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Thank you so much! I was able to write an email with some knowledge using your resources, the "Missing School Advocacy Kit" and "Missing School Closing the Gaps," Best Practices program!  I wasn't harsh or accusatory but I was confident and to the point. I received a call back later this afternoon from the head of the special needs department. None of the missing work will be held against my daughter's grade and they are offering her online tutoring with a math teacher during the summer so she can actually complete the work and isn't behind next year... Thank you again, I needed a quick action plan because tomorrow is the close of the term and you really helped me out!   -- Kathryn B, June 16, 2011  


Missing School? Closing the Gaps (PPT) Best Practices Conference 11/2010, v 2018


Advocacy Note

Students who are missing school because of health conditions need to know that schools may be violating their civil rights under Section 504 and the ADA if:
  • staff create or ignore conditions that make healthy children sick or sick children sicker, such as poor ventilation, moldy carpets, furry animals, renovation activity, toxic chemicals or other sources of contamination that are barriers to attendance or that handicap their performance or ability to participate.
  • school policies deny instructional support or limit instructional services to a certain numbers of hours per week or to after school hours.
  • teachers penalize a student for missed class time due to health problems.
  • students do not receive the continuity and quality of instruction necessary to maintain academic progress.

GUIDING PRINCIPLE: "The singular purpose for determining that a student has a disability is to increase the educational opportunities available to that student so that he/she progresses through school. The responsibility of the evaluation team is to ensure that each student receives the most appropriate educational program in the Least Restrictive Environment..." Educating the Whole Student, MA Dept. of Education, September, 1992

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I specialize in educational planning for students with chronic health conditions. I know that supportive policies, good resources and good planning can protect health, prevent crises, and reduce the toll of prolonged or intermittent absences on a child's health, education and self-esteem.

* * * * * * * * * * * * * * * *

The information presented in this article is for educational purposes and does not substitute for the professional advice of your lawyer or physician.

 
Characteristics of a Good Teacher-Student Match for a Student at High Risk for Missing School

Students with an injury or a chronic or re-occurring health condition may have frequent, repeated, intermittent, and extended periods of disrupted attendance and impaired functioning. They are at high risk of being left out and left behind.

This checklist lists the teacher characteristics and practices that support and protect students at risk for missing school, who have a history of missing school, and who are re-entering school after an injury or illness. Schools and parents can use this list to design a resource, recovery and re-entry plan.  Students may also need an IEP or S. 504 plan. 

Go to checklist >>


School reentry for students with a chronic illness: a role for professional school counselors

Sections:
Prevalence
Psychosocial and Educational Consequences
Returning to School
The Professional School counselor's Current Role
Barriers to School Reentry
Model School Reentry Programs
A Role for Professional School Counselors
Strategies for School Reentry Services
Suggested Strategies for Working with the Family
Sugggested Strategies for Working with the Student
Suggested Strategies for Working with the Sibling
Suggested Strategies for Working with the School Community
Preparing for a Proactive Role
Conclusion
Appendix A: Resources


CONTINUITY OF LEARNING

Administrative And Educational Advantages of Good Distant Learning Systems, Virtual Classrooms, and other alternative learning options.

Read more >>


 
EVERYONE NEEDS A LITTLE HELP SOMETIME

A school can enhance education for all students by evaluating and redesigning its student support systems.

For example, a school may expand its student service program to engage high school and middle school students in academic assistance projects within and across grades with students in and out of school. 

A school district may take advantage of community technology and networks to include library and online resources or to involve the extended community as mentors and instructional aides. 

 
All Healthy Kids materials are reviewed and revised in response to comments and suggestions from the professionals and parents who use them. Your feedback increases the usefulness of these items to others. I'd be especially glad to hear about problems that you have solved or policies or practices that Healthy Kids information has influenced. I look forward to hearing from you. healthykids@rcn.com 
Are you or someone you know missing school?
Missing School Advocacy Kit v.2009
Part 1: Meeting The Challenge Of Disrupted Attendance

For most students, missing a few days does not affect their school work or estrange them from friends. However, for students with asthma, allergies, migraines, chemical injury and other environmental illnesses, cancer, chronic fatigue immune dysfunction syndrome, severe injuries, prolonged illnesses and other chronic health conditions, keeping up with school work and keeping in touch with teachers and peers can sometimes be a real challenge.

Managing the Chutes & Ladders of Educational Disruption for Students with Chronic Health Conditions Read more >>

WHO IS MISSING SCHOOL?


Students with chronic health conditions, acute health problems or traumatic injuries may be at home or in the hospital for frequent, prolonged or reoccurring periods of time. Their medical evaluations, treatments or rehabilitation can contribute to additional periods of disrupted attendance as well as limited stamina or alertness. Pain or the side effects of medication may impose unpredictable episodes of weakness or limited functioning. Students may miss some or most of the school day, or be hospitalized or in recovery for unpredictable lengths of time.

There are also students whose special interests (performing arts, sports) or professional commitments create schedule conflicts with school hours. Other students miss school, or suffer stress, fatigue and distraction because family circumstances involve them in the personal care of family members with disabilities or require them to work for necessary income. Students may miss school while grieving the loss of a family member, during pregnancy or because child care is unreliable.

