ELIGIBILITY FOR SPECIAL EDUCATION SERVICES & POSSIBLE CATEGORIES.

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    ELIGIBILITY FOR

    SPECIAL EDUCATION

    SERVICES & POSSIBLE

    CATEGORIES THEREIN

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    ELIGIBILITY FOR SPECIAL EDUCATION AS STATED

    BY FEDERAL LAW

    The regulations establish eligibility criteria for all

    students seeking special education services. In

    order to qualify as an individual with exceptionalneeds under the eligibility criteria, the

    assessment must demonstrate that the student's

    impairment

    1) adversely affects his/her educational

    performance and

    2) requires special education.

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    AGE REQUIREMENTS

    In terms of minimum age, a child may be eligible for

    special education services, in the form of early

    intervention services, from birth. Early interventionservices are discussed in on the page titled Early

    Intervention Services. After age three and until school

    age, a child may be eligible for preschool special

    education.

    In terms of maximum age (and assuming the student

    has not yet graduated from high school), a student

    continues to be eligible for special education through

    his 18th year. Each state is different and may offer

    services for the student into his/her early twenty's'.

    However, for services to continue through to this age,

    the student must have been in special education prior

    to the age of 19.

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    A HEARING IMPAIRED CHILDYour child does not need to be deaf to qualify

    as hearing impaired. Your child is eligible if

    s/he has either a permanent or fluctuating

    hearing loss that impairs his/her ability toprocess information presented through

    amplified hearing channels and which also

    adversely affect the educational performance.COUNTY OR DISTRICT PROGRAMS FOR DEAF/BLIND CHILDRENIf your child has both hearing and visual impairments which, in

    combination, cause severe communication, developmental, andeducational problems, s/he is eligible for county and district programs

    LIGIBILITY CRITERIA FOR SERVICES PROVIDED TO CHILDREN

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    LIGIBILITY CRITERIA FOR SERVICES PROVIDED TO CHILDREN

    WITH SPEECH AND LANGUAGE DISORDERS.A student with speech and language difficulties is eligible for special

    education services if she meets one or more of the following criteria:

    1)Articulation Disorder which reduces intelligibility and significantly

    interferes with communication and attracts adverse attention. The student's

    articulation competency must be below what is expected for his/herchronological age or developmental level.

    2)Abnormal Voice which is characterized by persistent, defective voice

    quality, pitch, or loudness.

    3)Fluency Disorder in which the flow of verbal expression, including rate

    and rhythm, adversely affects communication between the student and

    listener.

    4)Language Disorder in which the student has a language disorder when

    s/he meets both of the following criteria:

    (a) Scores at least 1.5 standard deviations below the mean, or below the

    seventh percentile, for her chronological age or developmental level, on two

    or more standardized tests in one or more of the following areas of language

    development: morphology, syntax, semantics;

    (b) Displays inappropriate or inadequate usage of receptive or expressive

    language as measured on a representative spontaneous language sample of

    a minimum of fifty utterances.

    Once a student qualifies for special education services, s/he is eligible for

    any service required to meet her/his educational needs. The related service

    of speech and language therapy may be the only service some students

    need. Other students have speech and language disorders that are too

    severe for lacement in a communicativel handica ed or severe lan ua e

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    VISUAL HANDICAPPED STUDENTS

    Visually handicapped means a visual

    impairment which, even with correction,

    adversely affects a child's educational

    performance.The term includes both partially sighted and

    blind children.

    PHYSICAL DISABILITIES THAT QUALIFY A CHILD FOR

    SPECIAL EDUCATION.

    The child's condition would have to:

    1) affect your child's educational performance adverselyand

    2) not be temporary in nature.

    S/he might have severe orthopedic impairments such as

    polio, cerebral palsy, amputations, etc. Or, she might

    have limited strength, vitality, or alertness due to

    chronic or acute health problems such as heart disease,

    epilepsy, hemophilia, diabetes, childhood cancer, AIDS,

    etc.

