Placement of Students with Severe Disabilities Who Have Complex Health Care Needs in General Education Classes

2019 ◽  
Vol 45 (1) ◽  
pp. 39-44
Author(s):  
Donna H. Lehr

Data reveal that insufficient progress has been made in increasing the number of students with severe disabilities who are educated in general education classes. Agran et al. asked why this is happening and discussed determinants that may be affecting placement decisions that serve to segregate students from their peers. This article is a review of the circumstances that have facilitated the movement of students with both severe disabilities and complex health care needs from hospitals and homes, and into school buildings. It also extends Agran et al.’s discussion to placement decisions that may be affecting this specific group of students.

2019 ◽  
Vol 45 (1) ◽  
pp. 4-13 ◽  
Author(s):  
Martin Agran ◽  
Lewis Jackson ◽  
Jennifer A. Kurth ◽  
Diane Ryndak ◽  
Kristin Burnette ◽  
...  

Placement decisions for students with severe disabilities have often been based less on the students’ unique learning needs but more on beliefs and presumptions about student learning, entrenched school district policies that restrict program delivery options, and other variables unrelated to student needs. In light of the benefits associated with inclusive practices for students with severe disabilities, this article examines the foregoing factors to better understand how they affect placement decisions and to identify barriers to implementing at a national level more inclusive placements. The article also addresses systems change solutions, and several new federally funded initiatives that could contribute to authentic changes in placement practices.


2019 ◽  
Vol 45 (1) ◽  
pp. 63-68
Author(s):  
Terri Vandercook ◽  
Debbie Taub ◽  
Tayler Loiselle ◽  
Amanda Shopa

This article addresses particular aspects of the Agran et al. identified determinants related to inclusive educational practices for students with severe disabilities. More specifically, this article focuses on perceptions of competency in students with severe disabilities and the resulting placement decisions, as well as facilitating systemic change to build inclusive systems. The discussion focuses on how the determinant related to perceptions of competency and the four elements of systems change identified by Agran et al. play a part in the ongoing lack of inclusion for these students. This response uses the frame of a basic change model to further the discussion on the important question of why students with severe disabilities are not being placed in general education classrooms.


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