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The Americans With Disabilities Act and the Individuals With Disabilities Education Act: Intersection, Divergence, and the Path Forward 《美国残疾人法案》和《残疾人教育法:交集、分歧和前进之路》
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-08-05 DOI: 10.1177/10442073221114113
Joan E. West, Virginia L. McLaughlin, K. Shepherd, Rebecca Cokley
The 30th anniversary of the Americans With Disabilities Act (ADA) offered an opportunity for reflection on ways that ADA has influenced—and might further shape—the provision of special education under the Individuals With Disabilities Education Act (IDEA), now in its 47th year of implementation. After reviewing the purposes, provisions, and contexts of the two laws, the authors discuss the interplay between IDEA and ADA within several important areas, including the delivery of student services, creation of system-wide frameworks, focus on postsecondary outcomes, and programs in higher education. The authors then consider three factors that create tensions for the ways in which IDEA currently defines disability and addresses student needs: changing demographics in public schools, standards-based reform in education, and the growth of disability rights and activism. The article concludes with recommendations for moving ahead by deepening and expanding the dialogue between special education and the disability rights communities; amplifying the voices of graduates of IDEA; engaging leadership of independent federal advisory agencies to infuse ADA principles into IDEA; and exploring international thinking, scholarship, and practice related to serving all students effectively and inclusively.
《美国残疾人法案》(ADA)颁布30周年提供了一个机会,让我们反思ADA对《残疾人教育法案》(IDEA)下的特殊教育的影响,并可能进一步影响该法案的实施,该法案目前已实施47年。在回顾了这两项法律的目的、条款和背景后,作者讨论了IDEA和ADA在几个重要领域的相互作用,包括提供学生服务、创建全系统框架、关注中学后教育成果和高等教育计划。然后,作者考虑了三个因素,这些因素对IDEA目前定义残疾和解决学生需求的方式造成了紧张:公立学校人口结构的变化、基于标准的教育改革,以及残疾权利和行动主义的发展。文章最后提出了通过深化和扩大特殊教育与残疾人权利团体之间的对话来推进的建议;扩大IDEA毕业生的声音;让独立联邦咨询机构的领导层参与,将ADA原则融入IDEA;探索有效和包容地为所有学生服务的国际思维、学术和实践。
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引用次数: 0
Enduring Equity Questions: A Sequence Analysis of Citations in Response to Racial Inequity via the Individuals with Disabilities Education Act 持久的公平问题:通过《残疾人教育法》回应种族不平等的引文序列分析
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-08-03 DOI: 10.1177/10442073221114102
Catherine Kramarczuk Voulgarides, A. Aylward
In this article, we document patterns of local education agency (LEA) disproportionality citations within one U.S. state spanning an 8-year time period immediately following the 2004 reauthorization of the Individuals with Disabilities Education Act (IDEA) to understand the following: (a) how patterns of disproportionality citations manifest over time in suburban locales, and (b) how often LEAs experience and subsequently are able to successfully address a citation for racial inequity in special education outcomes. We descriptively investigated sequence patterns across suburban locales within one state—New York State (NYS), which serves as a representative case for our analysis. We focus on suburban locales because prior research has documented that a school district’s location (e.g., suburban) relates to the time frame within which a school district was able to address a disproportionality citation. In addition, locale-specific characteristics such as segregation in schools and communities and sociodemographic conditions influence the occurrence of racial disproportionality. Our primary questions driving the descriptive inquiry were as follows: How does variation in sequence patterns for IDEA disproportionality citations manifest within and between suburban locales in NYS? What are the policy implications of these patterns? We conclude with specific recommendations for improving IDEA racial equity policy.