    Students with traumatic brain injury are also eligible for

    special education. These include an injury to the brain

    caused by an external force, resulting in total or partial

    functional disability or psychosocial impairment, or

    both, that adversely affects his/her educational

    performance. The term applies to open or closed head

    injuries resulting in impairments in one or more areas,

    such as:

    cognition, language, memory, attention, reasoning,abstract thinking, judgment, problem-solving, sensory,

    e c s n a ap e e a or as e as s gn can e o a erage genera

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    e c s n a ap ve e av or, as we as s gn can y e ow average generaintellectual functioning, which adversely affects the child's educational

    performance. [34 C.F.R Sec. 300.5(b)(4)]

    ELIGIBILITY CRITERIA FOR SERIOUSLY EMOTIONALLY DISTURBED

    STUDENTS

    A student is considered seriously emotionally disturbed if he exhibits one

    or more of the following characteristics, over a long period of time and to a

    marked degree, which adversely affects educational performance:

    1) An inability to learn which cannot be explained by intellectual, sensory,

    or health factors.

    2) An inability to build or maintain satisfactory interpersonal relationships

    with peers and teachers.

    3) Inappropriate types of behavior or feelings under normal circumstances

    exhibited in several situations.

    4) A general pervasive mood of unhappiness or depression.

    5) A tendency to develop physical symptoms or fears associated with

    personal or school problems. [34 C.F.R. Sec. 300.7(b)(9)]

    Note that the disability category "seriously emotionally disturbed" is a

    creation of Congress, not a recognized psychiatric diagnostic category.Thus, the term does not require a particular psychiatric diagnosis - such as

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    student eligible for special education services. An IEP team,

    after the required comprehensive evaluation, must determine

    that the student meets a federal and/or state eligibility

    category. A September 16, 1991, Joint Policy Memorandum

    from the U.S. Department of Education says that state and

    local education agencies:

    ....must ensure that children with ADD who are determined

    eligible for services. . . receive special education and related

    services designed to meet their unique needs, including

    special education and related services needs arising from

    ADD.Most commonly, students with ADD/ADHD may be eligible

    under the "specific learning disability" category, the

    "seriously emotionally disturbed" category, or the "other

    health impaired" category. School districts have not widely

    utilized the "other health impaired" category to qualify a

    student with ADD/ADHD for special education services.However, the federal Joint Policy Memorandum specifically

    addresses the "other health impaired" category:

    Children with ADD, where the ADD is a chronic or acute

    health problem resulting in limited alertness, may be

    considered disabled under Part B solely on the basis of this

    " "

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    ELIGIBILITY CRITERIA FOR CHILDREN WITH A

    SUSPECTED LEARNING DISABILITY.

    To be considered learning disabled under the eligibility

    criteria, a student must meet three major requirements.

    S/he must have a disorder in one or more of the basic

    psychological processes involved in understanding or

    using spoken or written language. The basic psychological

    processes include: attention

    visual processing

    auditory processingsensory-motor skills

    cognitive abilities (including association, conceptualization

    & expression)

    That the disorder may manifest itself in an impaired ability

    to listen, think speak, read, write, spell or do mathematicalcalculations.

    The student must have a severe discrepancy between

    intellectual ability and achievement in one or more of the

    academic areas referred to in the law.

    The regulations define intellectual ability as including

    both acquired learning and learning potential as

    determined by a systematic assessment of intellectual

    functioning. The student's level of achievement includes

    his/her level of competence in materials and subject

    matter explicitly taught in school as measured by

    standardized achievement tests. The academic areas

    identified in the law are:

    oral expression

    listening comprehension

    written expression

    basic reading skills

    reading comprehension

    mathematics calculationmathematics reasoning

    In determining whether or not a severe discrepancy

    exists, the IEP team must take into account all relevant

    material available on the student. No single score (or

    product of scores) test or procedure shall be used as thesole criterion for the IEP team's decisions as to the

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    SEVERE DISCREPANCY

    Some people will claim that there is a 2 year rule, that the

    student must be two years behind academically to be

    considered LD. There is no reference in the federal

    eligibility criteria for learning disabilities requiring that a

    student be two years behind academically. The criteria do

    require that the student have a severe discrepancy betweenability and achievement. Therefore, the student's academic

    achievement must be compared to his own ability levels,

    not to other students' ability or to expected grade level

    performance. The district has an obligation to follow federal

    eligibility criteria. [34 C.F.R. Sec. 300.7(b)(10)]

    CHILDREN WHO DON'T MEET ELIGIBILITY REQUIREMENTS

    A child who may have problems in learning may not be found

    eligible for special education services because s/he does not fit

    into one of the special education eligibility categories and/orbecause his/her learning problems are not severe enough to

    qualify him for special education. (This is often the case for

    children identified as being hyperactive or having dyslexia or ADD,

    none of which automatically qualify a student for special

    education under federal law.) Such a child, however, may be

    eligible for special services and program modifications under a

    federal anti-discrimination law designed to reasonably

    accommodate the student's condition so that his needs are met as

    adequately as the needs of non-disabled students. The law is

    commonly known as Section 504 of the Rehabilitation Act of 1973.

