ILLINOIS STATE BOARD OF EDUCATION Work Study Session I April 19, 2000 Agenda Topic: Special Education Rules Revision - Selected Issues Materials: Selected Summaries of Public Comment Staff Contact: Gordon Riffel Jack Shook Purpose of Agenda Item To focus Board attention on several key issues related to the revision of special education rules and regulations; and To establish a foundation for Board action on the proposed rules in May. Expected Outcome of Agenda Item Board member understanding of key issues; and Board direction to staff as appropriate. Background Information The State Board of Education has spent almost a year dealing with issues related to revision of Illinois’ special education rules. This rulemaking responds to the 1997 reauthorization of the Individuals with Disabilities Education Act (IDEA) and the issuance of final federal regulations implementing the changes in that Act. Issues related to the rulemaking were first considered in June 1999, and proposed changes to Illinois’ current rules were authorized for public review in August. An extended public comment period of 60 days (rather than the mandatory 45 days) was provided to ensure that all interested parties would have an opportunity to review the text and its implications, and a series of public hearings was held. In addition, the proposed rules were formally submitted for review by the Advisory Council on Education of Children with Disabilities, as required by Section 14-3.01 of the Illinois School Code; and to the Court Monitor overseeing the Corey H. Settlement Agreement. More than 825 separate responses were received. All of these have been carefully reviewed by staff and presented to the Board in a variety of formats over the past several months. Staff is now preparing the final analysis of commentary and developing recommendations for Board action. Policy Issues: During this meeting, the Board will have an opportunity to revisit, in greater detail, some of the key issues associated with this rulemaking. This will include the following: The requirements of the Illinois Administrative Procedures Act and the way in which those requirements impact rulemaking decisions; Issues related to “exceeding federal regulations;” Pros and cons for extending authorization of the “developmental delay” category through age 9; Class size and case load, including case load limitations for speech and language therapists; Evaluation of students, with emphasis on the definition of referral, the components of the evaluation and the role of the school social worker in relation to the “developmental study;” “Child Review Team” and “IEP Team.” As background for this discussion, we have attached copies of the summarized public comment on 1) developmental delay, 2) issues related to school social workers and the developmental study, 3) speech and language therapists’ case load and 4) class size. DEVELOPMENTAL DELAY (Section 226.75) Summary of Comments Communications representing more than 235 individuals addressed the following provision: Developmental Delay: Delay in physical development, cognitive development, communication development, social and emotional development, and/or adaptive development occurring in children from three through five years of age. (This language is found at 226.522 of the existing rules and was carried forward unchanged into the proposed rules.) The majority of the commenters responding to this proposed definition requested raising the upper age limit for developmental delay to nine years of age. One individual suggested allowing districts to use developmental delay up to age nine only for children who are not determined eligible for special education until they are five. The only other exception was one suggestion to change the maximum to six or seven years of age. Many commenters believed that it is difficult to determine the exact nature of a child’s disability by five years of age. They asserted it is even difficult to distinguish a delay in development from a disability at that age, since children often have a wide variability in developmental progress but no prior school experience at this point. It was claimed that the evaluator is not able to obtain reliable or valid data due to the failure of the instruments to assess and diagnose the nature of a disability accurately at that early age. Therefore, they contended that the assessments fail to support the specific identification of a disability in a very young child. Commenters expressed concern that variance in children’s developmental growth and experiences makes their achievement discrepancies less apparent. They believe these same factors also contribute to problems with validity and reliability of evaluation data. Therefore, evaluation results for these children frequently fail to manifest a discrepancy between ability and achievement that is wide enough for them to meet the eligibility requirements that apply to a learning disability. They pointed out that there are several low-incidence disabilities, such as mental impairment, traumatic brain injury and autism, which are much more difficult to diagnose at five years of age. They believe the proposed rule would result in children’s being determined not eligible for special education services and left struggling in regular education classes. They contend that such children will exit special education for a few years until they are referred again in second or third grade, are found eligible, and reenter special education. This is counterindicative of an early intervention focus and creates needless school failure for these children. Commenters believed that, by nine years of age, children’s developmental variations have leveled off and students have developed a wider repertoire of “school skills.” This results in more reliable evaluation data. They believe the availability of “developmental delay” as an eligibility category until age nine would allow school districts more time to identify the specific source of children’s disabilities and reduce the need for applying more stigmatizing labels to children at an early age (which may change as they grow older and evaluations become more valid). Some commenters pointed out what would happen to a four-year-old child who entered an early