Pregnancy Related Services Serving Pregnant Special Education Students 20062007

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Pregnancy Related ServicesServing Pregnant
Special Education Students2006-2007
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Copy of Power Point located on Life Skills
website. Click on workshops, meetings and
events.

• www.tea.state.tx.us/PEP

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• L a u r a l e a B a u e r
• Texas Education Agency
• Pregnancy Related Services
• Life Skills Program for Student Parents
• Guidance and Counseling
• Safe Schools
• Telephone [phone]
• Email lauralea.bauer_at_tea.state.tx.us

4
Student Attendance Handbook

• The Student Attendance Accounting Handbook has
  moved from the TEA PEIMS Division to TEA School
  Finance.
  
• Please change your bookmark to the new address.
  
  
• http//www.tea.state.tx.us/school.finance/handboo
  k/index.html
  

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Texas Education Code

• It is the policy of the State of Texas
• that each student enrolled in the public
  school system shall have access to programs and
  services that are appropriate to the student's
  educational needs and that are substantially
  equal to those available to any similar
  studentnotwithstanding varying local economic
  factors.
• TEC Section 42.001 (Excerpted)

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Texas Education Code

• An educational institution may not deny
  services to any individual eligible to
  participate in a school district's special
  education program as provided by Section 29.003,
  but the educational institution shall provide
  individuals with disabilities special educational
  services as authorized by law or, where expressly
  authorized, assist in and contribute toward the
  provision of appropriate special educational
  services in cooperation with other educational
  institutions and other appropriate agencies
  institutions, or departments
• TEC Section 1.002 (Excerpted)

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Student Attendance Handbook
The guiding principle for determining the
appropriate instructional arrangement/setting
must be the needs of each individual student
together with the appropriate support services.
Texas Administrative Code
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INDIVIDUAL WITH A DISABILITY
A individual with a disability and by reason
thereof needs SPED and related service, means an
individual as having

• mental retardation
• hearing impairment including deafness,
• a speech or language impairment,
• a visual impairment including blindness
• serious emotional disturbance,
• an orthopedic impairment, and

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INDIVIDUAL WITH A DISABILITY
A individual with a disability and by reason
thereof needs SPED and related service, means an
individual as having

• autism,
• traumatic brain injury,
• an other health impairment,
• specific learning disability
• deaf-blindness or
• multiple disabilities.

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Im pregnant
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Serving Pregnant SPED Students
Discuss options with staff who can support
pregnant SPED student,
review students files, and
utilize resources
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Serving Pregnant SPED Students
The student is SPED and ? student is pregnant
and attending classes on a district campus
? prenatal period of pregnancy prevents the
student from attending classes or
? postpartum period of pregnancy prevents the st
udent for attending classes.
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Serving Pregnant SPED Students

• Special education eligibility and services do not
  change solely due to the student becoming
  pregnant

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Serving Pregnant SPED Students

• Instructional arrangements / setting shall be
  based on the individuals needs and individualized
  education program (IEPs)

Mainstream, Homebound, Hospital class, Speech
Therapy, Resource Room / Services, Self
Contained (mild, moderate, or severe), Off Home
Campus, Nonpublic Day School, Vocational
Adjustment Class / Program, Residential Care
Treatment Facility, State School for Persons
with Mental Retardation.
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Student Attendance Handbook
THE RULES Special Education Chapter 4
Texas Administrative Code
http//www.tea.state.tx.us/peims/handbook/index.ht
ml
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Student Attendance Handbook

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Student Attendance Handbook
THE RULES Pregnancy Related Services Chapter
9

Texas Administrative Code
http//www.tea.state.tx.us/peims/handbook/index.ht
ml
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Student Attendance Handbook
Provide students who are pregnant and at risk of
dropping out of school support services including
Compensatory Education Home Instruction (CEHI) to
help them adjust and stay in school during the
prenatal and postpartum periods of pregnancy.
Texas Administrative Code
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Serving Pregnant SPED Students

• Prenatal Period
• Mother

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Serving Pregnant SPED Students

