

Educational
Rights of Students with ADHD
by Sandra Rief
Adapted from my books:
The ADHD Book of Lists (2003);
How to Reach & Teach Children with ADD/ADHD, 2nd edition (2005); and
The ADD/ADHD Checklist, 2nd edition (2008).
This article has also been adapted and published by the
American Academy of Pediatrics (AAP) and the National Initiative for
Children's Healthcare Quality (NICHQ).
There
are two main laws protecting students with disabilities - including those
with ADHD: 1) Individuals with Disabilities
Education Act (known as IDEA or IDEA 2004)
and 2) Section 504 of the Rehabilitation Act of 1973. IDEA is
special education law. Section 504 is a civil rights statute. Both laws
guarantee to qualifying students a free and appropriate public
education (FAPE), and instruction in the least restrictive
environment (LRE), which means with their non-disabled peers, to the
maximum extent appropriate to their needs.
Because there are
different a) criteria for eligibility, b) services/supports available, c)
procedures and safeguards for implementing the laws, it is important for
parents, educators, clinicians, and advocates to be well-aware of the
variations between IDEA and Section 504, and fully informed about their
respective advantages and disadvantages.
IDEA
Who is Eligible?
Sometimes students with ADHD qualify for special education & related
services under the disability categories of Specific Learning Disability (SLD)
or Emotional Disturbance (ED). For example, a child who has ADHD who also
has coexisting learning disabilities may be eligible under the SLD
category.
Students with ADHD most commonly are eligible for special education &
related services under the IDEA category of “Other Health Impaired”
(OHI). Eligibility criteria under this category requires that:
-
the child has a chronic or acute health problem (ADD/ADHD)
-
causing
limited strength, vitality, or alertness in the educational environment (This
includes limited alertness to educational tasks due to
heightened alertness to environmental stimuli)
-
which
results in an adverse effect on the child’s
educational performance
-
to
the degree that special education is needed.
Note:
The adverse effect on educational performance is not limited to academics,
but can include impairments in other aspects of school functioning (e.g.,
behavioral), as
well.
Referral &
Evaluation
-
Parents or school personnel may refer a child - requesting an evaluation
to determine eligibility for special education/related services.
- An
assessment plan is developed by the school’s multidisciplinary
evaluation team, addressing all areas of suspected disability.
-
After parents/guardians consent to the assessment plan, the child
receives a comprehensive evaluation by the multidisciplinary team of
school professionals.
-
After the evaluation, an IEP meeting is held.
Based upon the results of the evaluation, as well as other input
provided by parents and/or other team members, it is determined whether
or not the student meets eligibility criteria under one of the disability
categories defined by IDEA.
- An
Individualized Educational Plan (IEP) is developed and
written for qualifying students through a collaborative team effort. It
is tailored and designed to address the educational needs of the student
with disabilities.
- At
all stages, parents are an integral part of the process and team; and
the IEP does not go into effect until parents sign the IEP and agree to
the plan.
-
IDEA has very specific requirements as to the content of the IEP,
including some of the following:
- Present
levels of educational performance, including how the child’s disability
affects his/her involvement and progress in the general curriculum
- Delineation
of all special education and related services, modifications and
supports to be provided to the child or on behalf of the child
- Annual
goals
-
The
extent (if any) to which the child will not participate with
non-disabled children in the regular class and other school activities
- Any
modifications in the administration of state and district-wide tests the
child will need in order to participate in those assessments
- Dates
& places – specifying when, where, how often services will be provided,
and by whom
After the IEP is
Written:
1. Services
are provided. This includes all programs, supplemental aids, services,
program modifications and accommodations.
2. Progress
is measured and reported to parents. An annual IEP review meeting is
required.
3. Students
are re-evaluated every 3 years (triennial evaluation)
More Key
Features:
-
IDEA strongly emphasizes the provision of special education and related
services that enable students to access and progress in the general
education program.
-
IDEA also has important provisions regarding disciplinary procedures for
children with disabilities. There are safeguards so that children are
not unfairly disciplined when misbehavior stems from the disability
itself. Before a student is suspended for more than 10 days, expelled,
or placed in another setting due to behavioral issues and violations of
school rules, IDEA calls for a “Manifestation Determination Review”
(except in circumstances involving weapons, drugs, bodily injury, or when the
student is a threat to self or others).
- If
the behavior is related to the disability, the IEP team needs to determine
and ensure appropriate services, interventions, and placement; and
disciplinary actions imposed must be appropriate for the student’s
disability.
- IDEA
also requires that either before (but not later than 10 days after) taking
a disciplinary action resulting in a change of placement, the school is to
conduct a Functional Behavioral Assessment (FBA) and
implement a Behavioral Intervention Plan (BIP) for the
student.
Section 504
Who is Eligible?
Students with ADHD may also be protected under Section 504 of the
Rehabilitation Act of 1973 (even if they do not meet eligibility criteria
under IDEA for special education). Section 504 is a federal civil rights
statute that:
-
protects
the rights of people with disabilities from discrimination by any
agencies receiving federal funding (including all public schools)
-
applies to
students with a record of (or who are regarded as having) a physical or
mental impairment that substantially limits one or more major life
function – which includes learning
-
is
intended
to provide students with disabilities equal access to education and
commensurate opportunities to learn as their non-disabled peers
If
the school team determines that the child’s ADHD does significantly
limit his or her learning, the child/teen would be eligible for a 504 Plan
designating:
-
Reasonable
accommodations
in the educational program
-
Related
aids and services, if deemed necessary (e.g., counseling, assistive
technology)
The
implementation of a 504 Plan typically falls under the responsibility of
general education, not special education. A few sample classroom
accommodations may include:
-
Tailoring homework assignments
-
Extended time for testing
-
Preferential seating
-
Supplementing verbal instructions with visual instructions
-
Organizational assistance
-
Using behavioral management techniques
-
Modifying test delivery
Parents seeking service for their child should ask the school to evaluate
and determine whether or not their son or daughter may be eligible for
accommodations and supports under Section 504, if not under IDEA.
To
determine eligibility under Section 504 (e.g., the impact of the
disability on learning), the school is required to do an assessment. This
is typically a less extensive evaluation than that conducted for the IEP process (although the same evaluation required for special education
evaluation can be used to determine Section 504 eligibility).
What Both Laws
Have in Common:
-
Require
school districts to provide FAPE in the LRE
-
Provision
of supports (adaptations / accommodations / modifications) to enable the
student to participate and learn in the general education program
-
Provide
opportunity for student to participate in extracurricular and
non-academic activities
-
Nondiscriminatory
evaluation by the school district
-
Procedural
due process
Which One is
Right for My Child – A 504 Plan or an IEP?
This is a decision that
the team (parents and school personnel) must make considering eligibility
criteria and the specific needs of the individual student. For students
with ADHD who have more significant school difficulties, IDEA is usually
preferable because:
-
IEPs provide more
protections (procedural safeguards, monitoring, and regulations) with
regard to evaluation, frequency of review, parent participation,
disciplinary actions, and other factors
-
Specific goals are a key component of the plan, and regularly
monitored for progress
-
There is a much wider
range of program options, services and supports available
-
IDEA provides funding
for programs/services (Section 504 is not funded)
For students who have
milder impairments, and don’t need special education, a 504 Plan is
a faster, easier procedure for obtaining accommodations and supports.
They can be very effective for those students whose educational needs can
be addressed through adjustments, modifications, and accommodations in the
general curriculum/classroom.
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