The Role of the PT under IDEA

Question 1

Education for All Handicapped Children Act (EAHCA)

Answer 1

free appropriate public education in the least restrictive environemtn

Question 2

Reathorization of EAHCA

Answer 2

individuals with disabilities education act (IDEA)

Question 3

IDEA stands for

Answer 3

individuals with disabilities education act

Question 4

age range for part B services

Answer 4

3 - 21 years

Question 5

age range for part C services

Answer 5

infants and toddlers from birth to 3

Question 6

Part B: controlled by

Answer 6

department of education

Question 7

part C: controlled by

Answer 7

state interagency partnership

Question 8

part B what is set up for child

Answer 8

IEP - individualized education program

Question 9

part C what is set up for child

Answer 9

individualized family service plan (IFSP)

Question 10

PArt B additional info

Answer 10

• federal disability categories: Iowa non-categorical and eligible individaul
• Least restrictive environemtn (LRE)

Question 11

part C additional info

Answer 11

• child must have deveopmental delay of at least 25% in one area
• natural environemtns

Question 12

Part B IEP

Answer 12

IEP determined by a team based on the needs of the student. it is reviewed yearly

Question 13

Part C: what can the developmental delays include?

Answer 13

25% delay can be physical, adaptive, or have a known condition that can cause future delays such as down syndrome. if the child is born < 32 weeks that is an automatic qualification for services

Question 14

define the natural environemtn for part c

Answer 14

pool, grocery store, playground, home, school, whereever the kids go

Question 15

Define PT under IDEA Part C

Answer 15

“Physical therapy” includes services to address the promotion of sensorimotor function through enhancement of musculoskeletal status, neurobehavioral organization, perceptual and motor development, cardiopulmonary status and effective environmental adaptation.

Question 16

IDEA part B defines PT as?

Answer 16

services provided by a qualified physical therapist

Question 17

primary goal of PTs in public education?

Answer 17

is to enable children with disabilities to benefit from educational instruction in the least restrictive environment. Looks at what the child needs to be successful in their environment (School)

Question 18

Roles/Responsibilities of PT (5)

Answer 18

1) conduct assessments that contribute to the comprehensive eval
2) collaborate with team to meet the child’s needs
3) plan and implement services with the IEP/IFSP team
4) document and monitor progress of goals/outcomes
5) interpret medical info, act as liasion with medical community, suggest referrals as needed

Question 19

lead agency for part C?

Answer 19

department of education

Question 20

Iowa is a birth mandate state meaning what

Answer 20

AEA and PT provides part B and C mandated services

Question 21

T/F medicaid is billed with parent permission

Answer 21

true otherwise insurance is not billed for services

Question 22

components of IFSP (individual family service plan)

Answer 22

1) service coordinator (social worker)
2) family info
3) child status
4) child and family outcomes
5) freq, ints, location, and method of delivery of services
6) service based on peer-reviewed research
7) natural environemtn

Question 23

Early access services current practice includes 3

Answer 23

1) family centered model
2) family capacity building
3) focus on activity and particpation in the natural environment led by parent

Question 24

defien family centered model

Answer 24

family and patients goals are key

Question 25

family capacity building means what

Answer 25

it is not enoug hfor the child to work wiht PT once a week, family needs to work with child on a daily basis

Question 26

how often are IFSP reviews done?

Answer 26

at least every 6 months. goals are called outcomes in IFSP

Question 27

Gross Motor Function Classification System (GMFCS) - levels

Answer 27

LEVEL I - Walks without Limitations LEVEL II - Walks with Limitations LEVEL III - Walks Using a Hand-Held Mobility Device LEVEL IV - Self-Mobility with Limitations; May Use Powered Mobility LEVEL V - Transported in a Manual Wheelchair

