IDEA Flashcards
hx of IDEA act
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
ages of eligibility for IDEA Part B vs C
B: 3-21yo
C: birth - 3yo (EI)
how does IDEA part B implementation work
local responsibility shaped by state funding structures and federal due process requirements
- this is an entitlement program
what are 5 key principles of IDEA part B
- ZERO Reject
- FAPE
- free appropriate public ed - LRE
- least restrictive environment - Related services
- Due process
who is eligible under the zero reject principle of IDEA part B
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
what does the LRE principle mean of IDEA part B
town is obligated to educate students in least restricted setting appropriate for them
describe least to most restrictive learning environments
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
what does the related services principle under IDEA part B mean
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
what does the principle due process have to do with IDEA part B
has to do w parental rights
- parent permission is required for all services, eval, etc.
what is the role of PT in IDEA part B
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
how do you determine if PT services are indicated under IDEA part B
are they eligible?
do they need PT?
will it help them achieve their educational goals?
what are 4 factors into patient-client management
- guide to PT practice
- ICF, disability and health
- evidence based practice thru literature and clinical experience
- professional care docs (ethics, values, etc.)
what is mandated in the PT eval per the IDEA part B
individualized
- each child is evaluated on their own
what is the purpose of the PT assessment per IDEA part B
is disability present?
AND does it limit child’s abilities w/i context & curriculum of school
when are PT evals/assessments indicated per IDEA part B
initial special ed eval
- moving schools
- things emerge as develop
OR based on teams recommendation
what are 5 commonly used tests and measures
BOT-2
TGMD-3
CAPE & PAC
GMFM
SFA
what are 5 types of service delivery methods
direct
integrated
consultation
monitoring
collaboration
direct vs integrated service delivery method
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
when is an integrated more or less important
more - when kids are younger
may be less as kids get older
what is a consultation service delivery method
consulting w other relevant school personnel for appropriate carryover
what is a monitoring service delivery method
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
what is an example of a case who might benefit from a monitoring service delivery method
child could graduate PT, but if you (or family) aren’t 100% sure they will continue to achieve objectives
what is a collaboration service delivery method
as you would w any setting
- collaborate w other services as a related service
how do you determine the best method for delivering PT services
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
how is the administrative issue of funding impact IDEA part B’s implementation
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
what is a contemporary issue that surrounds the education of children w severe disabilities
functional vs developmental/academic curricula
what role do parents play in their child’s education
they are a full member of the educational team
what type of services does IDEA part C provide
child and family-centered services
what type of model does IDEA part C follow
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
what is the 6-step process for IDEA part C
- referral
- intake/eval -> determine eligibility
- IFSP development
- services
- 6-month review
- transition planning
what is the 6-step process for IDEA part C
- referral
- intake/eval -> determine eligibility
- IFSP development
- services
- 6-month review
- transition planning
who sends in a referral for IDEA part C (4)
parent
MD
daycare provider
other agencies
what is needed after a referral before the intake/eval process can begin
informed consent from parents
what are 3 components of intake/eval of IDEA part C
developmental hx
family make-up
EI rights
what about the child, family, and services are evaluated as part of IDEA part C
- child - qualified personnel must use informed clinical opinion
- family - resources, priorities, concerns, supports & services to enhance family’s capacity to meet developmental needs of child
- services - needed for eligible child and family
what is included in the report after the intake/eval in IDEA part C
in layperson’s terms
strategies included
what 5 developmental domains do the tests and measures have to examine in the eval per IDEA part C
cognition
social/emotional
gross motor
fine motor
language/communication
what is an example of a test/measure used in IDEA part C eval
Batelle Developmental Inventory
- 3
Batelle Dev Inventory (BDI-3): age range, 5 domains examined
birth - 7-11yo
personal-social
adaptive
motor
communciation
cog
what is an important psychometric property of the BDI-3 and why is this relevant in terms of the IDEA part C
norm referenced
important bc of eligibility determination for IDEA part C
what are 3 main criteria to determine eligibility
risk factors
degree of delay
clinical judgment (for 6mo)
what are 3 specific risk factors that contribute to eligibility for IDEA part C
presence of established dx
- ex: downs, spina bifida
bio risk
- ex: prematurity, LBW
environmental risk (MA)
- family, housing, domestic abuse
how does eligibility criteria work for IDEA part C
could be eligible based on risk factors alone
why would the definition for degree of delay vary between state to be eligible for IDEA part C
related to funds and resources that states put into the program
what is an individualized family service plan (IFSP) per IDEA part C
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
what are 3 components that could be included into the IFSP per IDEA part C
goal dev - family driven
services delivery
transition (out of EI)
what has to be done before initiation of an IFSP
informed consent needed prior to initiation of services
when does transition planning for IDEA part C
90days to no more than 9mo before 3rd bday
what are components of transition planning per IDEA part C
discuss w parents
procedures to help child w changes
info to local LEA
what are 2 teams models for service delivery in EI
transdisciplinary
interdisciplinary
what are 6 examples of team members in EI service delivery
child & caregiver
therapists
dev specialists
social worker/psych
educators
nursing
what is an interdisciplinary team model for EI services
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
what is a transdisciplinary team model for EI services
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
what is the set up of an arena eval
PT, OT, RN, dev educator, and social worker all give their input, goals, and strategies to the child/parent
- similar to TGMD set up
what is a requirement of providers for effective transdisciplinary services
requires role release of accountability and responsibility to primary
- do what is best and most need for child
interdisciplinary vs transdisciplinary model: impact on family
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
in what population is the transdisciplinary model maybe more helpful in for EI
younger children
- when first adjusting to dx and needs
literature shows what team model is best for EI
transdisciplinary