• Prenatal Period
• Mother

The mothers on-campus and home or hospital
confinement services are tied to the pregnancy
and the pregnancy related medical conditions.
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Section IXPregnancy Related Services

• On Campus
• Support Services
• Optional but easy to provide, so why not?
  (Introduction)
  
• Start the PRS 2.41 weighted funding flow for the
  district while prenatal student is on campus.
  (Introduction, 4-5)
  

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Section IXPregnancy Related Services

• 1. Counseling Services

Academic, Mental, Physical Counseling and
includes initial session when the student
discloses the pregnancy. (Introduction)

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Section IXPregnancy Related Services

• 2. Health Services

Health services related to the pregnancy
including services from the school nurse or
certified athletic trainer. (Introduction)

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Section IXPregnancy Related Services

• 3. Transportation

Student and/or students child(ren) to school,
child care facility, community service agencies,
health services, etc. provided by or paid by the
district. (Introduction)
City Bus Pass
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Section IXPregnancy Related Services

• 4. Instruction

Inside or outside the classroom related to
parenting knowledge and skills, including child
development, home and family living, and
appropriate job readiness training.
(Introduction) NOTE Cannot force a pregnant stu
dent to take an inside the classroom parenting
class.
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Section IXPregnancy Related Services

• 5. Child Care

For students child(ren). (Introduction)
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Section IXPregnancy Related Services

• 6. Schedule Modifications

Modifications must adhere to general attendance
rules in order for PRS student to remain eligible
for Average Daily Attendance (SAH Section III)
(Introduction)
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Section IXPregnancy Related Services

• 7. Case Management Service
  Coordination

Assistance in obtaining services from government
agencies and community service organizations.
(Introduction)

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OFF CAMPUS PRS SERVICES

• REQUIRED
• Compensatory Education Home Instruction

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Serving Pregnant SPED Students

• Postpartum Period Begins
• Miscarriage
• Live Birth
• Parenting
• Adoption
• Death of Baby
• Stillborn
• Abortion

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Serving Pregnant SPED Students

• Postpartum Period
• Mother Baby

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Serving Pregnant SPED Students

• Postpartum Period
• Mother Baby

• The mothers home or hospital confinement
  services are tied to the pregnancy and the
  pregnancy related medical conditions.

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Serving Pregnant SPED Students

• Postpartum Period
• Mother Baby

• The mothers home or hospital confinement
  services are tied to the pregnancy and the
  pregnancy related medical conditions.
  
• In addition, the mothers home or hospital
  confinement services are tied to the newborns
  medical condition and the new mommys need to
  be with the baby.

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PRS SUPPORT SERVICES

• OPTIONAL
• health services
• transportation of student and their children to
  school, child care facility, community service
  agencies, etc.
  
• instruction related to parenting knowledge and
  skills, including child development, home and
  family living, and appropriate job readiness
  training
• child care for the students children
• case management and service coordination and
• assistance in obtaining services from government
  agencies and community service organizations.

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OFF CAMPUS PRS SERVICES

• REQUIRED
• Compensatory Education Home Instruction

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Serving Pregnant SPED Students

• District must select day of delivery or day
  after delivery to begin postpartum confinement
  services for PRS.
  
• Selection must be utilized for all students.

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Serving Pregnant SPED Students

• PARENTING PERIOD
• Family

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Serving Pregnant SPED Students

• PARENTING PERIOD
• Family
• SPED PRS collaborative services end.
• No PRS funding, only SPED funding.

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Serving Pregnant SPED Students

• PARENTING PERIOD
• Family
• Generally addressed in rules.
• SPED needs to examine and address parenting
  issues that could result in student falling
  behind academically or dropping out of school.
  
• ARD / IEP etc. to address parenting issues.

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Collaborate

• To work jointly with others in an intellectual
  endeavor.

