HOT TOPICS IN AUTISM AND EDUCATION: The top five legal issues by Caryl Andrea Oberman, Esq.* As we enter the spring of 2013, there are five issues that most significantly influence the education of students with autism at various points in the education life cycle. 1. The new definition of autism in the DSM 5 (release scheduled for May 2013). The Diagnostic and Statistical Manual (DSM) is a publication of the American Psychiatric Association that is the standard reference for identifying and diagnosing mental and emotional disorders. It provides a common set of criteria for use by professionals working with affected individuals. Rather than the breakout definitions in the current DSM IV (Aspergers Syndrome, PDD-NOS, etc.), there will be a single diagnostic category of Autism Spectrum Disorder (ASD), broken down by severity of symptoms. The new DSM 5 definitions will not, at least for now, affect the definition of autism in the IDEA [34 C.F.R. Section 300.8(c)(1)(i)]: Autism means a developmental disability significantly affecting verbal and nonverbal communication and social interaction, generally evident before age three, that adversely affects a child’s educational performance. Other characteristics often associated with autism are engagement in repetitive activities and stereotyped movements, resistance to environmental change or change in daily routines, and unusual response to sensory experiences. There is no category for PDD-NOS or for Aspergers Syndrome in the current IDEA statute or regulations. Some states have passed or introduced laws to make sure that the education definitions will not change. Pennsylvania is not one of them. 1 The Law Offices of Caryl Andrea Oberman, LLC • 705 Easton Road • Willow Grove, PA 19090 • (215) 830-5025 • Fax: (215) 830-5027 • edlaw@caryloberman.com • www.caryloberman.com Any student currently receiving services under the category of autism must continue to receive them unless and until the IEP and NOREP are changed consistent with due process procedures. 2. Early intervention and preschool inclusion In Pennsylvania, the cases are split on whether there are circumstances under which an early intervention agency must not only provide services to a child with autism in a typical preschool environment, but also pay for the typical preschool. In the case of BD, Montgomery County Intermediate Unit, the Hearing Officer held that the IU, having failed to offer a typical preschool to a student, had to reimburse his parents for the typical preschool of their choice. Special Education Decision 11162-0910AS, 5/8/2010. The Hearing Officer in the case of J.H., Bucks County Intermediate Unit, Special Education Decision 01271/09-10KE, 12/13/2010, reached the opposite conclusion, holding as a matter of law that payment for a typical preschool was not required. On February 29, 2012, the United State Department of Education Office of Special Education and Rehabilitative Services (OSEP) issued a “Dear Colleague” letter to provide guidance on this issue. Although OSEP concludes that preschool kids covered under the IDEA have a right to placement in the least restrictive environment, and that “if a public agency determines that placement in a private preschool program is necessary for a child to receive FAPE [a free, appropriate public education], the public agency must make that program available at no cost to the parent,” IU attorneys are still interpreting this to preclude requiring IUs to pay for typical preschool. The federal courts have not yet decided the issue, and it is one to watch. 3. Meaningful Education Benefit How much is enough? If a child is capable, with appropriate services, of learning fifty new words in a school year, is it enough to give him fewer services and to set and meet a goal of thirty words? If a student makes a year’s worth of progress in a year, is that enough, even if with more and better services she could reasonably be expected not only to make a year’s worth of progress but to close a part of the gap separating her from grade-level performance? In 1982, the United States Supreme court decide the case of Board of Education of the Hendrick Hudson School District v. Rowley, 458 U.S. 176 (1982). Amy Rowley was a student with a hearing impairment, placed primarily in typical classes. Without a sign language interpreter, she was not only moving from grade 2 The Law Offices of Caryl Andrea Oberman, LLC • 705 Easton Road • Willow Grove, PA 19090 • (215) 830-5025 • Fax: (215) 830-5027 • edlaw@caryloberman.com • www.caryloberman.com to grade, but also doing better academically than most of the hearing kids in her class. Her parents argued that her grades would improve with interpreter services, and that she had a right to reach her full potential. The Court ruled that her education was “adequate”, and that she was not entitled to more. She was entitled only to a “basic floor of opportunity.” Since 1982, some local educational agencies have used Rowley to argue that even small amounts of benefit are enough to meet the standard of appropriateness. In Central Susquehanna Intermediate Unit v. Polk, 853 F. 2d 171 (3d Cir. 1988), a case involving a far more disabled student than Amy Rowley, the Third Circuit Court of Appeals, whose decisions are binding on Pennsylvania, New Jersey and Delaware, held that “trivial” benefit was not enough, and that the IDEA required the provision of an education that would confer “meaningful benefit.” More recent cases have focused on what meaningful benefit means. In D.S. v. Bayonne Board of Education, 602 F. 3d 533 (3d Cir. 2010), the Court held that a student with learning disabilities who was getting good grades in special education settings was still entitled to the more intensive private program sought by his parents because there was a “disconnect” between the District’s assessment of the student’s ability in the special education setting and his performance on standardized achievement tests. In Breanne C. v. Southern York County School District, 732 F. Supp. 474 (M.D. Pa. 2010), the federal District Court held that in order for there to be meaningful educational benefit, a student’s IEP must be designed to address and to offer the student a chance to make reasonable progress in all relevant domains under the IDEA: not only academics, but also behavioral, social and emotional domains. Significantly, the Court also held that a student’s IEP must be tailored to his or her unique, individual needs consistent with the student’s potential. In Leighty v. Laurel School District, 457 F, Supp. 2d 546 (W.D> Pa. 2006), the District Court held that making a year of progress in a year was “meaningful”, and that a school district was not required to provide education that would close the gap between the student’s progress and grade level. Every time Congress has reauthorized the IDEA, it has strengthened its statement that the purpose of special education is to provide students with disabilities, not just with access to classrooms, but with the skills to gain access to a full life in the neurotypical world. Congress has increasingly stressed access to typical classes, typical curricula, typical environments and typical jobs. Congress has also stressed the requirement to use research-based interventions, many of which have been shown to enable students to close the gap. Nevertheless, most courts have ignored what appears to me, and to many others, a Congressional mandate to provide services which, while not necessarily “maximizing” a student’s 3 The Law Offices of Caryl Andrea Oberman, LLC • 705 Easton Road • Willow Grove, PA 19090 • (215) 830-5025 • Fax: (215) 830-5027 • edlaw@caryloberman.com • www.caryloberman.com potential, still sets goals and delivers services in accordance with that potential. Litigation in this area will continue. 