在这篇文章中,我们记录了2004年《残疾人教育法》(IDEA)重新授权后,美国一个州内地方教育机构(LEA)在8年时间内的不均衡引用模式,以了解以下内容:(a)不均衡引用的模式是如何随时间在郊区表现出来的,以及(b)LEA经历并随后能够成功解决特殊教育成果中种族不平等问题的频率。我们描述性地调查了一个州——纽约州(NYS)内郊区地区的序列模式,这是我们分析的一个代表性案例。我们关注郊区地区,因为先前的研究已经证明,学区的位置(例如郊区)与学区能够处理不均衡引用的时间框架有关。此外,学校和社区的种族隔离以及社会人口状况等特定地区的特征也会影响种族比例失调的发生。我们推动描述性调查的主要问题如下:IDEA不均衡引用的序列模式的变化是如何在纽约州郊区和郊区之间表现出来的?这些模式的政策含义是什么?最后,我们提出了改进IDEA种族公平政策的具体建议。
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引用次数: 2
Americans Aging with Disabilities Are More Likely to Have Multiple Chronic Conditions 美国老年残疾人更有可能患有多种慢性疾病
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-07-07 DOI: 10.1177/10442073221107079
Debra L. Brucker, E. Lauer, S. Boege
Using data from the 2010 to 2017 U.S. National Health Interview survey, the authors utilized bivariate and multivariate regression analyses to estimate the percentage and odds of having multiple chronic conditions (two or more, three or more) among U.S. adults ages 65 and over with and without disabilities, controlling for sociodemographic factors and presence of psychological distress. Older adults with and without disabilities in the United States most frequently reported having hypertension, arthritis, and diabetes. Regression results indicate that older adults with disabilities are significantly more likely to experience two or more and three or more chronic conditions than older adults without disabilities, controlling for sociodemographic factors and health behaviors. These findings highlight a need for improvement in coordinated care that considers both disability and multiple chronic conditions in the management of patient health to support well-being in aging.
利用2010年至2017年美国国民健康访谈调查的数据,作者利用双变量和多变量回归分析来估计65岁及以上有残疾和无残疾的美国成年人患多种慢性病(两种或两种以上,三种或三种以上)的百分比和几率,控制社会人口因素和心理困扰的存在。在美国,有残疾和无残疾的老年人最常报告患有高血压、关节炎和糖尿病。回归结果表明,在控制社会人口因素和健康行为的情况下,残疾老年人比无残疾老年人更有可能经历两种或两种以上和三种或三种以上的慢性病。这些发现强调了改善协调护理的必要性,在患者健康管理中同时考虑残疾和多种慢性病,以支持老年人的健康。
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引用次数: 0
Exploring the Truth of Michael Yudin’s Claim: The More Time Students With Disabilities Spend in General Classrooms, the Better They Do Academically 探究迈克尔·尤丁主张的真相:残疾学生在普通课堂上花费的时间越多,他们在学术上的表现就越好
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-06-17 DOI: 10.1177/10442073221097713
D. Fuchs, Hilary C. Mirowitz, Jennifer K Gilbert
Many K–Grade 12 students with disabilities (SWDs) in the United States spend a large portion of their school day in general classrooms because of a prevailing view that they are more appropriately challenging and beneficial than other educational placements. We questioned this belief by exploring a “dosage” hypothesis: The more time SWD are in general classrooms the better they do academically. We assembled a database spanning 1998 to 2015, inclusive. For 9 of these years, we found both Office of Special Education Program’s placement data and National Center for Education Statistics’ reading data. We ran multilevel growth models to describe trends across time for the placement and reading data. Findings indicated a steadily increasing trend for general class placement and a positive but decelerating trend for reading performance, which together produced a widening placement–performance gap after 2007. Among 10 states/jurisdictions with the strongest positive trends for general class placement, there was no uniform pattern of reading performance across years. In short, we found little corroboration of a dosage hypothesis.
在美国,许多12年级的残疾学生(SWDs)在学校的大部分时间都是在普通教室里度过的,因为人们普遍认为,普通教室比其他教育场所更具挑战性,也更有益。我们通过探索“剂量”假设来质疑这种信念:在普通教室里的时间越多,他们在学业上的表现就越好。我们收集了一个从1998年到2015年(含2015年)的数据库。其中有9年,我们找到了特殊教育项目办公室的分班数据和国家教育统计中心的阅读数据。我们运行了多层增长模型来描述放置和阅读数据的趋势。研究结果表明,普通班级的分班成绩呈稳步增长趋势,阅读成绩呈积极但缓慢的趋势,这两种趋势共同导致了2007年后分班成绩差距的扩大。在普通班级分班发展趋势最积极的10个州/司法管辖区中,多年来的阅读表现并没有统一的模式。简而言之,我们几乎没有发现剂量假设的佐证。
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引用次数: 10
Issues of Confidentiality and Potential Disability Discrimination in Behavior Intervention Team Responses to College Student Suicidality 行为干预小组应对大学生自杀的保密性和潜在残疾歧视问题
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-06-03 DOI: 10.1177/10442073221094808
Emily M. Lund
In response to concerns about liability and safety, many colleges and universities have instituted Behavior Intervention Teams (BITs) to help assess and intervene with students who may pose a risk of harm to self or others. Students, lawyers, and advocates have raised concerns about some aspects of the implementation of BITs and related institutional policies, particularly with regard to students who are suicidal and those who engage in self-injurious behavior. Specifically, BITs are on complicated legal ground regarding confidentiality, disability civil rights law, and potential discriminatory or disparate treatment of students with psychiatric disabilities. In addition to reviewing the nature and background of BITs, this article reviews the professional, ethical, and legal issues surrounding confidentiality in the context of university intervention with students who are at risk for harm to self and the potentially applicable of disability civil rights law to BIT intervention with students who are suicidal. Suggestions for alternative and supplemental interventions, especially widespread use of suicide gatekeeping, are provided. Finally, the need for advocates who are knowledgeable in disability civil rights law is highlighted.
