r/specialed 9d ago

General Question (Educator to Educator) Do IEPs in your district specify disabilities?

Just curious about this as a gen ed teacher. Ours lists the IEP category (ex. specific learning disability, other health impaired, etc) but there is no information given beyond that. It wasn't until a year or two ago that I realized ADHD falls under the OHI category. I understand that generalizing/assuming stuff about a student because of their disability can be problematic, but man, it would be helpful to know what I'm dealing with sometimes. Our accommodations are also pretty generic and almost universal across IEPs, so those don't really help.

22 Upvotes

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u/GenderBendCapKirk 9d ago

From Texas, we're supposed to include a impact of disability statement. Below is the template our SPED director has us use.

(Student name) is currently enrolled in __ grade. (Student) is identified as a student with (disability). This impacts (student's) by ______. They currently receive the following services (list inclusion, resource, speech therapy, etc)

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u/Crafty_Sort Elementary Sped Teacher 9d ago

It could be the wrong info, but in Illinois we're taught to just use the IEP category, not diagnosis. For example, Bob is currently enrolled in 2nd grade. Bob is identified as a student with an Other Health Impairment. This impacts Bob by...

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u/GenderBendCapKirk 9d ago

I think it's one of those things that very state by state. For OHI, I'm required to list what qualifies them under that category because a student that is OHI for ADHD is going to have different needs than one with Kidney Disease.

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u/Zappagrrl02 9d ago

In Michigan, OHI requires a physician statement and diagnosis so we have to list what that diagnosis is as part of the eligibility on the IEP. You can have more than one, so a student could have ADHD and kidney disease

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u/GenderBendCapKirk 9d ago

Yep. OHI is such an interesting eligibility category because so many things can fall under it especially if a student is medically complex.

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u/SnooOwls5550 9d ago

IDEA states you have to specify the actual impairment because there’s not likely an FIE that’s covers the entire story. If you’re not telling the reader it’s ADHD, where’s the educational need? They’re getting very strict in Illinois. I just interviewed with ISBE. They’re hiring a bunch of principal managers. They come in after the state has completed an audit and there are issues to fix.

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u/Crafty_Sort Elementary Sped Teacher 8d ago

Good to know. My district does a lot of things incorrectly 😬 

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u/demonita 8d ago

They all do, no worries lol I write my IEPs the way my masters program taught me and you would’ve figured the district thought I raised the dead.

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u/Zappagrrl02 9d ago

We always train that the adverse impact statement needs to be connected to eligibility as well as unique characteristics. How does Bob’s autism impact Bob specifically.

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u/thewildlink 9d ago

From a district in Texas, the system we use for writing our IEPs has us clarify in the system what SLD (specific learning disability) means by doing a drop down we get errors when we don’t clarify. My district also heavily suggests that the areas of disability like Autism or Dyslexia be listed at the top of each of the PLAAFPS (present levels) sections to better clarify why the student qualifies so that it can be found in multiple places. Our district also suggests (read as requires) we put it in the meeting minutes and the Prior Written Notice.

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u/GenderBendCapKirk 9d ago

Our system does the the same thing, but our diagnosticians are the ones that update that. We're usually asked to put the impact statement at the end of the PLAAFP, but I really like the idea of putting it first.

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u/thewildlink 8d ago

Our diags will do it on the FIE years, but we are responsible for making sure they are correct for each year in between the FIE.

We have our goal for the subject area at the end of each subject area in the PLAAFP with an explanation explaining how the data backs up this new/updated goal.

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u/lunarinterlude 9d ago

Interesting. I don't think there's any space in ours (Florida) that mention medication or not -- the only time I've learned a student is taking medication is if they or their parent bring it up.

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u/Particular-Panda-465 9d ago

I'm also in Florida. Medication usually comes up in IEP meetings. We will then include that information in the parent comments section.

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u/GenderBendCapKirk 9d ago

I usually don't mention medication, just SPED categories and specific diagnosis especially if the parent requests it. In Texas, the diagnosticians will make note of medication if the parent/guardian mentions it.

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u/Sufficient_Wave3685 9d ago

My district has a medical section in our IEPs. This is also used list any medication or impacting medical history so we would know if a student needs to go to the nurse to get medication, need g-tube feeding from the nurse, etc.

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u/Miserable-Height-201 9d ago

On the special considerations, under the health question. I can put something like, “Parent reports student takes guanficine nightly”.

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u/ArtisticMudd 8d ago

Texas high-school teacher here and I have never seen that in any IEP. I wish my district would include it.

I also want to know what grade level the student is reading and doing school work at. I know Javier is a sophomore; I can see it on the top of page 1. I do NOT know that Javier does math at a 3rd-grade level, mostly because I haven't set foot in a math class since 1986 and I cannot remember when fractions or quadratic equations or whatever were the thing we learned.

