Publicly Funded Intervention for Children Flashcards

0
Q

What are parts A & B in the EHA?

A

Part A - general regulations

Part B - Specific rules for age 5 - 21

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1
Q

What is the Education of the Handicapped Act (EHA) of 1975?

A

Precursor to IDEA, provided all children with a FAPE in the LRE

Ages 5-21

Due Process - fairness in legal matters, following procedures, etc.
- You have a right to recourse if process is not followed

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2
Q

What were the 1986 EHA Amendments?

A

Ages 3 - 21 (part B)

Services for ages 0 - 2 (part H)

Incentives for states to develop 0 - 3 care, but not mandated**

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3
Q

What is IDEA (1990)?

A

Individuals with Disabilities Education Act

Part C - Early intervention (0-3)
Incentives for EI increased

Focus on prevention, rather than remediation

Includes transitions and AT

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4
Q

What is the 1997 IDEA amendment?

A

Focused on transition services from high school to adult living

IEP’s must include transition plans or procedures for identifying appropriate employment

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5
Q

When should post-school adult living objectives transition planning begin?

A

Age 14

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6
Q

Who is eligible for an EI evaluation?

A

Any child suspected of delay or disability

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7
Q

Who can refer a child for an EI evaluation?

A

Anyone!

OTs, neighbors, parents (parents have right to refusal at this stage)

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8
Q

What is a “child find” center?

A

A place to call and say “My child needs services, how do I get them?”

Usually the school district

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9
Q

What happens once a child is referred to EI?

A

A service coordinator is assigned

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10
Q

What are the regulations surrounding EI intervention?

A
  • Must be multidisciplinary
  • Must be in child’s native language (Therapist must be competent via fluency or through a translator)
  • Must have a service coordinator (person that receives reports from all disciplines involved)
  • Must be completed within 45 calendar days
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11
Q

What happens once the EI evaluation is complete?

A

Team develops IFSP (IEP for the family)

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12
Q

What must an IFSP include?

A

Services they will receive, goals, setting, duration, outcome, current level of function

Child’s strengths & weaknesses

Family resources, context, environment

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13
Q

Who is included in an IFSP team?

A

Service coordinator, service providers, parent representative, parents

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14
Q

OT is considered a primary service for EI, what does this mean?

In what arena is OT not considered a primary service?

A

The child can receive OT only

Home health

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15
Q

Where must EI services take place?

A

In the child’s natural environment, whenever possivle

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16
Q

How often are EI services revisited by the team?

A

Every 6 months

17
Q

What age range is preschool?

What is the focus of preschool intervention?

A

3 -5

Transition to academics

18
Q

In preschool, is OT considered a primary service or related service?

A

Related service

19
Q

What is RSO?

A

Related services only

If a child needs only related services, they can get it in typical preschools or at home

20
Q

What is an integrated preschool?

What are the benefits?

What types of teachers are there?

A

Purposely match students with and without disabilities (ratios are state guided)

Teach typical kids how to be around kids with disabilities
Kids with disabilities can see how typical kids act

Gen. Ed and Special Ed. teachers

21
Q

What problems may be seen in Preschool OT?

A

Physical, Behavioral, Cognitive

22
Q

What goals might OTs work on in preschool?

A

Pre-academic (coloring, writing, shapes, colors, letter recognition)

Social/emotional (attending, playing, classroom routines & rituals)

ADLs (coats/boots on & off, buttoning, tying shoelaces, hand washing, toileting)

23
Q

In preschool evaluations, who reviews & formulates the IEP?

A

CPSE - Committee on Preschool Special Education

Also involved: parents, anyone that did an eval, education specialists, psychologist

Additional parent member NO LONGER REQUIRED for CSE

24
Q

When is the IEP for preschool revisited?

A

At least annually

25
Q

What age range is considered school-aged intervention?

A

5 - 21

26
Q

What are the requirements for receiving school-aged intervention?

A

Child must meet criteria for “handicapping condition”

27
Q

Is OT a primary or related service in School-aged intervention?

A

Related

28
Q

Does an IEP have to be followed?

A

Yes! It is a legal document stating that these services will be provided

29
Q

In school-aged intervention, what are the steps that occur between the referral to an IEP?

A
  1. “child study team” received the referral & discusses the child
  2. Evaluations (with informed consent from parents prior to)
  3. CSE meets
  4. IEP formulated
  5. IEP revisited at least annually
30
Q

What is the difference between an IEP and a tx plan?

A

IEPs are not treatment plans

Goals are more universal (not OT/PT/Speech specific)

Each will have a separate treatment plan

31
Q

What is a direct intervention? (school-aged)

A

Pull out - leave the classroom to go to therapy

Push in - therapy given in the classroom

More common in younger children

32
Q

What is an indirect intervention? (school-aged)

A

Monitoring - usually for older children; see them 1x month to check up and see how they are doing

Consulting - once a year; in the classroom or on an individual level

33
Q

What is the difference between Preschool EI and School-based?

A

School based is restricted to educationally relevant issues

Does not address home issues (brushing teeth, getting in and out of bed)

34
Q

When must a transition plan be in place by?

A

age 16

35
Q

What does transition to adulthood include?

A

Instruction
Related services
Community experiences (shopping, banking, etc)
Development of employment & post-school adult living objectives
Acquisition of daily living skills (laundry, using ATMs)
Functional vocational evaluation

36
Q

What is Section 504 of the Rehabilitation Act?

A

Mandates accommodations to make school accessible to all students with disabilities

Originally for physical accommodations, but now includes OT

37
Q

What is the main difference between IDEA & 504 law?

A

There must be an impact on their ability to learn

No funding for 504; there is funding for IDEA

38
Q

What is “Responsiveness to Intervention” (RTI)?

A

A NCLB model that promotes identification of children with learning disabilities

Children with suspected LD are provided evidence-based intervention in increasingly greater amounts until improvement is seen

Mandates “early intervening services” (before the child is identified as special education)

39
Q

NCLB: What % of federal funds can be used towards early intervening services (including OT)?

A

up to 15%