Title: Completing Eligibility Worksheets
1Completing Eligibility Worksheets
- February 2009
- Adapted Curriculum
2Initials vs Reevaluations
- If this is an Initial every section on the
worksheet needs to be completed. - If this is a Reevaluation, only those sections of
the worksheet that relate to the assessments
listed on the DEC 7 and DEC 2 need to be
completed. - All other sections should contain a statement
such as Team determined information in this area
was not required.
3Pulling information from assessment tab to
eligibility worksheet
- Be sure to review Tips to Navigate the New DEC 3
Process Tab directions for getting the related
service information onto the correct eligibility
worksheet(s).
4Responsibilities for Summary of Required
Screenings and Evaluations
- Those who assess (psychologists, diagnosticians,
OT, PT, Speech, audiologist) will enter their
documentation on the Assessments Tab in
EasyIEP. - School psychologists will enter the Social
Developmental History and Health Screening if it
is the folder prior to testing. If not, it will
become the responsibility of the case manager.
5Case Manager Responsibilities
- Case managers are responsible for documenting
- hearing,
- vision,
- summary of conferences with parents,
- interventions,
- observations across settings and
- review of existing data.
6Vision and Hearing
- Be sure to include the numbers.
- Hearing is screened at 20 dB intensity (volume)
at 1000, 2000 and 4000 Hz frequencies (pitch). - They need to pass on both sides to be called a
pass, but can pass on one side for
psycho-educational testing to be conducted,
provided that those doing testing give priority
to the better ear. - Nurses generally conducted the testing
7Summary of Conferences with Parents
- List dates, type of conference and a summary of
what was discussed. For Example - 9-1-08 good news phone call, discussed work
habits - 9-15-08 Call from parent. Concerned about poor
reading skills. Discussed referral to school
assistance team. - 12-1-08 and 12-7-08 written invitations sent
to parent for DEC 1. No response and the parent
did not attend the meeting. - 1-30-09 written invitation to eligibility
meeting returned, signed.
8Observations across Settings
- Observation should be done by certified personnel
but not the students reg ed teacher(s). - List date(s) of observation(s)
- Remove teacher names. Refer to position.
- Across settings can mean one observation of two
or more activities or two observations of
different activities. - Observations should be done in the area(s) of
concern as noted on the DEC 1 or DEC 7. - Describe the setting and activity, where the
student was seated, amount of on task behavior,
etc.
9Strengths and Needs
- Should reflect information from both the
assessments given (completed by assessors) and
the students day-to-day classroom performance
(completed by case manager). Be sure information
from related service and educational assessments,
as well as, intellectual assessments are
included. - These should be in narrative form, as opposed to
lists, and should include specifics.
10Strengths Example
- Social skills and upper extremity range of motion
is within functional limits, bilateral
coordination of upper extremities is within
functional limits. Fred can recognize his name,
form the letter B, match numbers 15 and work
simple puzzles with 10 pieces. Despite periods
where orthopedic issues impair his ability to
walk, Fred quickly recovers his abilty to resume
walking with good speed and endurance throughout
the school environment. Fred cutting skills have
improved and he can cut out medium thick lines
with simple curves. Fred can follow simple
directions , match objects and point to pictures
and objects when given the word. Bradley
communicates by vocalization, gestures, signs and
a few words. Fred will attempt any skill in APE.
He can roll, catch, bounce and toss a ball.
11Needs Example
- Fred needs to improve fine motor coordination and
visual motor integration skills. He needs to
continue working on pre-kindergarden skills. He
can not write his name and recognize numbers,
letters, colors and shapes. Fred needs continued
School PT services to address and monitor his
ambulation skills. Speech skills are also a
weakness. Fred needs to improve expressive and
receptive language. He needs to improve
communication of basic wants and needs, express
choices/preferences and answer questions. Fred
needs to follow multistep directions and
comprehension of temporal and spatial
relationships.
12Documentation Section
- Documentation of Impairment, Adverse Effect on
Educational Performance and Need for Specialized
Instruction sections should be finalized at the
meeting. - Teams need to be cognizant of not predetermining
eligibility. At the same time, we need to do all
we can to facilitate timely and smooth running
meetings. - Suggestion sketch out a rough draft of these
sections. Since paperwork is presented in
proposed mode, then whats sketched out can be
added to/changed at the meeting. - DO NOT say that the student qualifies or does not
qualify in this section. That determination is
made after the yes/no questions are answered on
the DEC 3 Eligibility Determination form.
13Adverse Effect examples
- Freds medical conditions and low cognitive
functioning and limited communication skills
inhibit his progress in the regular education
curriculum. Fred is currently making very limited
progress on his academic goals. He has missed 46
days of schools for different illness. His fine
motor skills hamper him in tracing and writing
numbers and letters.
14Need for Specialized Instruction examples
- Fred has been receiving EC service in a self
contained class with a high level of assistance
throughout the school day. With this level of
support, Fred is making progress. There is a
continued need for specialized instruction.
15MU example
16Two or More Disabilities occurring together
- Fred has spina bifida resulting in lower
extremity, spine and neck problems that results
in the use of a wheelchair or walker for mobility
in the school environment. He also has cognition,
academic and adaptive behavior skills which fall
in the extremely low range. Expressive and
receptive language skills are very weak. Fred
requires catheterization, a special diet and
assistance with mobilization.
17Severity and complexity of educational needsis
such that they cannot be accommodated in
aprogram solely for one of the disabilities
- Fred requires personal assistance throughout the
total school environment. He requires
speech/language, occupational therapy, adaptive
physical education and physical therapy services.
Intensive individualized instruction for all
academics is needed. He is currently functioning
on a prekindergarten level.