    [29 U.S. Code Sec. 794; implementing regulations at 34 C.F.R.104.1 and following.]

    Section 504 eligibility is not based on a categorical analysis of

    disabilities (except that some conditions, such as ADD, are

    frequently recognized as Section 504 qualifying conditions).

    Rather, Section 504 protections are available to students who can

    be regarded as "disabled" in a functional sense. Such students:

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    If your child is not found to be "disabled" for purposes of Section 504

    accommodations and/or services, you can appeal that determination. The

    local education agency is responsible for arranging the Section 504 hearing

    process. The hearing officer selected by the local education agency must

    be independent of the local agency. The hearing officer could be, forexample, a special education administrator from another school district,

    from the county office of education or from a special education local plan

    area - as long as there is not conflict of interest.

    The Office of Civil Rights administers and enforces Section 504 protections

    in education. If you believe your child has not been afforded his/her rightsunder Section 504, you may file a complaint with your local OCR.

    SPECIAL EDUCATION SERVICES UNDER SECTION 504

    An OCR Memorandum written April 29, 1993, addresses this issue.

    The question it was answering was whether or not a child. . . who has a

    disability within the meaning of Section 504 but not under the IDEA, is

    entitled to receive special education services.

    It stated that if a child. . . is found to have a disability within the meaning of

    Section 504, s/he is entitled to receive any special education services the

    placement team decides are necessary.

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    DEVELOPMENTAL DELAY

    occurs when your child has thedelayed achievement of one or

    more of his milestones. This may

    affect your

    child's speech and language, hisfine and gross motor skills,

    and/or his personal and social

    skills.

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    P

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    C

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    A

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    CATEGORIES OF DISABILITIES

    Autism

    Deaf-Blindness

    Deafness

    Emotional Disturbance

    Hearing Impairment Intellectual Disability

    Multiple Disabilities

    Orthopedic Impairment

    Other Health Impairment

    Specific Learning Disability Speech or Language Impairment

    Traumatic Brain Injury

    Visual Impairment including blindness

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    Autism is a disorder ofneuraldevelopment characterized by

    impaired social

    interaction and communication,and by restricted and repetitive

    behavior. The diagnostic criteria

    require that symptoms become

    apparent before a child is three

    years old.[2]Autism affects

    information processing in

    the brain by altering how nerve

    http://en.wikipedia.org/wiki/Neurodevelopmental_disorderhttp://en.wikipedia.org/wiki/Neurodevelopmental_disorderhttp://en.wikipedia.org/wiki/Neurodevelopmental_disorderhttp://en.wikipedia.org/wiki/Interpersonal_relationshiphttp://en.wikipedia.org/wiki/Interpersonal_relationshiphttp://en.wikipedia.org/wiki/Communicationhttp://en.wikipedia.org/wiki/Autismhttp://en.wikipedia.org/wiki/Human_brainhttp://en.wikipedia.org/wiki/Synapsehttp://en.wikipedia.org/wiki/Human_brainhttp://en.wikipedia.org/wiki/Autismhttp://en.wikipedia.org/wiki/Autismhttp://en.wikipedia.org/wiki/Autismhttp://en.wikipedia.org/wiki/Communicationhttp://en.wikipedia.org/wiki/Interpersonal_relationshiphttp://en.wikipedia.org/wiki/Interpersonal_relationshiphttp://en.wikipedia.org/wiki/Interpersonal_relationshiphttp://en.wikipedia.org/wiki/Neurodevelopmental_disorderhttp://en.wikipedia.org/wiki/Neurodevelopmental_disorderhttp://en.wikipedia.org/wiki/Neurodevelopmental_disorderhttp://en.wikipedia.org/wiki/Neurodevelopmental_disorderhttp://en.wikipedia.org/wiki/Neurodevelopmental_disorderhttp://en.wikipedia.org/wiki/Neurodevelopmental_disorderhttp://en.wikipedia.org/wiki/Neurodevelopmental_disorder
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    Deaf-blindness is thecondition of little or no

    useful sight and little or no

    useful hearing. Educationally,individuals are considered to be

    deaf blind when the combination of

    their hearing and sight loss causessuch severe communication and

    other developmental and

    educational needs that they require

    si nificant and uni ue ada tations

    http://en.wikipedia.org/wiki/Visual_perceptionhttp://en.wikipedia.org/wiki/Hearing_(sense)http://en.wikipedia.org/wiki/Hearing_(sense)http://en.wikipedia.org/wiki/Visual_perception
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    Deafness is defined as adegree of impairment such thata person is unable to

    understand speech even in the

    presence of amplification.

