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Welcome to Unlimited Parenting where we discuss having children with disabilities or special

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health care needs.

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My name is Allison and with me today is my fellow partner in crime, Melissa.

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Hello.

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Welcome to a new series called IPUL, that's us.

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IPUL founded on Facebook where I peruse the Facebook parenting groups and research your

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questions that I found so you don't have to.

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And if you're counting at home, that is a two new series we've started in the last four

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minutes.

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You are gong ho.

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So you're welcome.

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Okay.

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You're so welcome.

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Okay.

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Melissa, thank you for being here today.

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This is a little heads up in advance, it looks like Medicaid has brought us here today.

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IDEA has brought us here today.

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There's a lot.

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Okay.

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So as you can imagine, there are quite a few questions asked every day on Facebook.

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So I obviously did not pick them all.

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Thank you.

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We are going to be here all day.

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I only picked, I think I picked five.

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Oh.

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And this was just yesterday that you found them or?

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No, it's been the past week.

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It's been this past week.

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And there, I think that they're really good questions.

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Okay.

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So I'll read them to you.

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And then maybe we can discuss.

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Are you okay with that?

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Okay.

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And then I did a whole bunch of research into these questions.

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Okay.

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So if I sound like I'm reading from something, it's because I am.

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Okay, so question number one that I found on the Facebook groups.

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Can you, as in the school.

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Can the school deny an IEP because the child has good grades?

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No, but that happens a lot.

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It does happen a lot.

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Or parents will say they didn't even want to do the evaluation because.

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Because of grades.

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Yeah, their grades are great.

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Why would they?

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Yeah.

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And what they don't see is the parent at the kitchen table for four hours after school

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helping them.

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Or, let's just be real, the parent doing the homework for them.

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And that's not doing anybody any favors.

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Exactly.

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Because that shows us no data that then we as parents don't have a leg to stand on when

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we say our student needs help and they are not being supported.

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Well, looks like they're turning their work in.

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Yeah, it looks like they're doing just great.

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In fact, they said therefore and in conclusion, that's how they don't need any support, obviously.

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Don't not help your kids by doing their work.

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Don't judge a book by its cover.

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Yeah.

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Sure.

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Okay.

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I think to fully answer this question, we should back up a little further and just do

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a quick knowledge burst, if you will, on special education eligibility.

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Right?

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Yeah.

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So I'm going to preach to the choir because I'm going to stare at you while I lay this.

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But this is really for you podcast listeners out there in podcast land.

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In terms of special education eligibility, it's referred to as the three prongs.

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So we'll discuss each one super quick.

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The first prong is asking the question, does this child have one of the 14 eligible categories,

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disability categories?

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So I'll name one, you name one.

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Autism?

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Heart appearing.

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Intellectual disability?

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Other health impairment.

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Emotional behavioral disturbance?

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Multiple disabilities.

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Blind or visually impaired?

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Did you already say that one?

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No, I said hard of hearing.

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So that's a good one.

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Okay.

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Can you think of another?

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Let's see.

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We did multiple disabilities.

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There's 14.

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There's 14.

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There's 14.

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Obviously there are some that we see more often than others.

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We do.

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Yeah.

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There is a speech.

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There is a speech and there's orthopedic impairment.

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Yep.

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I thought of another one.

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Okay.

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So those are some of the eligible answers for that first prong question.

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The second prong is going to ask, does this child's disability adversely impact them either

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developmentally, academically, or functionally?

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Yep.

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And so right there, you can say that this child may be meeting academic standards, but

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what are those other areas in which a child maybe isn't?

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Exactly.

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And then what, you know, developmentally and functionally, are they impaired to get to

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the academic performance that they know that the school wants, right?

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Right.

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And then they become these people pleasers that are trying to do everything, which causes

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them anxiety.

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And you can see where this vicious cycle is spiraling from.

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And then the final prong is asking, does this student require specially designed instruction?

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And specially designed instruction means adapting as appropriate to the need of an eligible

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student, the content, methodology, delivery of instruction to address the unique needs

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of the student that result from his or her disability and to ensure access to the general

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education curriculum so that the student can meet the Idaho content standards that apply

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to all students.

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Yep.

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So what could this look like?

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So this is if a student needs, if they need an adaptation to curriculum.

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So for example, my student is not age level in math.

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He is doing sorting when his peers are potentially doing geometry.

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So we are taking curriculum and making it individualized for that student.

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I mean, that's just one of many, many examples, but how are we, how are we altering curriculum

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and content for the individualized needs of a particular student?

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So maybe this student with really good grades could benefit from having every other question

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or only writing out the answer to every third question or something like that to demonstrate

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that they have mastery, but not making it because at the end of the day are these same

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schools expecting typically developing students to do four hours of homework at night.

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And if they're not, then this student who's getting good grades, but spending four hours

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perhaps isn't getting their free and appropriate public education.

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And so that is just equally, and that's providing equal access that could be done through accommodations.

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Yeah.

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So, no, we did, but I have a little example.

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Okay.

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So having said all that, let's now pretend that we have another kid and her name is Samantha.

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She is a student and she has a diagnosis of dyslexia.

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She's getting phenomenal grades in math.

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She's in speech and debate.

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I mean, she's killing it, right?

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But her mom is concerned that she's super tired all the time, right?

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If we probe a little deeper, we can see that she is substantially limited in reading, right?

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She's dyslexic and she finds it challenging to read the required class material.

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Check, check, double check.

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Samantha has been busy pulling all nighters to try and stay on pace with her classmates,

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and not fall behind so she doesn't look different and you know everything.

