Unit 3 - School Based Practice Flashcards

1
Q

laws

A
  • children with disabilities have a right to a free appropriate education in the least restrictive educational environment
  • entitled to special education services
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2
Q

special education

A

Specially designed instruction at no cost to the parent to meet the unique needs of a child with disabilities. Includes classroom instruction, adaptive physical education, home instruction, and instruction in hospitals and institutions can be a part of a special education program

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3
Q

regular classroom setting

A

regular education teacher. Children with special needs may receive special education services in a regular classroom. May be referred to has “Total Inclusion Program” or “Integrated Programs” Therapists may provide assistance and adaptations as needed for success in the regular classroom setting.

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4
Q

self contained classroom

A

specially designed classroom with a special education teacher, all children in classroom have a known diagnosis

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5
Q

resource support

A

child spends majority of educational day in regular classroom but receives specialized instruction in a special class/setting as needed for specific academic or physical needs

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6
Q

Education for All Handicapped Children Act (EHA) of 1975

A
  • assure that all children with handicaps have available a “free, appropriate public education that emphasizes special education and related services”.
  • Includes children 5-21 years of age.
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7
Q

4 parts of EHA

A

1) Part A – General Provisions
2) Part B – Specific special education services and RELATED SERVICEs (this is where OT fits in!)
3) Part C – Infants and Toddlers with Disabilities
4) Part D – National Archives to Improved Education of All Children with Disabilities (special education research, technical assistance, professional development)

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8
Q

6 important principles in EHA

A
  1. Free Appropriate Public Education (FAPE)
  2. Least Restrictive Environment
  3. Appropriate Evaluation
  4. Individualized Education Program
  5. Parent and Student Participation in Decision making
  6. Procedural Safeguards
    * These have remained unchanged in the subsequent amendments to EHA*
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9
Q

Education of the Handicapped Act Amendment of 1986

A
  • mandating services for pre-school aged children with disabilities (Part B)
  • gave states the option for developing statewide systems for providing services to toddlers and infants and their families (OT is a related service in Part B).
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10
Q

IDEA- Individuals with Disabilities Education Act

A
  • name changed from EHA.
  • Added assistive technology and transition planning. Requires state provide services 3-21 (Part C – OT is a primary service in Part C).
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11
Q

Re-authorization of IDEA 1997

A

*Enabling students with disabilities to gain access to the general education curriculum in the least restrictive environment (LRE) and having higher expectations for their participation and success
• Ensuring that families have opportunities to participate in their children’s education
• Supporting professional development
• Directing resources to teaching and learning
• Encouraging whole-school approaches and pre-referral interventions

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12
Q

The most important changes in IDEA 1997 were:

A
  • Education should prepare for employment and independent living
  • IEP must specifically state how disability affects involvement and progress in the general curriculum
  • Progress toward completion of annual goals must be reported every 9 weeks
  • Child’s assistive technology needs must be addressed in the IEP
  • Developmental delay may be used until 9 years of age
  • Stronger emphasis on delivering services within the general education environment
  • Transition services are addressed beginning at age 14 with a plan for transition by age 16
  • If student will not participate in statewide or district wide testing, the team must write a justification and describe how the student will be tested.
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13
Q

Section 504 of the Rehabilitation Act of 1973 and the ADA of 1990

A

Sometimes a student with a disability is not eligible for special education service, yet has difficulty participating in and benefiting from educational programs. They should be eligible for service as a reasonable accommodation to learn. Role of therapist will vary; provide assistance in environmental adaptations, acquire or modify equipment of devices, assist in developing the written accommodation plan.

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14
Q

Reauthorization of IDEA - Improvements Act of 2004 - part B

A
  • Specific language added on “Personnel Qualifications” States are required to specifically establish and maintain qualifications for related services
  • Response to Intervention (RtI) – schools can now use a problem-solving process to determine whether a student would benefit from a specific instruction strategy
  • Present levels of “academic achievement and functional performance” replace present levels of “educational performance”. Measureable annual goals are called “academic and functional goals”
  • A statement of needed special education and related services and supplementary aids and services “based on peer-reviewed research to the extent practicable”
  • All students with disabilities be included in state and local assessments, with accommodations if needed and that they are counted in the accountability system under “No child Left Behind” (NCLB).
  • LEAs would be permitted to NOT provide special education services for children whose parents do not provide consent for services
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15
Q