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COLLABORATION

Student Attendance Handbook Reference Section IV
(Part 4 5), Page 135 Students who are eli
gible for special education and related
services who also receive PRS must be served
collaboratively by the District through both
programsSpecial Education and Pregnancy Related
Services.
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It is not TEA vs. SPED vs. PRS vs. Student!IT IS
A PARTNERSHIP Collaboration to serve the
Pregnant and Parenting Student and her child.
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SPED is the primary program of service and holds
the primary responsibility.

• SPED related services
• IEP
• ARD
• Attendance
• Collaboration, etc.

It does not matter to TEA who takes the distr
icts lead role in collaboration as long as SPED
is primary service and student is legally
served.
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PRS is secondary with emphasis on pregnancy is
sues.

• Health Services
• Transportation
• Parenting/Child Development/Home Family Living
  Instruction
  
• Job Readiness Training
• Child Care
• Case Management and Services Coordination
• CEHI

PRS cannot independently serve a pregnant SPED
student.
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Contingency

• Something liable to happen as a result of
  something else.

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ON CAMPUS PRENATAL SERVICES

• Immediately, upon learning of Pregnancy SPED
  conducts Contingency ARD to address students
  Change in Status and potential placement
  changes.
• PRS staff included in ARD

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(No Transcript)
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• Contingency Planning allows basic decisions to be
  made early. Assures continuous service to
  student.
  

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• Contingency ARD

• Changes in On Campus Services.

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• Contingency ARD

• Changes in On Campus Services.
• Change(s) of Placement from on campus to
  confinement services during the prenatal period
  of pregnancy.
  
• Includes on or off campus Homebound CEHI
  (State Waiver)
  

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• Contingency ARD

• Changes in On Campus Services.
• Change(s) of Placement from on campus to
  confinement services during the prenatal period
  of pregnancy.
  
• Change(s) of Placement from confinement to on
  campus services during the prenatal period of
  pregnancy.

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• Contingency ARD

• Changes in On Campus Services.
• Change(s) of Placement from on campus to
  confinement services during the prenatal period
  of pregnancy.
  
• Change(s) of Placement from confinement to on
  campus services during the prenatal period of
  pregnancy.
  
• Delivery.

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• Contingency ARD

• Changes in On Campus Services.
• Change(s) of Placement from on campus to
  confinement services during the prenatal period
  of pregnancy.
  
• Change(s) of Placement from confinement to on
  campus services during the prenatal period of
  pregnancy.
  
• Delivery.
• Postpartum Recovery Period of the mother and the
  baby. (Weeks 1 6)
  
• Includes on or off campus Homebound CEHI(State
  Waiver)
  

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• Contingency ARD

• Changes in On Campus Services.
• Change(s) of Placement from on campus to
  confinement services during the prenatal period
  of pregnancy.
  
• Change(s) of Placement from confinement to on
  campus services during the prenatal period of
  pregnancy.
  
• Delivery.
• Postpartum Recovery Period of the mother and the
  baby. (Weeks 1 6)
  
• Extended Postpartum Recovery Period of the mother
  and the baby. (Weeks 7 10)
  
• Includes on or off campus Homebound CEHI(State
  Waiver)
  

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• Contingency ARD

• Changes in On Campus Services.
• Change(s) of Placement from on campus to
  confinement services during the prenatal period
  of pregnancy.
  
• Change(s) of Placement from confinement to on
  campus services during the prenatal period of
  pregnancy.
  
• Delivery.
• Postpartum Recovery Period of the mother and the
  baby. (Weeks 1 6)
  
• Extended Postpartum Recovery Period of the mother
  and the baby. (Weeks 7 10)
  
• Mothers return to On Campus Services.

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• Contingency ARD

• Changes in On Campus Services.
• Change(s) of Placement from on campus to
  confinement services during the prenatal period
  of pregnancy.
  
• Change(s) of Placement from confinement to on
  campus services during the prenatal period of
  pregnancy.
  
• Delivery.
• Postpartum Recovery Period of the mother and the
  baby. (Weeks 1 6)
  
• Extended Postpartum Recovery Period of the mother
  and the baby. (Weeks 7 10)
  
• Mothers return to On Campus Services.
• Parenting Issues.

