What Do These Terms Mean?
Assistive Technology | Audiology | Family, Training,
& Home Visits | Health Services
Medical Services | Nursing
Services | Nutrition Services | Occupational
Therapy | Physical Therapy
Psychological Services | Service
Coordination | Social Work Services | Special Instruction
Speech-Language Pathology | Transportation | Vision
Services | Qualified Personnel
Early
intervention services are described in the Federal Part H
regulations (Section 303.12 and 303.13) which follow. Each term
is accompanied by a brief description.
Assistive
technology device means any item, piece of equipment, or product
system,.. that is used to increase, maintain, or improve the
functional capabilities of children with disabilities. Assistive
technology service means a service that directly assists a child
with a disability in the selection, acquisition, or use of an
assistive technology device.
Assistive
technology services include -
- The evaluation of the needs of a child with a disability,
including a functional evaluation of the child in the
child's customary environment;
- Purchasing, leasing, or otherwise providing for the
acquisition of assistive technology devices by children
with disabilities;
- Selecting, designing, fitting, customizing, adapting,
applying, maintaining, repairing, or replacing assistive
technology devices;
- Coordinating and using other therapies, interventions, or
services with assistive technology devices...;
- Training or technical assistance for a child with
disabilities or, if appropriate, that child's family; and
- Training or technical assistance for professionals
(including individuals providing early intervention
services), or other individuals who provide services to,
or are otherwise substantially involved in the major life
functions of individuals with disabilities.
"Audiology" includes -
- Identification of children with auditory impairment...;
- Determination of the range, nature, and degree of hearing
loss and communication functions, by use of audiological
evaluation procedures;
- Referral for medical and other services necessary for...
children with auditory impairment;
- Provision of auditory training, aural rehabilitation,
speech reading and listening device orientation and
training, and other services;
- Provision of services for prevention of hearing loss; and
- Determination of the child's need for individual
amplification, including selecting, fitting, and
dispensing appropriate listening and vibrotactile
devices, and evaluating the effectiveness of those
devices.
"Family
training, counseling and home visits" means services
provided, as appropriate, by social workers, psychologists, and
other qualified personnel to assist the family of a child
eligible under this part in understanding the special needs of
the child and enhancing the child's development. 
As used in this
part, "health services" means services necessary to
enable a child to benefit from the other early intervention
services under this part during the time that the child is
receiving the other early intervention services.
- The term includes -
- Such services as clean intermittent
catheterization, tracheotomy care, tube feeding,
the changing of dressings or colostomy collection
bag, and other health services; and
- Consultation by physicians with other service
providers concerning the special health care
needs of eligible children that will need to be
addressed in the course of providing other early
intervention services.
- The term does not include the following:
- Services that are -
- Surgical in nature (such as cleft palate
surgery, surgery for club foot, or the
shunting of hydrocephalus); or
- Purely medical in nature (such as
hospitalization for management of
congenital heart ailment, or the
prescribing of medicine or drugs for any
purposes).
- Devices necessary to control or treat a medical
condition.
- Medical-health services (such as immunizations
and regular "well-baby" care) that are
routinely recommended for all children.
Note: The definition in this section distinguishes between the
health services that are required under this part, and the
medical-health services that are not required. The IFSP
requirements in Subpart D provide that, to the extent
appropriate, these other medical-health services are to be
included in the IFSP, along with the funding sources to be used
in paying for the services. Identifying these services in the
IFSP does not impose an obligation to provide the services if
they are otherwise not required to be provided under this part
(See 303.344(e) and the note following that section.) 
"Medical
services only for diagnostic or evaluation purposes" means
services provided by a licensed physician to determine a child's
developmental status and need for early intervention services.
"Nursing
services" includes -
- The assessment of health status for the purpose of
providing nursing care, including the identification of
patterns of human response to actual or potential health
problems;
- Provision of nursing care to prevent health problems,
restore or improve functioning, and promote optimal
health and development; and
- Administration of medications, treatments, and regimens
prescribed by a licensed physician.
"Nutrition
services" includes -
- Conducting individual assessments in -
- Nutritional history and dietary intake;
- Anthropometric, biochemical, and clinical
variables;
- Feeding skills and feeding problems; and
- Food habits and food preferences;
- Developing and monitoring appropriate plans to address
the nutritional needs of children eligible under this
part;
- Making referrals to appropriate community resources to
carry out nutrition goals.
