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Lifespan > IDEA > Flashcards

IDEA Flashcards

1
Q

hx of IDEA act

A

civil rights of disabled under constitutional protection by 14th amendment

before 1975, wasn’t legally guaranteed for children w disabilities to be educated if determined to be “ineducable”
- up to state/town

built into federal legislation the idea of reauthorizaiton
- 2004: no child left behind

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2
Q

ages of eligibility for IDEA Part B vs C

A

B: 3-21yo
C: birth - 3yo (EI)

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3
Q

how does IDEA part B implementation work

A

local responsibility shaped by state funding structures and federal due process requirements
- this is an entitlement program

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4
Q

what are 5 key principles of IDEA part B

A
  1. ZERO Reject
  2. FAPE
    - free appropriate public ed
  3. LRE
    - least restrictive environment
  4. Related services
  5. Due process
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5
Q

who is eligible under the zero reject principle of IDEA part B

A

no diploma or equivalent (GED)

determined to have disability AND as a result can’t progress in general curriculum w/o special instruction, related services

disability is specifically defined

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6
Q

what does the LRE principle mean of IDEA part B

A

town is obligated to educate students in least restricted setting appropriate for them

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7
Q

describe least to most restrictive learning environments

A

least = local school

more = removed from classroom for PT, resources room

even more = educated in separate classroom but integrated for gym, recess

EVEN more = in separate room for everything

Carter School = building for students w similar intensive needs
-> don’t engage w students w/o disabilities during day

most = residential

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8
Q

what does the related services principle under IDEA part B mean

A

services which support and benefit special education
- ex: PT is a related service

Needs of student documented w IEP - legal doc, contract b/w school and family, outline goals and plans for supporting child in achieving in educational goals, we only focus on things restricting education in this instance

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9
Q

what does the principle due process have to do with IDEA part B

A

has to do w parental rights
- parent permission is required for all services, eval, etc.

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10
Q

what is the role of PT in IDEA part B

A

a related service provider
- assist child w disability to benefit from special ed
- achieve education benefit
- w/i LRE
- part of free appropriate public education

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11
Q

how do you determine if PT services are indicated under IDEA part B

A

are they eligible?
do they need PT?
will it help them achieve their educational goals?

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12
Q

what are 4 factors into patient-client management

A
  1. guide to PT practice
  2. ICF, disability and health
  3. evidence based practice thru literature and clinical experience
  4. professional care docs (ethics, values, etc.)
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13
Q

what is mandated in the PT eval per the IDEA part B

A

individualized
- each child is evaluated on their own

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14
Q

what is the purpose of the PT assessment per IDEA part B

A

is disability present?
AND does it limit child’s abilities w/i context & curriculum of school

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15
Q

when are PT evals/assessments indicated per IDEA part B

A

initial special ed eval
- moving schools
- things emerge as develop

OR based on teams recommendation

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16
Q

what are 5 commonly used tests and measures

A

BOT-2
TGMD-3
CAPE & PAC
GMFM
SFA

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17
Q

what are 5 types of service delivery methods

A

direct
integrated
consultation
monitoring
collaboration

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18
Q

direct vs integrated service delivery method

A

direct
- 1:1 w PT, outside classroom
- 1-3x/wk

integrated
- 1:1 w PT but takes place w/i context of school-based routine/activity
- ex: during classroom activity, recess, gym

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19
Q

when is an integrated more or less important

A

more - when kids are younger

may be less as kids get older

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20
Q

what is a consultation service delivery method

A

consulting w other relevant school personnel for appropriate carryover

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21
Q

what is a monitoring service delivery method

A

PT is a related service but out of the picture
- see them 1x/mo, 1x/semester to be sure child is continuing to achieve educational goals w/o more intensive service delivery plan

hands off approach - can jump back in if necessary

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22
Q

what is an example of a case who might benefit from a monitoring service delivery method

A

child could graduate PT, but if you (or family) aren’t 100% sure they will continue to achieve objectives

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23
Q

what is a collaboration service delivery method

A

as you would w any setting
- collaborate w other services as a related service

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24
Q

how do you determine the best method for delivering PT services

A

methods need to be optimal for addressing remediation, compensation, and prevention w/i the context of PT as a related service… based on student’s needs relative to curriculum

25
Q

how is the administrative issue of funding impact IDEA part B’s implementation

A

federal gov contributing less than 1/2 of the amt it is supposed to
-> schools may bill 3rd party payers for medically necessity

then up to state by state determination on medical necessity and per the physician referral requirement

parent consent is required
- refusal shouldn’t bias school district

26
Q

what is a contemporary issue that surrounds the education of children w severe disabilities

