ABSTRACT
This chapter addresses concussion in children and adolescents, highlights the differences between them and adults with respect to concussion management. It explores the importance of return to school and differences in return to sport management. The chapter discusses psychological aspects of concussion in youth athletes. Adolescents appear to be at particular risk for prolonged recovery and development of affective symptoms post-concussion. Children and adolescents are undergoing three simultaneous and continuous processes of growth, maturation, and development. Peer acceptance is very important, so injured adolescents may not seek medical attention for head injuries or adhere to management recommendations, so as not to risk peer disapproval. Adolescents may not be willing to risk their social position by adhering to treatment recommendations. Older adolescents are capable of more abstract thinking, are more mature in their understanding of personal and social relationships and are better able to appreciate the potential consequences of injuries.
