School & Diabetes: Making It Work for Everyone!

Name 3 “Who’s” involved in school & diabetes:

1. ________________2. ________________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:

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

• 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:

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

List 3 Parental responsibilities for adequately preparing child for school setting:

1. ______________________2. ______________________3. ______________________

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?

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.

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.

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.

Resources

• National Association of School Nurses (H.A.N.D.S. Program) www.NASN.org

• American Diabetes Association– Safe At School Video, www.diabetes.org, code

3093-09• Juvenile Diabetes Research Foundation• Children with Diabetes (

www.childrenwithdiabetes.com , Diabetes At School

Section 504 Plan Individual Education Plan Individual HealthCare Plan

IEP IHP

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 The Child/Student/School 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.

THANK YOU