4. Behavioral support services in schools It is well-established that education means more than academics, and that it encompasses a student’s emotional and behavioral issues as well. Because services to address those issues may be medically necessary as well as educationally necessary, it is not uncommon for students to receive behavioral services both through their IEPs and through Medical Assistance or private insurance. This dual system raises questions about coordination of services, funding, access, and accountability. Both the behavioral health system and the education system have responsibility for providing appropriate behavioral support services. Neither can abdicate its responsibility to the other. However, it is often in the interest of a child to have those services provided by a single team, and it is always in the interest of a child to have those services well-coordinated so that messages are not mixed and approaches, expectations, and data collection are consistent. If a student needs 1:1 behavioral support services in school in order to achieve meaningful educational benefit, it is the school district’s responsibility to guarantee that those services are provided. The school district may choose to make them available through its own staff, or through a behavioral health provider agency. In any case, the services must be free to the parents and child (no co-pays, no service caps) and calculated to support the IEP and its goals. School district can ask, but cannot require, that parents allow them to use a child’s Medical Assistance benefits to help pay for those services. If a parent does not give permission to use Medical Assistance, the district cannot refuse to provide services on that basis. Moreover, regardless of what agency is scheduled to provide the services, the district is responsible for any failure to provide them as a part of a free, appropriate public education. The need for behavioral services, for a functional behavioral assessment, and well-designed Positive Behavior Support Plan should be clearly reflected on the IEP itself. If there are several agencies involved, the IEP should also reflect how and when services will be coordinated. Counseling services, direct instruction and parent training can also be part of the IEP. If the district does not agree that the behavioral health services a parent seeks are educationally necessary, the parent may still seek to have the district allow behavioral health professionals to work with the student in school. A district may not be obligated to allow this on an ongoing basis, although there is a small but growing body of case law that does require districts to allow behavioral health agencies reasonable access in order to facilitate appropriate evaluations. 4 The Law Offices of Caryl Andrea Oberman, LLC • 705 Easton Road • Willow Grove, PA 19090 • (215) 830-5025 • Fax: (215) 830-5027 • edlaw@caryloberman.com • www.caryloberman.com It is not unusual for behavioral health agencies to recommend more restrictive settings (e.g., partial hospitalization programs) as medically necessary. School districts nevertheless remain responsible for offering services in the least restrictive appropriate setting. 5. Transition to adult life Starting in the IEP year in which the student turns fourteen, the IEP must include a plan for transition to adult life. The plan must include services geared toward addressing the skills a student will need to succeed in post-secondary education or training, employment, and community living. This IDEA requirement has been strengthened and expanded each time Congress has reauthorized the IDEA. It has broadened out the definition of education to include what happens at home and in the community as well as what happens at school, and is a powerful tool for addressing the needs of the whole student. Very early on, there was a bad decision in the 9th Circuit Court of Appeals that held that the transition requirement added very little to the other requirements of the IDEA. In my view, that was and continues to be bad law. However, few courts have examined its analysis in a meaningful way. Attorneys representing kids with special needs continue to press on this issue. The age of twenty-one should be the start of a well-prepared and positive entrance into adulthood, not a step out of the door of high school and over a very steep cliff. *Caryl Andrea Oberman is the principal of the law firm that bears her name. For more than three decades, her practice has concentrated on the legal needs of persons with disabilities and their families, and of gifted students. She has lectured and published extensively in the areas of civil rights, education rights, and estate planning, especially for families of children with disabilities. Formerly law clerk to the Hon. Merna B. Marshall (Philadelphia Court of Common Pleas), director of the Legal Department of Philadelphia Association of Retarded Citizens, senior staff attorney at the Education Law Center and litigation consultant at the Disabilities Law Project, she has served on the boards of numerous agencies advocating for children and adults with disabilities and serves as a hearing officer for the Office of Vocational Rehabilitation. She is the chair of the Special Education Committee of the Education Section of Pennsylvania Bar Association. Ms. Oberman has been an adjunct professor of School Law in the graduate education programs of Arcadia University, Holy Family University, Cabrini College and Antioch University. She received her B.A. with Honors in Political Philosophy from Syracuse University in 1971 and her J.D. from Villanova University School of Law in 1974. Her firm serves families in the eastern half of Pennsylvania, with offices in Willow Grove (Montgomery County). © Copyright 2013, Law Offices of Caryl Andrea Oberman, LLC 5 The Law Offices of Caryl Andrea Oberman, LLC • 705 Easton Road • Willow Grove, PA 19090 • (215) 830-5025 • Fax: (215) 830-5027 • edlaw@caryloberman.com • www.caryloberman.com