OT/PT Guidelines - Montana Office of Public Instruction

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21. When providing consultation services, one time per month or one time per nine-week period, is there a best practice guideline for how to write that amount of time and frequency? 22. What is the criterion for exiting a student from OT and PT services? 23. Is extended school year (ESY) provided in the OT and/or PT areas? 24. Can a parent invite other individuals to an IEP meeting without notifying school staff? 25. What is the recommended procedure to amend the IEP without a meeting? 26. Can the IEP Team add a related service (like OT or PT) to IEP services without the related service staff being present at the meeting? Records 27. Are PT/OT therapy records education records? 28. Must therapy records be kept a minimum of five years? Paraeducator 29. Can a physical therapy aide or an occupational therapy aide provide service in a school building where the therapist is not physically present? 30. Are the services provided by a mobility aide or critical needs aide counted as occupational therapy or physical therapy time on the student’s IEP? Liability 31. What should a school do if they receive an order from a medical doctor for occupational therapy (OT) or physical therapy (PT)? Evidence-Based Practices 32. What are the expectations for OTs and PTs related to evidence-based practice? 33. What are some OT and PT practices that do and do not have evidence to support them? 34. What are some promising practices that would reflect evidence-based practices? Adapted Physical Education 35. Can physical therapy replace a student’s physical education program? Procedural Safeguards 36. Is parental consent required for an occupational therapist or physical therapist to conduct a three-year reevaluation? Handwriting 37. Does a student who demonstrates average fine and visual motor skills but consistently produces messy or illegible handwriting qualify for occupational therapy services for handwriting instruction? 24
EVALUATION 1. What are the evaluation requirements for a child who is orthopedically impaired? Under ARM 10.16.1120(1), the student has an orthopedic impairment as diagnosed or confirmed by a qualified medical practitioner that substantially limits normal function of muscles and joints due to congenital anomaly, disease, or permanent injury and adversely affects the student’s ability to learn or participate in education programs. “Substantially limits” requires specific examples of the adverse impact of the orthopedic impairment on the student’s educational performance and written documentation of (a) the effect of the orthopedic impairment on the student’s ability to participate in educational programs, including vocational and physical education programs; (b) the effect of medications, treatments, or other medical interventions on the student’s educational performance; (c) the results of a physical therapy and/or occupational therapy evaluation that describes the need for therapy as related to educational performance; and (d) accommodations or interventions tried in regular education, including, if appropriate, modifications to program requirements, schedules, or facilities. 2. What should the OT and/or PT assessment address? Students are evaluated for multiple reasons. Professionals first consider functional assessments that serve a variety of purposes. Professionals should consider assessments that provide the baseline data for evaluations, and define the present levels of academic achievement and functional performance, and the same measure can be used for ongoing progress monitoring. The IDEA requires special education evaluations to include functional, relevant data about access and progress in the general curriculum, including information from parents. The IDEA 2004 further clarifies that the evaluation should deal with academic and functional issues. Specifically, OT and PT assessments should address areas in which the student shows deficits that indicate a potential need for special education and related services. The assessments should also address whether the student needs either OT or PT in order to benefit from special education services. 3. Can a school district use the following criterion: if the child’s gross or fine motor level is commensurate with cognitive ability, then there is no need for therapy? The fact that the child’s delay in skill development is commensurate with the child’s developmental levels in other areas is not an appropriate standard by which to determine a child’s need for occupational therapy or physical therapy. 25
Page 1 and 2: MONTANA PUBLIC SCHOOLS GUIDELINES F
Page 3 and 4: INTRODUCTION With passage of the
Page 5 and 6: education and related services. A c
Page 7 and 8: The observation consists of teacher
Page 9 and 10: vocational education if it consists
Page 11 and 12: educational environment. Non-school
Page 13 and 14: Role Delineation for addressing pro
Page 15 and 16: The assessment process must be docu
Page 17 and 18: 1. The goals related to occupationa
Page 19 and 20: DOCUMENTATION The occupational ther
Page 21 and 22: Direct Supervision (supervision for
Page 23: COMMONLY ASKED QUESTIONS AND ANSWER
Page 27 and 28: 8. If a child has an IEP and is onl
Page 29 and 30: INDIVIDUALIZED EDUCATION PROGRAM 16
Page 31 and 32: the course of a break, and recoupin
Page 33 and 34: Evidence is only one part of the cl
Page 35 and 36: McWilliam, R. A. (1995). Integratio
Page 37 and 38: APPENDIX A Occupational and/or Phys
Page 39 and 40: APPENDIX B Resources for Occupation
Page 41: ACKNOWLEDGEMENTS Susan Bailey-Ander

OT/PT Guidelines - Montana Office of Public Instruction

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