为了回应对责任和安全的担忧,许多学院和大学建立了行为干预小组(BITs)来帮助评估和干预可能对自己或他人造成伤害风险的学生。学生、律师和倡导者对实施BITs和相关机构政策的某些方面提出了担忧,特别是关于那些有自杀倾向和从事自残行为的学生。具体来说,BITs的法律基础非常复杂,涉及到保密性、残疾人民权法以及对精神残疾学生可能存在的歧视或差别待遇。除了回顾BIT的性质和背景外,本文还回顾了在大学干预有自我伤害风险的学生的背景下,与保密有关的专业、道德和法律问题,以及残疾民权法对有自杀倾向的学生的BIT干预的潜在适用。提供了替代和补充干预措施的建议,特别是广泛使用自杀把关。最后,强调了对残疾人民权法知识渊博的倡导者的需求。
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引用次数: 0
Self-Report and Administrative Data on Disability and IEP Status: Examining Differences and Impacts on Intervention Outcomes 残疾和IEP状态的自我报告和管理数据:检查干预结果的差异和影响
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-06-03 DOI: 10.1177/10442073221094811
K. Shogren, Jesse R. Pace, D. Wittenburg, Sheida K. Raley, Tyler A. Hicks, Graham G. Rifenbark, K. Lane, Mark H. Anderson
Differences in perceptions of disability between students and administrators can play a role in youth’s educational experience. This study used data from a cluster randomized controlled trial (C-RCT) of the Self-Determined Learning Model of Instruction (SDLMI) to first compare student self-report of disability status to matched administrative data and second to examine the impact of the data source utilized on trial outcomes. The findings demonstrate substantive gaps between self-reports and administrative reports of disability. While some differences might be expected, the size of the differences is notable, especially given that many students identified as having an Individualized Education Program in administrative data did not self-identify as receiving services or having a disability. The findings advance understanding of discrepancies in self-reported disability and administrative data in secondary intervention research. We also found the interpretation of group differences (students with vs. without disabilities) on trial outcomes was sensitive to the source of the data (self vs. administrative) used to establish disability status. This finding can inform future research and policy, as the data source selected to define disability populations across research studies likely has substantive impacts on conclusions drawn about the impact of interventions on students with disabilities. We cannot identify all the factors driving these differences. Nonetheless, the findings underscore the importance of providing clarity about decisions made in defining disability populations in intervention research.
学生和管理人员对残疾的认知差异可能在青年的教育经历中发挥作用。这项研究使用了自主学习教学模式(SDLMI)的集群随机对照试验(C-RCT)的数据,首先将学生的残疾状况自我报告与匹配的管理数据进行比较,其次检查所使用的数据源对试验结果的影响。调查结果表明,自我报告和残疾行政报告之间存在实质性差距。虽然可能会出现一些差异,但差异的大小是显著的,特别是考虑到许多在行政数据中被认定为有个性化教育计划的学生并没有自我认定为接受服务或有残疾。这些发现促进了对二次干预研究中自我报告的残疾和管理数据差异的理解。我们还发现,对试验结果的群体差异(残疾学生与非残疾学生)的解释对用于确定残疾状况的数据来源(自我与行政)很敏感。这一发现可以为未来的研究和政策提供信息,因为在研究中选择用于定义残疾人群的数据源可能会对关于干预措施对残疾学生影响的结论产生实质性影响。我们无法确定造成这些差异的所有因素。尽管如此,研究结果强调了在干预研究中明确定义残疾人群的决定的重要性。
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引用次数: 2
School Shootings: Learning to Look for the Right Signals 校园枪击案:学会寻找正确的信号
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-06-03 DOI: 10.1177/10442073221094796
H. Walker, Gary Brown
This commentary addresses the justification provided by the Michigan school superintendent for returning Ethan Crumbley, of Oxford High School, to his classroom following some red flag warnings about him from two of his teachers prior to the school shootings. It suggests warning signs and prevention strategies that could be used to reduce school violence in the future. The commentary argues that extreme behavioral events rather than the frequency of disciplinary problems are more likely harbingers of school violence tragedies.