    Inprofound deafness, even the

    loudest sounds produced by

    an audiometer(an instrument

    used to measure hearing by

    producing pure tone sounds

    through a range of frequencies)

    may not be detected. In total

    E ti l Di t b

    http://en.wikipedia.org/wiki/Audiometerhttp://en.wikipedia.org/wiki/Audiometer
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    Emotional Disturbance isone of thirteen disabilities outlined in

    the Individuals with Disabilities Education

    Act (IDEA). Section 1912(c) of the Public HealthService Act, as amended by Public Law 102-321

    defines children with a serious emotional

    disturbance as those who are from birth to age of

    majority who have had a diagnosable mental,behavioral, or emotional disorder of sufficient

    duration to meet diagnostic criteria specified within

    the Diagnostic and Statistical Manual of Mental

    Disorders (DSM). For the individual to be deemedemotionally disturbed, it must be determined that

    the child's condition results in functional

    impairment, substantially interfering with one or

    more major life activities, such as the abilities to

    http://en.wikipedia.org/wiki/Individuals_with_Disabilities_Education_Acthttp://en.wikipedia.org/wiki/Individuals_with_Disabilities_Education_Acthttp://en.wikipedia.org/wiki/Public_Health_Service_Acthttp://en.wikipedia.org/wiki/Public_Health_Service_Acthttp://en.wikipedia.org/wiki/Age_of_majorityhttp://en.wikipedia.org/wiki/Age_of_majorityhttp://en.wikipedia.org/wiki/Mental_disorderhttp://en.wikipedia.org/wiki/Diagnostic_and_Statistical_Manual_of_Mental_Disordershttp://en.wikipedia.org/wiki/Diagnostic_and_Statistical_Manual_of_Mental_Disordershttp://en.wikipedia.org/wiki/Diagnostic_and_Statistical_Manual_of_Mental_Disordershttp://en.wikipedia.org/wiki/Diagnostic_and_Statistical_Manual_of_Mental_Disordershttp://en.wikipedia.org/wiki/Mental_disorderhttp://en.wikipedia.org/wiki/Age_of_majorityhttp://en.wikipedia.org/wiki/Age_of_majorityhttp://en.wikipedia.org/wiki/Public_Health_Service_Acthttp://en.wikipedia.org/wiki/Public_Health_Service_Acthttp://en.wikipedia.org/wiki/Individuals_with_Disabilities_Education_Acthttp://en.wikipedia.org/wiki/Individuals_with_Disabilities_Education_Act
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    Hearing

    impairment is thedecreased ability to hearand discriminate among

    sounds. It is one of the

    most common birth

    defects.

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    Intellectual disability is a

    broad concept encompassing variousintellectual deficits, including mental

    retardation(MR), deficits too mild to

    properly qualify as MR, various specificconditions (such as specific learning

    disability), and problems acquired later in

    life through acquired brain

    injuries orneurodegenerative

    diseases like dementia. Intellectual

    disabilities may appear at any age.

    Intellectual disability is also increasingly

    http://en.wikipedia.org/wiki/Mental_retardationhttp://en.wikipedia.org/wiki/Mental_retardationhttp://en.wikipedia.org/wiki/Specific_learning_disabilityhttp://en.wikipedia.org/wiki/Specific_learning_disabilityhttp://en.wikipedia.org/wiki/Acquired_brain_injurieshttp://en.wikipedia.org/wiki/Acquired_brain_injurieshttp://en.wikipedia.org/wiki/Neurodegenerative_diseaseshttp://en.wikipedia.org/wiki/Neurodegenerative_diseaseshttp://en.wikipedia.org/wiki/Dementiahttp://en.wikipedia.org/wiki/Dementiahttp://en.wikipedia.org/wiki/Neurodegenerative_diseaseshttp://en.wikipedia.org/wiki/Neurodegenerative_diseaseshttp://en.wikipedia.org/wiki/Acquired_brain_injurieshttp://en.wikipedia.org/wiki/Acquired_brain_injurieshttp://en.wikipedia.org/wiki/Specific_learning_disabilityhttp://en.wikipedia.org/wiki/Specific_learning_disabilityhttp://en.wikipedia.org/wiki/Mental_retardationhttp://en.wikipedia.org/wiki/Mental_retardation
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    Multiple disabilities isa term for a person with several

    disabilities, such as a sensory

    disability associated with a motordisability.

