National Analysis of State Health Policies on Students' Right to Self-Carry and Self-Administer Asthma Inhalers at School.

BACKGROUND: Asthma has no known cure, and though manageable, it disrupts the everyday lives of over 6 million US children. Because children spend more than half of their waking hours in school, students must be able to carry and administer their inhaler at school to manage their asthma. METHODS: This policy paper is a comprehensive review of all 50 states and the District of Columbia's laws and policies for the self-carry and administration of quick-relief asthma inhalers among children in prekindergarten through 12th grade. RESULTS: All states permit students to carry and administer their inhalers at school, although each state differs in their development and implementation of policies for asthma self-management at school. This review examines how states regulate self-carry policies by looking at policy development, regulated school systems, relevant stakeholders, required medical records, and school liability. CONCLUSIONS: Each state's laws have nuances that create gray areas, increasing the potential of misinterpreted or incorrectly implemented policies for asthma self-management at school. As a result, children may not have immediate access to their inhaler for symptom management or in an emergency. State policymakers should reform current laws to remove barriers for students to carry and use inhalers at school.

Americans with Disabilities Act: Its Importance in Special Care Dentistry.

This article focuses on understanding the Americans with Disabilities Act and developmental disabilities for health care providers in special care dentistry. Essential to this awareness is a comprehension of statutory and regulatory requirements and how state disability acts can be more rigorous in application. Developmental disabilities are re-examined in the context of the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition). Understanding of intellectual disability, epilepsy, autism spectrum disorder, and cerebral palsy is necessary because the management of oral health considerations for special care patients has become ever more complex and indispensable.

Psychiatry and human rights: a difficult relationship, but with a growing potential.

Persons with psychosocial disabilities (mental health problems) are under the protection of the new United Nations Convention on Rights of Persons with Disabilities (CRPD). The CRPD brings a human rights-based approach to disability: it challenges paternalistic views by emphasizing the person as a rights-holder, an active subject, and not just a passive object of care. It also represents a challenge to mainstream human rights movements and mechanisms who have long paid insufficient attention to human rights of persons with (psychosocial) disabilities. It is increasingly understood that human rights of persons with psychosocial disabilities (mental health problems) should not be seen in the narrow perspective, as if the only issue was the most controversial one, that is, deprivation of liberty. In many areas, reform-minded psychiatrists have themselves initiated human rights-friendly reforms. For instance, efforts to implement article 19 of the CRPD­independent living and inclusion in the community­are increasingly becoming part of the mainstream in mental health care. There is potential for further synergy between mental health professionals and human rights activists in looking at the whole range of civil, political, economic, and social rights listed in the Universal Declaration of Human Rights­realizing that all these rights apply also to persons with psychosocial disabilities, and working together towards removing real-life obstacles to their enjoyment.The building of bridges between the two different types of expertise should be encouraged. In this regard, psychiatry would benefit from more cooperation across borders as well as with international human rights bodies, non-governmental organizations and persons with psychosocial disabilities themselves

Beliefs of chinese physical educators on teaching students with disabilities in general physical education classes.

This study examined the behavioral beliefs of physical education (PE) teachers about teaching students with disabilities in their general PE (GPE) classes and to identify the factors that contribute to their beliefs. A total of 195 PE teachers from a region in eastern China were surveyed. Results of the Physical Educators' Attitudes Toward Teaching Individuals With Disabilities-III survey indicate that although some teachers felt that including students with disabilities in GPE classes provides benefit for them, they were concerned about the practical difficulties of teaching students with disabilities in GPE classes, the lack of support, and the possible rejection of students with disabilities by their peers. Moreover, the behavioral beliefs of teachers vary according to the disability conditions of the students. Results show that there is no significant effect of demographic factors on the beliefs of PE teachers. Quality of experience predicts positive beliefs. The study has important implication for teacher training, provision of equipment, and support from teacher assistants.

[From care to consideration of disabled people]. / De la prise en charge a la prise en compte de la personne handicapée.

The law of 11th February 2005 relating to the equality of the rights and opportunities, participation and citizenship of disabled people was a major step forward. Nevertheless, more progress is needed to ensure more consideration is given to disabled people.

Managing diversity and European policy: Towards a typology for sport pedagogy.