Reauthorization of IDEA - Improvements Act of 2004 - part C

A
  • States must develop a “rigorous” definition of developmental delay
  • Children can continue to receive early intervention service through age 6
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16
Q

No Child Left Behind Act of 2001

A
  • increasing the standards of accountability for states, school districts and schools
  • parents more flexibility in choosing which schools their children will attend
  • increased focus on reading and re-authorizes the Elementary and Secondary Education Act of 1965 (ESEA).
  • based on the belief that high expectations and setting of goals will result in success for all students.
  • requires that the schools distribute the name, home phone number and address of every student enrolled to military recruiters.
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17
Q

NCLB replaced with “every student succeeds act” in 2015

A
  • Shifted more flexibility for educational standards to the states.
  • In effect for the 2017-2018 school year
  • Funding is authorized through the 2020 - 2021 school year
18
Q

Response to Intervention (RtI)

A
  • focuses on scientific-based research to support educational interventions.
  • focuses on the intervention strategy being used to help the child make progress in school
  • Strategies can be focuses on children in general educational programs before special education services are initiated
19
Q

Practices and activities vary

A
  • from state to state
  • All programs share the common goals of systematically looking at children’s response to educational interventions (that includes OT, PT, and SLP services!!!)
20
Q

interventions - tiers

A

› Tier 1 – entire school or classroom
› Tier 2 – small group of students with similar needs
› Tier 3 – individual services

21
Q

How does OT fit in RtI?

A

› Recommending Tier 1 interventions

  • Develop school wide incentive and behavioral programs
  • Professional development training

› Provide Tier 2 and Tier 3 services (appear more like traditional school based services)
- Assist educational team in based on OT evaluation of motor skills, interactions/social, strength, dexterity

22
Q

Related services

A

Those services that may be required to assist a child with a disability to benefit from special education.
- Includes transportation and such developmental, corrective, and other supportive services speech-language pathology and audiology services, psychological service, physical and occupational therapy, recreation, including therapeutic recreation, social work services, counseling service, orientation and mobility services, and medical services for diagnostic and evaluative only, parent training and counseling, assistive technology devices and services, school health services/nursing care

23
Q

Child with a disability

A

mental disability, hearing impairment including deafness, speech or language impairments, visual impairment including blindness, serious emotional disturbance, orthopedic impairment, autism traumatic brain injury, other health impairments, specific learning disabilities, deaf-blindness, or multiple disabilities, and who, by reason thereof, needs special education and related services

24
Q

Free appropriate public education (FAPE)-

A

special education and related services that are provided at public expense, under public supervision and direction and without charge

25
Q

Least restrictive environment (LRE)-

A

to maximum extent appropriate, children with disabilities, including children in public or private institutions or other care facilities, are educated with children who are not disabled, and special classes, separate schooling, or other removal of children with disabilities from the regular educational environment occurs only when the nature or severity of the disability of a child is such that education in regular classes with the use of supplementary aids and services cannot be achieved satisfactorily

26
Q

Individualize Education Program (IEP)-

A

A comprehensive plan which includes present level of educational performance including how the child’s disability prevents involvement and progress in curriculum, measurable annual goals, statement of the special education and related services and supplementary aids to be provided, projected date for initiation of services and the frequency, location and duration of services and modifications.
- Beginning at age 14 a statement of needed transition services, a plan must be in place by 16 years of age

27
Q

IEP team

A

parents of the child with the disability, at least one regular education teacher, at least one special education teacher, representative of the LEA (Local Education Authority), at the discretion of the parents or the agency, any other individual who may have knowledge or special expertise regarding the child (ie. outpatient therapist, child psychologist, physician)

28
Q

Due Process

A

right to an impartial hearing. The right to be represented by counsel, and the right to a verbatim transcript of a hearing and the written findings. In 1986, legislation provided for reimbursement of legal fees if the parents prevailed in legal proceeding against school districts.

29
Q

Evaluation/ Assessment:

A

IDEA requires that a multidisciplinary team conducts a comprehensive evaluation to determine whether a child has special needs that warrant specialized services in order to function in the school setting. The parents or the school personal can initiate the evaluation. The purpose of the evaluation is to give the child a specific educational diagnosis. In most states an educational diagnosis is required for the child to receive specific school based services.