    Depending on the definition, a

    severe intellectual disability may beincluded in the term "multiple

    disabilities". Individual usually has

    more than one significant disability,

    such as movement difficulties,

    http://en.wikipedia.org/wiki/Disabilityhttp://en.wikipedia.org/wiki/Disabilityhttp://en.wikipedia.org/wiki/Motor_disabilityhttp://en.wikipedia.org/wiki/Motor_disabilityhttp://en.wikipedia.org/wiki/Intellectual_disabilityhttp://en.wikipedia.org/wiki/Intellectual_disabilityhttp://en.wikipedia.org/wiki/Motor_disabilityhttp://en.wikipedia.org/wiki/Motor_disabilityhttp://en.wikipedia.org/wiki/Disabilityhttp://en.wikipedia.org/wiki/Disability
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    Orthopedic Impairment asdefined by the IDEA, is a bodily impairment

    that is severe enough to negatively affect achilds educational performance. This

    disability category includes all orthopedic

    impairments, regardless of cause.Examples of potential causes of

    orthopedic impairment include genetic

    abnormality, disease, injury, birth trauma,amputation, burns, or other causes.People

    with orthopedic impairments usually need

    physical accommodations orassistive

    technology in work and life and have legal

    http://learningdisabilities.about.com/od/publicschoolprograms/g/ideadefiniton.htmhttp://learningdisabilities.about.com/b/2008/06/30/assistive-technology-enhances-learning-working-and-living.htmhttp://learningdisabilities.about.com/b/2008/06/30/assistive-technology-enhances-learning-working-and-living.htmhttp://learningdisabilities.about.com/b/2008/06/30/assistive-technology-enhances-learning-working-and-living.htmhttp://learningdisabilities.about.com/b/2008/06/30/assistive-technology-enhances-learning-working-and-living.htmhttp://learningdisabilities.about.com/b/2008/06/30/assistive-technology-enhances-learning-working-and-living.htmhttp://learningdisabilities.about.com/od/publicschoolprograms/g/ideadefiniton.htm
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    Other Health

    Impairment means havinglimited strength, vitality or alertnessincluding a heightened alertness to

    environmental stimuli, that results in

    limited alertness with respect to the

    educational environment, that:

    is due to chronic or acute health

    problems such as asthma, attentiondeficit disorder or attention deficient

    hyperactivity disorder, diabetes,

    epilepsy, or heart condition,

    S ifi L i

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    Specific Learning

    Disabilities are a group of disabilitiesin the Individuals with Disabilities EducationAct (IDEA) The IDEA defines specific learning

    disabilities as a group of disorders in one or

    more of these areas of learning:Learningdisabilities ofexpressive language, also

    called oral expression;

    Learning disabilities ofreceptive language,

    also called listening comprehension;Learning disabilities ofbasic writing

    mechanics;

    Learning disabilities ofwritten expression;

    http://learningdisabilities.about.com/od/whatisld/a/whatissld.htmhttp://learningdisabilities.about.com/od/whatisld/a/whatissld.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/exprslangdisrdr.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/rsptvlangdsrdr.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/rsptvlangdsrdr.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbasicwriting.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbasicwriting.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbaiscwriting.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbscreading.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbscreading.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbscreading.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbaiscwriting.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbaiscwriting.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbaiscwriting.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbasicwriting.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbasicwriting.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbasicwriting.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/ldbasicwriting.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/rsptvlangdsrdr.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/rsptvlangdsrdr.htmhttp://learningdisabilities.about.com/od/learningdisabilitybasics/p/exprslangdisrdr.htmhttp://learningdisabilities.about.com/od/whatisld/a/whatissld.htmhttp://learningdisabilities.about.com/od/whatisld/a/whatissld.htm
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    Speech And Language

    Impairmentare basic categories that

    might be drawn in issues of communication involve

    hearing, speech, language, and fluency.