In many areas of the country, students face geographic or transportation barriers to regular attendance, especially during extreme weather conditions. Some students miss school to accompany parents on business travel. A large number of students miss instructional time in regular classes because special education services and 'pull-out' therapies are scheduled during regular class time with no planning for filling in the gaps in regular instruction.

THE PROBLEM: EDUCATIONAL DEPRIVATION

Lost class time, at any age and for any reason, can impose an acute as well as a cumulative handicap on students.

LEFT OUT AND LEFT BEHIND. Students who miss school because of health conditions can also suffer secondary educational losses unrelated to their academic ability. The school may impose grading or promotion penalties for missed time or missed "work." Students experience education neglect when a school records missed school time as an 'excused' absence but provides no instructional services or support. An additional hardship is imposed when teachers demand that students do assigned 'work' or take tests in spite of missing instruction. School officials may also misclassify or misinterpret absences as truancy, criminalizing the problem.

ADVOCACY NOTE

US Department of Education regulations implementing Section 504 of the Rehabilitation Act of 1973 require schools to provide a free and appropriate public education to students with disabilities regardless of the nature or severity of their disability.

The provision of an appropriate education is the provision of regular or special education and related aids and services that are designed to meet the individual educational needs of the person with a disability as adequately as the needs of non-disabled persons are met.

In 1994, Department of Education - Office for Civil Rights, Region 1, found Boston Public Schools in violation of Section 504 for the policy and practice of arbitrarily limiting instructional services to a set maximum number of hours per week, limiting home services to after school hours, failing to provide continuity and coordination of services, and failing to respond to complaints of insufficiency of services.

BAD PRACTICE

Although it violates the student's rights under educational and civil rights laws, many school policies or customs arbitrarily limit instructional services without first considering the extent of the individual student's needs. Schools may inappropriately prohibit a student's participation in extra curricular activities or school programs.

Many schools impose arbitrary waiting periods before recognizing a student's 'eligibility' for services and then it is usually too little, too late. Students then suffer the double problem of trying to make up and keep up with ongoing class demands.

TUTORING = INSUFFICIENT SERVICES

Tutoring is the most commonly used assistance option. However, it is often provided reluctantly, and it is costly and generally ineffective. When teachers do not provide for continuity of instruction and for a reentry plan that would facilitate the student's reintegration, it significantly diminishes the value of attendance.

The most common complaints about tutoring include the lack of tutor-teacher communication, the lack of structured plans or learning objectives, unqualified tutors, inadequate instructional time and no meaningful evaluation. No wonder that many students feel left out and left behind.

GOOD PRACTICES

Schools can protect students' educational progress and save funds wasted on inappropriate and ineffective 'tutoring' by developing supportive proactive policies, identifying appropriate resources, and by enhancing teachers' communication, planning and documentation systems.

Students who miss class time need:

1) explicit goals and learning objectives,

2) structured study guides that preview and review lessons, and

3) reliable communication about activities and events they have missed.

Supportive policies, good resources and good planning can reduce the toll of prolonged or intermittent absences on a student's health, education and self-esteem.

GOOD PLANNING

Developing a formal written plan to protect students against gaps in learning makes good educational sense. It is the right thing to do and the legally appropriate thing to do.

A written plan clarifies needs and provides guidelines for immediate and long-term support.

A good plan enhances the staff's professional repertoire, supports multidisciplinary teamwork, and fully exploits today's enriched menu of multiple instructional delivery options and assessment tools including multimedia, communications and computer technology and community resources.

The 3Rs for students missing school. A Resource, Recovery and Re-entry Plan

It isn't about the 'work' that the child owes the school,
it is the educational opportunity the school owes the child.


The lack of an educational continuity plan is a barrier to learning and diminishes the benefit and value of attendance.   

When a child is missing time in the classroom, the child's needs a personalized plan of instruction designed to close and prevent gaps and to deliver educational benefit.  For example, review credit recovery and accelerated learning programs, materials and methods designed for self-paced, independent and alternative learners using both synchronous, asynchronous and blended systems.  See School Closed? You Can Continue Learning .

Students needs a 3R plan (as an IEP or 504 plan) if they are at risk for missing school or having problems with variable attention, memory, stamina, alertness, medication side effects and other potential barriers to learning.  The school protects against educational gaps by employing instructional programs to preview, reinforce and review learning.   It also enhances educational quality and performance for all learners.

The S. 504 Plan is a formal written agreement for a student that is developed by the school staff working in partnership with the student's parents and health care providers (and the student).

The goal of the plan is to identify barriers to education for a student at risk for disrupted attendance and to provide the instructional resources and services that enable the student to make meaningful educational progress.

Go to Roles and Responsibilities >>


ELLIE GOLDBERG, M.Ed. is an education and environmental health advocate for healthy children, safe schools and sustainable communities – clean water, clean air, clean energy and safe food. Inspired by the legacy of Rachel Carson, who taught that our health and security is intimately connected to the quality of our environment, Ellie is active in public health, environmental, educational and public policy organizations working to increase citizen engagement, government accountability and corporate responsibility on behalf of children and their healthy development. 

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Ellie.Goldberg@gmail.com 

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