Mindfulness-Based Intervention for Mild Traumatic Brain Injury

Inclusion Criteria: * Subjects presenting to CHEO's Emergency Department (ED) within 48 hours of sustaining a direct or indirect head injury * Aged 12 through 17.99 years * Have a concussion, as defined by the Berlin consensus statement * Score \>4 on the predicting persistent postconcussive problems in pediatric (5P) clinical rule * Proficient in English. Exclusion Criteria: * Glasgow Coma Scale ≤13 * Abnormality on standard neuroimaging studies, including positive head CT findings (Note: neuroimaging is not required but may be performed if clinically indicated) * Neurosurgical operative intervention, intubation, or intensive care required * Multi-system injuries with treatment requiring hospital admission, operating room, or procedural sedation in ED (Note: hospital admission for observation or management of ongoing concussion symptoms is not an exclusion criteria) * Severe chronic neurological developmental delay resulting in communication difficulties * Intoxication at the time of ED presentation as per clinician judgment * History of trauma as primary events (e.g., seizure, syncope, migraine) * Prior psychiatric hospitalization * Prior diagnosis of severe psychiatric disorder such as schizophrenia (diagnosis of anxiety or depression is not exclusionary) * Inability to obtain a proper written informed consent/assent (e.g., language barrier, absence of parental authority, developmental delay, intoxication, patients too confused to consent) * Legal guardian not present (…