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If we use jargon, which we try really hard not to use, but if we did, that may sound

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something like Samantha's impairment may substantially limit a major life activity regardless of

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whether or not she performs well academically.

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Yes.

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Which is essentially what we just said.

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So I think there's something else that's really worthwhile to mention.

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Another facet of this that we haven't discussed, and it's a little something called child find.

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So if you're not immediately aware of child find, school districts have a responsibility

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under IDEA to locate, identify, and evaluate any child with a disability who is possibly

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in need of special education.

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So if we go back to Samantha.

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Yeah.

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The school, really the onus should be on the school at some point to identify that she's

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struggling in reading, right?

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And she is not on track with her typical peers in reading.

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Everything else, she is, she's hitting the marks.

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But we as a school potentially have an onus to do their child find obligation and say,

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this is a student that is struggling.

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This is a student that could maybe potentially qualify for some extra supports and then have

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that conversation with the parent.

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It happens all the time.

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It should happen all the time.

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Child find, if we have a student that maybe is struggling behaviorally or, you know, there

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are many, many ways a student can show signs of struggle.

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But then a district has that requirement essentially to let parents know this, maybe there's some

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extra supports that we could identify.

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Maybe we should start kind of that special education process.

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100%.

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Before we move on, we're gonna, before we label this a big old myth, let's put one more

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nail in the coffin directly from IDEA.

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I almost said specifically, specifically.

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Section 300.101 C1, which clearly states FAPE, otherwise known as a free and appropriate,

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no, you say it, you say it.

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Free and appropriate public education.

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I should make that a sound on here.

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Yeah.

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FAPE is available to any individual child with a disability who needs special education

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and related services, even though the child has not failed or been retained in a course

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or grade and is advancing from grade to grade.

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So I need a sound that's like bottom line.

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Bottom line.

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I like it.

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A child who performs well academically may also be a child with a disability.

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Absolutely.

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This is not a clear cut scenario, but there are scenarios that we see quite often.

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So reach out to your school district, reach out to us, reach out if you need help.

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And this may sound wild, but every child is unique and different.

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So I mean, just because it looks one way for one child doesn't mean it's gonna look that

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way for another child.

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Absolutely.

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Okay.

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Are you ready to move on to the second question that I found?

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Yep.

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Okay, here we go.

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Must the school hold a meeting without a parent if the parent is unavailable before an annual

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review deadline because of the student's IEP or eligibility will expire and or lapse?

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Do you want the, I mean, there's a short answer that potentially, yes.

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But the long answer is there is due diligence on the school's behalf to give the parent

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opportunities and time to be a part of that meeting because we as parents are an IEP team

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member.

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So can the school do it?

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Yes, worst case scenario.

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But see, this is where it starts to get really interesting in my opinion, because CIPR, it's

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essentially our technical assistance for the Parent Training and Information Center.

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Now I can't be, there's so many acronyms.

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We promised we wouldn't speak in jargon anyway.

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So the the parent centers parents and her basically has said the short answer is I mean,

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yeah, potentially they could.

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But if you look at places like Wright's Law and then this other court case, I'm going

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to quote here in a minute, the answer is no.

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So it gets precedent says, yeah, it gets a little convoluted.

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So first off, right?

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Like of course, life would work out that way where no one can come to anything.

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At first glance, it seems that both could be IDA violations, right?

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Like not having the parent there and then missing being out of bounds of the timeline,

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right?

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Both not good situations.

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So I guess we can back this one up to by saying that there are four core members of the IEP

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team, right?

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The special education teacher, general education teacher, district representative, and then

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the parents, us parents.

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Yep.

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So if you even just look at that, then you know that they can't do anything without you

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being there, right?

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So no meeting can be held without all four in attendance.

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So we're in between a rock and a hard place.

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But let me tell you what, I researched this so that you don't have to.

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I found the following, that schools are required to accommodate parents to ensure their attendance

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and participation.

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And here's that court case I was talking about.

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These rights are upheld and affirmed from 2013 in a court decision called Douglas C.

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versus Hawaii, which states, if a meeting is delayed due to a family member being, and

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I quote, temporarily unavailable due to illness, work, travel, or something else.

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Please continue uninterrupted until the meeting can be held with the four core members in

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attendance.

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Cool.

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You could, I mean, you could be asking yourself why, what if the school team meets and then

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follows up with the parents like 30 days later when they come back and then get the thoughts

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from the parents then, as the meeting in the middle best of both worlds?

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Well, no.

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You know.

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Sorry.

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The involvement after the fact isn't exactly the involvement that IDEA is looking for or

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set out for in the beginning.

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So parents have to be involved in the creation process, not as an afterthought.

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Essentially waiting on a meeting to ensure parental participation is not a denial of

253
00:14:12,880 --> 00:14:18,840
a child's free and appropriate public education because the IEP services will continue until

254
00:14:18,840 --> 00:14:20,360
the meeting can be held.

255
00:14:20,360 --> 00:14:25,640
But on the flip side of that situation, denying a parent their right to be involved in the

256
00:14:25,640 --> 00:14:29,880
process is a denial under IDEA.

257
00:14:29,880 --> 00:14:30,880
Yes.

258
00:14:30,880 --> 00:14:35,440
So if we have to make a choice, the choice is always to postpone so that a parent can

259
00:14:35,440 --> 00:14:39,240
be a participating member of an IEP team.

260
00:14:39,240 --> 00:14:41,120
And teams are aware of that.

261
00:14:41,120 --> 00:14:42,600
Teams can write justification.

262
00:14:42,600 --> 00:14:43,600
Exactly.

263
00:14:43,600 --> 00:14:44,600
Yeah.

