1342.12 Companion

58 / 190

1342.12 Companion
July 12, 2017 Page 58
Traumatic Brain Injury Eligibility Guide
"Traumatic Brain Injury" means an acquired injury to the brain caused by an external physical force
resulting in total or partial functional disability or psychosocial impairment (or both) that adversely
affects educational performance. Includes open or closed head injuries resulting in impairments in one
or more areas including cognition, language, memory, attention, reasoning, abstract thinking, judgment,
problem solving, sensory, perceptual and motor abilities, psychosocial behavior, physical function,
information processing, and speech. The term does not include brain injuries that are congenital or
degenerative or brain injuries that are induced by birth trauma.
Required Assessments
Observation; review of existing school educational and health records; medical documentation of brain
injury; educational impact analysis.
The CSC must gather the necessary information to meet the eligibility criteria.
Recommended Assessments to assist the CSC to meet eligibility criteria
Cognitive and informational processing assessments; Formal and/or informal measures of academic
achievement supported by teacher reports, group achievement test scores, report cards; after review of
all records, the CSC determines if there is a need to obtain additional assessments (e.g., medical,
developmental history, cognitive, language).
Criteria
There is documentation of a Traumatic Brain Injury.
 The CSC will list and/or describe.
AND
 There is documentation of impairments in one or more areas including (check all that apply):
☐Cognition
☐Abstract thinking
☐Physical functions
☐Perceptual
☐Language
☐Judgment
☐Information processing
☐Motor abilities
☐Memory
☐Problem-solving
☐Attention
☐Speech
☐Sensory
☐Reasoning
☐Psychosocial behavior
AND
 The brain injury is not congenital, degenerative, or induced by birth trauma.
AND
 Due to the identified Traumatic Brain Injury, the student is educationally impacted and requires
specially designed instruction. The CSC will list and/or describe.