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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 />

devices used by <strong>in</strong>dividuals to reduce or elim<strong>in</strong>ate the effects <strong>of</strong> their<br />

disabilities.)<br />

5.6Q:<br />

What are the components <strong>of</strong> a Section 504 plan?<br />

A: The Section 504 regulations do not require a written plan, however, it is good<br />

practice to write down the services and accommodations a student will receive<br />

from the school district. A Section 504 plan should address everyth<strong>in</strong>g the<br />

student needs because <strong>of</strong> his or her epilepsy. A model Section 504 Plan is<br />

<strong>in</strong>cluded <strong>in</strong> this Manual at Appendix B. It is unlikely that any one student would<br />

need all <strong>of</strong> the services and accommodations discussed <strong>in</strong> the plan, but it is<br />

meant as a comprehensive guide from which to draw the relevant services and<br />

accommodations possibly needed <strong>in</strong> design<strong>in</strong>g an <strong>in</strong>dividualized Section 504 for<br />

a particular student <strong>with</strong> epilepsy.<br />

5.7Q:<br />

What k<strong>in</strong>ds <strong>of</strong> services might a student <strong>with</strong> epilepsy receive under Section<br />

504?<br />

A: The services a student <strong>with</strong> epilepsy receives under Section 504 will depend on<br />

the student’s <strong>in</strong>dividual needs. Examples <strong>in</strong>clude accommodations such as extra<br />

time for tests if a student has impaired concentration due to seizures or side<br />

effects from medication; additional time to complete school assignments or<br />

homework if the student loses time because <strong>of</strong> seizures or medical appo<strong>in</strong>tments;<br />

or adapted physical education activities for some <strong>of</strong> the physical education<br />

curriculum if a student has frequent seizures and safety would be an issue if the<br />

student were to participate <strong>in</strong> a regular physical education class for all activities.<br />

Another possible accommodation might be an adjusted school start time if the<br />

student needs to sleep later <strong>in</strong> the morn<strong>in</strong>g because wak<strong>in</strong>g up early triggers<br />

seizures. Depend<strong>in</strong>g on the age <strong>of</strong> the student, education or tra<strong>in</strong><strong>in</strong>g <strong>of</strong> the<br />

consider the effect <strong>of</strong> the measure (positive or negative) <strong>in</strong> determ<strong>in</strong><strong>in</strong>g if the student has<br />

an impairment that substantially limits him or her <strong>in</strong> any major life activity.<br />

OCR notes other relevant considerations to be evaluated. For example, there may be side effects to<br />

mitigat<strong>in</strong>g measures used by a student. Additionally, mitigat<strong>in</strong>g measures may not fully correct the<br />

effects <strong>of</strong> the disability. Both <strong>of</strong> these factors affect the determ<strong>in</strong>ation <strong>of</strong> whether a person has a<br />

disability for purposes <strong>of</strong> coverage under Section 504 or the ADA.<br />

OCR’s Guidance specifically recognizes the need to provide emergency medication:<br />

74<br />

Determ<strong>in</strong>e if the mitigat<strong>in</strong>g measure is effective all <strong>of</strong> the time for this student. If there is<br />

a risk <strong>of</strong> failure <strong>of</strong> the mitigat<strong>in</strong>g measure(s), or a risk that the effect <strong>of</strong> the mitigat<strong>in</strong>g<br />

measure(s) may not be consistent, then the student may still be substantially limited <strong>in</strong> a<br />

major life activity, despite the use <strong>of</strong> the measure(s). If that is the case, the school should be<br />

prepared to deal <strong>with</strong> emergency situations that might arise if the mitigat<strong>in</strong>g measure fails.<br />

For <strong>in</strong>stance, a student <strong>with</strong> diabetes who <strong>in</strong>jects <strong>in</strong>sul<strong>in</strong> at home may still need an <strong>in</strong>sul<strong>in</strong><br />

<strong>in</strong>jection, on an emergency basis, at school.

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