264
00:14:44,600 --> 00:14:48,400
And if you look at the goals, one of the three parts of a goal is parental input.

265
00:14:48,400 --> 00:14:49,400
Absolutely.

266
00:14:49,400 --> 00:14:54,440
So you can't really take very many steps unless the parent is in the room in the first place.

267
00:14:54,440 --> 00:14:55,440
In theory, right?

268
00:14:55,440 --> 00:14:56,440
Yes.

269
00:14:56,440 --> 00:14:57,440
In theory.

270
00:14:57,440 --> 00:14:58,440
Yeah.

271
00:14:58,440 --> 00:14:59,440
Best practice.

272
00:14:59,440 --> 00:15:00,440
Best practice.

273
00:15:00,440 --> 00:15:01,680
Legal, law, hold me to the fire.

274
00:15:01,680 --> 00:15:03,680
So bottom line.

275
00:15:03,680 --> 00:15:04,680
Yeah.

276
00:15:04,680 --> 00:15:07,680
If this series is going to continue, you do need a new sound effect.

277
00:15:07,680 --> 00:15:08,680
I do.

278
00:15:08,680 --> 00:15:09,680
I do.

279
00:15:09,680 --> 00:15:10,680
Okay.

280
00:15:10,680 --> 00:15:11,680
Bottom line.

281
00:15:11,680 --> 00:15:15,000
Parent participation is a higher priority than deadlines.

282
00:15:15,000 --> 00:15:16,000
Yes.

283
00:15:16,000 --> 00:15:17,000
Okay.

284
00:15:17,000 --> 00:15:18,000
Question three.

285
00:15:18,000 --> 00:15:22,600
How do you expect a child receive support in school if you suspect that they're autistic,

286
00:15:22,600 --> 00:15:26,640
but they don't have a diagnosis in the community yet?

287
00:15:26,640 --> 00:15:27,640
Yay.

288
00:15:27,640 --> 00:15:33,240
I'm glad that you asked that because I was gonna say that on the, when we were talking

289
00:15:33,240 --> 00:15:35,000
about the prongs and disability.

290
00:15:35,000 --> 00:15:36,000
So yes.

291
00:15:36,000 --> 00:15:37,200
Yes.

292
00:15:37,200 --> 00:15:46,640
If we have a suspicion, if we have a means to think that this is a child that maybe something

293
00:15:46,640 --> 00:15:47,680
else is going on.

294
00:15:47,680 --> 00:15:52,480
We know that there are a wait list left, right and sideways and we can't deny a student

295
00:15:52,480 --> 00:15:54,480
because he doesn't have a-

296
00:15:54,480 --> 00:15:55,480
Right.

297
00:15:55,480 --> 00:16:00,680
No one wants the kid to wait two years so that you can get in to get a whisk and an

298
00:16:00,680 --> 00:16:05,320
ADOS too and get, you shouldn't have to wait, right?

299
00:16:05,320 --> 00:16:11,440
So families should be able to pursue special education, special education evaluations without

300
00:16:11,440 --> 00:16:18,560
a true diagnosis because what can happen in some of the evaluations is an educational

301
00:16:18,560 --> 00:16:23,040
diagnosis of autism that would then get the student services.

302
00:16:23,040 --> 00:16:28,760
They're eligible because they have essentially deficits in certain areas that would qualify

303
00:16:28,760 --> 00:16:30,100
them for special education.

304
00:16:30,100 --> 00:16:32,480
They meet those three prongs, right?

305
00:16:32,480 --> 00:16:33,480
Right.

306
00:16:33,480 --> 00:16:36,840
Is that diagnosis then going to get them home and community-based services?

307
00:16:36,840 --> 00:16:43,720
No, but it is enough to get them the educational support through IDEA and special education

308
00:16:43,720 --> 00:16:44,840
in the school.

309
00:16:44,840 --> 00:16:46,640
It's going back to ChildFind again.

310
00:16:46,640 --> 00:16:47,640
Yeah, absolutely.

311
00:16:47,640 --> 00:16:48,640
Yep.

312
00:16:48,640 --> 00:16:49,640
Absolutely.

313
00:16:49,640 --> 00:16:52,960
The special, and I'm just going to say this, the special education manual of Idaho defines

314
00:16:52,960 --> 00:16:56,920
ChildFind because we talked about it through IDEA, but let's talk about it through the

315
00:16:56,920 --> 00:16:59,000
Idaho Department of Education.

316
00:16:59,000 --> 00:17:05,360
ChildFind is a process to locate, identify, and evaluate individuals ages three to 21

317
00:17:05,360 --> 00:17:11,280
who are suspected of having a disability and in need of special education.

318
00:17:11,280 --> 00:17:18,480
Another thing that I want to add that you had touched on just a second ago is that IDEA

319
00:17:18,480 --> 00:17:21,360
frowns on a wait MC approach.

320
00:17:21,360 --> 00:17:22,360
Yeah, no.

321
00:17:22,360 --> 00:17:23,360
No.

322
00:17:23,360 --> 00:17:30,160
That's not trying to use response to intervention or waiting for that community diagnosis is,

323
00:17:30,160 --> 00:17:34,400
I quote, you cannot delay or deny an evaluation.

324
00:17:34,400 --> 00:17:40,720
The special education manual also says, although screening is an important part of the ChildFind

325
00:17:40,720 --> 00:17:47,360
system, screening cannot be used to delay processing a referral to consider a special

326
00:17:47,360 --> 00:17:52,320
education evaluation where immediate action is warranted.

