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Other Health Impairment (OHI)

Definition

A student with an other health impairment is one who has been determined to meet the criteria for other health impairment (limited strength, vitality or alertness, including a heightened alertness to environmental stimuli, that results in limited alertness with respect to the educational environment) due to chronic or acute health problems, such as:

  • Asthma
  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Diabetes
  • Epilepsy
  • A heart condition
  • Hemophilia
  • Lead poisoning
  • Leukemia
  • Nephritis
  • Rheumatic fever
  • Sickle cell anemia
  • Tourette's Disorder

NOTE: The list of conditions above is not exhaustive. A child is not automatically eligible for special education and related services if the child is diagnosed with such a condition.

A student’s eligibility must include identification or confirmation of the student’s chronic or acute health problems provided by a licensed physician, a physician assistant, or an advanced practice registered nurse with authority delegated under Texas Occupations Code, Chapter 157.

Behavioral Evaluations for ADHD

In CFISD, when documentation identifying or confirming a chronic or acute health problem is received from a physician before supporting educational data has been collected, a student review should be completed. After the student review, the school staff and the LSSP may recommend additional interventions, consider referral to the 504 committee or recommend a behavioral evaluation. If the behavioral evaluation concurs with the medical professional’s information, the ARD Committee will discuss eligibility.

If the behavioral evaluation does not concur with the medical professional's information, the student should not be identified as having an Other Health Impairment (ADHD). The report is given to the parent to share with the physician to discuss educational findings. If the medical professional has questions regarding the district's evaluation, he/she may obtain a release of records from the parent and contact the school personnel for clarification.

If a behavioral evaluation indicates that the student exhibits characteristics of ADHD and that there is an educational need for special education services, but the district has not
received information from a physician, physician's assistant, or an advanced practice registered nurse, both of the following actions must be considered.

  • Provide a copy of the report to the parents. The parents may take the report to their own appropriately licensed medical professional to determine if he/she agrees with the district findings and is willing to provide confirmation of the student’s chronic or acute health condition. OR
     
  • The district may offer to pay for the medical visit by sending the student to an appropriately licensed health care professional selected by the district.

Required Eligibility Forms
The multidisciplinary team that collects or reviews evaluation data must include identification or confirmation of the student’s condition provided by a licensed physician, a physician assistant, or an advanced practice registered nurse.

FIE (including present levels of performance for and recommendations for students who are eligible)

Evaluation form for Other Health Impaired, completed by a member of the assessment team.

ARD/IEP Requirements
Follow standard ARD/IEP procedures; no specific supplements are required.