1. School & Diabetes: Making It Work for Everyone!

2. Name 3 “Who’s” involved in school & diabetes: 1.________________ 2.________________ 3.________________

3. Parents Child Diabetes Health Care Team Peers Teachers School Administrators Coaches National Association of School Nurses American Diabetes Association Juvenile Diabetes Research Foundation WHO IS INVOLVED:

4. The Contexts, Programs & People which comprehensive & effective school planning impacts and is impacted upon:

5. Diabetes management plan for school that allows for all school and school related activity participation. Assistance from Diabetes Team to provide disease management education & support to school personnel. Belief that child will be diabetes-okay while in school. Understanding from school about the psychological issues child & family are coping with. School Nurse or School health Services personnel are familiar with child & her/his diabetes needs. That all protocols are maintained even with substitute teachers and coaches. To know that child’s peers have general understanding of what diabetes is and isn’t. Disaster/Emergency Plan & well-stocked supplies. Child & Family Needs:

6. School Needs: All forms medical forms filled out in complete and timely fashion. Possibly in-service training on current diabetes standards of care & specific needs of individual child. Contact people identified as “locus parentis” regarding diabetes management issues (in 504). To know that family has been trained effectively in diabetes management. Parents to appreciate district and school specific realities. To be familiar with and comfortable in working with child & family’s Diabetes Team members. Disaster/Emergency Diabetes Kits to be kept supplied & current

7. List 3 Parental responsibilities for adequately preparing child for school setting: 1.______________________ 2.______________________ 3.______________________

8. True or False! 1.It is the school’s prerogative to decide whether or not a 504 plan is necessary T or F? 2.Parents must prepare, provide & keep stocked a diabetes supplies kit to be kept in school T or F? 3.IHP’s are federally mandated T or F? 4.An IEP could be a component of the 504 Plan T or F? 5.A parent must accompany the child on all school trips in order for the child to be able to go on them T or F? 6.If a child’s School health form is not completed and submitted on time, the school has a legal right not to admit that child to class T or F?

9. IEPs: Individual Education Plans Done by the school FOR the child. Usually developed by the parents and teachers. More related to “educational” needs of the child with diabetes; very detailed and specififc to specific learning problems and issues.

10. IHPs: Individual Health(care) Plans Usually developed by parents, school nurse/health services official & Diabetes Team Nurse. Usually integrated into and made to complement IEP when working with a child with diabetes. Can “stand alone” as a school guideline, without an IEP.

11. 504 Plans: Federally mandated; at school’s expense. MD, RN, Psychologist, Teacher(s), Principal. Provides for the “smoothest and uninterrupted learning environment” for children who fall under Section 504 of the Rehabilitation Act of 1973. Location & timing of BGM, treatment protocols for hypo-& hyperglycemia, access to water, restroom, meals, snacks. Special exam accommodations. Identify Unlicensed Assistive Personnel Whatever the child needs to mange diabetes effectively without compromising school & learning objectives.

12. Resources National Association of School Nurses (H.A.N.D.S. Program) www.NASN.orgwww.NASN.org American Diabetes Association – Safe At School Video, www.diabetes.org, code 3093-09www.diabetes.org Juvenile Diabetes Research Foundation Children with Diabetes (www.childrenwithdiabetes.com, Diabetes At Schoolwww.childrenwithdiabetes.com

13. Section 504 Plan Individual Education PlanIndividual HealthCare Plan IEPIHP The Purpose of Plan The section 504 plan addresses the needs of students who are medically fragile, requiring daily complex healthcare support by the school nurse or other HCP. Related to "educational" needs specific and detailed Specific Learning Problems or needs Integrates into and complements the IEP. However some school systems may choose to do 504 section plan instead. Who is the primary beneficiary The Child/Student/School Who is responsible for plan Teacher / HCP / Educator School based HCPs with input from parents and/or community based HCPs The evaluation is provided by the school which obtains input from parents, teachers and a school based educational and HCP evaluation group. The IEP identifies who provides needed services. An IHP or 504 plan can be used for students with learning/educational problems who have been qualified by the school based committee for those services. Special exam accommodations BG meter, hypo treatment supplies, breaks allowed to take care of DM needs The needs are addressed in the language of the student's 504 plan. This is addressed by the IEP. If the student qualifies for "educational needs" and the health condition influences educational outcomes an IHP or 504 plan can be used to provided needed services. Who initiates & enforces the plan The school initiates and pays for the plan under the regulations of federally mandated 504 program. An evaluation can be requested by parents or teachers. The school provides and pays for a team to evaluate the need based on federally mandated regulations. Evaluation can be requested by parents or teachers. The school provides and pays for a team to evaluate needs based on federally mandated regulations.

14. THANK YOU