Slide II-1

Consulting With Schools on Health Issues

  • Basics of Consulting With Schools on Health Issues
  • Legal Issues in School Health
  • Providing Consultation for Children With
  • Special Health Care Needs
  • Anaphylaxis and Emergency Care
  • Mental and Behavioral Health Issues and Services
  • Helping a School Prepare for Crisis
Slide II-2

Steps to Becoming a School Consultant

  • Become knowledgeable about the school and the community
  • Inventory your pediatric skills
  • Enhance consulting skills
  • Know the Consultant's 10 Commandments
Slide II-3

The School Consultant's
10 Commandments

  • Know why you are being consulted.
  • Communicate accessibility.
  • Determine what is requested.
  • Formulate specific input.
  • Support your input.
Slide II-4

The School Consultant's
10 Commandments (cont'd)

  • Educate your client.
  • Maintain follow through.
  • Be brief.
  • Be charitable.
  • Be honest.
Slide II-5

Important Federal Laws

  • Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program
  • Education for All Handicapped Children Act
  • Early Intervention Law
  • Individuals with Disabilities Education Act
  • Section 504 of the Rehabilitation Act of 1973
Slide II-6

Federal Programs:
Implementation and Responsibility

  • Supporting services under federal mandate
    • Educational system
    • Medicaid
    • Private Insurance
  • Responsibility for services and medical care
    • Schools
    • Physician and medical community
    • Educational authorities
Slide II-7

State Laws and Local Policies

  • State
    • Most states have state agency offices
    • Laws vary state to state
    • Medical requirements upon school entry
  • Local
    • Policies for practices are defined at the district level and then approved by the board
    • Policies may be dated
Slide II-8

Children With Special Needs
and The Role of Pediatricians

  • Share information with school staff.
  • Serve as resource for school personnel.
  • Relay the value of a supportive environment.
  • Ensure the entire student body learns about disabilities.
Slide II-9

Important Issues for Children With Special Needs

  • Screening and surveillance
  • Participation in assessments
  • Counsel and advice
  • The Individual Education Plan (IEP)
  • Individual Family Service Plan (IFSP)
  • Coordinated medical services
  • Advocacy on their behalf
Slide II-10

The Domains of the Individual Family Service Plan

  • Physical development
  • Cognitive development
  • Communication development
  • Social or emotional development
  • Adaptive development
Slide II-11

Developing the Individual Education Plan

  • Identification
  • Evaluation
  • Need for designation
  • Placement Services and interventions
  • Due process
Slide II-12

Problem Issues for Children With Chronic Illness

  • Availability of health services
  • Medications
  • Emergency situations
  • Homebound teaching and absence policies
  • Communication with school personnel
Slide II-13

Anaphylaxis and the Role of Pediatricians

  • Identify children with allergies.
  • Review school policy on the administration of epinephrine.
  • Provide epinephrine prescription to school nurse for children without known allergies.
  • Perform in-service for school staff about anaphylaxis and epinephrine.
Slide II-14

Mental Health and the Role
of the Pediatric Consultant

  • Provide general information.
  • Provide consultative services for individual students.
  • Provide consultation on emergencies.
  • Develop a written plan of action.
  • Develop resource material.
Slide II-15

Types of School Crisis Situations

  • Bereavement
  • Environmental crisis
  • Threats to physical safety of students
Slide II-16

Crisis and the Role of the Pediatrician

  • Organize a crisis intervention plan.
  • Train staff on crisis intervention.
  • Be a member of a crisis intervention team.
  • Be available for crisis followup.
Slide II-17

Crisis Intervention Teams

  • Regional resource group
  • District crisis intervention team
  • School-based crisis team
Slide II-18

Crisis Team Emergency Procedures

  • Share information about the crisis with team members.
  • Allow staff to voice concerns.
  • Outline plans for implementing an intervention.
  • Prepare a written statement about the crisis.
  • Schedule a follow-up meeting.
Slide II-19

Crisis Intervention and Students (cont'd)

  • Share written statements with students.
  • Provide space for emergency counseling.
  • Consider needs of the surviving family and students.
  • Ensure follow-up for children.