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Additional ARD(s) must be called if the plans de
veloped in the Contingency ARD(s) are no longer
appropriate for the student.
NO EXCEPTIONS
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Serving Pregnant SPED Students

• Districts believe that SPED cannot serve pregnant
  student because prenatal or postpartum
  confinement period is not a minimum of four
  consecutive weeks.
• THIS IS NOT TRUE

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Student Attendance Handbook

• 
  

Section IX, Pregnancy Related Services A SPED
student in the prenatal or postpartum periods of
pregnancy must be served by the district with
SPED homebound services and PRS services no
matter the anticipated or actual period of
confinement even when the student is anticipated
to be confined for less than 4 consecutive weeks
or less than 4 weeks total. 4-11.4
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Student Attendance Handbook
The period of homebound services for a postpartum
SPED student may exceed 10 weeks, if required as
a condition of service by the ARD committee.
PRS is limited to a maximum of 10 weeks of reimb
ursable service. (The PRS indicator must be
turned off on the first day of the eleventh
week.) 4-11.5

• 
  

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PEIMS Submissions!
F U N D I N G
Texas Administrative Code
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G E N E R A T E F U N D I N G

• Special Education Funding
• Pregnancy Related Services Funding (2.41)

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PRS 2.41 Weighted Funding begins date of initial
contact with student regarding pregnancyWHEN on
going PRS Prenatal Services are provided.
Im pregnant
When Prenatal PRS Services are not provided,
service begins the date the student begins
receiving confinement service through homebound
and CEHI services.
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G E N E R A T E F U N D I N GPRS On Campus
Services

• GENERATE PRS WHEN ON CAMPUS PRENATAL SERVICES
  ARE PROVIDED TO STUDENT
  

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G E N E R A T E F U N D I N GPRS Confinement
Services

• GENERATE PRS WHENCONFINEMENT SERVICES ARE
  PROVIDED TO STUDENT
  

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NO ON CAMPUS PRENATAL SERVICES
PRS
UNTIL CONFINEMENT SERVICES BEGIN
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ON CAMPUS SERVICE REQUIREMENTS

• OPTIONAL
• counseling services
• health services
• transportation of student and their children to
  school, child care facility, community service
  agencies, etc.
  
• instruction related to parenting knowledge and
  skills, including child development, home and
  family living, and appropriate job readiness
  training
• child care for the students children
• Schedule modifications
• case management and service coordination
  (assistance in obtaining services from government
  agencies and community service organizations).

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SPED PRS COLOBRATIVE CONFINEMENT SERVICE REQUIR
EMENTS
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G E N E R A T E F U N D I N G
Prenatal Funding

• SPED and PRS Program Staff collaboratively
  provide on campus services while student is
  attending school.
  

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G E N E R A T E F U N D I N G
Prenatal Funding

• SPED and PRS Program Staff collaboratively
  provide on campus services while student is
  attending school.
  
• SPED and PRS Program Staff collaboratively
  provide attendance personnel with names and
  coding information for each pregnant SPED student
  served.

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G E N E R A T E F U N D I N G
Prenatal Funding

• SPED and PRS Program Staff collaboratively
  provide on campus services while student is
  attending school.
  
• SPED and PRS Program Staff collaboratively
  provide attendance personnel with names and
  coding information for each pregnant SPED student
  served.
• Attendance personnel enter PRS CODE in the
  detailed student attendance accounting system.
  (SPED code already in system)
  

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G E N E R A T E F U N D I N G
Prenatal Funding

• SPED and PRS Program Staff collaboratively
  provide on campus services while student is
  attending school.
  
• SPED and PRS Program Staff collaboratively
  provide attendance personnel with names and
  coding information for each pregnant SPED student
  served.
• Attendance personnel enter PRS CODE in the
  detailed student attendance accounting system.
  (SPED code already in system)
  
• SPED and PRS Program Staff collaboratively verify
  Student Detail Reports for any coding errors at
  the end of each six week reporting period.
  

