needed to support your successful return to school.

In most cases, the speech therapist or program teacher will take the lead in helping you develop a plan for returning to school. This person may ask you to sign a consent form allowing them to speak with your high school or middle school to help you plan for returning. They will also work with you to help you decide when and how to most successfully return to school.

Students often report feeling more successful and having more time to adjust to changes in their learning when they return to school part-time at first.

The processes for returning to school can be a little different for high school and middle school than for college.

  • High school and middle school: Students may have Hospital Homebound services for a period of time, in which a teacher comes to their home to work on schoolwork before they are ready to go back into a classroom.
  • College: Students may choose to audit a course during their first semester back.

Knowing the laws

Families are the natural link between rehabilitation and school. Knowing the laws, advocating for the student’s needs and helping the student feel emotionally ready to return to school are some of the ways families can support the student’s successful return.

Preparing to return

Before going back to school, it may be helpful to talk about how the student will tell their teachers about any needs they have, and how they will react to questions from friends or other students about where they have been and what happened to them. Some students find it is helpful to visit the school before returning in order to practice skills needed, such as bathroom transfers or using a walker, or to visit with friends during lunch.

Challenges to consider

Changes in physical ability, cognition and thinking, communication, behavior, and emotional functioning can affect a person’s readiness to return to school.

  • Behavioral: Agitation, lack of self-control, irritability, and problems with motivation
  • Cognitive: Language, attention, problem-solving, time management, memory, awareness of problems, initiation, and planning
  • Emotional: Anxiety, denial, and depression
  • Physical: Use of arms or legs, balance, vision, bowel and bladder, speech, coordination, swallowing, and hearing

Your therapists will help you determine if these skills have changed and will work with you to improve problem areas.

Therapy, including group therapy sessions, will give you a chance to test out your learning skills before returning to a classroom setting and to try out different strategies that will help you be successful when you return. Specialized testing may also help to identify what your learning needs are and can provide the school with the written report needed to help administrators and teachers understand your learning needs or academic accommodations. You may also be offered support in communicating with school personnel about your learning needs.

Academic accommodations

Academic accommodations are changes to teaching, testing, and/or the environment that support the needs of a student with a disability, in order to provide an equal chance to benefit from education.

Necessary academic accommodations may be different for each student. Examples of academic accommodations include:

  • Allowing additional time for testing and assignments
  • Allowing the use of peer notetakers
  • Allowing the use of audio-recording devices or other technology
  • Asking the teacher to repeat key information often to enhance information processing
  • Testing using closed-set questions, such as multiple choice, matching, or true/false questions
  • Increasing the time given to travel between classes
  • Placing the student nearest to the instructor during lectures or when directions are given

Advocating for your children

While we always encourage students to advocate for themselves, sometimes parents need to advocate for their children. In order to be effective advocates, parents must be informed of their child’s rights.

Under federal law, you and your child have the following rights:

  • To free, appropriate public education for all children with disabilities
  • To education in the least restrictive environment
  • To receive a full explanation of your rights and how you are protected under the law
  • To a completed evaluation (when consent is given) within 60 days of the initial referral
  • To receive notification and to provide written consent whenever school authorities plan a special evaluation or a significant change in school placement for your child
  • To a completed IEP within 30 days of the completion of the evaluation
  • To participate in the IEP meeting and planning
  • To an impartial hearing within 30 days if you do not agree with the school’s decisions for placement and IEP goals and choose not to sign the IEP
  • To an annual evaluation by each service provided
    • This is especially important for students rehabilitating from injury, as their needs can change quickly over time.

Legal protections

Several laws exist to protect the needs and rights of students with disabilities.

Education of the Handicapped Act

This law was passed in 1975 to improve education for handicapped children through free appropriate education.

This law provides that people with disabilities ages 3-21 are educated in the least restrictive environment, meaning they are educated with children who do not have disabilities, when possible. Children receiving special education services will have an Individual Education Plan (IEP) written to meet the needs of the child.

Individuals with Disabilities Education Act (IDEA)

This law amended the Education of the Handicapped Act and changed the name to Individuals with Disabilities Education Act.

The IDEA stipulates that states receiving federal funds must provide free services to children with disabilities between 0-21 years old. Parents must sign written agreement with the plan to receive services provided by the school staff. This act specifically includes traumatic brain injury (TBI) as a separate disability, meaning that having a TBI diagnosis qualifies students for free services through the school.

Section 504 of the Rehabilitation Act of 1973

In some cases, students may get academic accommodations under Section 504, but do not get services through IDEA and special education.

A plan is required, but it does not have to be an IEP. Parents are notified of services but do not have to sign an agreement for the child to receive them.

Colleges and universities that receive federal aid must comply with Section 504 and make their programs and classes accessible for people with disabilities.

Americans with Disabilities Act

This is a civil rights law passed in 1990 to protect people with disabilities from discrimination. It covers state-funded universities, community colleges, and vocational schools, as well as private colleges and vocational schools.

Colleges and universities

Because laws are less protective of college students, those students often have to work harder at speaking up and advocating for themselves. Most colleges have a disabilities services office. The student should contact that office to get support in obtaining any needed academic accommodations.

Upon admission to Shepherd Center

  • Tell your team that you are a student and plan to return to school.
  • Your case manager will ask you to sign a consent form to allow your speech therapist talk to your school.
  • Your speech therapist will call your school counselor.
  • Your academic records will be requested to help guide treatment.

During therapy at Shepherd Center

  • Your therapy team will evaluate you and help you prepare to go back to school.
  • Your therapy team will work with you to help you figure out when the best time will be for you to return to school.
    • You may be asked to complete neuropsychological testing.
    • Your team may create a Return to School Report, which will be sent to your school. This report addresses your learning strengths and weaknesses along with your team’s recommendations, such as academic accommodations and/or further therapy.

Upon discharge from Shepherd Center

  • In most cases, students don’t return to school until their therapy is completed.
  • If you receive additional therapy after discharging from our facility, ask your
    new therapists to help support you in getting back to school.
  • Once you leave therapy, you and your family will be prepared to speak with the school about your learning needs and should talk to school staff if you feel these needs are not being met.

Upon admission to Shepherd Center

  • Tell your team that you are a college student and plan to return to college.

During therapy at Shepherd Center

  • Your therapy team will:
    • Evaluate you and help you prepare to go back to school.
    • Work with you to help you figure out when the best time will be for you to return to school.
  • You may be asked to complete neuropsychological testing.
  • Your speech therapist will help you figure out who you should contact for disability services at your college.
  • You will be responsible for talking with your school about your needs and plans to return.

Upon discharge from Shepherd Center

  • In many cases, students don’t return to school until their therapy is completed.
  • If you have additional therapy after discharging from our facility, ask your new therapists to help support you in getting back to school.
  • Once you leave therapy, you and your family will be prepared to speak with the school about your learning needs and should talk to school staff if you feel these needs are not being met.

Disability services

It’s up to the student to reach out to disability services on campus, and the earlier, the better. You may choose to disclose as much or as little as you’d like. The disability services office will provide a letter for your professors. You can also meet with professors one-on-one to discuss accommodations for a particular class.

Aspects to consider include:

  • Accessibility of classrooms, dining, gyms, housing, libraries, and other facilities
  • Campus terrain, climate, and distances between buildings
  • Financial support for students with disabilities
  • In-person and/or online educational options
  • Transportation options

Accommodation requests

Accommodations to request include:

  • Academic accommodations
  • Accessible housing and transportation
  • Considerations related to your individual medical situation
You're on Shepherd Center's patient education website. For our hospital's main website, please visit shepherd.org.