childhood program after being evaluated and found developmentally delayed. When the child reached age five, he or she could not continue as eligible due to developmental delay but would have to be identified as having a specific disability. That would involve a re-evaluation, since changing the identified basis of a child’s eligibility requires one. They contended that raising the developmental disability age to nine would mean a more “seamless” system for students such as these. Many commenters believed districts should have the opportunity to continue delivering services to students whom may not qualify for one of the special education eligibility categories. This would enable districts to continue to serve children who need services but could not be accurately evaluated due to their age. A revision in the proposed rules to expand the age to nine would provide districts the flexibility to serve young children and more time to identify their disabilities. According to these commenters, it would allow the provision of services to children without classifying them inappropriately and would facilitate the transition from early intervention services to primary programs. Many contended this would be more consistent with learning theories and supported by research, would foster the “whole child” approach, and would provide districts the opportunity to intervene during students’ period of optimal development. The use of developmental delay from age three through age nine was recommended as a proactive approach to remediation of developmental delays by serving students appropriately while they are young, enabling them to avoid the experience of failure. It was also suggested that this would be consistent with the move toward the non-categorical model used in the pending revisions to our certification system. Other commenters believed the proposed language would continue to foster categorical thinking which is inconsistent with the standards followed in the field of special education by most states in the country. A few suggested that the term “developmental delay” needed to be defined to ensure uniform interpretation across the state. They believe using developmental delay as a category will result in clearer communications between parents and the school concerning a child’s disability and will ensure the continued provision of services based upon the student’s needs and not a focus on meeting specific eligibility criteria. SCHOOL SOCIAL WORKER (Sections 226.120, 226.840, and 226.310(j)) More than 350 letters, large-scale petitions, and e-mails, bearing the signatures of some 800 individuals, dealt with a cluster of issues related to the provision of school social work services. While most of the commenters indicated that they were school social workers or social work students, comments were also received from advocates, parents, psychologists, at least one school board member, and a state legislator concerned for the quality and types of services children would receive. This group of comments addressed the following three related topics: requirements for the case study, qualifications of evaluators, and the description of school social work services. Role of School Social Worker/Requirement for Social Developmental Study (Section 226.120) A very large proportion of the commenters was concerned that the proposed rules will change the long-standing procedures by which a child is evaluated. Rather than specifying a required list of case study evaluation (CSE) components, the proposed rules create a process by which a group (referred to as the “child review team”) will determine what evaluations will occur for each child who is referred. The problem these commenters saw with the makeup of the child review team is that the number of professionals providing input is determined by what is identified as the referral question or problem. This may have the effect of excluding persons whose expertise does not, on the surface, seem to be directly essential to addressing that question or problem. Many of these commenters felt strongly that the rules should continue to incorporate the current list of required case study components for all, or at the very least all initial, case study evaluations, because the initial case study is a comprehensive professional process for understanding and clarifying students’ needs and services. “Every service team I have worked on in 30 years believes in the importance of the case study evaluation as practiced in Illinois for all that time. I cannot understand how the current case study evaluation components can suddenly be of no value when the State had such solid rationale for a case study evaluation for the last 30 years.” Others felt that the proposed rules’ failure to list a minimum set of components in an initial CSE will result in a placement decision made without benefit of crucial information. Turning away from a comprehensive and multidisciplinary diagnostic protocol was considered a disservice to children. “Children in Illinois schools deserve to have evaluations which consider each student’s needs in the context of the impact of life changing events such as death or illness in the family, legal entanglements, frequent moves, history of abuse, financial difficulty, death of a pet, lack of adequate heat/clothing/food on their educational needs.” These respondents believed that, without a social developmental study (SDS), the team would lack knowledge of the family background, the parent’s perception of the problem, the cultural background of the family, the potential stressors in the family, the previous academic history, the child’s behavior at home, and the child’s personality characteristics. “Without the SDS the evaluation is nothing more than testing which makes no more sense to determine a child’s academic performance potential than merely looking at IQ scores.” The SDS allows the team to make judgments based on the child’s strengths, weaknesses, and support systems. A few commenters suggested that the proposed change would make it much more difficult for parents to know what information ought to be included in the evaluation. They further reasoned that not requiring specific elements invites district teams to act unprofessionally and avoid