这篇评论阐述了密歇根州学校负责人提供的理由,即在校园枪击案发生前,牛津高中的伊桑·克兰布利的两位老师对他发出了一些红旗警告,之后他将其送回了教室。它提出了可以用来减少未来学校暴力的警告信号和预防策略。评论认为,极端行为事件而非纪律问题的频率更有可能预示着学校暴力悲剧的发生。
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引用次数: 0
Implications of Physical Access Barriers for Breast Cancer Diagnosis and Treatment in Women with Mobility Disability. 行动不便的妇女在乳腺癌诊断和治疗中遇到的实际障碍的影响。
IF 1.1 4区 医学 Q3 REHABILITATION Pub Date : 2022-06-01 Epub Date: 2021-05-10 DOI: 10.1177/10442073211010124
Nicole Agaronnik, Areej El-Jawahri, Lisa Iezzoni

Objective: More than 30 years since enactment of the Americans with Disabilities Act, people with disability continue to face physical access barriers, notably inaccessible medical diagnostic equipment, in clinical settings. Access barriers affect breast cancer screening and treatment for women with disability.

Methods: We used standard diagnosis codes and natural language processing to screen electronic health records (EHRs) in a digital data repository from a large healthcare delivery system for patients with pre-existing mobility disability diagnosed with breast cancer between 2005-2017. We reviewed EHRs of 20 patients, using conventional content analysis to examine breast cancer diagnosis and treatment experiences.

Results: Clinicians noted challenges positioning patients for routine procedures including manual breast exam, screening mammography, and breast biopsies. Given challenges accommodating disability for adjuvant therapies, mastectomy was favored over breast-conserving options despite early stages of diagnosis. Notations contained little information about proactive problem-solving for arranging accommodations.

Conclusions: Notations described physical access barriers for breast cancer detection and treatment, with limited planning for mitigating barriers. Despite 2017 promulgation of federal Standards for Accessible Medical Diagnostic Equipment, implementing these standards requires further rulemaking.

目的:自《美国残疾人法案》颁布 30 多年来,残疾人在临床环境中仍然面临着实际的无障碍障碍,特别是无障碍医疗诊断设备。这些障碍影响着残疾妇女的乳腺癌筛查和治疗:我们使用标准诊断代码和自然语言处理技术,对大型医疗保健服务系统数字数据存储库中的电子健康记录(EHR)进行筛查,以了解 2005-2017 年间被诊断为乳腺癌的原有行动不便患者的情况。我们查阅了 20 名患者的电子健康记录,采用传统的内容分析法研究了乳腺癌的诊断和治疗经历:结果:临床医生注意到,在进行人工乳房检查、乳腺 X 线照相术筛查和乳腺活组织检查等常规程序时,患者的定位存在困难。鉴于残疾患者在接受辅助治疗时面临的挑战,尽管在诊断的早期阶段,乳房切除术比保乳方案更受青睐。说明中几乎没有关于主动解决问题以安排便利的信息:结论:通知书描述了乳腺癌检测和治疗的实际障碍,但对减少障碍的规划却很有限。尽管 2017 年颁布了《联邦无障碍医疗诊断设备标准》,但这些标准的实施还需要进一步的规则制定。
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引用次数: 0
Effective Implementation Capacity to Impact Change Within State Education Systems to Support Students With Disabilities 影响州教育系统变革以支持残疾学生的有效实施能力
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-05-18 DOI: 10.1177/10442073221096392
C. Ward, Tanya Ihlo, Kathleen Ryan Jackson, Sophia Farmer
There is a continued call for the use of practices supported by evidence to improve the quality and effectiveness of services provided for students with disabilities. Despite best intentions, our education systems continue to struggle to adopt these practices and transfer them into consistent, sustained use by practitioners. Implementation science, the multi-disciplinary study of methods and strategies to promote use of research findings in practice, seeks to address this by providing frameworks to guide creation of conditions that facilitate use of evidence-based practices. The present article describes how an implementation science approach, Active Implementation Frameworks, was used by a national technical assistance center to cultivate systemic change and create improved outcomes for students with disabilities within several state, regional, and local education agencies. A summary of the lessons learned thus far and resulting considerations for practice and policy are presented. A key lesson was that state education agencies (SEAs) supporting districts and schools in implementation of a specific, educator–student-level practice realized improved outcomes for their students with disabilities. SEAs implementing frameworks or processes without an operationalized and measurable educator–student- level practice had limited or no evidence of improved student outcomes.
