3. 3
What is an Emotional Disturbance?
Federal Definition
A condition exhibiting one or more of the
following characteristics over a long period of
time and to a marked degree that adversely
affects educational performance
4. 4
What is an Emotional Disturbance?
CA definition
Because of a serious emotional disturbance, a
pupil exhibits one or more of the following
characteristics over a long period of time and to
a marked degree, which adversely affect
educational performance
5. 5
What is an Emotional Disturbance?
The Five Factors
1. An inability to learn that cannot be explained by
intellectual, sensory, or health factors
2. An inability to build or maintain satisfactory
interpersonal relationships with peers and teachers
3. Inappropriate types of behavior or feelings under
normal circumstances
4. A general pervasive mood of unhappiness or
depression
5. A tendency to develop physical symptoms or fears
associated with personal or school problems
6. 6
Diagnosed Mental Illness and ED
Mental Illness Defined
Medical condition that disrupts thinking, feeling,
mood, ability to relate to others, and daily
functioning
(National Institute of Mental Health)
7. 7
Diagnosed Mental Illness and ED
Not required to find student eligible under
category of ED
Diagnosis does not automatically qualify
student for special education
Symptoms may trigger Child Find obligations
9. 9
Facts
16 year-old diagnosed with mild depression,
ODD and mood disorder
Private psychologist recommended
permission to make-up missed assignments,
but not special education assessment
Parent requested assessment
“Student Study Team” determined
interventions could be implemented in
general education setting
Student v. Saddleback Valley USD (OAH
2011)
10. 10
Facts
Assessment postponed
Dissatisfied parent unilaterally enrolled
student in RTC
Student eventually assessed and qualified
under OHI and ED
Student v. Saddleback Valley USD (OAH
2011)
11. 11
Issues
Violation of Child Find duties
Parent alleged District should have
assessed
Following receipt of psychologist
recommendation
Following parent’s request for assessment
Student v. Saddleback Valley USD (OAH
2011)
12. 12
Decision
No Child Find violation
Psychologist email alone insufficient to trigger
Child Find
Parent agreed to general education
interventions
Parent did not notify school of dissatisfaction
before unilaterally enrolling student in RTC
Student v. Saddleback Valley USD (OAH
2011)
13. 13
What is ED?
Student v. Placentia-Yorba Linda Unified School Dist.
(OAH 2009)
ED is not medical diagnosis (under DSM-IV)
ED is “legal category created by Congress to
distinguish a narrow range of pupils with emotional
problems who are eligible for special education
services”
Criteria regarding emotional disorders in medical
field are different than educational criteria for ED
14. 14
#1 - Inability to Learn
Designed to rule out other reasons
Student v. Lakeside Joint Elementary
School Dist. (OAH 2008)
Student with “attachment disorder” (per parents)
Declining STAR scores, but high average WISC
scores and no severe discrepancy
Student asked for help when needed
Student had ability to learn
15. 15
#1 - Inability to Learn
Student v. Placentia-Yorba Linda Unified
School Dist. (OAH 2009)
Student with (at least) mood disorder-NOS,
including significant depression
Cognitively bright, capable of learning
Lowered academic performance for two, short
isolated periods
Not enough to show inability to learn
16. 16
#2 - Inability To Build Or Maintain
Satisfactory Interpersonal
Relationships Occurs in multiple settings with peers and
adults
Lack of sympathy, empathy toward others
Inability to establish, maintain friendships
Excessive physical, verbal aggression, etc.
Not an issue of getting along with others
17. 17
#2 - Inability to Build or Maintain
Satisfactory Interpersonal
Relationships Saddleback: Choosing friends who are a
bad influence does not satisfy criteria
Lakeside: Positive relationships with
teachers show factor does not apply
18. 18
#3 - Inappropriate Types of Behavior or
Feelings Under Normal Circumstances
Behaviors or feelings that are strange or unusual
(in comparison with others in same circumstances)
Hallucinations or bizarre behavior not required
Could be acting out or withdrawal behaviors
Does not include willful and understood behaviors
(e.g., ODD or conduct disorders)
Consider whether circumstances are “normal” . . .