This article adds to the growing body of knowledge in sport pedagogy and focuses specifically upon the intersection of gender and disability. Its purpose is twofold, to create a typology for examining good practice in sport pedagogy that is reflective and inclusive and raises awareness of the diverse needs of all participants in physical activity 'regardless' of gender and ability for all children. We acknowledge that access to physical activity, education and sport are complex and multifaceted, however, the main purpose of this paper is to raise awareness of 'diversity' by focusing specifically upon the role of gender and ability. Through an examination of gender and disability policies in official European Union (EU) policy documents and commercial examples of policy-in-practice we propose a typology for diversity and diversity management. A close look at EU level is instructive because national policies of the member countries vary a lot with respect to diversity issues but should be in accordance in the main areas. Such a reading enables the building of a typology of recommendations for how such policy can be rendered in sport pedagogy practice. We suggest six significant, but related principles that include (1) mainstreaming; (2) teaching and coaching sensitive to difference; (3) empowerment; (4) inclusion; (5) adaptation; and (6) inner differentiation. This holistic typology seeks to 'mainstream' issues of gender and disability policy by providing a set of principles that can be applied to a range of teaching and coaching settings.

Is inclusive education a human right?

In this article, I question the general idea that inclusive education--i.e., to teach all students in one class--is a moral human right. The following discussion shows that the widespread view in disability studies that there is a moral human right to inclusive education can be reasonably called into question by virtue of the proposed counter arguments, but without denying that inclusive education is of utmost importance. Practically speaking, the legal human right to inclusive education is of great practical value for impaired students, and for their basic right to be free from discrimination in education, since their concern thereby gains great legal and moral force. But, theoretically speaking, this particular human right lacks an attainable consensus concerning proper moral justification.

Inclusion of individuals with special needs in regular education: a literature review.

PURPOSE: To critically analyze the inclusion of individuals with special needs in regular education in Brazil, considering social and legal aspects, through literature review. RESEARCH STRATEGY: The literature search was conducted in open access databases: LILACS, SciELO, Portal Cochrane and IUSDATA, the latter belonging to the Library of the Law School of the University of São Paulo, considering all articles published until December 2010. The search strategy used the following keywords: inclusive education; special education; inclusive proposal; individuals with special needs. SELECTION CRITERIA: In the search, only studies in which the summary or the body of the article were related to the purpose of the study were evaluated and selected. DATA ANALYSIS: The potentially relevant articles for review were presented in a protocol form containing the eligibility criteria of the study, methods used, characteristics of the analyzed group or manuscripts, type of intervention used in the study, and results obtained. Articles classified as expert opinions, despite their low level of scientific evidence, were considered in this work, since they are often found in the literature on the issue. RESULTS: A total of 1,399 articles was found and 120 potentially relevant articles were selected after reading their abstracts. From these, 67 articles were cited in more than one database, which resulted in 53 articles to be fully read. Fifteen of these articles were excluded after reading because they did not meet the inclusion criteria. Thus, 38 studies were included and analyzed. CONCLUSION: Following a critical analysis of the literature in the field, it was concluded that, so far, in general, the school receives individuals with special needs; however, there is a long way to go to actually include these individuals, although Brazil has the scope of inclusion. Therefore, it is necessary to establish public policies and guidelines aimed at effective inclusion.

Inclusão do portador de necessidades especiais no ensino regular: revisão da literatura / Inclusion of individuals with special needs in regular education: a literature review

OBJETIVOS: Analisar criticamente a inclusão do portador de necessidades especiais no ensino regular brasileiro, considerando aspectos sociais e jurídicos, por meio de revisão de literatura. ESTRATÉGIA DE PESQUISA: A pesquisa bibliográfica foi conduzida em bases de dados de acesso público: LILACS, SciELO, Portal Cochrane e IUSDATA, sendo esta última da Biblioteca da Faculdade de Direito da Universidade de São Paulo, considerando todos os artigos publicados até o mês de dezembro de 2010. Como estratégia de busca foram utilizados os seguintes termos livres: educação inclusiva, educação especial, proposta inclusiva e portador de necessidades especiais. CRITÉRIOS DE SELEÇÃO: Durante a busca, foram avaliados e selecionados apenas os estudos cujo resumo ou corpo do artigo tivesse relação com o objetivo proposto. ANÁLISE DE DADOS : Os artigos potencialmente relevantes para a revisão foram apresentados em uma ficha protocolar contendo critérios de elegibilidade do estudo, métodos utilizados, características do grupo de artigos analisado, tipo de intervenção realizada e resultados obtidos no estudo. Os artigos classificados como opinião de especialistas, apesar de apresentarem baixo nível de evidência científica, foram incluídos no trabalho, pois são frequentemente encontrados na literatura sobre o assunto. RESULTADOS: Foram encontrados 1.399 artigos, e após leitura dos resumos foram selecionados 120 artigos potencialmente relevantes considerando-se o objetivo da pesquisa. Destes, 67 artigos foram citados em mais de uma base de dados, o que resultou em 53 artigos para serem lidos na íntegra. Após a leitura dos 53 artigos, foram excluídos 15 que não se enquadravam nos critérios de inclusão. Desta forma, 38 estudos foram incluídos e analisados. CONCLUSÃO: Após a análise crítica da literatura da área conclui-se que, até o momento, de maneira geral, a escola recebe, mas há muito a percorrer para incluir os alunos portadores de necessidades especiais, embora o país possua o escopo da inclusão. Assim, faz-se necessário o estabelecimento de diretrizes e ações políticas visando uma inclusão efetiva.

