Chronic illness affects up to 20% of children in the school aged popul
ation of which 5% are severely compromised. Facilitating successful fu
nctioning for these youths is a growing problem for schools, children
and their families, and health care professionals. Clearly, school fun
ctioning is critical in the overall adjustment of the school aged chil
d and adolescent. This article focuses on the problems encountered by
the chronically ill child in the school setting from the point of re-e
ntry after having been either diagnosed with a chronic illness or havi
ng survived such an illness. Both barriers to attendance and academic
performance are addressed. Finally, the role of the school psychologis
t in maximizing the chronically ill student's success in school as an
ongoing process is delineated.