A

functional vs developmental/academic curricula

27
Q

what role do parents play in their child’s education

A

they are a full member of the educational team

28
Q

what type of services does IDEA part C provide

A

child and family-centered services

29
Q

what type of model does IDEA part C follow

A

not a medical model
- natural environments
- family-driven

coaching the family to be both competent and confident in providing environmentally appropriate interventions so child can continue to make gains

30
Q

what is the 6-step process for IDEA part C

A
  1. referral
  2. intake/eval -> determine eligibility
  3. IFSP development
  4. services
  5. 6-month review
  6. transition planning
30
Q

what is the 6-step process for IDEA part C

A
  1. referral
  2. intake/eval -> determine eligibility
  3. IFSP development
  4. services
  5. 6-month review
  6. transition planning
31
Q

who sends in a referral for IDEA part C (4)

A

parent
MD
daycare provider
other agencies

32
Q

what is needed after a referral before the intake/eval process can begin

A

informed consent from parents

33
Q

what are 3 components of intake/eval of IDEA part C

A

developmental hx
family make-up
EI rights

34
Q

what about the child, family, and services are evaluated as part of IDEA part C

A
  1. child - qualified personnel must use informed clinical opinion
  2. family - resources, priorities, concerns, supports & services to enhance family’s capacity to meet developmental needs of child
  3. services - needed for eligible child and family
35
Q

what is included in the report after the intake/eval in IDEA part C

A

in layperson’s terms
strategies included

36
Q

what 5 developmental domains do the tests and measures have to examine in the eval per IDEA part C

A

cognition
social/emotional
gross motor
fine motor
language/communication

37
Q

what is an example of a test/measure used in IDEA part C eval

A

Batelle Developmental Inventory
- 3

38
Q

Batelle Dev Inventory (BDI-3): age range, 5 domains examined

A

birth - 7-11yo

personal-social
adaptive
motor
communciation
cog

39
Q

what is an important psychometric property of the BDI-3 and why is this relevant in terms of the IDEA part C

A

norm referenced

important bc of eligibility determination for IDEA part C

40
Q

what are 3 main criteria to determine eligibility

A

risk factors
degree of delay
clinical judgment (for 6mo)

41
Q

what are 3 specific risk factors that contribute to eligibility for IDEA part C

A

presence of established dx
- ex: downs, spina bifida
bio risk
- ex: prematurity, LBW
environmental risk (MA)
- family, housing, domestic abuse

42
Q

how does eligibility criteria work for IDEA part C

A

could be eligible based on risk factors alone

43
Q

why would the definition for degree of delay vary between state to be eligible for IDEA part C

A

related to funds and resources that states put into the program

44
Q

what is an individualized family service plan (IFSP) per IDEA part C

A

legal doc/contract that is parent and family focused
- based on what the family’s goal is

ex: could be housing (even if child is developmentally delayed), goals are related to resources for housing

45
Q

what are 3 components that could be included into the IFSP per IDEA part C

A

goal dev - family driven
services delivery
transition (out of EI)

46
Q

what has to be done before initiation of an IFSP

A

informed consent needed prior to initiation of services

47
Q

when does transition planning for IDEA part C

A

90days to no more than 9mo before 3rd bday

48
Q

what are components of transition planning per IDEA part C

A

discuss w parents
procedures to help child w changes
info to local LEA

49
Q

what are 2 teams models for service delivery in EI

A

transdisciplinary
interdisciplinary

50
Q

what are 6 examples of team members in EI service delivery

A

child & caregiver
therapists
dev specialists
social worker/psych
educators
nursing

51
Q

what is an interdisciplinary team model for EI services

A

assessment by each individual professional
- goals and POC specific to each individual professional

team communication is united effort and do coordinate, but assessments and treatments are individual

52
Q

what is a transdisciplinary team model for EI services

A

primary service provider/case coordinator who interacts w child

input from other team members
- assessment, goals, POC are all collective
- team communication is intensive

other providers support that provider

53
Q

what is the set up of an arena eval

A

PT, OT, RN, dev educator, and social worker all give their input, goals, and strategies to the child/parent
- similar to TGMD set up

54
Q

what is a requirement of providers for effective transdisciplinary services

A

requires role release of accountability and responsibility to primary
- do what is best and most need for child

55
Q

interdisciplinary vs transdisciplinary model: impact on family

A

interdisciplinary:
- get more direct input
- access to experts

transdisciplinary:
- don’t have several people talking and bombarding w info
- only has to interact w one person

56
Q

in what population is the transdisciplinary model maybe more helpful in for EI

A

younger children
- when first adjusting to dx and needs

57
Q

literature shows what team model is best for EI

A

transdisciplinary

Lifespan (20 decks)

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