327
00:17:52,320 --> 00:17:58,360
So even if you don't have a community diagnosis of autism, but your child's school has a basis

328
00:17:58,360 --> 00:18:02,840
of knowledge that you could be a person with a disability, they might be out of compliance

329
00:18:02,840 --> 00:18:08,920
with ChildFind if they don't assess you because exactly like you said, there is such a thing

330
00:18:08,920 --> 00:18:12,760
as an educational diagnosis of autism.

331
00:18:12,760 --> 00:18:17,880
And I think another thing, guess I'm on my soapbox now, another thing that's worth mentioning

332
00:18:17,880 --> 00:18:21,840
is that if you're under the age of nine, you could just...

333
00:18:21,840 --> 00:18:22,840
Global...

334
00:18:22,840 --> 00:18:23,840
How did we forget that?

335
00:18:23,840 --> 00:18:24,840
Yeah.

336
00:18:24,840 --> 00:18:27,020
How did we forget that in the categories earlier?

337
00:18:27,020 --> 00:18:28,020
Developmental delay.

338
00:18:28,020 --> 00:18:29,020
I know.

339
00:18:29,020 --> 00:18:32,760
The other category that we forgot is specific learning disability too, which is a big one.

340
00:18:32,760 --> 00:18:33,760
I'm for you to forget.

341
00:18:33,760 --> 00:18:34,760
Right.

342
00:18:34,760 --> 00:18:37,320
I don't want to cheat.

343
00:18:37,320 --> 00:18:43,840
So specific learning disability very often is found during the eligibility process.

344
00:18:43,840 --> 00:18:48,440
So maybe we have a student like Samantha who is struggling in reading and the eligibility

345
00:18:48,440 --> 00:18:52,480
process may find that she has some dyslexic traits.

346
00:18:52,480 --> 00:18:58,760
She's not going to get a diagnosis of dyslexia through the evaluation process, but some of

347
00:18:58,760 --> 00:19:05,360
the dyslexia traits may be, we have a pattern of strengths and weaknesses that will be shown

348
00:19:05,360 --> 00:19:10,600
through the evaluation that could then find her, potentially qualify her for specific

349
00:19:10,600 --> 00:19:14,040
learning disability as that one of those 14 categories.

350
00:19:14,040 --> 00:19:18,240
And then Samantha is eligible for special education.

351
00:19:18,240 --> 00:19:26,320
But I guess it would be, we would do you a disservice if we didn't also say that extra

352
00:19:26,320 --> 00:19:30,440
medical information isn't impactful in the decision-making process.

353
00:19:30,440 --> 00:19:36,400
So if your child has a community diagnosis of autism, sharing that as well as the doctor's

354
00:19:36,400 --> 00:19:42,240
findings can help guide the team in goals and decision-making.

355
00:19:42,240 --> 00:19:49,520
But families aren't required to share any outside information with the team either.

356
00:19:49,520 --> 00:19:53,040
And I'd like to expand this one more step further.

357
00:19:53,040 --> 00:19:59,080
A medical diagnosis isn't required to establish eligibility for an IEP in the same way that

358
00:19:59,080 --> 00:20:02,920
a doctor can't prescribe an IEP.

359
00:20:02,920 --> 00:20:10,240
So a school system, community system, cordial collaborative, but they don't tell each other

360
00:20:10,240 --> 00:20:11,240
what to do.

361
00:20:11,240 --> 00:20:12,240
Right?

362
00:20:12,240 --> 00:20:18,200
So a doctor can't tell the school, this kid needs an IEP and the school can't say, you

363
00:20:18,200 --> 00:20:19,200
have autism.

364
00:20:19,200 --> 00:20:21,680
They can give you an educational diagnosis of autism.

365
00:20:21,680 --> 00:20:24,360
Or the school can't say this kid needs resperidone.

366
00:20:24,360 --> 00:20:25,360
Here's a prescription.

367
00:20:25,360 --> 00:20:28,600
You know, it's the same thing.

368
00:20:28,600 --> 00:20:33,600
This is not one of the questions, but it reminds me of something.

369
00:20:33,600 --> 00:20:35,920
Your kid doesn't need a 504.

370
00:20:35,920 --> 00:20:40,480
Your kid needs dexmethylphenidate.

371
00:20:40,480 --> 00:20:44,080
They just need to be medicated and then they'll do finance school.

372
00:20:44,080 --> 00:20:45,720
Also no, ladies and gentlemen.

373
00:20:45,720 --> 00:20:46,720
Also no.

374
00:20:46,720 --> 00:20:47,720
Okay.

375
00:20:47,720 --> 00:20:48,720
Bottom line.

376
00:20:48,720 --> 00:20:52,280
This is way too fun.

377
00:20:52,280 --> 00:20:57,240
You do not need a diagnosis to receive special education support in school.

378
00:20:57,240 --> 00:20:58,240
Nope.

379
00:20:58,240 --> 00:20:59,240
What did the kids say?

380
00:20:59,240 --> 00:21:00,240
Period.

381
00:21:00,240 --> 00:21:01,240
Period.

382
00:21:01,240 --> 00:21:02,240
End of story.

383
00:21:02,240 --> 00:21:03,240
Okay.

384
00:21:03,240 --> 00:21:04,240
Question number four.

385
00:21:04,240 --> 00:21:08,280
The final, it's the final countdown.

386
00:21:08,280 --> 00:21:11,000
Now see, I can't get in trouble if it's me singing it, right?

387
00:21:11,000 --> 00:21:15,120
If I put music in, then potentially it's a royalty thing.

388
00:21:15,120 --> 00:21:17,120
But if I'm singing the song.

389
00:21:17,120 --> 00:21:20,280
No one will ever know what song that was.