19. 19
#3 - Inappropriate Types of Behavior or
Feelings Under Normal Circumstances
Student v. Ravenswood City SD (OAH 2008)
Serious behavior problems (sexual assault,
fighting, assault, defiance, profanity, and bringing a
gun to school) insufficient to meet criteria
Torrance USD v. E.M. (C.D. Cal. 2008)
Inappropriate reaction to everyday events satisfies
criteria
Student v. Los Angeles USD (SEHO 1999)
Expected behavior from a child of same age does
not satisfy criteria
20. 20
#4 - General Pervasive Mood of
Unhappiness or Depression
Actual, chronic, persistent symptoms of
depression
Observable in school setting (and other
situations)
Not a natural reaction to a traumatic event
21. 21
#4 - General Pervasive Mood of
Unhappiness or Depression
Saddleback: Diagnosis that presents with
unhappiness or depression does not
automatically fulfill criteria
Student v. Los Angeles USD (OAH 2007):
Student need not meet the DSM-IV criteria
for depression to fulfill criteria
22. 22
#5 - Tendency to Develop Physical
Symptoms or Fears Associated with
Personal or School Problems
Physical symptoms that are excessive and
chronic
Could manifest as severe anxiety, phobias,
panic attacks, tics, headaches, etc.
Not due to biologic or medical conditions
23. 23
#5 - Tendency to Develop Physical
Symptoms or Fears Associated with
Personal or School Problems
Student v. Capistrano USD (OAH 2011)
”test anxiety” must impact ability to do well
on test to satisfy criteria
24. 24
What is a "Long Period of Time"?
Letter to Anonymous (OSEP 1989)
Two-nine months
Student v. Capistrano USD (OAH 2007)
Minimum of six months and with no response to
behavioral interventions
25. 25
What is “To a Marked Degree"?
Pervasive and Intense
Student v. Capistrano USD (OAH 2007)
Pervasive means exhibits across more than one domain
(home, school, community)
Intense means must produce distress to student or
others and must be related to emotional disturbance
Letter to Anonymous (OSEP 1989)
Examine frequency, duration and intensity of student’s
behavior in comparison to behavior of peers and/or
school and community norms
26. 26
What is "Adversely Affects"?
Condition must render student unable to
benefit from education regardless of degree
of intervention
Document that poor performance not due to
attendance or lack of motivation
27. 27
Emerging Eligibility
Torrance USD v. E.M. (C.D. Cal. 2008)
Facts
Student in GATE program
Classroom behavioral issues noted over several years
Parents separated, was placed in foster home (Two-hour commute)
In 6th
grade, punched another student and was expelled
Issue
Child Find
Ruling
Student’s behaviors initially coincided with stressful life events, but
Continued to manifest in a variety of settings, over a long period of
time and were resistant to behavioral interventions
District should have assessed for ED and found student eligible
28. 28
Practice Pointer
ED eligibility may emerge over time
Watch for behavioral issues that continue to
escalate and/or fail to respond to interventions
Reassessment for ED eligibility may be
necessary
29. 29
ED and Young Students
Sometimes, there is hesitation to label
young students as ED
Makes sense to adjust period for young
students
Cannot have “policy” of refusing to find
young students eligible as ED
30. 30
“Acting Out” may Indicate ED
Student v. Compton USD (OAH 2008)
Facts
Kindergarten student performing above grade level
academically, but exhibiting aggressive behaviors
First assessment focused on ADHD, Student eligible
under OHI
(At age 5) Student began telling teacher was going to kill
himself because he was “bad”
Second assessment, found eligible under ED
Ruling: District should have assessed Student for
ED as part of first assessment
31. 31
“Acting Out” may Indicate ED
Student v. La Mesa-Spring Valley SD (OAH 2010)
Facts
Student “kicked out” of daycare
Hospitalized at age 3 for self-injurious & aggressive
behaviors
Diagnosed with anxiety
Enrolled in district preschool program:
Exhibited hitting, kicking and scratching, using profanity
Able to access preschool program
Assessed and found ineligible
32. 32
“Acting Out” may Indicate ED
Facts
In kindergarten, behaviors included
Crawling around, talking in strange voices, hitting
others, using profanity, scratching herself, banging
head on wall, stabbing self with scissors
Behavioral interventions were ineffective
District assessed and found eligible as ED
Parent would not consent to SDC placement
District filed due process complaint
Student v. La Mesa-Spring Valley SD (OAH 2010)
33. 33
“Acting Out” may Indicate ED
Ruling
District showed was inappropriate to maintain
Student in general education setting even with
significant supports
Student failing to derive any academic or non-
academic benefits
Adversely impacted ability of other student to
learn and ability of teacher to teach
Student v. La Mesa-Spring Valley SD (OAH 2010)
35. 35
Case #1
Torrance USD v. E.M. (C.D. Cal. 2008)
“Student acts in deliberate non-compliance with
known social demands or expectations”
Socially maladjusted students do not qualify as
ED based on “social maladjustment”
BUT . . . socially maladjusted student could also
be ED
36. 36
Case #2
Eschenasy v. New York City Dept. of Ed.
