048-1 Wyo. Code R. § 303.12 - Early intervention services
(a) General. As
used in this part, early intervention services means services that-
(1) Are designed to meet the developmental
needs of each child eligible under this part and the needs of the family
related to enhancing the child's development;
(2) Axe selected in collaboration with the
parents;
(3) Are provided-
(i) Under public supervision;
(ii) By qualified personnel, as defined in
Sec. 303.21, including the types of personnel listed in paragraph (e) of this
section;
(iii) In conformity with
an individualized family service plan; and
(iv) At no cost, unless, subject to Sec.
303.520(b)(3), Federal or State law provides for a system of payments by
families, including a schedule of sliding fees; and
(4) Meet the standards of the State,
including the requirements of this part.
(b) Natural environments. To the maximum
extent appropriate to the needs of the child, early intervention services must
be provided in natural environments, including the home and community settings
in which children without disabilities participate.
(c) General role of service providers. To the
extent appropriate, service providers in each area of early intervention
services included in paragraph (d) of this section are responsible for-
(1) Consulting with parents, other service
providers, and representatives of appropriate community agencies to ensure the
effective provision of services in that area;
(2) Training parents and others regarding the
provision of those services; and
(3) Participating in the multidisciplinary
team's assessment of a child and the child's family, and in the development of
integrated goals and outcomes for the individualized family service
plan.
(d) Types of
services; definitions. Following are types of services included under "early
intervention services," and, if appropriate, definitions of those services:
(1) Assistive technology device means any
item, piece of equipment, or product system, whether acquired commercially off
the shelf modified, or customized, 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-
(i) The evaluation of the needs of a child
with a disability, including a functional evaluation of the child in the
child's customary environment;
(ii)
Purchasing, leasing, or otherwise providing for the acquisition of assistive
technology devices by children with disabilities;
(iii) Selecting, designing, fitting,
customizing, adapting, applying, maintaining, repairing, or replacing assistive
technology devices;
(iv)
Coordinating and using other therapies, interventions, or services with
assistive technology devices, such as those associated with existing education
and rehabilitation plans and programs;
(v) Training or technical assistance for a
child with disabilities or, if appropriate, that child's family; and
(vi) 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.
(2)
Audiology includes-
(i) Identification of
children with auditory impairment, using at risk criteria and appropriate
audiologic screening techniques;
(ii) Determination of the range, nature, and
degree of hearing loss and communication functions, by use of audiological
evaluation procedures;
(iii)
Referral for medical and other services necessary for the habilitation or
rehabilitation of children with auditory impairment;
(iv) Provision of auditory training, aural
rehabilitation, speech reading and listening device orientation and training,
and other services;
(v) Provision
of services for prevention of hearing loss; and
(vi) 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.
(3) 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.
(4) Health services (See Sec.
303.13).
(5) 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.
(6) Nursing
services includes-
(i) 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;
(ii) Provision of nursing
care to prevent health problems, restore or improve functioning, and promote
optimal health and development; and
(iii) Administration of medications,
treatments, and regimens prescribed by a licensed physician.
(7) Nutrition services includes-
(i) Conducting individual assessments in--
(A) Nutritional history and dietary
intake;
(B) Anthropometric,
biochemical, and clinical variables;
(C) Feeding skills and feeding problems;
and
(D) Food habits and food
preferences;
(ii)
Developing and monitoring appropriate plans to address the nutritional needs of
children eligible under this part, based on the findings in paragraph (d)(7)(i)
of this section; and
(iii) Making
referrals to appropriate community resources to carry out nutrition
goals.
(8) 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-
(i) Identification, assessment,
and intervention;.
(ii) 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
(iii)
Prevention or minimization of the impact of initial or future impairment, delay
in development, or loss of functional ability.
(9) 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-
(i) Screening,
evaluation, and assessment of infants and toddlers to identify movement
dysfunction;
(ii) Obtaining,
interpreting, and integrating information appropriate to program planning to
prevent, alleviate, or compensate for movement dysfunction and related
functional problems; and
(iii)
Providing individual and group services or treatment to prevent, alleviate, or
compensate for movement dysfunction and related functional problems.
(10) Psychological services
includes-
(i) Administering psychological and
developmental tests and other assessment procedures;
(ii) Interpreting assessment
results;
(iii) Obtaining,
integrating, and interpreting information about child behavior, and child and
family conditions related to learning, mental health, and development;
and
(iv) 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.
(11) 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 Sec. 303.23.
(12) Social work services includes-
(i) Making home visits to evaluate a child's
living conditions and patterns of parent-child interaction;
(ii) Preparing a social or emotional
developmental assessment of the child within the family context;
(iii) Providing individual and family-group
counseling with parents and other family members, and appropriate social
skill-building activities with the child and parents;
(iv) 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
(v) Identifying, mobilizing, and coordinating
community resources and services to enable the child and family to receive
maximum benefit from early intervention services.
(13) Special instruction includes--
(i) 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;
(ii) 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;
(iii)
Providing families with information, skills, and support related to enhancing
the skill development of the child; and
(iv) Working with the child to enhance the
child's development.
(14) Speech-language pathology includes-
(i) Identification of children with
communicative or oropharyngeal disorders and delays in development of
communication skills, including the diagnosis and appraisal of specific
disorders and delays in those skills;
(ii) 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
(iii) Provision of services for the
habilitation, rehabilitation, or prevention of communicative or oropharyngeal
disorders and delays in development of communication skills.
(15) Transportation and related
costs includes the cost of travel (e.g., mileage, or travel by taxi, common
carrier, or other means) and other costs (e.g., tolls and parking expenses)
that are necessary to enable a child eligible under this part and the child's
family to receive early intervention services.
(16) Vision services means-
(i) Evaluation and assessment of visual
functioning, including the diagnosis and appraisal of specific visual
disorders, delays, and abilities;
(ii) Referral for medical or other
professional services necessary for the habilitation or rehabilitation of
visual functioning disorders, or both; and
(iii) 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.
(e) Qualified personnel. Early intervention
services must be provided by qualified personnel, including-
(1) Audiologists;
(2) Family therapists;
(3) Nurses;
(4) Nutritionists;
(5) Occupational therapists;
(6) Orientation and mobility
specialists;
(7) Pediatricians and
other physicians;
(8) Physical
therapists;
(9)
Psychologists;
(10) Social
workers;
(11) Special educators;
and
(12) Speech and language
pathologists.
Notes
Authority: 20 U.S.G. 1401(1) and (2); 1432(4)
Note: The lists of services in paragraph (d) and qualified personnel in paragraph (e) of this section are 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.
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