390
00:21:20,280 --> 00:21:22,400
You don't think I did Europe justice.

391
00:21:22,400 --> 00:21:24,080
We're heading for Venus.

392
00:21:24,080 --> 00:21:27,040
That song is just next level.

393
00:21:27,040 --> 00:21:28,040
Okay.

394
00:21:28,040 --> 00:21:29,040
Final question.

395
00:21:29,040 --> 00:21:34,360
Can you give examples of different least restrictive environments?

396
00:21:34,360 --> 00:21:37,440
And this is such a good question.

397
00:21:37,440 --> 00:21:38,440
Yeah.

398
00:21:38,440 --> 00:21:43,360
Because a lot of times, well, first off, the answer is yes.

399
00:21:43,360 --> 00:21:44,360
Yes, we can.

400
00:21:44,360 --> 00:21:48,920
And the second part of that is parents will call and you don't know what you don't know.

401
00:21:48,920 --> 00:21:50,920
So they're like, you're right.

402
00:21:50,920 --> 00:21:55,320
Oh, for example, I am homeschooling and now I'm not.

403
00:21:55,320 --> 00:21:59,800
And I'm going to put my child in their neighborhood school.

404
00:21:59,800 --> 00:22:00,800
What are my options?

405
00:22:00,800 --> 00:22:03,640
That's a really great question.

406
00:22:03,640 --> 00:22:08,720
And at the end of the day, the answer is what are their supports?

407
00:22:08,720 --> 00:22:09,720
What do they need?

408
00:22:09,720 --> 00:22:11,400
What have they been found eligible for?

409
00:22:11,400 --> 00:22:12,400
Right?

410
00:22:12,400 --> 00:22:13,400
Yeah.

411
00:22:13,400 --> 00:22:17,160
Well, and least restrictive environment doesn't even have to be the school setting.

412
00:22:17,160 --> 00:22:22,120
In some cases, we have students that are in residential care and that is their least restrictive

413
00:22:22,120 --> 00:22:23,120
environment.

414
00:22:23,120 --> 00:22:24,120
Yes.

415
00:22:24,120 --> 00:22:30,240
So there are, I mean, it's a loaded question because just like you said, the student supports

416
00:22:30,240 --> 00:22:33,080
really dictate what their least restrictive environment is.

417
00:22:33,080 --> 00:22:34,080
Right?

418
00:22:34,080 --> 00:22:35,080
Yes.

419
00:22:35,080 --> 00:22:36,080
Sorry.

420
00:22:36,080 --> 00:22:37,080
I don't know why.

421
00:22:37,080 --> 00:22:38,080
I don't know.

422
00:22:38,080 --> 00:22:39,080
Look at you guys.

423
00:22:39,080 --> 00:22:40,640
The cheek is gave me like, did I say something wrong?

424
00:22:40,640 --> 00:22:43,280
I wonder if I kind of disassociated for a second.

425
00:22:43,280 --> 00:22:44,920
That is the look that you gave me.

426
00:22:44,920 --> 00:22:45,920
Okay.

427
00:22:45,920 --> 00:22:49,400
Can we first start by defining least restrictive environment?

428
00:22:49,400 --> 00:22:57,000
So LRE or least restrictive environment stands for, it is, excuse me, an IDEA requirement

429
00:22:57,000 --> 00:23:04,000
that students with disabilities, including those in private or public institutions or

430
00:23:04,000 --> 00:23:09,080
like you said, other care facilities be educated with students who are non-disabled to the

431
00:23:09,080 --> 00:23:12,720
maximum extent appropriate.

432
00:23:12,720 --> 00:23:19,320
So we recognize that each IEP is individual and unique, just like every student, meaning

433
00:23:19,320 --> 00:23:26,240
that by extension, every student's least restrictive environment is gonna be different.

434
00:23:26,240 --> 00:23:32,600
The ultimate goal being that every student is educated alongside their typical peers

435
00:23:32,600 --> 00:23:34,400
as much as possible.

436
00:23:34,400 --> 00:23:35,400
Yeah.

437
00:23:35,400 --> 00:23:40,880
So for some students, this looks like push-in services, while for others, this could look

438
00:23:40,880 --> 00:23:46,520
like eating in the cafeteria or being in a home-bound situation, like you said.

439
00:23:46,520 --> 00:23:51,680
So we can look at LRE as a spectrum of options.

440
00:23:51,680 --> 00:23:58,080
The goal of the IEP team, which remember, parent, four core member, right?

441
00:23:58,080 --> 00:24:05,040
So you have, you gotta say, right, placement is a team decision.

442
00:24:05,040 --> 00:24:09,020
The goal of the IEP team is to determine the best learning environment for the child.

443
00:24:09,020 --> 00:24:16,480
So Melissa and I are gonna do our best to paint you a little picture here.

444
00:24:16,480 --> 00:24:18,480
I'm no Bob Ross.

445
00:24:18,480 --> 00:24:20,520
I'm gonna try it out.

446
00:24:20,520 --> 00:24:21,520
Oh, okay.

447
00:24:21,520 --> 00:24:23,520
Imagine a triangle.

448
00:24:23,520 --> 00:24:24,520
Okay.

449
00:24:24,520 --> 00:24:30,000
Isosceles, equilateral, scalene, any kind of triangle that you want.

450
00:24:30,000 --> 00:24:33,520
Just know I'm thinking of an equilateral triangle.

451
00:24:33,520 --> 00:24:34,520
Okay.

452
00:24:34,520 --> 00:24:36,040
Of course you are.

453
00:24:36,040 --> 00:24:42,560
But the base of the triangle is gonna be regular class placement.