investigating all relevant information, causing districts to make inappropriate decisions regarding students’ educational needs. Others asserted that the proposed language invites districts to use financial considerations to influence decision-making regarding how thorough a specific student’s evaluation must be. A concern expressed by most is that “Eliminating the minimum components in a case study evaluation will jeopardize the right of children to receive a comprehensive case study evaluation from multiple disciplines.” A related issue dealt with parental comfort with and real participation in the process. Commenters expressed concern that the school staff members are a team of professionals who enjoy a working relationship while the parent does not share this camaraderie, putting the parent at a distinct disadvantage. They thought parents would be much less comfortable sharing needed information with a group instead of with a school social worker (SSW) in private. “A cursory discussion by team members at a pre-MDC meeting to determine whether or not the social developmental study is necessary is neither sufficient nor appropriate.” They noted that parental involvement is a strong mandate in IDEA and stated that the SSW is the primary person who fosters parental involvement through conducting the SDS, specifically the parent interview, in a safe atmosphere. “I have yet to meet a parent who willingly and comfortably reveals more than an “everything is fine” when seated at a table with numerous professionals, albeit strangers.” A final issue expressed by many commenters was their concern that the currently required social developmental study, including an assessment of the student’s ability to adapt in various in-school and out-of-school situations, should continue to be conducted whenever a child is evaluated or re-evaluated. Investigating more than just the presenting problem leads to identifying student strengths and solutions that would otherwise have gone unidentified. The social developmental study evaluates all the systems, which have influenced the child’s growth and development, and assesses how those systems affect the child’s ability to benefit from his experiences in the educational environment. Many times, prior to conducting a social developmental study, school staff feel nothing can be gained by investigating the student’s home environment, only to discover circumstances which greatly affect the student’s ability to learn. “To have a case study evaluation without an SDS is like conducting a dental check-up without xrays.” Qualifications of Evaluators (Section 226.840) Summary of Comments Commenters felt very strongly that school social workers are the only certificated professionals qualified to conduct a social developmental study. They presented as evidence an IDEA regulation as well as numerous references to our own Illinois certification standards and competency testing requirements. It was asserted that the federal regulation at 34 CFR 300.24(b)(13) clearly identifies the school social worker as the only professional qualified to conduct the social assessment and that IDEA identifies no other professional as qualified to do so. Further, ISBE certification rules require SSW’s to take the coursework necessary to train professionals to conduct the SDS and do not require this of any other certificated professional. Commenters stated that, when the SDS has been done by someone other than a qualified SSW, this component has typically been given cursory attention. “The notion of having school psychologists or school guidance counselors conduct the social developmental study is akin to the erroneous concept that because someone has taken a class in statistics and test administration that he/she could function as adequately as a school psychologist.” Specific comments were also made that school professionals who are not intimately familiar with the complexity and extent of the expertise needed to conduct the social developmental study tend to discount its value in the diagnostic process. Guidance counselors do not have the training, expertise, or knowledge of special education to consult with parents effectively and evaluate students’ needs. School psychologists already have a large responsibility for conducting special education evaluations. Adding the social developmental study to their workload would make it much more likely that their own biases and impressions will affect placement to a greater extent. For this reason, commenters believed multiple team members need to be involved in the assessment. “If school social workers are not mandated to do the SDS chances are the SDS and its component parts will not get done and students will only be recognized by academic performance and teacher observation.” Description of School Social Work Services (Section 226.310(j)) Summary of Comments The commenters felt quite strongly that this section of the rules should use the word “shall” to express as a definition of services the duties to be performed only by the school social worker, rather than the word “may” used in the proposed rule. They believe that IDEA’s definition of related services at 300.24(b)(13) clearly states that school social work services “include” a number of duties/functions which the proposed regulations list, in error, as “may” include. In their view, stating that these functions “shall” be performed by a school social worker would better comply with IDEA and would support the value of these services to students, staff, and parents. They believe the proposed rule implies that anyone, no matter their lack of qualifications, can provide the functions listed and diminishes the school social worker’s ability to advocate for children and families. “School social work services are more important now than ever before because of the increased violence in our schools and using the term “may” appears to diminish the important role of the school social worker.” CASE LOAD FOR SPEECH-LANGUAGE PATHOLOGISTS (Section 226.730(b)(3)) Over 270 letters, large-scale petitions, and e-mails, bearing the signatures of some 1,000 individuals, dealt with the following provision: 3) The number of children served by a speech-language pathologist shall be based on the