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G E N E R A T E F U N D I N G
Postpartum Funding

• Students are served with homebound and CEHI or
  counted absent according to charts.
  

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G E N E R A T E F U N D I N G
Postpartum Funding

• Students are served with homebound and CEHI or
  counted absent according to charts.
  
• SPED and PRS Program Staff collaboratively
  provide SPED homebound and PRS CEHI services.
  

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G E N E R A T E F U N D I N G
Postpartum Funding

• Students are served with homebound and CEHI or
  counted absent according to charts.
  
• SPED and PRS Program Staff collaboratively
  provide SPED homebound and PRS CEHI services.
  
• SPED and PRS Program Staff collaboratively
  provide attendance personnel with names and
  coding information for each pregnant SPED student
  served.

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G E N E R A T E F U N D I N G
Postpartum Funding

• Students are served with homebound and CEHI or
  counted absent according to charts.
  
• SPED and PRS Program Staff collaboratively
  provide SPED homebound and PRS CEHI services.
  
• SPED and PRS Program Staff collaboratively
  provide attendance personnel with names and
  coding information for each pregnant SPED student
  served.
• Attendance personnel enter changes in the
  detailed student attendance accounting system.
  

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G E N E R A T E F U N D I N G
Postpartum Funding

• Students are counted ABSENT by teachers
  attendance personnel when not at school.
  
• SPED and PRS Program Staff collaboratively
  provide SPED homebound and PRS CEHI services.
  
• SPED and PRS Program Staff collaboratively
  provide attendance personnel with names and
  coding information for each pregnant SPED student
  served.
• Attendance personnel enter changes in the
  detailed student attendance accounting system.
  
• SPED and PRS Program Staff collaboratively verify
  Student Detail Reports for any coding errors at
  the end of each six week reporting period
  

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F U N D I N G

• PRS Funding ends the date student returns to
  school, the date PRS services stop, or first
  day of the 11 week-which ever comes first.
  (Review SAH, Chapter 9, for variations)

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IF SPED homebound does not serve the student, the
SPED student must be counted absent even if
they were served by PRS.
F U N D I N G
Texas Administrative Code
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All PRS coding must be removedeven if the
district provided PRS services in good faith, if
determined that student was never pregnant .
F U N D I N G
Texas Administrative Code
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Verify PEIMS Submissions!
F U N D I N G
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Auditors review documentation, records, doctors
notes, campus / district improvement plans, home
instruction logs, etc.
K E E P F U N D I N G
COLABORATIVE RECORD KEEPING IMPORTANT (
REQUIRED) !
REFUNDS HURT!
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(No Transcript)
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Texas Government CodeTexas State Library
Archives Commission
SPED records must be maintained from creation to
Cessation of Services plus 7 years.
THE RULES Record Retention
Texas Government Code
http//www.tsl.state.tx.us/slrm
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Serving Pregnant SPED Students

• ARD and IEP must address all services, programs,
  academics, etc. SPED student must be serve equal
  to the time they are enrolled in School
  
• For example,
• Full time student. Student attends 2 SPED classes
  and 4 mainstream classes.
  
• Common mistake ARD decides to serve the student
  only 2 hours per week homebound for the 2 SPED
  classes. How is district serving student for the
  other 4 classes of mainstream?
• Correct Action serve student with 4 hours
  homebound and 2 hours PRS CEHI per week.

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Serving Pregnant SPED Students

• ARD and IEP must address all services, programs,
  academics, etc. SPED student must be served
  equal to the time they are enrolled in school
  
• Example
• Full time student. Student attends classes at
  school ½ day and in a Vocational Academic Coop ½
  day. Homebound must support both programs.
  
• Common mistake ARD decides to serve the student
  only 2 hours per week for the ½ day the student
  attends classes on campus. How is the student
  being served for the ½ day VAC program?
• Correct Action Serve student with 4 hours
  homebound and 2 hours PRS CEHI per week.