    Hearing will be excluded from our discussion as it

    is the focus of experts in other domains. Speech isthe first category, and it includes articulation and

    voice.Articulation refers to the sounds,syllables,

    and phonology produced by the individual. Voice,

    however, may refer to the characteristics of thesounds producedspecifically, the pitch, quality,

    and intensity of the sound. Often,fluency will also

    be considered a category under speech,

    encompassing the characteristics ofrhythm, rate,

    Traumatic brain injury

    http://en.wikipedia.org/wiki/Speechhttp://en.wikipedia.org/wiki/Articulationhttp://en.wikipedia.org/wiki/Syllableshttp://en.wikipedia.org/wiki/Phonologyhttp://en.wikipedia.org/wiki/Voicehttp://en.wikipedia.org/wiki/Pitchhttp://en.wikipedia.org/wiki/Fluencyhttp://en.wikipedia.org/wiki/Rhythmhttp://en.wikipedia.org/wiki/Rhythmhttp://en.wikipedia.org/wiki/Fluencyhttp://en.wikipedia.org/wiki/Pitchhttp://en.wikipedia.org/wiki/Voicehttp://en.wikipedia.org/wiki/Phonologyhttp://en.wikipedia.org/wiki/Syllableshttp://en.wikipedia.org/wiki/Articulationhttp://en.wikipedia.org/wiki/Speech
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    Traumatic brain injury (TBI),also known as intracranial injury, occurs when an

    external force traumatically injures the brain. TBI

    can be classified based on severity, mechanism

    (closed orpenetrating head injury), or other

    features (e.g., occurring in a specific location or

    over a widespread area). Head injury usually refersto TBI, but is a broader category because it caninvolve damage to structures other than the brain,

    such as the scalp and skull.

    TBI is a major cause of death and disabilityworldwide, especially in children and young

    adults. Causes include falls, vehicle accidents, and

    violence. Prevention measures include use of

    technology to protect those suffering from

    Vi l I i t

    http://en.wikipedia.org/wiki/Physical_traumahttp://en.wikipedia.org/wiki/Brainhttp://en.wikipedia.org/wiki/Closed_head_injuryhttp://en.wikipedia.org/wiki/Penetrating_head_injuryhttp://en.wikipedia.org/wiki/Head_injuryhttp://en.wikipedia.org/wiki/List_of_causes_of_death_by_ratehttp://en.wikipedia.org/wiki/List_of_causes_of_death_by_ratehttp://en.wikipedia.org/wiki/List_of_causes_of_death_by_ratehttp://en.wikipedia.org/wiki/List_of_causes_of_death_by_ratehttp://en.wikipedia.org/wiki/Head_injuryhttp://en.wikipedia.org/wiki/Penetrating_head_injuryhttp://en.wikipedia.org/wiki/Penetrating_head_injuryhttp://en.wikipedia.org/wiki/Penetrating_head_injuryhttp://en.wikipedia.org/wiki/Closed_head_injuryhttp://en.wikipedia.org/wiki/Brainhttp://en.wikipedia.org/wiki/Physical_trauma
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    Visual Impairment (or visionimpairment) is vision loss (of a person) to such a

    degree as to qualify as an additional supportneed through a significant limitation

    of visual capability resulting from

    either disease, trauma, or congenital or

    degenerative conditions that cannot be correctedby conventional means, such as refractive

    correction, medication, or surgery.[1][2][3] This

    functional loss of vision is typically defined tomanifest with

    best corrected visual acuity of less than 20/60, or

    significant central field defect,

    http://en.wikipedia.org/wiki/Vision_losshttp://en.wikipedia.org/wiki/Visual_perceptionhttp://en.wikipedia.org/wiki/Diseasehttp://en.wikipedia.org/wiki/Physical_traumahttp://en.wikipedia.org/wiki/Visual_impairmenthttp://en.wikipedia.org/wiki/Visual_acuityhttp://en.wikipedia.org/wiki/Visual_acuityhttp://en.wikipedia.org/wiki/Visual_acuityhttp://en.wikipedia.org/wiki/Visual_acuityhttp://en.wikipedia.org/wiki/Visual_impairmenthttp://en.wikipedia.org/wiki/Visual_impairmenthttp://en.wikipedia.org/wiki/Visual_impairmenthttp://en.wikipedia.org/wiki/Visual_impairmenthttp://en.wikipedia.org/wiki/Visual_impairmenthttp://en.wikipedia.org/wiki/Visual_impairmenthttp://en.wikipedia.org/wiki/Visual_impairmenthttp://en.wikipedia.org/wiki/Physical_traumahttp://en.wikipedia.org/wiki/Diseasehttp://en.wikipedia.org/wiki/Visual_perceptionhttp://en.wikipedia.org/wiki/Vision_losshttp://en.wikipedia.org/wiki/Vision_losshttp://en.wikipedia.org/wiki/Vision_loss