Term
| There are four dates associated with PT legislation. What are they? |
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Definition
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Term
| Name the legislative laws associated with each of the four years. |
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Definition
| '60: Equal Rights Movement. '75: Public Law 94-142. '86: Public Law 99-457 (Part C of IDEA). '90: IDEA (Individuals with Disabilities Act) |
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Term
| What did the 1975 Public Law 94-142 mandate? |
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Definition
| Free public education for all handicapped children ages 3-21 |
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Term
| What did does 1986's public law 99-457 (Part C of IDEA) mandate? |
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Definition
| amendment to the previous public law to include children with disabilities from birth to use the plasticity of the young age. So ages 0-3 get free education as well. |
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Term
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Definition
| Same as the previous laws, just with a new name. They didn't like the term 'handicapped' in 1975's naming of the public law: "Education for all Handicapped Children Act". |
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Term
| What ages does early intervention cover? |
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Definition
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Term
| What ages does school-based PT apply to? |
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Definition
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Term
| What ages does medically based PT practice cover? |
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Definition
| 0-21 who have medical problems only and can't get school funding. ie: fractured femur - it doesn't affect education/learning capacity. |
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Term
| Which law allows early intervention? |
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Definition
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Term
| What is the major aim of early intervention? |
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Definition
| Identifying and improving the development of children with disabilities, allowing for federal assitance to states for eligible children 0-3 years old. |
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Term
| Where can assessment and Tx occur for early intervention? |
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Definition
| Home, day care or clinic. |
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Term
| Where is the gold standard assessment setting? Why is it used and not used? |
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Definition
| The home is the gold standard. It's a familiar environment with familiar toys and activities. But in practice, it's hard, it's expensive to travel, and you can see fewer patients in a day. |
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Term
| What are the benefits to seeing patients in an office vs home or day care? |
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Definition
| You can see more patients, it's cost-effective, and you get to see the parents. In a daycare you might not ever see the parents. |
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Term
| What are the advantages and disadvantages to seeing children at the daycare? |
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Definition
| Familiar environment, can see interactions w/ other kids. But you rarely see the parents here and get their input. |
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Term
| What is the difference between direct and consultative service? |
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Definition
| Direct: Become very familiar with the child, see them 1-2xs/wk usually for 1hr/wk. Consultative: Work more through family, providing education and have an indirect influence on the child. |
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Term
| What are the early intervention eligibility criteria? |
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Definition
| 2sd below the mean in one developmental domain, or 1.5 sd below the mean in two or more developmental domains. |
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Term
| In school based PT there is currently an effort to transition 3-5yos from one provision of service to another. What are the services? |
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Definition
| From Early intervention to Special Ed service. |
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Term
| How does elegibility for federal assitance change between EI and school based PT? |
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Definition
| Children 3 and older can access the assitance if they're determined elegible under a certain spectrum of disorders. The 2 SD below the mean is no longer used as a determinant; rather guidelines for how the Dx affects education are used. |
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Term
| What are the school-based eligibility categories?(11) |
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Definition
| 1. Autism. 2. Deaf-Blindness 3. Deafness 4. Emotional disability 5. Mental Retardation 6. Multiple Disabilities 7. Orthopedic Impairment 8. Other Health Impairment 9. Specific Learning Disability 10. TBI 11. ADD/ADHD |
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Term
| What kinds of diagnoses fall under the "Other Health Conditions" category of school based eligibility? (Specific Dx examples) |
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Definition
| AIDS, Asthma, Epilepsy etc ... |
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Term
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Definition
| It's an umbrella catchall for those with a disability that doesn't effect education, but that does substantially limit one or more major life experience. |
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Term
| What kinds of kids are caught in section 504? give specific examples of kids you might put in this category. (3) |
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Definition
| The kids are doing well academically, but the disaiblity limites them in some way. ie: child in a car accident becomes WC bound - he needs assistance to ensure he can reach keyboards, catheterize privately, etc... ie: Diabetics need insulin injections. ie: Peanut allergies - this law ensures that no peanuts will be in the rooms of kids w/ allergies. |
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Term
| Is nature or nurture responsible for refining the neural circuitry? |
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Definition
| Nurture determines it; the where the branches are, the strength of connections and breaking connections are the responsbility of the environment. |
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Term
| Most of the axonal grown and myelination occurs prior to what age? |
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Definition
| 2 yrs. But we still continue to make connections after that. |
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Term
| What is it about nature/nurture that is important for use to know as therapists? |
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Definition
| That while some behaviors may be impacted by environment and social interactions, there are other parts of a childs genetic blueprint that just can't be changed - we have to accept them and work with them. |
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