Readiness to recognize: A qualitative case study of educational identification of TBI

Abstract

BACKGROUND:

The educational identification (ED-ID) of students with traumatic brain injury (TBI) has been legislated in numerous states, and TBI has become its own special education category. Questions abound as to whether these changes will lead to more readily identifying these students to provide appropriate special education supports.

OBJECTIVE:

Elucidate one state’s response to legislative changes around ED-ID of TBI.

METHODS:

This is a phenomenological case study of nine school districts in one state. Researchers conducted focus groups as well as individual interviews with various special education staff. On-going analysis of the focus group and interview data occurred, until themes were finalized.

RESULTS:

Reactions of staff comprised two opposing viewpoints: those supporting and carrying out ED-ID (“Toward ED-ID”) and those describing processes and attitudes that stand in the way (“Barriers”). Themes that were supportive of ED-ID include Credible History, Personnel, Targeted Intervention, Effective Communication, and Education. Themes aligned with the barrier viewpoint include Concussion Protocols, Medical Nature, Misidentification, Stigma, and Communication Breakdown.

CONCLUSION:

While many districts reported success with ED-ID for TBI, responses to the ED-ID legislation and TBI category were mixed, with enough barriers identified to cause concern over whether the legislative and policy changes have been overall beneficial.

Keywords

Educational identification traumatic brain injury (TBI)special education

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References

Blosser

J. L.

, & DePompei

(1991). Preparing education professionals for meeting the needs of students with traumatic brain injury. Journal of Head Trauma Rehabilitation, 6(1), 73–82.

Colorado Department of Education. Colorado Exceptional Children’ s Educational Act (ECEA), amended by House Bill 11-1277. (2.08 (10) (a); 2.08 (10) (a) (i); and 2.08 (10) (a) (ii).

Colorado Department of Public Health and Environment. Injury in Colorado. (2005), Appendix C: Traumatic Brain Injury Data Tables.

Creswell

J. W.

(2013), Qualitative inquiry and research design: Choosing among five approaches (3rd ed.). Thousand Oaks, CA:SAGE.

Creswell

J. W.

, Hanson

W. E.

, Plano

V. L. C.

, Morales

. (2007). Qualitative research designs: Selection and implementation. The Counseling Psychologist, 35(2), 236–264. doi:10.1177/0011000006287390

DePompei

, & Bedell

(2008). Making a difference for children and adolescents with traumatic brain injury. Journal of Head Trauma Rehabilitation, 23(4), 191–196.

DePompei

, Epps

, Savage

, Blosser

, & Catelli

(1998). Educational needs of children and adolescents after brain injury: A global perspective. NeuroRehabilitation, 11, 85–100.

Dettmer

, Ettel

, Glang

, & McAvoy (2014). Building statewide infrastructure for effective educational services for students with TBI: Promising practices and recommendations. Journal of Head Trauma and Rehabilitation, 9, 224–232.

Dise-Lewis

J. E.

, Calvery

M. L.

, & Lewis

H. C.

(2002). BrainSTARS: Brain injury – strategies for teams and re-education for students. Denver: BrainSTARS Program. Federal Regulations: Part 300/A/300.8.c.12.

10.

Guttormsen

(2014). Program development of best practices for students with traumatic brain injury. Unpublished master’s thesis, Colorado State University, Fort Collins.

11.

Glang

, Ettel

, Todis

, Gordon

W. A.

, Oswald

J. M.

, Vaughn

S. L.

, Connors

S. H.

, & Brown

(2015). Services and supports for students with traumatic brain injury: Survey of state educational agencies. Exceptionality, 23, 211–224.

12.

Glang

, Todis

, Sublette

, Brown

B. E.

, & Vaccaro

(2010). Professional development in TBI for educators: The importance of context. Journal of Head Trauma and Rehabilitation, 25, 426–432.

13.

Halstead

M. E.

, McAvoy

, Devore

C. D.

, Carl

, Lee

, Logan

. Council on Sports Medicine and Fitness, Council on School Health. (2013). Returning to learning following a concussion. Pediatrics. doi:10.1542/peds.2013-2867

14.

Langlois

, Rutland-Brown

, & Thomas

(2004). Traumatic brain injury in the United States: Emergency department visits, hospitalizations, and deaths. Atlanta, GA: Center for Disease Prevention and Control, National Center for Injury Prevention and Control.

15.

Mathias

(2015). A picture of traumatic brain injury identification policy in U.S. schools by State. Unpublished Masters Thesis, Colorado State University, Department of Occupational Therapy, Fort Collins.

16.

McCaleb

K. N.

(2006). The Relationship between Brain Injury and the Provision of School Services. Physical Disabilities: Education and Related Services, 25(1), 61–76.

17.

Savin-Baden

, & Major

C. H.

(2013). Qualitative research: The essential guide to theory and practice.New York, NY:Routledge, pp. 226–242.ISBN: 978-0-415-67478-2..

18.

Taylor

C. A.

, Bell

J. M.

, Breiding

M. J.

, & Xu

(2017). Traumatic brain injury– related emergency department visits, hospitalizations, and deaths — United States, 2007 and 2013. MMWR Surveillance Summary, 66(SS-9), 1–16. doi:http://dx.doi.org/10.15585/mmwr.ss6609a1

19.

Turkstra

L. S.

, Williams

W. H.

, Tonks

, & Frampton

(2008). Measuring social cognition in adolescents: Implications for students with TBI returning to school. NeuroRehabilitation, 23, 501–509.

20.

U.S. Department of Education, National Center for Education Statistics. (2016). Digest of Education Statistics, 2015 (NCES2016-014), Chapter 2. Available at: https://nces.ed.gov/fastfacts/display.asp?id=.

21.

U.S. Department of Education, Individuals with Disabilities Education Act (IDEA) Data Center (2014). Part B Trend Data Table B3A: Number of Children Served in the 50 States and DC (including BIA Schools) Under IDEA, Part B, Ages 6-21. Available at http://www.ideadata.org/docs/Partb TrendData/B2A.html

22.

Ylvisaker

, Hartwick

, & Stevens

(1991). School reentry following head injury: Managing the transition from hospital to school. Journal of Head Trauma Rehabilitation, 6(1), 10–22.