(S.D.N.Y. 2009)
Facts
Student privately evaluated and diagnosed with
mood disorder and borderline personality
disorder traits
Student used drugs, cut class, and was
repeatedly suspended and expelled
Attended three schools in 10th
and 11th
grades
Parent placed Student in restrictive RTC
37. 37
Case #2
Facts
Parent requested special education assessment
District refused to travel for assessment, closed
case
Parent requested an IEP meeting, based on
private assessment and RTC placement
District found student ineligible
Behavior was delinquent, due to conduct disorder
Eschenasy v. New York City Dept. of Ed. (S.D.N.Y. 2009)
38. 38
Case #2
Decision: HO found Student was socially
maladjusted, but also qualified under ED
due to unhappy/depressed mood and
inappropriate behavior
Suicide attempts/self-injury
Failing grades impeded learning
Prevalence of behavior throughout high school
District ordered to reimburse for RTC
placement
Eschenasy v. New York City Dept. of Ed. (S.D.N.Y. 2009)
39. 39
Social Maladjustment v. ED
Look for the purpose of the conduct – is this
purposeful behavior?
rebellious? deliberate?
Don’t miss self-injury or suicidal ideation
In the case of substance abuse, is it
masking behavior?
Substance Abuse Subtle Screening Inventory
Does student’s behavior/academic achievement
change when no access to drugs/alcohol?
40. 40
Substance Abuse v. ED
Student v. Tamalpais Union H.S. Dist.
(OAH 2012)
Facts
Student in blended program with related
counseling services
Student suspended for marijuana possession
and placed in juvenile hall
Before release, parents requested residential
placement
41. 41
Substance Abuse v. ED
Facts
Psycho-educational assessment revealed no
identifiable mental illness, but characteristics of
ED and substance abuse disorder
AB 3632 assessment supported placement in
blended program with therapy; primary issues
were related to oppositional defiance disorder
and substance abuse; no masking behavior
District continued to offer blended program
Student v. Tamalpais Union H.S. Dist. (OAH 2012)
42. 42
Substance Abuse v. ED
Ruling: District not responsible for
residential placement when primary issue is
substance abuse
Progress in RTC and juvenile hall due to
lack of drug use in those settings
Student v. Tamalpais Union H.S. Dist. (OAH 2012)
43. 43
Are Bullies Emotionally
Disturbed? Bullying Behavior may Trigger Child Find
Obligations
School Bd. of the City of Norfolk v. Brown (E.D.V.A.
2010). Repeated threats and harassment toward others
put District on notice of Student's suspected disability
Bully may be Eligible as ED
Birdville Independent School Dist. (SEA TX 2011).
Long-standing behavioral problems, including bullying
classmates, misinterpreting others, and threatening to
harm qualified student as ED
44. 44
Assessment/IEP Team Tips
Directly addresses five criteria for ED
and aligns results to criteria in report
Address emerging behaviors with general
education supports; document the impact of
those interventions, but do not delay in
assessing
Look at functioning in variety of settings:
home, school, and community
45. 45
Assessment/IEP Team Tips
Placement is IEP team decision; don’t
be concerned about placement in the
assessment process
Consider inclusion of nurse on IEP team
Do not limit yourself to a single possible
eligibility category
46. 46
Other Health Impaired (“OHI”)
What is OHI?
Having limited strength, vitality, or alertness,
including a heightened alertness to
environmental stimuli, that results in limited
alertness with respect to the educational
environment, that
Is due to chronic or acute health problems; and
Adversely affects a child’s educational
performance
(34 C.F.R. § 300.8(c)(9).)