454
00:24:42,560 --> 00:24:45,600
So the general education environment.

455
00:24:45,600 --> 00:24:52,260
This is the placement for almost all, so let's just say most, typically developing students.

456
00:24:52,260 --> 00:24:58,620
And as we move up, the triangle is gonna get smaller, simultaneously indicating that less

457
00:24:58,620 --> 00:25:03,840
and less, so a smaller percentage of the population will be served in this environment, right?

458
00:25:03,840 --> 00:25:04,840
Yep.

459
00:25:04,840 --> 00:25:10,000
So bottom, general, general ed, 100% of your day.

460
00:25:10,000 --> 00:25:15,600
The next portion of the triangle is gonna be general education with push-in supports.

461
00:25:15,600 --> 00:25:18,600
Can you give an example of what that could look like?

462
00:25:18,600 --> 00:25:23,920
Yeah, so a push-in support could be a scribe.

463
00:25:23,920 --> 00:25:26,040
We've had a some- Oh, I didn't think of that.

464
00:25:26,040 --> 00:25:27,040
That's a good one.

465
00:25:27,040 --> 00:25:28,040
Yeah.

466
00:25:28,040 --> 00:25:33,360
So some paraprofessionals that act as a scribe for their students that maybe don't have the

467
00:25:33,360 --> 00:25:36,520
handwriting dexterity.

468
00:25:36,520 --> 00:25:41,920
That could be a behavioral interventionist if this is a student that has some behaviors,

469
00:25:41,920 --> 00:25:45,160
but we need a little bit of that oversight.

470
00:25:45,160 --> 00:25:52,360
Now however, we wanna really be careful with that adult one-to-one because that can also

471
00:25:52,360 --> 00:25:56,880
really distract from a student's least restrictive environment because the dependence on that

472
00:25:56,880 --> 00:26:01,320
adult becomes such that they're no longer dependent.

473
00:26:01,320 --> 00:26:07,840
That could be a whole other episode about independence and advocacy.

474
00:26:07,840 --> 00:26:08,840
Yeah.

475
00:26:08,840 --> 00:26:15,360
But yeah, so that push-in could be that kind of support, that adult support.

476
00:26:15,360 --> 00:26:17,840
It could be peer support sometimes.

477
00:26:17,840 --> 00:26:18,840
You know?

478
00:26:18,840 --> 00:26:19,840
Yes.

479
00:26:19,840 --> 00:26:21,520
That's sometimes an option too.

480
00:26:21,520 --> 00:26:29,360
The example that I had thought of is a reading specialist who comes in with the extra support

481
00:26:29,360 --> 00:26:34,680
and materials to help this one specific student, but it's in the language arts block.

482
00:26:34,680 --> 00:26:37,480
So no one is an equalizer.

483
00:26:37,480 --> 00:26:38,480
Yep.

484
00:26:38,480 --> 00:26:39,480
Exactly.

485
00:26:39,480 --> 00:26:44,320
So essentially the child not leaving the general education environment that their peers are

486
00:26:44,320 --> 00:26:47,320
in but still receiving special education services.

487
00:26:47,320 --> 00:26:53,640
That could be a speech pathologist going into the classroom or a physical therapist with,

488
00:26:53,640 --> 00:26:58,520
this happens with my son when he was in elementary school, physical therapist would go to recess

489
00:26:58,520 --> 00:26:59,520
with him.

490
00:26:59,520 --> 00:27:00,520
He's still with his gen ed peers.

491
00:27:00,520 --> 00:27:01,520
Yes.

492
00:27:01,520 --> 00:27:06,520
He's in his gen ed environment and no one knew what was happening, but he was working

493
00:27:06,520 --> 00:27:10,760
on his PT goals at recess with his gen ed peers.

494
00:27:10,760 --> 00:27:12,840
So that was really restrictive.

495
00:27:12,840 --> 00:27:13,840
And inclusion.

496
00:27:13,840 --> 00:27:14,840
Absolutely.

497
00:27:14,840 --> 00:27:17,760
When and where appropriate.

498
00:27:17,760 --> 00:27:20,280
Which that's the best way to do it, right?

499
00:27:20,280 --> 00:27:21,280
Yeah.

500
00:27:21,280 --> 00:27:27,400
So the next option moving on, moving on our triangle would be the general education classroom

501
00:27:27,400 --> 00:27:31,800
with supplementary aids or a resource room option.

502
00:27:31,800 --> 00:27:36,400
So I had a friend who was supported like this in high school.

503
00:27:36,400 --> 00:27:43,200
So every day he spent one of his periods in the resource room as an elective in this space.

504
00:27:43,200 --> 00:27:49,800
He was able to have an extra hour to get started on homework or ask his questions in a small

505
00:27:49,800 --> 00:27:51,160
group environment.

506
00:27:51,160 --> 00:27:55,440
From that part of the triangle, we're going to move on to what I lovingly refer to as

507
00:27:55,440 --> 00:27:57,200
part timers.

508
00:27:57,200 --> 00:28:02,400
So these are students who are in the special education environment and the general education

509
00:28:02,400 --> 00:28:09,920
environment in a near 50 50 split, whether that's 60 40 or yeah, this could be a student

510
00:28:09,920 --> 00:28:15,320
who is requiring specialized instruction in reading and positive behavioral interventions

511
00:28:15,320 --> 00:28:16,320
and supports.

512
00:28:16,320 --> 00:28:17,320
Yeah.

513
00:28:17,320 --> 00:28:23,200
But it's still able to attend the general education classroom for math and electives,

514
00:28:23,200 --> 00:28:24,200
right?

