Mathematics Learning Disorder Follow-up

  • Author: Vidhu V Thaker, MBBCh, MD; Chief Editor: Caroly Pataki, MD   more...
 
Updated: Nov 16, 2011
 

Prognosis

Originally approved by the US Congress in 1975, the Individuals with Disabilities Education Act (IDEA) is an attempt to remedy problems that contribute to the barriers faced by children with disabilities.[11]

  • IDEA has been updated approximately every 5 years, the latest of which was in 2004. IDEA aims to strengthen academic expectations of, and accountability for, the 5.4 million US children with disabilities and to bridge the too common gap between the regular school curriculum and what these children learn.
  • Several ideas have become part of the special education vocabulary because of this law, including free appropriate public education (FAPE), individualized education program (IEP), and least restrictive environment (LRE). These concepts have been built into the special education system to insure equal access to education for all students.
  • The reauthorization of IDEA 2004 states the following purposes:
    • 1A - To ensure that all children with disabilities have available to them a FAPE that emphasizes special education and related services designed to meet their unique needs and prepare them for further education, employment, and independent living
    • 1B - To ensure that the rights of children with disabilities and parents of such children are protected
    • 1C - To assist states, localities, educational service agencies, and federal agencies to provide for the education of all children with disabilities
    • 2 - To assist states in the implementation of a statewide, comprehensive, coordinated, multidisciplinary, interagency system of early intervention services for infants and toddlers with disabilities and their families
    • 3 - To ensure that educators and parents have the necessary tools to improve educational results for children with disabilities by supporting system improvement activities; coordinated research and personnel preparation; coordinated technical assistance, dissemination, and support; and technology development and media services
    • 4 - To assess and ensure the effectiveness of efforts to educate children with disabilities.
  • With passage of the IDEA amendments, the US government acknowledged that "Disability is a natural part of the human experience and in no way diminishes the right of individuals to participate in or contribute to society. Improving educational results for children with disabilities is an essential element of our national policy of ensuring equality of opportunity, full participation, independent living, and economic self-sufficiency for individuals with disabilities." IDEA strives to increase the involvement of parents and educators in the care of children with disabilities.
  • For years, schools were required to wait until a child fell considerably behind grade level before being eligible for special education services. Today, with the release of the final regulations of IDEA 2004, school districts are no longer required to follow this "discrepancy model" but are allowed to find other ways to determine when a child needs extra help. This is being implemented throughout the country through a process called Response to Intervention.
  • Prior to the implementation of IDEA in 1975, approximately 1 million children with disabilities were shut out of schools and hundreds of thousands more were denied appropriate services. Since then, IDEA has changed the lives of children with disabilities.
    • Many children now learn and achieve at levels previously thought impossible. As a result, and in unprecedented numbers, these children are graduating from high school, going to college, and entering the workforce as productive citizens.
    • In the past, as many as 90% of children with serious developmental disabilities were housed in state institutions. Today, 3 times as many young people with disabilities are enrolled in colleges or universities; twice as many 20-year-olds with disabilities are working.
  • Although significant progress has occurred, the status of children with disabilities still falls short of expectations. The following facts reflect this status:
    • Twice as many children with disabilities drop out of school, compared with children without disabilities.
    • Dropouts do not return to school, have difficulty finding jobs, and often end up in the criminal justice system.
    • Girls who drop out often become young unwed mothers at a much higher rate than their peers without disabilities.
    • Many children with disabilities are excluded from the curriculum and from assessments used with classmates without disabilities, actions that limit their possibilities of excelling and achieving higher standards of performance.
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Patient Education

The following nonprofit organizations provide information, referrals to professionals, and contacts to local groups:

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Contributor Information and Disclosures
Author

Vidhu V Thaker, MBBCh, MD  Attending Pediatrician, Haverstraw Pediatrics; Clinical Assistant Professor of Pediatrics, New York Medical College

Vidhu V Thaker, MBBCh, MD is a member of the following medical societies: American Academy of Pediatrics

Disclosure: Nothing to disclose.

Specialty Editor Board

Angelo P Giardino, MD, PhD  Clinical Associate Professor, Department of Pediatrics, Baylor College of Medicine; Medical Director, Texas Children's Health Plan, Inc

Angelo P Giardino, MD, PhD is a member of the following medical societies: Academic Pediatric Association, American Academy of Pediatrics, American Professional Society on the Abuse of Children, Harris County Medical Society, Helfer Society, and International Society for Prevention of Child Abuse and Neglect

Disclosure: Bayer Honoraria Review panel membership; Pfizer Grant/research funds Independent contractor; MedImmune Honoraria Review panel membership; Teva Pharmacutical travel & honoraria Managed Care Advisory Panel; CIGNA Honoraria Physician Advisory Council

Mary L Windle, PharmD  Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Carrie Sylvester, MD, MPH  Senior Child and Adolescent Psychiatrist, Sound Mental Health

Carrie Sylvester, MD, MPH is a member of the following medical societies: American Academy of Child and Adolescent Psychiatry

Disclosure: Nothing to disclose.

Chief Editor

Caroly Pataki, MD  Professor of Clinical Psychiatry and Behavioral Sciences, Department of Psychiatry, Division Chair, Child and Adolescent Psychiatry, Keck School of Medicine of the University of Southern California

Caroly Pataki, MD is a member of the following medical societies: American Academy of Child and Adolescent Psychiatry, New York Academy of Sciences, and Physicians for Social Responsibility

Disclosure: Nothing to disclose.

References
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