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IDEA Flashcards

1
Q

hx of IDEA act

A

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

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2
Q

ages of eligibility for IDEA Part B vs C

A

B: 3-21yo
C: birth - 3yo (EI)

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3
Q

how does IDEA part B implementation work

A

local responsibility shaped by state funding structures and federal due process requirements
- this is an entitlement program

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4
Q

what are 5 key principles of IDEA part B

A
  1. ZERO Reject
  2. FAPE
    - free appropriate public ed
  3. LRE
    - least restrictive environment
  4. Related services
  5. Due process
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5
Q

who is eligible under the zero reject principle of IDEA part B

A

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

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6
Q

what does the LRE principle mean of IDEA part B

A

town is obligated to educate students in least restricted setting appropriate for them

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7
Q

describe least to most restrictive learning environments

A

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

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8
Q

what does the related services principle under IDEA part B mean

A

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

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9
Q

what does the principle due process have to do with IDEA part B

A

has to do w parental rights
- parent permission is required for all services, eval, etc.

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10
Q

what is the role of PT in IDEA part B

A

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

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11
Q

how do you determine if PT services are indicated under IDEA part B

A

are they eligible?
do they need PT?
will it help them achieve their educational goals?

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12
Q

what are 4 factors into patient-client management

A
  1. guide to PT practice
  2. ICF, disability and health
  3. evidence based practice thru literature and clinical experience
  4. professional care docs (ethics, values, etc.)
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13
Q

what is mandated in the PT eval per the IDEA part B

A

individualized
- each child is evaluated on their own

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14
Q

what is the purpose of the PT assessment per IDEA part B

A

is disability present?
AND does it limit child’s abilities w/i context & curriculum of school

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15
Q

when are PT evals/assessments indicated per IDEA part B

A

initial special ed eval
- moving schools
- things emerge as develop

OR based on teams recommendation

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16
Q

what are 5 commonly used tests and measures

A

BOT-2
TGMD-3
CAPE & PAC
GMFM
SFA

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17
Q

what are 5 types of service delivery methods

A

direct
integrated
consultation
monitoring
collaboration

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18
Q

direct vs integrated service delivery method

A

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

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19
Q

when is an integrated more or less important

A

more - when kids are younger

may be less as kids get older

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20
Q

what is a consultation service delivery method

A

consulting w other relevant school personnel for appropriate carryover

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21
Q

what is a monitoring service delivery method

A

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

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22
Q

what is an example of a case who might benefit from a monitoring service delivery method

A

child could graduate PT, but if you (or family) aren’t 100% sure they will continue to achieve objectives

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23
Q

what is a collaboration service delivery method

A

as you would w any setting
- collaborate w other services as a related service

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24
Q

how do you determine the best method for delivering PT services

A

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

25
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
26
what is a contemporary issue that surrounds the education of children w severe disabilities
functional vs developmental/academic curricula
27
what role do parents play in their child's education
they are a full member of the educational team
28
what type of services does IDEA part C provide
child and family-centered services
29
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
30
what is the 6-step process for IDEA part C
1. referral 2. intake/eval -> determine eligibility 3. IFSP development 4. services 5. 6-month review 6. transition planning
30
what is the 6-step process for IDEA part C
1. referral 2. intake/eval -> determine eligibility 3. IFSP development 4. services 5. 6-month review 6. transition planning
31
who sends in a referral for IDEA part C (4)
parent MD daycare provider other agencies
32
what is needed after a referral before the intake/eval process can begin
informed consent from parents
33
what are 3 components of intake/eval of IDEA part C
developmental hx family make-up EI rights
34
what about the child, family, and services are evaluated as part of IDEA part C
1. child - qualified personnel must use informed clinical opinion 2. family - resources, priorities, concerns, supports & services to enhance family's capacity to meet developmental needs of child 3. services - needed for eligible child and family
35
what is included in the report after the intake/eval in IDEA part C
in layperson's terms strategies included
36
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
37
what is an example of a test/measure used in IDEA part C eval
Batelle Developmental Inventory - 3
38
Batelle Dev Inventory (BDI-3): age range, 5 domains examined
birth - 7-11yo personal-social adaptive motor communciation cog
39
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
40
what are 3 main criteria to determine eligibility
risk factors degree of delay clinical judgment (for 6mo)
41
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
42
how does eligibility criteria work for IDEA part C
could be eligible based on risk factors alone
43
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
44
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
45
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)
46
what has to be done before initiation of an IFSP
informed consent needed prior to initiation of services
47
when does transition planning for IDEA part C
90days to no more than 9mo before 3rd bday
48
what are components of transition planning per IDEA part C
discuss w parents procedures to help child w changes info to local LEA
49
what are 2 teams models for service delivery in EI
transdisciplinary interdisciplinary
50
what are 6 examples of team members in EI service delivery
child & caregiver therapists dev specialists social worker/psych educators nursing
51
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
52
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
53
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
54
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
55
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
56
in what population is the transdisciplinary model maybe more helpful in for EI
younger children - when first adjusting to dx and needs
57
literature shows what team model is best for EI
transdisciplinary

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