515
00:28:24,200 --> 00:28:29,520
So maybe this individual is impaired such that a reading specialist coming into the

516
00:28:29,520 --> 00:28:36,320
classroom just being that little bit of extra support is not what's appropriate.

517
00:28:36,320 --> 00:28:43,360
They need that one to one, not a small group, but one to one direct instruction in maybe

518
00:28:43,360 --> 00:28:44,360
a choir.

519
00:28:44,360 --> 00:28:45,960
That's what I was going to say.

520
00:28:45,960 --> 00:28:50,660
Sometimes those classroom environments are too overwhelming to really get some substantial

521
00:28:50,660 --> 00:28:52,480
work accomplished.

522
00:28:52,480 --> 00:28:58,480
And so some of these pullout scenarios can do just that in a smaller one to one quiet

523
00:28:58,480 --> 00:28:59,480
environment.

524
00:28:59,480 --> 00:29:00,480
Yeah.

525
00:29:00,480 --> 00:29:01,480
Yeah.

526
00:29:01,480 --> 00:29:03,880
Even in a different classroom sometimes, you know, or the hallway.

527
00:29:03,880 --> 00:29:04,880
Sometimes it happens in the hallway.

528
00:29:04,880 --> 00:29:06,200
I mean, it's yes.

529
00:29:06,200 --> 00:29:10,080
And because part of what I'm thinking is, is that if this student in our example is

530
00:29:10,080 --> 00:29:17,480
also getting PBIS supports, maybe maybe everyone is kind of just anticipating that even that

531
00:29:17,480 --> 00:29:21,240
the fact that we're going to ask this child to do reading or math is going to be a trigger

532
00:29:21,240 --> 00:29:25,220
for them and that they're going to need that time to kind of come back into their body

533
00:29:25,220 --> 00:29:26,960
and get regulated.

534
00:29:26,960 --> 00:29:28,960
So they have that classroom space for that.

535
00:29:28,960 --> 00:29:29,960
Yeah.

536
00:29:29,960 --> 00:29:34,840
And I would say that on an IEP, this is a replacement that will be shown.

537
00:29:34,840 --> 00:29:39,920
So least restrictive environment is a consideration on an IEP and it has to be noted.

538
00:29:39,920 --> 00:29:43,380
So it'll say the percentage of time annoyed to student is in the classroom.

539
00:29:43,380 --> 00:29:44,380
It must be on that.

540
00:29:44,380 --> 00:29:45,380
Right.

541
00:29:45,380 --> 00:29:46,380
Under the service of it.

542
00:29:46,380 --> 00:29:47,380
Right.

543
00:29:47,380 --> 00:29:48,380
Yeah.

544
00:29:48,380 --> 00:29:49,380
If you're looking for it, that's where it is.

545
00:29:49,380 --> 00:29:52,600
So you're going to notice, I know I said this before, but you're going to notice that we're

546
00:29:52,600 --> 00:29:53,680
moving up the triangle.

547
00:29:53,680 --> 00:29:55,760
It's becoming more and more restrictive.

548
00:29:55,760 --> 00:29:59,880
So students are spending less and less time with their typically developing peers.

549
00:29:59,880 --> 00:30:07,840
So as an IEP team, we're only moving up this triangle if we think it's absolutely necessary,

550
00:30:07,840 --> 00:30:12,680
if it's the students best learning environment and in their best interests.

551
00:30:12,680 --> 00:30:19,020
So from this point on, we are in a full time special education classroom.

552
00:30:19,020 --> 00:30:27,600
So this is perhaps a student who sees their general education peers in PE.

553
00:30:27,600 --> 00:30:34,200
PE, music, some of the specials is sometimes where we recess, see a lot of this happening,

554
00:30:34,200 --> 00:30:35,200
recess, lunch.

555
00:30:35,200 --> 00:30:36,200
Yeah.

556
00:30:36,200 --> 00:30:40,880
But other than that, they're spending their entire academic blocks in a self-contained

557
00:30:40,880 --> 00:30:42,080
classroom.

558
00:30:42,080 --> 00:30:49,440
So after that point, we've kind of exhausted all of our in-school options.

559
00:30:49,440 --> 00:30:53,440
So all of the following options are out of the typical school environment.

560
00:30:53,440 --> 00:30:59,160
So this could look like a student attending a specialized school, receiving education

561
00:30:59,160 --> 00:31:04,060
in a homebound environment or in a hospital residential facility.

562
00:31:04,060 --> 00:31:09,240
And as you can imagine, at this point, there is no time spent with typically developing

563
00:31:09,240 --> 00:31:10,240
peers.

564
00:31:10,240 --> 00:31:16,180
So in some cases, a homebound program is geared towards students who have a temporary illness

565
00:31:16,180 --> 00:31:17,760
or accident.

566
00:31:17,760 --> 00:31:23,600
But this can also look like a student with a significant health care needs who's perhaps

567
00:31:23,600 --> 00:31:29,680
medically fragile and unable to attend school during the flu season.

568
00:31:29,680 --> 00:31:33,920
So they can't go from October to March.

569
00:31:33,920 --> 00:31:38,000
And so they're receiving all of their instruction from their house.

570
00:31:38,000 --> 00:31:43,000
If it would be catastrophic for them to catch an illness during that season, that homebound

571
00:31:43,000 --> 00:31:45,880
instruction is their least restrictive environment.

572
00:31:45,880 --> 00:31:46,880
And that's homebound.

573
00:31:46,880 --> 00:31:48,160
It's different than home school.

574
00:31:48,160 --> 00:31:49,160
Yes.

575
00:31:49,160 --> 00:31:51,840
So yeah, but that would be their least restrictive environment.