47. 47
OHI
Medical diagnosis not required
Diagnosis of a chronic or acute health
problem alone will not suffice
Student v. Konocti USD (OAH 2010)
ADHD diagnosis alone not enough
Student could control behavior and made educational
progress
48. 48
OHI
Mental illnesses qualify under OHI if they
limit strength, vitality, or alertness
Auditory processing disorder considered an
OHI?
49. 49
Does the Disability Actually Impact
Vitality, Alertness, Strength?
Placentia-Yorba Linda Unified School Dist.
(SEHO 1995)
Student with chemical sensitivities did not
show diminished strength, vitality or
alertness
Inquiry ended there
HO need not consider issue of adverse
effect on educational performance
50. 50
What is an “Adverse Effect”?
Not defined by law
Consider both academic and non-academic
performance
51. 51
Adverse Effect
Student v. Bonita USD (OAH 2006)
Student with ADHD and declining grades not
eligible because no decreased vitality, strength
or alertness that impacted education
Declining grades due to lack of motivation
Student v. San Francisco USD (SEHO 2005)
Student not eligible because limited vitality in
afternoons could be addressed with
accommodations in general education setting
52. 52
Physical v. Psychological and
“Feeling” Limited
Forest Hills Public Schools (SEA MI 2012)
No requirement that limitation be physical in
nature
53. 53
When is it OHI? When is it ED?
Mental Illness: May not meet the eligibility
requirements for ED, but if adversely affects
educational performance, student may be
eligible under OHI
(Student v. San Diego USD (OAH 2008)
Impact of Disorder: Anxiety/panic attacks may
not meet the criteria for ED, but may tire child
out, leading to limited vitality and meeting the
criteria for OHI
(Student v. Poway USD (OAH 2009)
54. 54
OHI Assessment Tips
Health condition (alone) is not sufficient for
OHI
Is student exhibiting limited vitality, strength
or alertness?
If so, is Student’s educational performance
adversely impacted
Could impact be addressed in the general
education setting?
55. 55
Specific Learning Disability (“SLD”)
What is SLD?
Disorder in one or more of the basic psychological
processes involved in understanding or in using language,
spoken or written, that may manifest itself in the imperfect
ability to listen, think, speak, write, spell, or to do
mathematical calculations
Includes conditions such as perceptual disabilities, brain
injury, minimal brain dysfunction, dyslexia, and
developmental aphasia
Does not include: Learning problems that are primarily the
result of visual, hearing, or motor disabilities, of mental
retardation, of emotional disturbance, or of environmental,
cultural, or economic disadvantage
56. 56
Determining SLD Eligibility
Severe Discrepancy
Observation
Response to Intervention
Inappropriate Instruction/Other Factors
57. 57
Severe Discrepancy
Ford v. Long Beach USD (9th
Cir. 2002)
Collaborative, data driven approach
IDEA does not compel the use of specific
measures of either ability or achievement
58. 58
Observation
IDEA requires observation of students in
learning environment, both before referral
and by member of IEP team after referral in
determining existence of SLD
59. 59
Response to Intervention
Permissive, not mandatory, method to
establish eligibility under SLD
Eligibility determinations cannot be based
solely on RTI
60. 60
Inappropriate Instruction/Other
Factors
Consider whether the student’s under-
achievement is due to other factors
Lack of motivation
Can be manifestation of disability
Home/transition issues
Other disabilities (including ED)
Inappropriate instruction
61. 61
Special Considerations
ADHD can be SLD eligible if there is both a
processing disorder and a severe discrepancy
(Norton v. Orinda SD (9th
Cir. 1999)
E.M. v. Pajaro Valley USD (9th
Cir. 2011)
When valid tests produce conflicting scores consider all
relevant material to make reasonable choice in
determining whether a ‘severe discrepancy’ exists
Student with processing disorder must still exhibit severe
discrepancy to qualify under IDEA
62. 62
SLD Assessment/IEP Team Tips
Data! Collect data from classroom
observations, teachers, staff, parents and
providers
Look for patterns of weakness
Consider developmental history
Consider having speech/language
practitioner on the IEP team
63. Information in this presentation, including but not limited to PowerPoint handouts and the presenters' comments, is summary only and not legal advice.
We advise you to consult with legal counsel to determine how this information may apply to your specific facts and circumstances .
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