severity of the speech-language needs of each child. At no time shall the caseload exceed 80 students. (This language is found in Section 226.250 of our existing rules and was carried forward unchanged into the proposed rules.) While most of the commenters indicated that they were speech-language pathologists, several dozen letters were also received from parents concerned for the quality of service children would receive. Every one of these respondents requested that the number 80 be lowered. In support of this request, numerous commenters outlined the changes that have taken place in the student population they serve since the maximum of 80 was established more than 20 years ago. In particular, they noted that most of the students seen in the school setting at that time presented fairly straightforward difficulties with articulation or stuttering; they would probably not even be eligible for special education under today’s rules. They indicated how the complexity and severity of children’s needs have changed by enumerating the conditions and syndromes that today’s students experience. In their view, receptive and expressive language disorders, voice disorders, feeding and swallowing problems, reading and writing delays, planning and training for the use of augmentative communication devices, and difficulties with social language skills require more intensive intervention than a caseload of 80 permits. A number of the commenters noted that, in theory, the first sentence of Section 226.730(b)(3) should be adequate, in that it limits the speech-language pathologist’s caseload to the number who can be served effectively and alludes to the use of a severity scale. In practice, however, they noted that many district administrators believe 80 is always allowable, so in those districts that number becomes the caseload everyone has to carry and severity is not taken into account. Several other aspects of the SLP’s workload were highlighted repeatedly. The amount of paperwork that has to be completed was first and foremost among these. Many commenters noted that federal requirements had increased dramatically with the advent of the Education for All Handicapped Children Act and subsequently with IDEA. (“Before I can begin a class with a student, I need to fill out at least nineteen pages of paperwork in triplicate...”) Others stressed additional tasks that fall to the SLP: “Today we conduct speech-language screenings, carry out comprehensive diagnostic evaluations, write reports, participate in multidisciplinary team conferences, develop IEP’s, participate in parent/teacher conferences, complete required documentation, conduct annual review conferences, consult/collaborate with classroom teachers and participate on child study committees (to name a few).” The commenters were not suggesting that these other tasks be removed from their workload. On the contrary, they noted that several components are necessary to successful habilitation: parental involvement, communication with students’ case managers, other professionals, and paraprofessionals, and preparation of materials, in addition to paperwork. They expected to be accountable for a collaborative, interdisciplinary approach to meeting the needs of children who present enormous challenges. They stated that this requires ongoing opportunities to meet with other professionals for planning and evaluation, and that the time spent in such endeavors affects the caseload a person can manage. Additionally, it is necessary to consider travel time and the effects of scheduling. Not taking these into account compromises the quality of service; caseload size should balance time for direct services and time for other responsibilities. It was repeatedly pointed out that SLP’s couldn’t provide appropriate services to students when there is not enough time to do so. A large caseload requires large class groupings in order to see students for the amounts of time specified in their IEP’s. However, while on paper the students are receiving the planned number of minutes of service, students with intense needs do not make very much progress and do not get out of the program; they stay in therapy for years and the caseload grows even larger. (“It’s no wonder that many children work for years on the same goals.”) The respondents contrasted what they stated to be effective practice with the situation they currently face. They noted that many students could be helped much more quickly if they could get adequate therapy early in their lives. It was pointed out that, according to recent brain research, with increased intensity of a task, new neural connections could be made. In other words, the time currently available for therapy is not in line with what is known about how students progress. (“We are not doing anyone any justice.”) Commenters did not hesitate to acknowledge that school districts and cooperatives would have to hire additional SLP’s if the caseload maximum were lowered, and that they have had a difficult time finding available candidates. They attributed this apparent shortage to Illinois’ high caseload in comparison to working conditions in surrounding states. (Missouri, Iowa, Wisconsin, and Kentucky have numbers ranging from 32 to 60 students, and according to ASHA, the national average maximum is 52.) They expressed the belief that the maximum of 80 serves as a strong disincentive to service in the Illinois public schools and that lowering that number would go a long way toward solving the problem of supply. They stated that students in the field no longer see the public schools as a viable place for employment, so that hospitals, nursing homes, and clinics have become more attractive. On the other hand, this was stated to be an opportune time to “capture” speech pathologists released from other settings due to changes in managed care programs, and lowering the caseload maximum was thought to be an effective way of attracting both these experienced professionals and “the better and brighter graduate students.” (“Now is the time to “hook” them on working in the schools.”) Conversely, “It is unethical to sacrifice the treatment of students due to a shortage of speech-language pathologists. With increased caseloads, the public school system