576
00:31:51,840 --> 00:31:53,440
And that's a team decision.

577
00:31:53,440 --> 00:31:56,240
So at this point, we're at the very top of the triangle.

578
00:31:56,240 --> 00:31:59,640
You know, we're not even in a specialized school.

579
00:31:59,640 --> 00:32:00,640
We're at home.

580
00:32:00,640 --> 00:32:02,720
We're in a hospital.

581
00:32:02,720 --> 00:32:09,360
And we're trying to make the child stay in this LRE as short as possible and then work

582
00:32:09,360 --> 00:32:11,120
our way back down.

583
00:32:11,120 --> 00:32:17,100
But again, that comes with that caveat of when and where appropriate.

584
00:32:17,100 --> 00:32:21,020
So maybe it's a year or two years or three years.

585
00:32:21,020 --> 00:32:22,600
Maybe it's never appropriate.

586
00:32:22,600 --> 00:32:24,080
Yeah, it might not be.

587
00:32:24,080 --> 00:32:26,640
And that's why every year, right, we re-evaluate.

588
00:32:26,640 --> 00:32:27,640
We re-evaluate.

589
00:32:27,640 --> 00:32:28,640
It's catching.

590
00:32:28,640 --> 00:32:29,640
Oh my word.

591
00:32:29,640 --> 00:32:34,400
Blah, blah, blah, we re-evaluate every year.

592
00:32:34,400 --> 00:32:37,120
Well, every three years we have re-revaluation.

593
00:32:37,120 --> 00:32:41,560
But we have the conversation about placement every year.

594
00:32:41,560 --> 00:32:43,360
Is this still appropriate?

595
00:32:43,360 --> 00:32:51,560
So assuming the team is convening every year and more if necessary, those placement conversations

596
00:32:51,560 --> 00:32:53,040
should be happening.

597
00:32:53,040 --> 00:32:54,040
Always.

598
00:32:54,040 --> 00:32:59,000
And with as much weight as goals, right?

599
00:32:59,000 --> 00:33:02,320
Yeah, this is of equal importance.

600
00:33:02,320 --> 00:33:10,440
It's not like, oh, well, as an afterthought, I still think this is Samantha's best environment.

601
00:33:10,440 --> 00:33:13,440
Well, no, it needs to be a little bit more of a conversation than that.

602
00:33:13,440 --> 00:33:15,720
And what data do you have to support that?

603
00:33:15,720 --> 00:33:16,720
Yeah.

604
00:33:16,720 --> 00:33:23,840
So bottom line, the least restrictive environment is more of a philosophy and less of a physical

605
00:33:23,840 --> 00:33:24,840
location.

606
00:33:24,840 --> 00:33:31,640
And I did talk about where in the school these places might happen.

607
00:33:31,640 --> 00:33:37,880
It's more of what is appropriate for the child and inclusion and being with your typically

608
00:33:37,880 --> 00:33:40,880
developing peers as much as possible.

609
00:33:40,880 --> 00:33:47,120
And if you take that as the underlying driver, then you use that philosophy to determine

610
00:33:47,120 --> 00:33:49,320
where you're going to place a student.

611
00:33:49,320 --> 00:33:50,320
That's it.

612
00:33:50,320 --> 00:33:51,320
That's it.

613
00:33:51,320 --> 00:33:54,120
As for questions that I researched to death for you.

614
00:33:54,120 --> 00:33:55,120
Totally Facebook.

615
00:33:55,120 --> 00:33:56,120
Just for you.

616
00:33:56,120 --> 00:33:58,800
I'm going to find some more medical ones.

617
00:33:58,800 --> 00:34:04,080
So some Medicaid, family direct type questions for next time.

618
00:34:04,080 --> 00:34:06,160
Any parting thoughts?

619
00:34:06,160 --> 00:34:11,360
Anything I said that you wish I hadn't or you wish you would have elaborated on?

620
00:34:11,360 --> 00:34:12,920
No, I guess.

621
00:34:12,920 --> 00:34:16,860
I mean, we said it how many times that all of the it's individualized.

622
00:34:16,860 --> 00:34:22,760
So so many of these conversations are just that individual for the individual student.

623
00:34:22,760 --> 00:34:26,120
So if there are questions, they're individualized.

624
00:34:26,120 --> 00:34:29,280
So some of these they're just not it's not in a textbook.

625
00:34:29,280 --> 00:34:33,360
It's not in a there's no there's no decision.

626
00:34:33,360 --> 00:34:34,360
There's not.

627
00:34:34,360 --> 00:34:37,200
It's a it is a team decision conversation.

628
00:34:37,200 --> 00:34:39,480
So just be a part of your team.

629
00:34:39,480 --> 00:34:44,680
And if you have new data or questions and you don't have to wait a year for an IEP meeting,

630
00:34:44,680 --> 00:34:53,920
you can request you can request them.

631
00:34:53,920 --> 00:35:00,800
Well thank you so much, everyone out there in podcast land for giving us a listen.

632
00:35:00,800 --> 00:35:08,080
As always, if you are in Idaho or planning on moving to Idaho and have any questions

633
00:35:08,080 --> 00:35:13,880
on systems or services for children with disabilities, please consider reaching out to us on our

634
00:35:13,880 --> 00:35:28,320
website, IPULidaho.org that is I P U L Idaho dot org, or by calling us at 208-342-5884.

635
00:35:28,320 --> 00:35:30,400
Be sure to tune in next time.

636
00:35:30,400 --> 00:35:33,480
Until then, this has been unlimited parenting.

637
00:35:33,480 --> 00:35:44,400
Thanks for listening.