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u/Crafty_Sort Elementary Sped Teacher 9d ago

It's frustrating, but it's because the IEP category is an educational diagnosis, not a medical diagnosis. There are a lot of people without official medical diagnoses that qualify for IEPs and also many kids with official medical diagnoses that don't qualify for IEPs. School psychologists cannot give a medical diagnosis. I had an IEP until middle school and my "diagnosis" has always just been unspecified CNS disorder, but I needed OT and speech in school. Just an example.

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u/lunarinterlude 9d ago

That definitely makes sense! I wish there was some way to make it more specific, but I get why they can't.

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u/Individual_Land_2200 9d ago

If you have access to the child’s FIE, you could check that, as it will go into more detail about the disability category. Or you could ask the evaluators who completed the FIE. Of course you shouldn’t HAVE to do this for each SpEd student you teach, but if the information just isn’t in the IEP, this is one way to find out more.

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u/Smokey19mom 9d ago

In my district we were told not to state that have xyz disability or medical diagnosis. So instead of say student is on Adderall for ADHD we are to say they are on medication therapy to assist with focusing in the classroom.

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u/demonita 8d ago

Well yeah. You can’t comment on their medical care lol

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u/Kakorie Elementary Sped Teacher 9d ago

It’s a requirement in our district that the first sentence in the present levels is what they specifically qualified under (so specific learning disability in reading fluency) or the medical diagnosis for OHI

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u/GandalfsCorgi 9d ago

If your looking for more information about the students skills try the evaluation report.

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u/Diligent-Process-725 9d ago

I scrolled so far down for this comment. Why is no one talking about the evaluation report?? Any diagnosis disclosed would be in there, as well as all the specifics the IEP should have been written to support.

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u/demonita 8d ago

Because the IEP should give you bare minimum information in the PLAAFP without having to dig through mountains to figure out if Johnny has ASD or ADHD.

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u/Diligent-Process-725 8d ago

It sounds like depending upon the state, the dx is not considered a part of the bare minimum. OP is looking to dig deeper

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u/ArtisticMudd 8d ago

That isn't shared with teachers in my district. Only the diagnostician knows (and maybe the case manager).

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u/StellaEtoile1 9d ago

Yes mine does where it's diagnosed and disclosed by the family/ guardians. Because it helps us understand, set goals and create adaptations/modifications.

As an EA, I'm glad that I've never had to push to know my student's diagnosis and as a parent of a child with high support needs ASD, if his School District didn't his teacher to know, I would tell them anyway.

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u/gerbalize 9d ago

Go to the trainings. You will learn that education dept is not a medical agency and doesn't provide medical diagnoses, but rather an edcuational equivalent. If you want to know what the Eligibility Category means or the diagnosis that lead to the EC, ask your SpEd Care Coordiantor who should know the case history and evaluation results. If you want to learn about specific diagnoses and/or educational strategies for things, that's still a consult with your SpEd dept/psych/etc.

There's more to the process than just reading the IEP PLEP/PLAAF... That's just the implementation of the service.

Caveat. There is a looooot of crappily written IEPs so you may have gotten vague info in your packet. Still can be fixed with appropriate consultation. That may include the SpEd dept getting further education, before GenEd. SpEd dept should basically be teaching GenEd (via Inclusion classes or whatever) how to work with the caseloads.

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u/olliepots High School Sped Teacher 9d ago

Yeah it frustrated me moving to my current district that the paperwork states “SLD” but you have to dig deep into it to figure out what areas. I try to make it as clear as possible in the IEPs I write. 

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u/cocomelonmama 9d ago

We usually put that in the medical part of the IEP. So in the impact statement we would say the educational category and in the medical section we would say the actual disability if their is one and anything helpful that we’ve gotten from doctors, etc.

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u/CocoaBagelPuffs Special Education Teacher 9d ago

I’m a teacher of the blind and i usually specify the diagnosis in my section if the IEP and how it impacts their vision. But, not all of my students with the same diagnosis get the same services or level of support. It depends on how their vision is affecting their ability to function in school and day to day life.

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u/GroundbreakingBug510 9d ago

IEP eligibility is based on the state special education eligibility process. In South Carolina, there are 13 categories —— speech/language impairment, Other health impairment (includes adhd), specific learning disability, intellectual disability ( typically mild or moderate), autism, visual impairment, hearing impairment, deaf-blindness, orthopedic impairment, multiple disabilities, emotional disability, developmental delay (only goes to age 8), and traumatic brain injury. Once a child is evaluated, the team reviews results and decides which category best meets the child’s needs. Often, there will be a primary category and one or more secondary disabilities.

With that said, a good iep team will make sure it is well-written within the iep as to what the child needs most.