will drive away potential speech-language pathology applicants.” Also, “This has been a problem and a disgrace for our state for years.” In summary, the number 80 was called overwhelming, unreasonable, ridiculous, unbelievable, ludicrous, unmanageable, impossible, not workable, detrimental to children, exorbitant, disappointing, to say the least, unbearable, outdated, ambiguous, illogical, inconceivable, indefensible, highly inappropriate, unrealistic, archaic, antiquated, outrageous, obtuse, infuriating; a disincentive to work in Illinois schools, incongruous with the roles and responsibilities of the public school SLP and a gross disservice to students. (“Only the Bionic Speech Pathologist could successfully service 80 students with today’s needs and rules and regulations!”) For a more appropriate benchmark, many pointed to the maximum caseload of 40 students (25 for early childhood caseloads) recommended by the American Speech and Hearing Association (ASHA), while others mentioned a maximum of 50 or 60. Another frequently suggested approach was the use of a severity rating scale developed in the early 1990’s, which assigns “service delivery units” to the students who are seen by a speech-language pathologist (SLP) in accordance with the severity of their disabilities and the intensity of their needs. The caseload is then capped at 100 units rather than according to an arbitrary headcount. This method is explained in a technical assistance manual distributed by the State Board and is apparently used in many Illinois districts. Commenters complimented its usefulness and suggested that it be mandated. (“Where 100 severity units are not respected as a maximum, time is misspent, the job gets done halfway; and the income is not worth the stress. Put in a weighted formula and allow us to do a professional job.”) One respondent voiced the plea of many colleagues: “Give us a chance to help Illinois students with speech disabilities improve sooner, vs. later.” CASE LOAD/CLASS SIZE (Section 226.730) Approximately 100 comments were received from a variety of respondents regarding Section 226.730, which deals with case load and class size as these relate to the varying needs of the students receiving special education services. The rule distinguishes between “instructional” classes and services and “resource” classes and services, according to the portion of a student’s day accounted for by the service. (It should be noted that our current rules define “instructional” as provided to a student for 50 percent or more of the school day, as opposed to 60 percent in the proposed rules.) Commenters expressed concern about placing students who receive services for between 50 and 60 percent of their school day in the “resource” setting, where the allowable class size is larger than in the “instructional” setting. Many stated that this change to 60 percent would greatly increase the number of students in the resource program and would undermine the quality of services being provided. They felt that students need smaller classes to benefit from individualized instruction, not larger ones. Many commenters stated that it is currently difficult to adequately serve children who receive services with a 50 percent threshold. In addition, they stated that resource programs are not appropriate if a student is receiving services for 50 percent of the day or more. When a student is in an instructional class, he/she receives more individualized and specialized services, and the 50 percent threshold should remain in order to offer students the individualized instruction needed. The main impact of the proposed change would have been on caseload. Resource services have a maximum caseload of 1 teacher to 20 students. The maximum for an instructional class is 1 teacher to 10 students. Increasing the resource services to 60% of a student’s day versus 50% may result in a reduction of instructional classes with a corresponding increase in resource services. This was a major concern to several commenters. Other statements included concern that many resource rooms are not full-sized, so schools would not be able to accommodate increases in the number of students receiving such services, and that there is no valid reason to change resource programs up to 60 percent since there is no evidence or research that supports the change. On the other hand, a few commenters supported the proposal to change the resource program up to 60 percent, stating that class size requirements would be consistent with the federal breakdown and would clear up child reporting. Commenters acknowledged that federal reporting requirements involve distributing children among three categories: (a) those who receive services for more than 60 percent of the school day, (b) those who receive services for 21-60 percent of the school day, and (c) those who receive services for 20 percent of the school day or less. They indicated that there is no need to include language in the rules regarding a reporting mechanism and that changing the Funding and Child Tracking System (FACTS) would be more appropriate. Others suggested adding language related to the reporting breakdown where requirements for service in the least restrictive environment are discussed, instead of in the case load/class size section (because the breakdown exists for the purpose of determining whether states appear to be serving children in the least restrictive environment). All but a few of the commenters suggested that the rule as currently in force should remain unchanged (referring to 50 percent instead of 60 percent). One commenter suggested that if the proposed language is adopted, the case load/class size of 20 should be lowered. On a related note, some commenters interpreted subsection (c), which deals with enrollment in classes provided to students for less than 20 percent of the school day, to mean that students needing service for such a limited time would not be considered eligible for special education or eligible for resource services. Some proposed either eliminating that subsection or inserting language to make students’ eligibility explicit, while another idea was to create a title for this category (presumably also to make the fact of students’ eligibility clear).