Question 28

Part B service delivery

Answer 28

``` Who Receives Services? – Entrance Criteria Models of Service – Direct, Integrated, Consultative Frequency of Service – Factors to consider when determining amount of service Location of Service – least restrictive environment Discontinuing Services – Exit Criteria ```

Question 29

who decides who receives PT services for part B

Answer 29

the IEP team (parents, gen ed and special ed teachers, principal, support staff such as PT, OT, speech, SW)

Question 30

PArt B receiving services cont

Answer 30

Following an evaluation by the PT and identification of the student’s goals, the team considers “entrance” criteria when discussing the need for PT as an IEP support service Evaluation includes observation in the school environment, teacher & parent interview, review of appropriate records, testing as appropriate

Question 31

PArt B what do you consider with goals

Answer 31

What does the student need to be successful in school? What are the student's goals? What services does the student need to be successful and make progress on their goals? Is PT needed to meet the goals?

Question 32

entrance criteria from Iowa guidelines

Answer 32

Previous attempts to alleviate the problem have not been successful Problem interferes with the student’s ability to benefit from the educational program The goal is within the scope of PT IEP goal cannot be met without the PT’s unique expertise There are PT interventions that are likely to change the child, task, or environment. Change is unrelated to or in addition to maturity

Question 33

PT and IEP team needs to determien what after it is decided that the child is eligible for services?

Answer 33

model, frequency, and location of services

Question 34

determining models of service delivery

Answer 34

Least restrictive environment needed to accomplish the goal They type of skills to be learned and the method of intervention anticipated The level of expertise required to provide the service Need for others to carry out the student’s program

Question 35

Models of PT services: Direct

Answer 35

Therapist works for the student individually May occur in an isolated setting Other personnel do not have the expertise to carry out the program Used primarily when acquiring a new skill where the student cannot safely generalize the skills to a less restrictive environment Example – prosthesis training

Question 36

Direct PT services:

Answer 36

no one else can carry out the service. A PT must do it becuase another person doing it would be unsafe.

Question 37

Models of PT Service: Integrated

Answer 37

Combines direct therapist-student contact with collaborative consultation with others involved in the student’s program Goal achievement is shared Intervention includes activities typically occurring in the student’s daily routine (in school or in home) Work with student directly as well as spend time consulting with teachers, parents, para educators Most typical model used Example – wheelchair mobility skills

Question 38

most typical model of PT services used?

Answer 38

integrated model

Question 39

Model of Pt service: Consultative

Answer 39

Therapist participates in collaborative consultation with the teacher, other staff, parents, and student regarding student-specific issues identified in the IEP goals The therapist’s expertise is not required for the student-specific intervention used to accomplish the goal Consulting but may not be doing direct teaching to student Example – ambulation with a Pacer for exercise

Question 40

IEP Considerations for the amount of PT given

Answer 40

Potential benefit of PT intervention Existence of a critical period Amount of motor program that others can do Amount of training others need to carry out the program Amount motor problem plus environment interferes with the educational program

Question 41

location of services

Answer 41

Presumed that the general education environment is the first choice with supplementary aids & services & modifications as needed Greatest interaction with children without disabilities and still receive an appropriate education The law supports the least restrictive environment

Question 42

General education environements

Answer 42

classroom, hallways, PE, recess, transportation, assemblies, field trips, community, dorms, gym

Question 43

IEP Goals should be....

Answer 43

observable, alterable, measurable, participation based, baseline performance considered, referenced to environment, functional, related to disability level, discipline-free (not PT, OT but the child's goals) not a PT goal!

Question 44

determinng length of episode of care

Answer 44

- team reviews needs for PT in 6 months for IFSP or one year for IEP. team will consider discontinuing PT when goals have been met

Question 45

exit criteria should relate to entrance criteria!

Answer 45

don't initiate PT b/c a child with CP has abnormal muscle tone -- this will never be normal. don't base things on delay in only one particular task or area. need for therapy needs to be about function and the patient's ability to participate in their daily routine

Question 46

Exit Criteria for PT (need to meet one of the following)

Answer 46

Potential for further change with PT is unlikely When PT is contraindicated When the problem is no longer educationally relevant When other goals are a higher priority