30
Q

List of categories as defined by IDEA:

A
  • Intellectual Disability (EMH, TMH, S/PMH)
  • Hearing Impairment (including deafness)
  • Speech or Language Impairments
  • Visual Impairments (including blindness)
  • Orthopedic Impairments
  • Autism
  • Traumatic Brain Injury
  • Other Health Impairments
  • Specific Learning Disabilities (SLD) - ~ ½ the students served under IDEA are under this category
  • Emotionally Disability/Disturbance
  • Deafness
  • Deaf-Blindness
  • Multiple disabilities
  • Developmental Delay (under 3 yrs old in Part C – 3 to through 9 yrs old in Part B)
31
Q

IDEA 97 and 2004 shifts of emphasis

A
  • *IDEA 97 shifted the emphasis of the evaluation from providing a diagnostic label to identifying functional problems and goals for intervention.
  • *IDEA 2004 further shifted the emphasis to achievement and what students actually do (perform) rather than emphasizing test scores or what the child can’t do.
32
Q

summary of evaluation process

A
  1. Requested by team, parents, administrators, physicians, teachers
    * *2. Signed prescription from physician and signed permission from parents
  2. Observation, interviews in school settings, discussion with parents and teachers
  3. Assess child using tools that provide relevant information about the discrepancies in the child’s environment and his ability in the general education curriculum and classroom.
  4. Write a plan of care – (IEP)
33
Q

components of IEP

A
  1. present level of educational performance
  2. annual goals and ST objectives
  3. special ed services
  4. explanation of nonparticipation
  5. participation in assessments
  6. dates, freq, location, duration
  7. transition services
  8. measuring/reporting student progress
34
Q

Developing IEP Goals

A
  • Identify the student, family, teacher, priorities
  • Consider the activities, materials, and routines that are characteristic of the student’s school environment
  • Understand the student’s educational needs
  • Determine the naturally occurring activities or routines that support the child’s success with identified educational goals
  • Describe the supports/accommodations that will ensure that the student has access to all aspects of the school environment (ie. bathroom, playground, cafeteria)
35
Q

Models of Service Delivery - direct

A
  • Regularly scheduled sessions generally one time per week with student, utilizes specific therapeutic techniques to remediate or prevent problems that affect educational performance.
  • Therapy techniques that cannot be delegated to teacher or teaching assistant (must be provided by skilled OT, ST, or PT)
  • Educationally related functional activities
  • Emphasis on acquisition of new skills NOT maintenance of skills
  • Individual or small group
36
Q

Models of Service Delivery - consultative

A
  • Collaborative process that involves on-going interactions with the IEP team
  • Long term goal is to help the teacher or teacher’s aid to assist child and meet child’s needs for success in classroom environment
  • After the therapist evaluates a child there is limited direct interaction with child, teacher carries out plan of action
  • Educationally related activities, positioning, adaptive equipment
37
Q

Models of Service Delivery - monitoring

A
  • Intermittent, depending on needs of the child
  • Therapist may see child 1 or 2 times a month to assure plan is being carried out
  • A therapist teaches someone else in the immediate environment to carry out the treatment with the child (ie. teacher, teacher’s aide)
  • Emphasis on maintaining status to remain successful in least restrictive environment (ie. regular class, self-contained class)
38
Q

Transition services

A

Transition services MUST start at age 14, implemented at age 16

  • Student’s preferences and interests
  • Instruction and community experiences
  • Development of employment experiences
  • Post-school adult living objectives
  • Students at 16 become a member of the IEP team

focus on:
• School-based learning – classroom set-up like a workshop/business
• Work-based learning – learn on the job site
• Connecting activities – link the classroom and the job

39
Q

The Use of Physical or Occupational Therapy Assistants (PTA or COTA)

A
  • does not interpret screening/assessment, does not refer to other professionals, does not recommend frequency/duration
40
Q

Terminating School Based Services

A
  1. The child has accomplished the goals outlined in the IEP and is performing at a standard expected of his/her peers.
  2. The child is no longer making significant progress towards set goals despite changes made in service delivery or various intervention strategies.
  3. The child does not have current deficits that are related to the student’s educational participation or progress in the curriculum. Performs at a standard consistent with peers.
  4. The students or the caregivers desire to end therapy services.