人们继续呼吁利用有证据支持的做法来提高为残疾学生提供的服务的质量和有效性。尽管初衷是好的,但我们的教育系统仍在努力采用这些做法,并将其转化为从业者持续一致的使用。实施科学是一项多学科的方法和战略研究,旨在促进在实践中使用研究成果,旨在通过提供框架来指导创造条件,促进循证实践的使用,从而解决这一问题。本文描述了一个国家技术援助中心如何使用实施科学方法“积极实施框架”,在几个州、地区和地方教育机构内培养系统性变革,并为残疾学生创造更好的结果。介绍了迄今为止吸取的经验教训以及由此产生的对实践和政策的考虑。一个关键的教训是,州教育机构(SEA)支持地区和学校实施特定的教育工作者-学生层面的实践,为残疾学生带来了更好的结果。SEA在没有可操作和可衡量的教育工作者的情况下实施框架或过程——学生层面的实践有限或没有改善学生成绩的证据。
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引用次数: 0
The Evolution of Access to Education Through Landmark Legislation, Court Cases, and Policy Initiatives Setting Precedent for The Gary B. Court Decision 通过具有里程碑意义的立法、法院案例和为加里·B法院裁决树立先例的政策举措,教育机会的演变
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-05-18 DOI: 10.1177/10442073221094806
Sarah A. Nagro, Andrew M. Markelz, Richelle Davis, Anna Macedonia, Kevin Monnin
Access to education for all students has been long sought. Once defined as physical access to a school building, the concept of access has evolved since Brown v. Board of Education. The purpose of this policy review, conducted through archival research, is to examine the evolution of access to K–Grade 12 education for all students, with an emphasis on students with disabilities who are general education students first, to understand the implications of the 2020 U.S. 6th Circuit Court of Appeals Gary B. vs. Whitmer decision. For the first time, a federal court ruled that the constitution affords all students “a fundamental right to a basic minimum education.” Specifically, the evolving concept of access to education for all students, including students with disabilities, across (a) the school building, (b) curricular opportunities, (c) education outcomes, and (d) a college- and career-ready curriculum is outlined using landmark K–Grade 12 federal education legislation, court cases, and policy initiatives. Taken together, a basic minimum education includes access to challenging academic learning objectives, an emphasis on literacy, provision of educational materials of sufficient quantity and quality, and an adequate teacher workforce. Meeting these expectations assures genuine access to a public education for all students.
长期以来,人们一直在寻求让所有学生都能接受教育。曾经被定义为进入学校建筑的物理通道,自布朗诉教育委员会案以来,通道的概念一直在发展。这项通过档案研究进行的政策审查的目的是审查所有学生接受K-12年级教育的机会的演变,重点是残疾学生,他们首先是普通教育学生,以了解2020年美国第六巡回上诉法院Gary B.诉Whitmer案裁决的影响。联邦法院首次裁定,宪法赋予所有学生“接受最低限度基本教育的基本权利”。具体而言,包括残疾学生在内的所有学生接受教育的概念不断演变,涉及(a)学校建筑、(b)课程机会、(c)教育成果、,以及(d)利用具有里程碑意义的K-12年级联邦教育立法、法院案例和政策举措,概述了大学和职业准备课程。总之,最低限度的基本教育包括实现具有挑战性的学术学习目标、强调识字、提供足够数量和质量的教育材料以及充足的教师队伍。满足这些期望确保所有学生都能真正接受公共教育。
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引用次数: 1
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Journal of Disability Policy Studies
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