Occupational and Physical Therapy Early Intervention and ...

Maryland State Steering Committee for Occupational and Physical Therapy SchoolBased Programs

Occupational and Physical Therapy Early Intervention and School-Based Services in Maryland

A guide to practice

Prepared in collaboration with the Maryland State Department of Education, Division of Special Education/Early Intervention Services December 2008

Occupational and Physical Therapy Early Intervention and School-Based Services in Maryland

A guide to practice

Rationale

This document was developed by the members of the Practice Subcommittee of the Maryland State Steering Committee for Occupational and Physical Therapy School-Based Programs in cooperation with the Maryland State Department of Education's Division of Special Education/Early Intervention Services as a replacement of the 1999 Maryland Guidelines for Occupational Therapy and Physical Therapy Services in Public Schools. This document has been reviewed by the members of the Maryland State Steering Committee for Occupational and Physical Therapy School-Based Programs along with professionals knowledgeable in school-based practice and early intervention. The purpose of this document is to provide a resource to occupational therapists, physical therapists, and special education administrators in Maryland.

Occupational and Physical Therapy Practice Subcommittee Members

Sarah Burton, OT, MS, Subcommittee Chair, Prince George's County Public Schools

Stephen Buckley, OT, MS, Frederick County Public Schools

Sue Cecere, PT, MHS, Prince George's County Public Schools

Sue Cobb, PT, Prince George's County Public Schools

Denise Figueiredo, OT, Queen Anne's County Public Schools

Elizabeth George, OT, Baltimore County Public Schools

Katie Kierstead, PT, MS, Garrett County Public Schools

Maryland State Steering Committee for Occupational & Physical Therapy School-Based Programs in collaboration with the Maryland State Department of Education, Division of Special Education/Early Intervention Services

Occupational and Physical Therapy Early Intervention and School-Based Services in Maryland

A guide to practice

Occupational and Physical Therapy Practice Subcommittee Members (continued)

Donna Lesch, PT, MA, Montgomery County Public Schools Joyce Mastrilli, OT, MS, Cecil County Public Schools Kristy Vandervalk, OT, Frederick County Public Schools Jodie Williams, OT, MS, Anne Arundel County Public Schools

Acknowledgements

The Occupational Therapy and Physical Therapy Practice Subcommittee would like to acknowledge the following individuals who have provided input and guidance and extended their professional courtesy to review this document and support the committee in their efforts to develop Occupational and Physical Therapy Early Intervention and School-Based Services in Maryland: A Guide for Practice. In addition, we would like to thank Dr. Carol Ann Heath-Baglin, Assistant State Superintendent for the Division of Special Education/Early Intervention Services for her guidance and support.

Reviewers

Susan Effgen, PT, PhD, Professor and Director, Rehabilitation Sciences Doctoral Program, University of Kentucky Walter Frazier, Retired Principal and Educator, Anne Arundel County Public Schools

Maryland State Steering Committee for Occupational & Physical Therapy School-Based Programs in collaboration with the Maryland State Department of Education, Division of Special Education/Early Intervention Services

Occupational and Physical Therapy Early Intervention and School-Based Services in Maryland

A guide to practice

Reviewers (Continued)

Barbara Hanft, MA, OTR, FAOTA, Developmental Consultant, Maryland Leslie Jackson, MEd, OT, Project Director TMICC Easter Seals, Washington DC and former Director and Legislative Liaison for AOTA Anita Mandis, Education Program Specialist, Division of Special Education/Early Intervention Services, MSDE Mary Jane Rapport, PT, PhD, Professor and Assistant Director of PT Program, University of Colorado at Denver and Health Sciences Center Donna Riley, Policy and Resource Specialist, Division of Special Education/Early Intervention Services, Maryland State Department of Education Fran Sorin, Professional Development Specialist, Division of Special Education/Early Intervention Services, Maryland State Department of Education Tom Stengel, PT, Section Chief, Division of Special Education/Early Intervention Services, Maryland State Department of Education Members of the Maryland State Steering Committee for Occupational and Physical Therapy School-Based Programs

Maryland State Steering Committee for Occupational & Physical Therapy School-Based Programs in collaboration with the Maryland State Department of Education, Division of Special Education/Early Intervention Services

Occupational and Physical Therapy Early Intervention and School-Based Services in Maryland

A guide to practice

Table of Contents

1.0 Introduction and Purpose..................................................1 2.0 Overview.......................................................................3

2.1 Occupational and Physical Therapy Practice Under IDEA and Section 504...........................................4

2.2 Roles and Responsibilities of the Therapist...............7 3.0 OT/PT FOR AGES BIRTH TO 3, INFANTS AND TODDLERS

(IDEA PART C) ..............................................................9 3.1 Eligibility Evaluation.............................................9 3.2 Assessment ......................................................10 3.3 IFSP Development..............................................11 3.4 OT and PT Services Under Part C.........................11 3.5 OT/PT Early Intervention Standards of Practice in Compliance With IDEA, Part C..............................14 3.6 Transition From Early Intervention (Part C) to Preschool Services (Part B)..................................18

4.0 OT/PT FOR AGES 3?21 (IDEA PART B) ..........................21 4.1 Early Intervening Services ...................................21 4.2 Evaluation.........................................................22 4.3 Transferring Students..........................................26 4.4 OT/PT Contribution to IEP Development.................27 4.5 Identifying the Need for OT and/or PT as a Related Service.............................................................28 4.6 Best Practice in School-Based OT/PT....................31

Maryland State Steering Committee for Occupational & Physical Therapy School-Based Programs in collaboration with the Maryland State Department of Education, Division of Special Education/Early Intervention Services

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