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• EQUAL EDUCATION THAT MEET STUDENTS NEEDS
• Student 1 Example
• Delivers baby on July 24.
• Contingency ARD for Postpartum Placement
  determined that student be provided up to 6 weeks
  service.
  
• Homebound and PRS serve student 3 of 6 weeks,
  August 14 (first day of school year) September
  1.
  
• Student not counted absent or present on July 24
  August 11, summer holiday for district.
  
• Services end September 1.
• Student returns to school September 4.

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• EQUAL EDUCATION THAT MEET STUDENTS NEEDS
• Student 2 Example
• Delivers baby on January 1.
• Contingency ARD for Postpartum Placement
  determined that student be provided up to 6 weeks
  service.
  
• Homebound and PRS serve student 6 weeks, Jan 1
  through Feb 3.
  
• Student not counted absent or present on Jan 1
  2, Winter Holiday, Jan 15, MLK Holiday.
  
• Services end Feb 3.
• Student returns to school February 6.

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• EQUAL EDUCATION THAT MEET STUDENTS NEEDS
• Student 3 Example
• Delivers baby on May 8.
• Contingency ARD for Postpartum Placement
  determined that student be provided up to 6 weeks
  service.
  
• Homebound and PRS serve student 3 of 6 weeks, May
  8 through May 31.
  
• Student not counted absent or present June 1
  June 23, summer holiday for district.
  
• Services end May 31 (last day of school year).
• Student returns to school first day of next
  school year.

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• Documentation

• Campus and District Improvement Plans must
  include the following (7-2)
  
• Description of the districts PRS Program.
  (4-1.1)
  
• Specific Services available to the student.
  (4-1.2)
  
• Strategies summarize the use of the compensatory
  education allotment for PRS. (4-1.3)
  

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Break in Service

• Districts allow student to divide the PRS
  postpartum CEHI period into two periods in
  instances where the infant remains hospitalized
  after delivery.
• STUDENT RECOVERY PERIOD The rule allows the
  student to use the first period of the postpartum
  CEHI to recover from delivery. After the student
  is recovered, the student returns to school and
  saves / banks the remainder of her eligible
  CEHI time. Service tied to pregnancy and related
  medical conditions for mother.
• BABY RECOVERY PERIOD When the baby is released
  from the hospital, the student goes back on CEHI
  Baby Recovery Period utilizing the second
  period of postpartum CEHI to care for her baby.
  Services tied to the newborns medical condition
  and the new mommys need to be with the baby.

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Break in Service

• Districts may utilize this option without
  applying for a waiver.
  
• Provides for the newborns medical condition and
  the new mommys need to be with the baby.
  
• When the student returns to school between the
  two recovery periods, she will not be coded PRS.
  
• The maximum CEHI time for the student student
  recovery plus baby recovery shall not exceed 10
  weeks.

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Break in Service
(SAH, Chapter 9, Page 136) Documentation must be
maintained verifying the infants hospitalization
period when utilizing the break-in-service
option. Page 136 Student Attendance Handbook.
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WAIVER FOR CEHI

• O n C a m p u s CEHI Instruction
• Approved Waiver Required

http//www.tea.state.tx.us/pep/waiver.html
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WAIVER FOR CEHI

• Districts may request a waiver to offer SPED
  Homebound PRS Compensatory Education Home
  Instruction (CEHI) on a districts campus.
  
• Transportation must be provided as needed.
• Students must be served at home if medically
  indicated.
  
• Student teacher ratio must not exceed 4 students
  to one teacher.
  
• Self-paced computer based instruction may not be
  used to fulfill the four hours of CEHI.
  

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KEEP IN TOUCH

• Website www.tea.state.tx.us/pep
• Pregnancy Listserve
• TETN Conferences (April 27, 2007 1000
  1230)
  
• Other programs and meetings
• E-Mail, telephone, etc.

97
Lauralea Bauer lauralea.bauer_at_tea.state.tx.us (5
12) 463-9073 Fax [phone] www.tea.state.tx
.us/Life Skills