PURPOSE: To critically analyze the inclusion of individuals with special needs in regular education in Brazil, considering social and legal aspects, through literature review. RESEARCH STRATEGY: The literature search was conducted in open access databases: LILACS, SciELO, Portal Cochrane and IUSDATA, the latter belonging to the Library of the Law School of the University of São Paulo, considering all articles published until December 2010. The search strategy used the following keywords: inclusive education; special education; inclusive proposal; individuals with special needs. SELECTION CRITERIA: In the search, only studies in which the summary or the body of the article were related to the purpose of the study were evaluated and selected. DATA ANALYSIS: The potentially relevant articles for review were presented in a protocol form containing the eligibility criteria of the study, methods used, characteristics of the analyzed group or manuscripts, type of intervention used in the study, and results obtained. Articles classified as expert opinions, despite their low level of scientific evidence, were considered in this work, since they are often found in the literature on the issue. RESULTS: A total of 1,399 articles was found and 120 potentially relevant articles were selected after reading their abstracts. From these, 67 articles were cited in more than one database, which resulted in 53 articles to be fully read. Fifteen of these articles were excluded after reading because they did not meet the inclusion criteria. Thus, 38 studies were included and analyzed. CONCLUSION: Following a critical analysis of the literature in the field, it was concluded that, so far, in general, the school receives individuals with special needs; however, there is a long way to go to actually include these individuals, although Brazil has the scope of inclusion. Therefore, it is necessary to establish public policies and guidelines aimed at effective inclusion.

Los Trastornos Graves de Conducta en el contexto educativo / Serious Behavior Disorders in the educational context

El presente artículo hace un recorrido sintético sobre el abordaje que se realiza en el contexto escolar con el alumnado que presenta necesidades educativas especiales en Trastornos Graves de Conducta. el análisis se realiza desde la perspectiva práctica de un equipo de orentación educativa especializado en dichos trastornos, que tiene una función fundamentalmente asesora, y cuya actuación de ámbito provincial e internivelar, ofrece una visión de conjunto de esta compleja problemática en todas sus dimensiones, incluyendo aspectos relacionados con la detección, evaluación, escolarización respuesta educativa y coordinación interinstitucional. Así mismo se resalta la importancia de la formación y capacitación de los profesionales de la enseñanza para el desarrollo de proyectos educativos inclusivos de este alumnado, así como la mejora de otros aspectos importantes tales como la actualización de las categorías del censo educativo, el desarrollo de modalidades de escolarización específicas en los casos necesarios, y el desarrollo de protocolos óptimos de coordinación de las instituciones implicadas en la atención a este alumnado(AU)

This article talks about the synthetic approach is performed in the school with students having special educational needs severe behavioral disorders. analysis is done from the practical perspective of a team of specialized educational orentación in these disorders, which has a mainly advisory role, and whose performance at provincial and internivelar, provides an overview of this complex problem in all its dimensions, including aspects of detection, assessment, school education response and coordination. It also highlights the importance of education and training of teaching professionals to develop educational projects inclusive of these students, as well as improving other important aspects such as updating the census categories of education, the development of specific forms of schooling where necessary, and the development of optimal protocols for coordination of the institutions involved in the care of these students (AU)

Coteaching in physical education: a strategy for inclusive practice.

Qualitative research methods were used to explore the factors that informed general and adapted physical education teachers' coteaching practices within an inclusive high school physical education program. Two physical education teachers and one adapted physical education teacher were observed over a 16-week period. Interviews, field notes, and documents were collected and a constant comparative approach was used in the analysis that adopted a social model framework. Primary themes included community as the cornerstone for student learning, core values of trust and respect, and creating a natural support structure. Coteaching practices existed because of the shared values of teaching, learning, and the belief that all students should be included. Recommendations include shifting orientations within professional preparation programs to account for the social model of disability.

