Early Intervention & School-based Therapy Flashcards
IDEA
- what does it stand for
- what is it
individuals with disabilities education act
federal regulation authorizing special education and early intervention for children w/ disabilities in the LEAST restrictive environment
Key Aspects of Part B
special education act for children 3-21 years old
includes:
- IEP (individualized education program)
- PT is considered a “related services” - provides assistance to a child to benefit from their special education
Eligibility determination for IEP
- 3 potential categories
determined by IDEA eligibility categories
- Educational diagnosis (13 disabilities included) -
- regulated by IDEA
- therapy is provided to assist child to benefit from SpEd
- educationally relevant
- must have edu. disability & demonstrate need for PT - Medical diagnosis
- regulated by health care & insurance policies
- therapy provided to be as functionally independent as possible
- is it medically necessary
- any child may receive services (for IEP, children are not automatically eligible for PT services) - Section 504 of Rehab act - if child does not qualify under IDEA, broadens ability to be eligible
categories of educational diagnosis that make child eligible for IEP
autism, deaf-blindness, deafness, emotional disturbance, hearing impairment, intellectual disability, multiple disabilities, orthopedic impairment, other, specific learning disability, TBI, speech/language, visual impairment, dev delay
developmental delay is a broad category - must be changed to 1 of 13 others by kindergarten year to remain eligible
IEP
- what is it
- rewritten every…
- service delivery approach
individualized education program
- MUST be educationally relevant
- for children ages 3-21, under Part B of IDEA
- reviewed and rewritten annually
- Interdisciplinary approach - multiple service providers collaborate & merge into unified program
For IEP: Re-evaluation of child every…?
three years
Modes of service delivery (5)
- Direct - child is pulled out of class, best when teaching a new skill
- Integrated - therapy is done w/n context of where the child would use those skills (i.e. sitting balance at desk) - contextualized
- Consultative
- Monitoring
- Collaborative
always working from 1 to 5, should change over time as the child progresses towards goal
Goal of PT intervention in IEP
directed to enhance child’s participation in education setting
Key Aspects of Part C
- centered around 2 things
early intervention services for infants and toddlers, birth to 3 years old
- IFSP - individualized family service plan
centered around:
- Natural environments
- Family centered care
Eligibility for Part C
Developmental delay in ONE OR MORE areas of development:
- physical, cognitive, communication, social or emotional, adaptive or self-help skills
Varies by state
KS - 25% (or more than 1.5 SD away from mean) in ONE area OR 20% (more than 1 SD) in TWO areas
MO - 50% delay in at least ONE area
Assessment/Reevaluation every… for IFSP?
Ongoing process, at least every 6 months
IFSP
- what is it
- reviewed every…
- service delivery approach
individualized family service plan - EI for kids birth to 3 years old under IDEA Part C act
- reviewed every 6 months
- Transdisciplinary approach - ONE service provider; uses “coaching” model (share discipline specific info and cross-train so one team member can work with the child/family)
SMART goals
specific measurable attainable routine-based tied to functional priority
ROUTINE strategies (for goal writing)
routine-based outcome-related understandable transdisciplinary implemented by teacher/family non-judgemental evidence-based
Contrasting Part A and B
- age
- eligibility
- documentation
- outcomes and intervention
- PT
Part A:
- age: 3-21 y/o
- eligibility: IDEA - categories defined by FEDERAL law
- documentation: IEP
- outcomes/intervention: educationally relevant
- PT: related service
Part B:
- age: birth - 3 y/o
- eligibility: varies by state by devlopment delay
- documentation: IFSP
- outcomes/intervention: family-centered
- PT: primary service
