Physical Therapy Services in Public Education Flashcards

1
Q

What is the role of a school-based PT?

A
  • Participation for all students
    – Assist child to achieve educational goals
    – Promote access to academic curriculum
    – Improve access to school environment
    – Address post-secondary transition goals
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2
Q

Who does the individualized education program team include?

A
  • Family
  • Student
    -PT
  • Teachers
  • Other school personnel
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3
Q

Evaluation for eligibility in school based PT includes:

A
  • Education psychologist
  • Arena/play-based assessments
  • School Functional Assessments
  • Motor Performance Assessments ( TGMD-3; MABC-2;
    GMFM, PDMS-2)
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4
Q

Interventions must….

A
  • Be evidenced-based
  • Include positioning and use of assistive devices
  • include functional mobility within educational environments and educational activities (fieldtrips)
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5
Q

What is response to intervention

A

process for monitoring student progress and making decisions about the need for instructional modifications or services using data (testing, assessments)(National Research Center on Learning Disabilities)

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6
Q

3 Tiers of General Education Curriculum

A
  • Tier 1 – 80-85% of all students successful in core curriculum
  • Tier 2 - 15% of students not making adequate progress in Tier 1 get interventions matched to needs (adaptive PE, smaller classroom)
  • Tier 3 - 5% of students receive 1:1 interventions to target skill deficits > (PT, special reading teacher, etc.)
  • If don’t meet Tier 3 level of performance > special
    education
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7
Q

How are PTs paid?

A

Physical therapists may be hired through the school district, an intermediate unit, or a contract with an outside agency or private practice.

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8
Q

Education for all Handicapped Children Act

A
  • Became IDEA in 1990
  • All children entitled to free and appropriate education
  • Includes related services (physical therapy)
  • Least restrictive environment
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9
Q

Part B of IDEA

A

** services to children 3-21year
** individualized educational plan (IEP)
* Includes preparation of children for independent living and economic self-sufficiency
* Coordinate IDEA with Every Student Succeeds Act (ESSA)
* Assessment instruments must be “technically sound
instruments”
* Each State is responsible for implementation of IDEA

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10
Q

Section 504 - Rehabilitation Act of 1973

A

o Antidiscrimination statute – fair treatment of individuals with disabilities
o Focus is to bring handicapped individuals into mainstream of society
o Linked to Americans with Disability Act
o “Qualified handicapped person” any individual who “has a physical or mental impairment that limits 1 or more major life activities
o Covers children with disability whose disability does not adversely impact education –> DO NOT NEED SPECIAL ED

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11
Q

Does Section 504 get an IEP?

A

No they get a 504 plan

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12
Q

Is there specific funding for section 504?

A

nope

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13
Q

Every Student Succeeds Acts

A

o Develop state educational standards
o Test all student’s achievement against standards on a regular basis (states are now in control of how this is done)
o States must show annual yearly progress to the Federal Department of Education
o Went into effect 2017-2018; funding ends at end of 2020-2021 school year

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14
Q

Funding for IDEA Part B

A
  • Free to families
  • Government funded
  • Can bill Medicaid if child qualifies
  • School districts can access other funding sources
  • 3rd Party funding (insurance) is acceptable ONLY with Family Permission
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15
Q

Factors which influence PT under the IDEA

A
  • No one can be excluded
  • Qualifying conditions
  • Least restrictive environment
  • IEP
  • AT must be provided to increase, maintain or improve functional capabilities
  • Related services (PT, OT, transportation)
  • Parent Participation
  • Transition Plans
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16
Q

Modes of Team Interaction

A
  • Multidisciplinary- work independently
  • Interdisciplinary – work together (role definitions are relaxed)
  • Transdisciplinary – role release (occurs when team member assumes responsibilities of other discipline for service delivery)
17
Q

Documents included in IEP

A
  • Present level of function
  • Annual goals
  • Special education and related service needs (minutes/hours over course of year)
  • Extent of participation in regular education (minutes/hours over course of year)
18
Q

EI to Pre-School Transition

A

3 to 6 months prior to 3rd birthday

19
Q

High school to adult services transition

A

– no later than age 14.5 years in IL (Federal law is 16 years)
o Must include measurable post-secondary goals
o May include information about employment, residential living, DORS

20
Q

Section 504 Plan

A
  • Document need for services – PT evaluation same as for child in IDEA, except needs may be temporary (broken leg) direct 1:1
  • Direct services, consultation
  • Adaptive equipment
  • Environmental Adaptation
  • Staff Instruction
  • PT participates in annual review
21
Q

Service Delivery Models for PT in the schools

A
  • Direct service
  • Integrated service
  • Monitoring
  • Collaborative
  • Consultative
22
Q

Direct Service

A
  • Expected outcome = the student will acquire or refine one or more of the skills associated with success in school
  • Involves hands-on work of the therapist
  • Frequency and duration of intervention are determined by the student’s needs
  • May be provided in the classroom, or if necessary, out of the classroom
23
Q

When is direct service used?

A

When emphasis is on learning new skill or when activities cannot be safely carried out by another member of the team

24
Q

In what setting should direct services be provided

A

natural environment

25
Q

are direct services provided alone?

A

No
Should be used in conjunction with integrated and collaborative models

26
Q

Integrated Service

A
  • Therapist works with child, teacher, aide, family
  • Service delivered in natural environment
  • Many members of team implement therapy program
  • Fosters student’s ability to participate and generalize outcomes of therapy into several settings
27
Q

Monitoring

A

– Therapist checks student status on a regular
basis
– Especially useful when
* Child has progressive disorder
* When transitioning from direct service → no service
* To prepare for education or vocational transitions

28
Q

Collaborative services

A

Even more emphasis on sharing roles and
responsibilities

29
Q

Can roles be shared or delegated?

A
  • Yes – activities delegated in this school model are
    generally appropriate for collaboration
  • Yes – if Non-OT or PT personnel
    – do not represent themselves as OT or PT
    – Does not bill for OT or PT services
    – Do not perform an OT or PT evaluation
30
Q

Consultation

A
  • Therapist meets with team, including family and student
  • Therapist is resource to entire team
  • Services implemented by other members of team (NOT therapist)
  • May be child specific or program specific
  • Can be used in combination with direct and indirect services
31
Q

Goal setting in educational settings

A
  • Functional outcomes
  • Timeframe = school year (typically 9 months)
  • Long term goals and short term objectives/benchmarks based on task analysis of desired outcome
  • Measurable
32
Q

6 objectives/benchmarks of short term goals

A

a. Change in behavior – child will walk
b. Change in task condition – with walker
c. Change in criteria required for outcome – 50 feet
d. Refinement of outcome – with supervision
e. Consistency – 75% of time
f. Generalization of outcome – throughout school