Ucsf dev disabilities march 2012 v5

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Health & Medicine Education

Supporting students with disabilities:
a school nurse’s perspective

Lynda Boyer-Chu, RN, MPH
San Francisco Uniﬁed School District

UCSF Conference on Developmental Disabilities
Friday, March 9, 2012

Overview
SFUSD programs & services
Cases
Stella
Lucy
Kevin

Ten Tips for eﬀective support

SFUSD
Total enrollment: 53,033
139 schools Pre-K to 12th
Superintendent Carlos Garcia
Board of Education: 7 elected oﬃcials
Total employees: 15,346
Source: Student Accountability Report Card 2010-11
http://web.sfusd.edu/Services/research_public/RPA_DARC/SFUSD_DARC_School_Year_2010-11.pdf

Our students are diverse
Chinese
Latino All Others
White Filipino 16%
Black 6%
Chinese
Filipino
33%
All Others
Black
10%

White
12%
Latino
Source: SFUSD Data 2011 24%

Student Needs
0% 14% 28% 42% 56% 70%
Free and Reduced

Special Ed

Gifted & Talented

English Lang Learners

School staff Student Support
3%
Facilities
2%
Admin
Teachers
Student Support
Facilities Paras/aides
Paras/aides 22%
Nutrition
Teachers
Substitutes 42%
Nutrition
4%
Substitutes
24%

Admin
3%

Student support staff
LSPs (MFT) Nurses
Nurses 20%
Health Workers Health Workers
Admin/Support Staﬀ 4%
Nutrition
Admin/Support Staﬀ
Community Outreach 9%
Wellness Coord LSPs (MFT)
42% Nutrition
7%
Community Outreach
9%
Wellness Coord
9%

Nurses by work areas
Elementary
Middle
Middle 13%
High
Clinic/SpEd/504
High
41%
Elementary
38%

Clinic/SpEd/504
9%

Special ed procedures

Contract agency
Examples:
NG feedings
insulin administration

Coordinated School Health Model

CDC Division of Adolescent and School Health

Typical day....
Acute/urgent care (20%)
Case management (30%)
Health education (10%)
Supervision nursing students (15%)
Preventive services (15%)
Staﬀ health (5%)

Case 1: Stella
Dx: autism
Needs: medical care, sexual
health education
Family: Southeast Asian,
educated, busy work life,
language & culture
Team: Parents, student, teacher,
MD, GGR SW, translator, nurse

Case 2: Lucy
Dx: autism, unknown
syndrome
Needs: hygiene, safety
Family: Middle East, large
family, language/culture, SES
Team: Parents, student,
teacher, SW, nurse

Case 3: Kevin
Dx: autism
Needs: hygiene, medical
care
Family: 2 children-both
disabled, denial, Chinese,
culture, distrust of
healthcare system
Team: parents, teacher,
nurse, medical provider,
administrator

Ten Tips

1. Be prepared for complexity
2. Key “informant”: teacher
3. Consult with and support parents
4. Involve the student
5. Check in with PCP and specialists

Ten Tips

6. Document, get release, write letters
7. Seek out community services
8. Consult with CPS when needed
9. Use technology to communicate
10. Recognize the positives

parting thought

“Not everything that is faced
can be changed, but nothing
can be changed until it is
faced.” - James Baldwin
http://www.disabled-world.com/disability/disability-quotes.php#ixzz1nHMT9t00

Handful of resources & references

American School Health Association: Resolutions re: exceptional children

CDC Division of Adolescent and School Health: Coordinated School Health Model

National Association of School Nurses: online education re: support for students with
developmental disabilities

SFUSD Student Accountability Report Card 2010-11

SFUSD Proﬁle: http://www.sfusd.edu/en/about-sfusd/sfusd-proﬁle.html

Support for Families of Children with Disabilities: FREE Info & Resource Conference.
Sat, March 3, 2012. www.supportforfamilies.org

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