"Occupational therapy" includes services to
address the functional needs of a child related to adaptive
development, adaptive behavior and play, and sensory, motor, and
postural development. These services are designed to improve the
child's functional ability to perform tasks in home, school, and
community settings, and include -
- Identification, assessment, and
intervention;
- Adaptation of the environment, and
selection, design and fabrication of assistive and
orthotic devices to facilitate development and promote
the acquisition of functional skills; and
- Prevention or minimization of the
impact of initial or future impairment, delay in
development, or loss of functional ability.
"Physical
therapy" includes services to address the promotion of
sensorimotor function through enhancement of musculoskeletal
status, neurobehavioral organization, perceptual and motor
development, cardiopulmonary status, and effective environmental
adaptation. These services include -
- Screening, evaluation, and assessment of infants and
toddlers to identify movement dysfunction;
- Obtaining, interpreting and integrating information
appropriate to program planning, to prevent or alleviate,
or compensate for movement dysfunction and related
functional problems; and
- Providing individual and group services or treatment to
prevent, alleviate, or compensate for movement
dysfunction and related functional problems.
"Psychological services" includes -
- Administering psychological and developmental tests, and
other assessment procedures;
- Interpreting assessment results;
- Obtaining, integrating, and interpreting information
about child behavior, and child and family conditions
related to learning, mental health, and development; and
- Planning and managing a program of psychological
services, including psychological counseling for children
and parents, family counseling, consultation on child
development, parent training, and education programs.
"Service
Coordination" services means assistance and services
provided by a service coordinator to a child eligible under this
part and the child's family that are in addition to the functions
and activities included under 303.22.
"Social work
services" includes -
- Making home visits to evaluate a child's living
conditions and patterns of parent-child interaction;
- Preparing a social or emotional developmental assessment
of the child within the family context;
- Providing individual and family-group counseling with
parents and other family members, and appropriate social
skill-building activities with the child and parents;
- Working with those problems in a child's and family's
living situation (home, community, and any center where
early intervention services are provided) that affect the
child's maximum utilization of early intervention
services; and
- Identifying, mobilizing, and coordinating community
resources and services to enable the child and family to
receive maximum benefit from early intervention service.
"Special instruction" includes -
- The design of learning environments and
activities that promote the child's acquisition of skills
in a variety of developmental areas, including cognitive
processes and social interaction;
- Curriculum planning, including the
planned interaction of personnel, materials, and time and
space, that leads to achieving the outcomes in the
child's individualized family service plan;
- Providing families with information,
skills and support related to enhancing the skill
development of the child; and
- Working with the child to enhance the
child's development.
"Speech-language pathology" includes -
- Identification of children with communicative or
oropharyngeal disorders and delays in development of
communication skills, including the diagnosis and
appraisal of specific disorder and delays in those
skills;
- Referral for medical or other professional services
necessary for the habilitation or rehabilitation of
children with communicative or oropharyngeal disorders
and delays in development of communication skills; and
- Provision of services for the habilitation,
rehabilitation, or prevention of communicative or
oropharyngeal disorder and delays in development of
communication skills.
"Transportation" and related costs includes the cost of
travel (for example, mileage, or travel by taxi, common carrier,
or other means) and related costs (for example, tolls and parking
expenses) that are necessary to enable a child eligible under
this part and the child's family to receive early intervention
service.
"Vision
services" means -
- Evaluation and assessment of visual functioning,
including the diagnosis and appraisal of specific visual
disorders, delays and abilities;
- Referral for medical or other professional services
necessary for the habilitation or rehabilitation of
visual functioning disorders, or both; and
- Communication skills training, orientation and mobility
training for all environments, visual training,
independent living skills training, and additional
training necessary to activate visual motor abilities.
"Qualified
personnel." Early intervention services must be provided by
qualified personnel, including -
- Audiologists;
- Family therapists;
- Nurses;
- Nutritionists;
- Occupational therapists;
- Orientation and mobility specialists;
- Pediatricians and other physicians;
- Physical therapists;
- Psychologists;
- Social workers;
- Special educators; and
- Speech and language pathologists
Note:
The list of services... and qualified personnel... is not
exhaustive. Early intervention services may include such services
as the provision of respite and other family support services.
Qualified personnel may include such personnel as vision
specialists, paraprofessionals, and parent-to-parent support
personnel.
Early Start Contents
For more information, contact:
Napa County Office
10 Executive Court, Suite A
Napa, CA 94558
Telephone (707) 256-1100
Fax (707) 256-1112
TDD (707) 257-0213
|
Emergency Response:
(800) 884-1594 (evenings/weekends) |
Sonoma County
Office
2351Mendocino Avenue
Santa Rosa, CA 95403
Telephone (707) 569-2000
Fax (707) 542-9727
TDD (707) 525-1239 |
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