From Hospital to School Hallways: An Educator’s Viewpoint on Supporting Pediatric TBI Recovery

3 Mins
Alana Moser, PhD
Alana Moser, PhD
School Coordinator, Texas Children's Hospital
school hallway full of students

When people think about school, they often imagine classrooms, backpacks, and playgrounds-not hospital rooms filled with medical equipment and children relearning how to walk, talk, or think after a traumatic brain injury. Yet for many students, this becomes their new reality. As a school coordinator working in the hospital, my role is to bridge two worlds: the medical recovery journey and the educational path waiting for them back at school.

Each child I meet is navigating a unique recovery. In the hospital setting, my job is not just about academics-it is about reassurance and restoring a sense of normalcy. Students often ask: 

  • Will my friends remember me? 
  • How will I keep up with schoolwork? 
  • How will my teachers understand what’s happened to me?” 

These questions carry as much weight as their medical challenges and are just as important as their physical healing. For some, the thought of stepping back into the classroom feels overwhelming. Fear of being different, of not performing the same, or of facing questions from peers can weigh heavily on them. Education during recovery is not only about catching up on missed assignments; it is about restoring their identity. For many children, being a “student” is core to who they are. Returning to school, even with supports in place, can feel like reclaiming a sense of who they are.

My role is to assess the student’s current academic abilities, collaborate with therapists and physicians, and translate medical information into practical classroom supports. In those moments, I become both an educator and an advocate. Preparing teachers and classmates with tools to welcome the student back with empathy, not pity. Also, educating the parents on what to expect when their child returns to school. They are learning to live with this new normal, and now they must learn a whole new educational system in the world of Section 504 or special education. 

Working in the hospital has taught me that recovery is rarely linear, and resilience shows up in unexpected ways. I have seen a student relearn how to write their name and, months later, proudly return to their classroom. I have watched teachers cry tears of joy as they welcomed back a student they feared would never return. These moments remind me why my role matters: education is not paused by an injury; it adapts. My job is to ensure that every child knows they are still a student, still a learner, and still capable of growth, even in the most uncertain circumstances.

For students with TBI, school is not just about academics; it is about dignity, belonging, and hope for the future. As educators, whether in hospitals or classrooms, we have the power to remind children that they are more than their injury and that their future remains bright.