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Final regulations; early intervention programs for infants and toddlers with handicaps.


Early Intervention Programs for Infants and Toddlers with Handicaps

These regulations, which were published in the Federal Register on June 22, 1989, were the result of extensive comments from parents and professionals who reacted to the earlier proposed regulations. EXCEPTIONAL PARENT has excerpted and re-ordered parts of the regulations which are detailed in 43 pages in the Federal Register. The Federal Register is available at public libraries.

The Secretary of Education has issued final regulations for the program for infants and toddlers with disabilities that was established under the 1986 amendments to the Education of the Handicapped Act (EHA)...

This is the only grant program within the Federal government that focuses exclusively on the provision of services to children with handicaps from birth through age two ... including activities to prepare for the transition of these children as they reach age three to preschool services...

Part H [of this legislation] recognizes the unique and critical role that families play in the development of infants and toddlers who are eligible...It is clear, both from the statute and the legislative history of the Act, that the Congress intended for families to play an active, collaborative role in the planning and provision of early intervention services...these regulations...should have a positive impact on the family, because they strengthen the authority and encourage the increased participation of parents in meeting the early intervention needs of their children...

...Central directory. Each application must include information and assurances demonstrating... that the State has developed a central directory of information...


..."Infants and toddlers with handicaps" means individuals from birth through age two who need early intervention services because they--(1) Are experiencing developmental delays, as measured by appropriate diagnostic instruments and procedures in one or more of the following areas: (i) Cognitive development; (ii) Physical development, including vision and hearing; (iii) Language and speech development; (iv) Psychosocial development; or (v) Self-help skills; or (2) Have a diagnosed physical or mental condition that has a high probability of resulting in developmental delay... The term may also include, at a State's discretion, children from birth through age two who are at risk of having substantial developmental delays if early intervention services are not provided...

...Location of services. To the extent appropriate, early intervention services must be provided in the types of settings in which infants and toddlers without handicaps would participate...

...Transportation. Because of the particular importance of transportation and its impact on access to other services, transportation should be included in the list of early intervention services.


..."individualized family service plan" and "IFSP" mean a written plan for providing early intervention services to a child eligible under this part and the child's family.

The plan must--(1) Be developed jointly by the family and appropriate qualified personnel involved in the provision of early intervention services; (2) Be based on the multidisciplinary evaluation and assessment of the child, and the assessment of the child's family...(3) Include services necessary to enhance the development of the child and the capacity of the family to meet the special needs of the child...

...Parents retain the ultimate decision in determining whether they, their child, or other family members will accept or decline services under this part...

...Participants in IFSP meetings and periodic reviews.

(a) Initial and annual IFSP meetings. (1) Each initial meeting and each annual meeting to evaluate the IFSP must include the following participants: (i) The parent or parents of the child; (ii) Other family members, as requested by the parent, if feasible...; (iii) An advocate or person outside of the family, if the parent requests that the person participate; (iv) The case manager that has been working with the family...


..."case management" means the activities carried out by a case manager to assist and enable a child eligible under this part and the child's family to receive the rights, procedural safeguards, services...

Each child...and the child's family must be provided with one case manager who is responsible for--(i) Coordinating all services across agency lines; and (ii) Serving as the single point of contact in helping parents to obtain the services and assistance they need. (3) Case management is an active, ongoing process that involves:(i) Assisting parents of eligible children in gaining access to the early intervention services and other services identified in the individualized family service plan; (ii) Coordinating the provision of early intervention services and other services (such as medical services for other than diagnostic and evaluating purposes) that the child needs or is being provided; (iii) Facilitating the timely delivery of available services; and (iv) Continuously seeking the appropriate services and situations necessary to benefit the development of each child being served for the duration of the child's eligibility.


..."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.

...includes--(1) Such services as clean intermittent catheterization, tracheotomy care, tube feeding, the changing of dressings or osteotomy collection bags, and other health services; and (2) Consultation by physicians with other service
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Title Annotation:excerpt from the Federal Register
Publication:The Exceptional Parent
Article Type:editorial
Date:Sep 1, 1989
Previous Article:The 11th Annual Report to Congress of the Education of the Handicapped Act.
Next Article:A commitment to adults with disabilities; a goal for the 1990s.

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