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Additional Specific Disability Documentation Guidelines:
Hearing Impairments & Deafness
- Documentation must be in the form of a medical report or physician's letter. An audiological report must also be submitted.
- An audiologist or other appropriate medical physician should perform medical diagnosis.
Medical Conditions & Physical Impairments
- Documentation must be in the form of either a medical report or physician's letter.
- Medical diagnosis must be made by an appropriate physician qualified to make the diagnosis.
Psychological & Psychiatric Disabilities
- Documentation must be in the form of a psychological report or a neuropsychological report.
- A psychologist, psychiatrist, or licensed mental health practitioner should make the diagnosis.
- There must be specific diagnostic criteria found in the American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV).
- Documentation must be in the form of a report or physician's letter.
- A speech pathologist or other appropriate medical physician should do the diagnosis.
Visual Impairments & Blindness
- Documentation must be in the form of a report or a physician's letter.
- An ophthalmologist or other appropriate medical physician should do the diagnosis.
- Documentation must be in the form of a psychoeducational or neuropsychological report.
- The learning disability documentation must include a specific diagnosed learning disability.
- Documentation should include measures of the following domains:
- Aptitude: The Wechsler Adult Intelligence Scale-III (WAIS-III) is the preferred instrument.
- Achievement: Current levels of academic functioning in all aspects of reading, mathematics, and written language are required. The Wide Range Achievement Test (WRAT) is NOT a comprehensive measure of achievement and is therefore UNACCEPTABLE.
- Information Processing and Communication Assessments: Information processing should be addressed, for example: verbal expression and memory; receptive language; sequential memory; auditory and visual perception processing and processing speed; and fine motor functioning.
- Psychological Assessment/Personality Testing: Although not required, testing, such as the MMPI, may be done in addition to the three domains already mentioned.
- Neuropsychological Assessment: Although not required, more extensive testing, such as the Halstead-Reitan Battery and the Luria-Nebraska Battery, may be done in addition to the domains already mentioned.
Attention Deficit/Hyperactivity Disorder
- Show evidence that anxiety disorders, disorders of depression, mood disorder, schizophrenia, borderline personality disorder, dissassociative disorder, or substance-related disorders are not the primary disability and are not the primary cause of AD/HD.
- Standardized assessment measures should be utilized in the diagnosis of AD/HD; i.e., T.O.V.A., Continuous Performance Test, neuropsychological evaluation.
- Report should include a history of AD/HD symptoms by the age of seven, corroborated by another independent source.
- Corroboration of current AD/HD symptoms across multiple settings by one or more adults with knowledge of the client's functioning should be documented.
- Documentation on two rating scales of AD/HD behaviors/symptoms that have appropriate age norms (i.e., rating scales for childhood and adult behavior.)
- Show evidence of interference of AD/HD with appropriate academic or social functioning.
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