Occupational Therapy and Physical Therapy: A Resource and ...

1 Wisconsin Department of public instructionA Resource and Planning GuideOccupatiOnal therapyanD Physical Therapy Occupational Therapy and Physical Therapy : A Resource and Planning Guide Second Edition Developed by Patricia Bober, MS, OT Occupational Therapy Consultant Wisconsin Department of Public Instruction Sandra Corbett, PT Physical Therapy Consultant Wisconsin Department of Public Instruction Wisconsin Department of Public Instruction Tony Evers, PhD, State Superintendent Madison, Wisconsin This publication is available from: Wisconsin Department of Public Instruction 125 South Webster Street Madison, WI 53703 608/266-2188 Bulletin No.

2 1106 May 2011 Wisconsin Department of Public Instruction This publication was made possible by funding from CFDA # Its content may be reprinted in whole or in part, with credit to Wisconsin Department of Public Instruction acknowledged. However, reproduction of this publication in whole or in part for resale must be authorized by the Wisconsin Department of Public Instruction. ISBN 978-1-57337-148-3 The Wisconsin Department of Public Instruction does not discriminate on the basis of sex, race, color, religion, creed, age, national origin, ancestry, pregnancy, marital status or parental status, sexual orientation, or disability.

3 Printed on Recycled Paper Foreword iii Foreword ccupational therapists and Physical therapists have provided services to children in Wisconsin s schools for almost 40 years. Their role is to help children develop skills and perform tasks that most people take for granted in their own lives. The Department of Public Instruction created this book to explain how Occupational therapists (OTs) and Physical therapists (PTs) collaborate with educators, administrators, and parents to support the mission of education in the env ironment of the schools.

4 This book answers questions about who OTs and PTs are, what their purpose is in schools, and how, working with educators and parents, they help Wisconsin s children acquire the skills and knowledge they need to participate alongside other children in school and, eventually, assume positive adult roles in the community. This publication will help school staff and parents better understand the key roles OTs and PTs play in the lives of children who need their services to benefit from their education. Their work supports our shared goal that every child will graduate with the knowledge and skills needed to be successful in the workforce and/or higher education.

5 I believe this publication will support the work of all of us who believe education is the most important element to ensure a successful future for our children and our nation. Tony Evers State Superintendent O Acknowledgements v Acknowledgments The authors wish to thank all the Occupational therapists, Physical therapists, Occupational Therapy assistants, Physical therapist assistants, and special educators in Wisconsin who asked the questions that led to the development of this Resource and planning guide. The following people provided help and support in many ways: by writing and reviewing drafts; by sharing materials; and by providing feedback and encouragement.

6 Kris Barnekow, , OTR University of Illinois Chicago, Illinois Valerie D. Clevenger, PT, MS, PCS Waunakee School District Waunakee, Wisconsin Judy Dewane, PT, MHS, NCS University of Wisconsin Madison, Wisconsin Lori Dominiczak, PT, MS Dominiczak Therapy Associates, LLC Brown Deer, Wisconsin Marie Dorie Director of Special Ed/Pupil Services CESA 2 Milton, Wisconsin Mardi Freeman Director of Special Education and Pupil Services Hamilton School District Sussex, Wisconsin Kerry Gloss, OTR Green Bay Public Schools Green Bay, Wisconsin Gerry Heuer, BS, COTA DeForest School District DeForest, Wisconsin Dan Kutschera.

7 PT Neenah School District Neenah, Wisconsin Marcia Obukowicz, OT CESA 9 Tomahawk, Wisconsin Tracy Prill, OTA Edgerton School District Edgerton, Wisconsin Lisa Pugh Parent Madison, Wisconsin Judy Schabert, OTR Salucare Rehabilitation Service LaCrosse, Wisconsin Kathy Tomczyk, PTA, MS Milwaukee Area Technical College Milwaukee, Wisconsin Patty Weynand, PT Madison Metropolitan School District Madison, Wisconsin Janesville School District Janesville, Wisconsin Waukesha School District Waukesha, Wisconsin vi Table of Contents Special thanks to: Division for Learning Support: Equity and Advocacy Carolyn Stanford Taylor, Assistant State Superintendent Stephanie Petska, Director, Special Education Team State Superintendent's Office Meri Annin, Education Information Services Kari Gensler Santistevan, Education Information Services Margaret T.

8 Dwyer, Editor Copyrighted Materials Every effort has been made to ascertain proper ownership on copyrighted materials and to obtain permission for this use. Any omission is unintentional. Occupational Therapy and Physical Therapy : A Resource and Planning Guide vii Table of Contents iii v 1 chapter 1 Occupational Therapy and Physical Therapy in Wisconsin Schools .. 3 chapter 2 Federal Regulations and State Rules .. 5 Individuals with Disabilities Education Act (IDEA) .. 5 Section 504 of the Rehabilitation Act .. 7 Subchapter V, chapter 115, Wisconsin Statutes.

9 9 chapter 448, Wisconsin Statutes .. 14 Licensure Requirements .. 16 Space and Facilities .. 20 Laws Protecting Confidentiality .. 20 chapter 3 The IEP Team Process in School .. 25 Referral .. 25 Initial Evaluation .. 25 Eligibility for Occupational Therapy and Physical Therapy .. 29 Least Restrictive Environment .. 42 44 chapter 4 School-Based Occupational 49 Conceptual Frameworks .. 50 Occupational Therapy Initial 55 Other School Occupational Therapy Evaluations .. 67 69 Record Keeping .. 88 Ethics.

10 89 chapter 5 School-Based Physical Therapy .. 95 Competencies for School-Based PTs .. 95 Conceptual Frameworks .. 95 Medical Referral and Medical Information .. 100 Initial Evaluation and Examination .. 102 Physical Therapy Intervention 106 Interventions .. 106 Evidence-based Practice and Critical Inquiry .. 109 Progress Reports and Reexamination .. 113 113 Documentation .. 117 Communication .. 118 Fitness and Health .. 118 Privacy .. 118 Ethics .. 120 viii Table of Contents chapter 6 Supervision of Assistants and Other Personnel .. 125 Occupational Therapy Assistants and Physical Therapist Assistants.