Legal Rights of Children with Epilepsy in School & Child Care
Legal Rights of Children with Epilepsy in School & Child Care
Legal Rights of Children with Epilepsy in School & Child Care
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<strong>Legal</strong> <strong>Rights</strong> <strong>of</strong> <strong><strong>Child</strong>ren</strong> <strong>with</strong> <strong>Epilepsy</strong> <strong>in</strong> <strong>School</strong> and <strong>Child</strong> <strong>Care</strong><br />
Related Services<br />
Irv<strong>in</strong>g Independent <strong>School</strong> District v. Tatro, 468 U.S. 883 (1984)<br />
Clean <strong>in</strong>termittent catheterization (CIC) is a “related service” under the EHA. Without<br />
this service, affected students would be unable to attend school and benefit from special<br />
education. CIC is “no less related to the effort to educate than are services that enable a<br />
child to reach, enter, or exit a school.” 468 U.S. at 891. CIC is not an excluded “medical<br />
service,” which is def<strong>in</strong>ed by the EHA as a service that is provided only by a licensed<br />
physician. Related services <strong>in</strong>clude school nurs<strong>in</strong>g services.<br />
Cedar Rapids Independent <strong>School</strong> District v. Garret F., 526 U.S. 66 (1999)<br />
Nurs<strong>in</strong>g services, <strong>in</strong>clud<strong>in</strong>g cont<strong>in</strong>uous nurs<strong>in</strong>g services, are a “related service” under the<br />
IDEA. Related services must be <strong>in</strong>terpreted broadly. This case reiterated the Tatro<br />
hold<strong>in</strong>g after a long l<strong>in</strong>e <strong>of</strong> circuit court cases undercut Tatro by f<strong>in</strong>d<strong>in</strong>g that cont<strong>in</strong>uous<br />
nurs<strong>in</strong>g (constant nurs<strong>in</strong>g services throughout the school day) was a medical service that<br />
is not covered as a related service under the IDEA.<br />
IEP Development/Placement<br />
Spielberg v. Henrico County Public <strong>School</strong>s, 853 F.2d 256 (4 th Cir. 1988), cert. denied<br />
109 S.Ct. 1131 (1989)<br />
A student’s IEP must be developed prior to his or her placement. Placement prior to IEP<br />
development is a procedural violation <strong>of</strong> the statute that constitutes a denial <strong>of</strong> a free<br />
appropriate public education.<br />
Least Restrictive Environment<br />
Roncker v. Walter, 700 F. 2d 1058 (6 th Cir. 1983), cert. denied 464 U.S. 864 (1983)<br />
If a segregated facility is considered superior for a student, a determ<strong>in</strong>ation should be<br />
made if the services that make the placement superior could feasibly be provided <strong>in</strong> a<br />
non-segregated sett<strong>in</strong>g. If they can, then placement <strong>in</strong> the segregated sett<strong>in</strong>g would be<br />
<strong>in</strong>appropriate under the IDEA. The court noted that some students must be educated <strong>in</strong><br />
segregated sett<strong>in</strong>gs because any marg<strong>in</strong>al benefits received from ma<strong>in</strong>stream<strong>in</strong>g are far<br />
outweighed by the benefits ga<strong>in</strong>ed from services which could not feasibly be provided <strong>in</strong><br />
the non-segregated sett<strong>in</strong>g, or because the child <strong>with</strong> disabilities is a disruptive force <strong>in</strong><br />
the non-segregated sett<strong>in</strong>g. Cost is a proper factor to consider. Standard reiterated <strong>in</strong> Kari<br />
H. v. Frankl<strong>in</strong> Special <strong>School</strong> District, 125 F. 3d 855 (6 th Cir. 1997).<br />
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