Children and young people entering hospital education often experience significant disruption to their learning, wellbeing, and sense of belonging. This presentation explores how Queensland Children’s Hospital School’s Transition and Engagement Framework and Case Management Guidelines provide a practical model for implementing collaborative, tiered supports for students with complex medical and mental health needs. Grounded in trauma-informed and relationship-based practice, these frameworks guide staff to identify student need, coordinate interventions, and maintain continuity of learning across education and health contexts. Through structured case management and shared planning processes, educators, health professionals, students, and families work in partnership to design responsive, individualised supports that reflect each learner’s strengths, goals, and circumstances. The presentation highlights the importance of multidisciplinary collaboration in enabling successful transitions into, within, and from hospital education, aligning with the H.E.L.P. Alliance vision of unifying health and education voices to improve outcomes for children and young people. It also reflects the Queensland Department of Education’s emphasis on transitions that are relational, collaborative, and centred on continuity of learning, wellbeing, and belonging. Participants will gain insight into tiered intervention models, collaborative case management approaches, and cross-sector partnership practices that strengthen engagement and educational continuity. Practical tools will be shared, including collaborative case conversation structures, student voice strategies, and coordinated planning resources such as personalised learning records, regulation plans, and transition statements. Examples of student case journeys and outcome data will demonstrate improved engagement, wellbeing, self-regulation, continuity of learning, and successful transitions back to enrolling schools, highlighting the impact of integrated, trauma-informed systems in supporting children and young people during periods of significant disruption.