Table 3

Graduated return to school strategy18 55

Mental activityActivity at each stepGoal of each step
1. Daily activities that do not give the child symptomsTypical activities that the child does during the day as long as they do not increase symptoms (eg, reading, texting, screen time). Start with 5–15 min at a time and gradually build upGradual return to typical activities
2. School activities at homeHomework, reading or other cognitive activities outside of the classroomIncrease tolerance to cognitive work
3. Return to school part-timeGradual introduction of schoolwork. May need to start with a partial school day or with increased breaks during the dayIncrease academic activities
4. Return to school full-timeGradually progress school activities until a full day can be toleratedReturn to full academic activities and catch up on missed work