Going to school with CCHS ONE WORLD, ONE FAMILY, ONE HOPE Going to school with CCHS Intro by Wendy Presented by Wendy Stroup & Marne Harvich

Expected Outcome Pertains to the American Public Education System Individualized Health Plan (IHP) Nursing at School Individualized Education Program (IEP) 504 Plan Q&A session Expected Outcome

School Integration Meet with school staff before the start of the year Educate staff about CCHS Describe your child’s specific symptoms of distress (pale, sweaty, headaches) What interventions will staff need to do? Explain need for mechanical ventilation School Integration

Individualized Health Plan (IHP) Most basic plan Applies to children who have life-threatening conditions. It is documentation on how the school nurse (or 1:1 nursing) will meet your child’s medical needs. Developed by the family, school nurse and medical practitioners. No classroom accommodations or specialized instruction. Individualized Health Plan (IHP)

IEP vs. 504 Plan Individualized Education Program (IEP) 504 Plan Individuals with disabilities education act of 1975 (IDEA) States get per-student federal funding for eligible IEP students Ensures children with disabilities a free appropriate public education (FAPE) with children like themselves in the least restrictive environment Includes specialized instruction Refers to Section 504 of the Rehabilitation Act of 1973 States do not get funding from IDEA, but can have funding taken away if they don’t comply Section 504 allows children to learn at a typical level if they are provided appropriate accommodations Typically does not include specialized instruction

Nursing at School 1:1 nursing is not available in every state Trached patients receive 1:1 nursing care more easily then bi-pap patients because of need for invasive medical techniques Stress that your child does not show typical signs of hypoventilation (for example: does not gasp for air) Make sure staff can resuscitate your child in the event of an emergency (mechanical ventilation, ambu bag, suctioning, mouth to mouth) Nursing at School

1:1 Nursing at School Special Needs Nurse Third Party Nurse Nurse is hired directly by School Board School board is liable for nurse Nurse may serve an individual student or a small group of students Funded by IDEA, Special Education, categorical aid, and Medicaid school-based services School contracts with an outside nursing agency OR family brings in their own nurse Nurse is hired by agency or family Agency or individual is liable for nurse 1:1 nursing only Can be funded by IDEA, school system and/or Medicaid

You have options !!! Public Schools Voucher Schools Magnet Schools Charter Schools Private Schools Home School Unschooling Virtual School Public Virtual Hospital Homebound

Least Restrictive Environment (LRE) Placement with regular education peers Based on your goals and objectives Goal is to provide most appropriate environment This does not guarantee you the school of your choice Least Restrictive Environment (LRE)

Individual Education Plan IEP Basics of IEP Elements of IEP Individual Education Plan IEP Written specific to your child's needs New one written every 12 months Can be amended anytime You can disagree Prepared by students, parents, teachers and administrators Present Level of Performance Annual goals and objectives Areas of concern or weakness Related services Testing and classroom accommodations Transition Plan (14 and older) Extended School Year Placement (LRE< school where placed)

Goals Measuring Goals Present Level of Performance The students strengths and unique needs Affect disability has on learning Parents concerns Notation of all discussions taking place during IEP meeting Specifically addressing needs(both academic and functional) Measurable progress objectively determined at frequent defined data points Achievable, realistic, related to most critical needs, achievable in one year Results oriented with a standards outcome in mind Time bound with beginning and ending dates within one year Tests Daily work samples Portfolio Benchmark tests Statewide assessments Objective evaluation

Related Services Future Meetings Accommodations nursing extra time for testing questions read to student frequent breaks bathroom breaks drinks allowed in room Assistive Technology Audiology Counseling services Occupational therapy Physical therapy Psychological services Speech language services Will meet annually to update Can update or change anytime Eligibility will be reevaluated every 3 years Assessment and testing

504 plan Your child’s disability doesn’t impact his learning in ways that qualify him for special education services Your child is no longer eligible for special education services under IDEA, but still needs supports or services at school Your child is receiving informal accommodations or ongoing support at school already

Who Qualifies for a 504 Plan? The process for getting a 504 plan is much simpler than the process for getting an IEP.  Schools may offer a student less assistance and monitoring with Section 504 because there are fewer regulations by the federal government to instruct them, especially in terms of compliance. Unlike with IEPs, there’s no legal requirement to review a 504 plan each year. But it’s a good idea to have an annual 504 plan review meeting anyway.  Who Qualifies for a 504 Plan? Any student between the ages of 3 and 21 years of age who meets the definition of “disabled.”

What Does A 504 Plan Look Like? Generally includes only classroom accommodations, but can include special instruction. Examples of classroom accommodations: Teacher must allow child to sit out of P.E. or recess when tired Allow frequent bathroom visits Must sit close to front of class due to vision impairment Frequent visits to health office. Must have a buddy to walk with to the health office Teacher must have assignments prepared if student is absent for prolonged periods What Does A 504 Plan Look Like?

The Laws Governing Nursing, IEPs and 504s are Complex Do your own research and be ready to advocate on behalf of your child. Recommended online resources to learn more: Understood.org details the differences between IEPs and 504 plans. Parentcenterhub.org Wrightslaw.com U.S. Dept. of Education Website (www.ed.gov): run searches for “504 FAQ” or “IDEA” The Laws Governing Nursing, IEPs and 504s are Complex

ONE WORLD, ONE FAMILY ONE HOPE http://cchsnetwork.org/