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Legal Rights of Children with Epilepsy in School & Child Care

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The Special Education Process for <strong><strong>Child</strong>ren</strong> <strong>with</strong> <strong>Epilepsy</strong>: The Individuals <strong>with</strong> Disabilities Education Act (IDEA)<br />

needs that result from his disability. Therefore, his IEP should conta<strong>in</strong> goals to<br />

meet his behavioral needs. If it does and they were not implemented, then the<br />

team should f<strong>in</strong>d that the behavior was a manifestation <strong>of</strong> his disability. (See<br />

question 4.39.) Additionally, the team should explore whether Mark’s seizure<br />

medication has any effect on his behavior.<br />

3) If Mark has not had a functional behavior assessment, the team should conduct<br />

one and should then develop a behavior <strong>in</strong>tervention plan designed to m<strong>in</strong>imize<br />

the likelihood that Mark’s behavior will recur. Fight<strong>in</strong>g and <strong>in</strong>solence seem to be<br />

the two behaviors that need to be targeted, but the record review will have turned<br />

up any other behaviors or issues that need to be addressed.<br />

Case Scenario 4 — Extended <strong>School</strong> Year Services When Seizures Impede Progress<br />

Manny is a 17-year-old student <strong>with</strong> multiple disabilities, <strong>in</strong>clud<strong>in</strong>g <strong>in</strong>tractable epilepsy.<br />

His educational progress is very slow and <strong>of</strong>ten the progress he makes is reversed by<br />

periods <strong>of</strong> <strong>in</strong>tense seizure activity that cause him to regress. Rega<strong>in</strong><strong>in</strong>g his skills does not<br />

come easily to him, as even dur<strong>in</strong>g periods <strong>of</strong> less <strong>in</strong>tense seizure activity, he still has<br />

several seizures a week. He has had a difficult year <strong>with</strong> a number <strong>of</strong> medication changes<br />

and several hospitalizations. In addition to special education and school health services,<br />

he receives physical, occupational and speech therapies. The IEP team decides at his<br />

annual review that he has hit a plateau and would not benefit from services dur<strong>in</strong>g the<br />

summer, so the team f<strong>in</strong>ds him <strong>in</strong>eligible for extended school year services. The extended<br />

school year program <strong>of</strong>fered by the district is a four-week program that anyone found<br />

eligible for extended school year services receives. Manny’s parents did not have<br />

representation at the IEP meet<strong>in</strong>g.<br />

Discussion and Advocacy Strategy: The IDEA regulations do not go <strong>in</strong>to great detail<br />

about extended school year services, but they do state that a public agency “may not<br />

[l]imit extended school year services to particular categories <strong>of</strong> disability; or unilaterally<br />

limit the type, amount, or duration <strong>of</strong> those services.” 34 C.F.R. 300.106. The law<br />

govern<strong>in</strong>g extended school year services has emerged primarily through cases, and circuit<br />

courts have applied a variety <strong>of</strong> standards to the issue. 37 Essentially, however, to a greater<br />

or lesser degree, depend<strong>in</strong>g on the circuit, eligibility for extended school year services<br />

tends to rely on whether a student will regress <strong>with</strong>out services dur<strong>in</strong>g the summer or,<br />

s<strong>in</strong>ce all students regress to some extent <strong>with</strong>out services dur<strong>in</strong>g the summer, take a<br />

longer time than would be expected to recoup skills if regression occurs. Several courts<br />

have added additional factors that must be considered, such as the nature or severity <strong>of</strong><br />

the disability, <strong>in</strong>terfer<strong>in</strong>g behaviors, emerg<strong>in</strong>g or breakthrough skills, rate <strong>of</strong> progress and<br />

special circumstances. The primary question courts ask is whether the student’s progress<br />

dur<strong>in</strong>g the school year will be significantly jeopardized if he or she does not get services<br />

dur<strong>in</strong>g the summer. For Manny, a possible strategy might <strong>in</strong>clude the follow<strong>in</strong>g steps:<br />

37 See discussion <strong>of</strong> cases and relevant policy letters and rul<strong>in</strong>gs at the end <strong>of</strong> this chapter.<br />

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