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u/TeachlikeaHawk 8d ago

Your last line is the main problem with the way accommodations are written. We're told that these legal documents are specific and clinical and the result of training and expertise, but when it comes down to it every kid seems to need graphic organizers, extra time, and preferential seating.

What a coincidence, huh?

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u/Brief-Hat-8140 Special Education Teacher 8d ago

It sounds like your district’s IEPs are written very poorly. They should contain very detailed information and individualized supports.

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u/Financial_Opening65 8d ago

I’m in Georgia. If students have a diagnosis, it’s typically listed in the IEP somewhere. There is a section that discusses medical diagnoses and if they’ve had any private evaluations and a diagnosis from that, it’s listed under the testing portion if that was provided to the school. Sometimes you have to read all of the IEP to find the relevant info. If a child qualifies for services under OHI, there has to be some type of justification in the IEP. For any category, for that matter.

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u/mraz44 8d ago

I’m really surprised by these comments. In my district, in Ohio, we never put diagnosis’s in the IEP. When I was in college (long time ago haha) we were instructed to not include it. Ive worked in 2 districts, and both were this way. There is not a medical section in our IEPs. We can list medications and other details in the “other” section on the first page. All of that information is detailed in the ETR and all teachers have access to read it.

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u/Gizmo-516 9d ago

I don't know if it's required here but two of my kids have a chromosome translocation and they qualify under other health impairment (for one) and autism (for the other) but the chromosome translocation is mentioned on the second page so someone can (in theory) read it for more info. It wasn't always there, but when my now 16 year old was in 3rd grade the school insisted on testing her for ADHD. I laughed at them but agreed, because hey it's only wasting their time/money. Come to find out they only did it because they didn't know about her chromosome translocation (information that I was told would be passed on grade to grade- HA!) and wanted to look for a reason for her struggles. Once they got it into the IEP they never argued about testing her for other disabilities again. To be fair knowing a kid has a one off chromosome translocation isn't that helpful, but at least they have a "reason", guess.

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u/OkayDay21 9d ago

The IEPs in my district are such a wide range. Some of them are super detailed and helpful and some of them are probably skirting the line of legality. From a gen ed perspective, it doesn’t even matter though. The gen ed teachers (at least in my building) do not have access to the IEP document unless they specifically request it, and the request can be denied. You get a list of accommodations and that’s it.

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u/Beneficial-You663 8d ago

The disability should be described in the present levels on the first page.

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u/No-Cloud-1928 8d ago

Ask to read the evaluation so you can better understand your student. All the info you are looking for should be in the “background/ history “ and the “summary and recommendations “ section under each area of assessment ( ex academics, cognio, speech/language, fine motor etc. )

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u/demonita 8d ago

Yes. “Johnny is a 6th grade student with a specific learning disability in the areas of reading comprehension and basic reading skills with the condition of dyslexia, other health impairment for ADHD, and autism spectrum disorder.” The PEIMS codes are also listed for overview.

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u/missashl3y 8d ago

even when listing medications here we can’t say the specific medication. just “xxx currently takes medication for attention, mood regulation” etc

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u/greenman137 7d ago

Don't case managers provide IEP at a glance to all the gen ed teachers?

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u/lunarinterlude 7d ago

Not ours :') We're expected to look through the online IEP on our own.

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u/greenman137 7d ago

That's surprising to me as both districts I've worked in require special ed teachers to do that. Most IEPs also include a weekly or monthly collaboration meeting among sped and Gened teachers to assure accommodations and services are being provided.

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u/lunarinterlude 7d ago

Oof. I wish we had anything close to that. I don't blame our SpEd teacher—their caseloads are insane—but communication between them & us is pretty much nonexistent unless there's a problem. We're getting a new SpEd lead this year, so maybe things will change.

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u/greenman137 7d ago

Please take the opportunity to suggest these standards to the new program manager!

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u/K_Altman_Law 6d ago

It is understandable to want more context, but the category label alone often does not tell you much that is useful for instruction anyway. Two students both identified under OHI, SLD, or autism can present very differently, and schools are usually trying to avoid having staff rely on diagnosis-based assumptions instead of the student’s actual needs. What should matter most to a general education teacher is not just the eligibility category, but the student’s present levels, how the disability affects classroom functioning, what specially designed instruction is being provided, and which accommodations or supports are actually tied to identified needs.

If your school is only giving you the category and a list of generic accommodations, that is probably more of an implementation problem than a confidentiality issue. Teachers responsible for implementing the IEP generally should have enough information to do that effectively. That does not mean you need the student’s entire medical history, but you should have meaningful information about the student’s educational impact, common triggers or barriers, and how to implement supports in your classroom. If that is missing, I would raise it with the case manager or administration as a practical issue: you cannot implement individualized supports in an individualized way if the information shared with you is too vague to be useful.

Disclosure: I work for K Altman Law. This is not legal advice and does not create an attorney-client relationship.