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Other Health Impaired. Underserved in Gifted Education Scott Huff, Anna Irvin, & Judy Camp. OHI: What does it mean?. According to IDEA (Individuals with Disabilities Education Act), an Other Health Impairment is defined as:
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Other Health Impaired Underserved in Gifted Education Scott Huff, Anna Irvin, & Judy Camp
OHI: What does it mean? According to IDEA (Individuals with Disabilities Education Act), an Other Health Impairment is defined as: • 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: (i) is due to chronic or acute health problems such as asthma, attention deficit disorder or attention deficit hyperactivity disorder, diabetes, epilepsy, a heart condition, hemophilia, lead poisoning, leukemia, nephritis, rheumatic fever, and sickle cell anemia; and (ii) adversely affects a child's educational performance [34 C.F.R. 300.7(c)(9)].
Most Common Health Impairments • ADD/ADHD • Diabetes • Epilepsy • Heart Conditions • Hemophilia • Lead poisoning • Leukemia • Nephritis • Rheumatic Fever • Sickle Cell Anemia • Tourette Syndrome
Characteristics • Fatigue • Mobility Issues • Attention/focus issues • Coordination difficulties • Muscle weakness • Decreased stamina • Inability to concentrate for long periods of time
Possible Issues • Child may miss school frequently for doctor appointments or illnesses • May have physical restrictions • Inattentiveness due to health impairment and/or medications • Other medication side effects, such as increased thirst • Academic lags
Educational Interventions • Flexible time limits • Freedom to use bathroom or drinking fountain as needed • Frequent breaks • Reduced assignments • Alternative assignments when absent frequently • Alternative grading scale • Allow child to escape assignment if necessary • Safe Place • Include School Nurse and Social Worker in IEP process • Decrease distractions • Flexible seating *Specific interventions may vary based on the student’s particular health issue.
Advocacy Issues • Legislation • Laws are being enacted and evaluated to preserve the rights of students with special needs. • IDEA, FAPE, and other specific laws protect the rights of these students to receive and appropriate education. • Awareness • Schools need to provide resources to raise awareness of the broad scope of an OHI label • Professional learning for teachers to teach them how to provide appropriate interventions • Support • Counselors, school nurses, and social workers need to be available to assist students with health issues when needed
Best Practices • Build a caring, nurturing classroom environment • Teach students about the health impairment • Use of visuals • Hands-on learning • Cooperative learning • Partner work • Give short, concise directions • Teach lessons that allow for movement around room • Allow for frequent, positive feedback • Help the child build on his strengths and be successful • Give ADHD student frequent breaks or allow to go on errands