Physical Therapy Services in Public Education Flashcards
(32 cards)
What is the role of a school-based PT?
- 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
Who does the individualized education program team include?
- Family
- Student
-PT - Teachers
- Other school personnel
Evaluation for eligibility in school based PT includes:
- Education psychologist
- Arena/play-based assessments
- School Functional Assessments
- Motor Performance Assessments ( TGMD-3; MABC-2;
GMFM, PDMS-2)
Interventions must….
- Be evidenced-based
- Include positioning and use of assistive devices
- include functional mobility within educational environments and educational activities (fieldtrips)
What is response to intervention
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)
3 Tiers of General Education Curriculum
- 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
How are PTs paid?
Physical therapists may be hired through the school district, an intermediate unit, or a contract with an outside agency or private practice.
Education for all Handicapped Children Act
- Became IDEA in 1990
- All children entitled to free and appropriate education
- Includes related services (physical therapy)
- Least restrictive environment
Part B of IDEA
** 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
Section 504 - Rehabilitation Act of 1973
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
Does Section 504 get an IEP?
No they get a 504 plan
Is there specific funding for section 504?
nope
Every Student Succeeds Acts
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
Funding for IDEA Part B
- 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
Factors which influence PT under the IDEA
- 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
Modes of Team Interaction
- 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)
Documents included in IEP
- 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)
EI to Pre-School Transition
3 to 6 months prior to 3rd birthday
High school to adult services transition
– 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
Section 504 Plan
- 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
Service Delivery Models for PT in the schools
- Direct service
- Integrated service
- Monitoring
- Collaborative
- Consultative
Direct Service
- 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
When is direct service used?
When emphasis is on learning new skill or when activities cannot be safely carried out by another member of the team
In what setting should direct services be provided
natural environment