The persistence of low expectations in special education law viewed through the lens of therapeutic jurisprudence.

For more than thirty-five years a paradigm of low expectations has infected efforts to educate children with disabilities and has been a persistent and stubborn obstacle to the successful implementation of the Individuals with Disabilities Education Act (IDEA), and its predecessor, the Education of All Handicapped Children Act (EAHCA). This dilemma raises questions addressed in this paper: What is meant by low expectations in the context of Special Education Law? What are the root causes of this phenomenon, and what makes it so resistant to change? How does it impede implementation of the IDEA? And lastly, in what ways does the paradigm of low expectations impact children with disabilities socially, emotionally, and psychologically? The primary purpose of this paper is to consider these questions, particularly the last, utilizing therapeutic jurisprudence (TJ), a theoretical lens through which the emotional and psychological impact of the law and its processes upon those who interact in its context may be viewed and analyzed.

School reentry for children with acquired central nervous systems injuries.

Onset of acquired central nervous system (CNS) injury during the normal developmental process of childhood can have impact on cognitive, behavioral, and motor function. This alteration of function often necessitates special education programming, modifications, and accommodations in the education setting for successful school reentry. Special education is not necessarily a special classroom, but an individualized set of educational needs, determined by a multidisciplinary school team, to promote educational success. The purpose of this article is to inform those pediatricians and pediatric allied health professionals treating children with CNS injury of the systems in place to support successful school reentry and their role in contributing to developing an appropriate educational plan.

The integration of children dependent on medical technology into public schools.

Advances in medicine have increased the survival rates of children with complex medical conditions, including those who are dependent on technology such as ventilators and tracheostomies. The process of integrating children dependent on medical technology into public schools requires the collaboration of a multidisciplinary team to ensure that both their educational and health care needs are met. As coordinator of the school health program, the school nurse plays a vital role throughout the integration process and during the time the student is enrolled in the school. This article presents a case study that demonstrates the steps in the integration process, the roles of the team members, and implications for school nursing practice.

Student experiences of neurodiversity in higher education: insights from the BRAINHE project.

The number of students with identified learning differences (LDs) of all kinds is increasing in higher education. This qualitative study explored the experiences of 27 current and previous students with a range of specific LDs by means of semi-structured interviews, using a thematic approach. The findings revealed that participants shared many life experiences and preferences for learning irrespective of their type of LD. Participants generally held one of two views about their identity as 'neurodiverse': a 'difference' view--where neurodiversity was seen as a difference incorporating a set of strengths and weaknesses, or a 'medical/deficit' view--where neurodiversity was seen as a disadvantageous medical condition. The former view was associated with expressions of greater career ambition and academic self-esteem, while the latter view was associated more with processes for obtaining the Disabled Students' Allowance. Many of the participants reported similar experiences in education and with university support; many did not feel adequately supported by their institutions. Recommendations are made for increased awareness training among lecturers and better liaison between university departments.

[The UN Convention on the Rights of Persons with Disabilities and its challenges to German education policy]. / Die UN-Konvention über die Rechte von Menschen mit Behinderungen und ihre Herausforderungen an die deutsche Bildungspolitik.

The UN Convention on the Rights of Persons with Disabilities should be regarded as a challenge to German education policy to finally establish a more comprehensive school system in Germany. There is no doubt that students with handicaps will find their place only in schools that respect and hold in high esteem every student, not only those with handicaps. The time of the traditional, highly separated special school system in Germany is over. Nevertheless we assume that we do need a variety of different forms of support in order to realize the right of every child to be educated. The building up of a school for all depends at least on the resources, mainly the human ones.

[Increasing use of social benefits by young people with chronic illness or disability in the Netherlands]. / Zunahme der Inanspruchnahme von Sozialleistungen bei jungen Personen mit einer chronischen Erkrankung bzw. Behinderung in den Niederlanden.

Young handicapped citizens in the Netherlands have increasingly been receiving social benefits or special services during the last five years. Dutch governmental departments have therefore commissioned an applied social policy research. We analyzed six benefits (for example special education, psychological healthcare, and Wajong benefits for young disabled). The usage of all these provisions is increasing. In particular we focus on "Wajong" (a sort of pension for Dutch young disabled people) and its social consequences. The number of Wajong benefits is growing strongly. In 2006 every 22nd person aged 18 (4.5%) claimed and received this disability benefit. Also, the statistical trend is that people with a handicap are less often employed and are more often unemployed. So there is an ongoing political discussion about these provisions with special attention to Wajong.