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Home and Hospital Teaching – Program Procedures

Parents

Continually collaborate with your child’s school administration, teachers, and medical personnel. Parents initiate the process with physicians and follow through with the School Team. Parents are also responsible for planning meetings with the Home and Hospital Teacher, as well as implementing a transition process for the student.

After a child is enrolled in the Home and Hospital Teaching program, there are guidelines for a successful experience:

  • Provide a quiet and safe location for the teaching to take place
  • Provide a responsible adult over the age of 21 years old to supervise in the home for the entire time the teacher is there or assist in locating a community center, library, or other location where the student can meet the teacher.
  • Keep both the school and the home and hospital teacher informed of any lesson cancellations, along with assisting both parties on collaboration.
  • Complete a new application if the student needs to remain on home and hospital teaching beyond 60 days.

Transitioning

According to COMAR, Home and Hospital is a temporary support service, and not an alternative placement. From the beginning of the process, emphasis is placed on returning the student to school. Often times, this means that approximately 30 days after teaching is implemented, the school should consider if the student might be ready to return to school in another 30 days.

Once the school team and/or private therapist or physician feels that the student may be ready to return to school, methods of enhancing transition back to school should be developed by the team. Schools have found the following transitional strategies and supports to be helpful:

  • The student initially attends school part of the day, often for as little as one period.
  • The student returns for a small amount of time to meet with the school psychologist or counselor and engages in nonacademic activities or actively plans for his or her return to school.
  • The student’s daily schedule is modified to best meet current needs.

After 60-calendar days, the student’s need for services must be re-verified and a new application completed.

School Team

Individuals on School Teams are responsible for reviewing Home and Hospital Teaching applications. Select members of the school team will also communicate with the parent about the approval process, the home and hospital teacher assigned to the student, and transition plans.

School Administrators

Administrators help to develop a procedure in the school for establishing a linkage with the Home and Hospital Teaching Program, either through the Administrator’s Office or through the Guidance Office.

Some of their responsibilities include:

  • Informing faculty and staff about the availability of Home and Hospital Teaching programs for homebound and hospitalized students.
  • Ensuring that all protocols are followed when reviewing applications and establishing a plan for Home and Hospital Teaching students.
  • Attending all school-based meetings (e.g. IIT, SST, IEP, 504, H&H 30 Day Review, H&H 60 Day Review, etc.) when students receiving Home and Hospital Teaching are reviewed.

Guidance and/or Case Manager

Guidance Staff along with Case Managers talk with parents about the availability of Home and Hospital Teaching when the student will be absent from school for a projected period of at least three (3) weeks.

They also are the primary facilitators for the process of enrolling and participating in Home and Hospital Teaching, as well as transitioning students back to their regular school environment.

Some of their responsibilities include:

  • Assisting designated staff in completing and forwarding all forms to the Pupil Personnel Worker for the Home and Hospital Teaching Program once the program is deemed appropriate by the school team
  • Conducting a 30-calendar day review when deemed necessary. A review of the Home and Hospital placement should be held 30-calendar days from the commencement of the program. This review will be done through the school Problem-Solving Team.
  • Ensuring minutes are kept at all meetings where Home and Hospital Teaching is discussed.
  • Developing or augmenting a Transition Plan with the assistance of the school team as needed for medical conditions.

Classroom Teacher

Teachers remain in contact with the Home and Hospital Teacher and assist with making modifications to the curriculum required for the student’s homebound situation. After a student’s application is approved, they are required to respond to the Home and Hospital Teacher’s request for work and return it to Guidance Office within 48 hours.

This typically means providing:

  • Two copies of all necessary texts, unless student already has his/her own. A teacher’s edition is also helpful.
  • A brief list of units/chapters/assessments (not necessarily daily lesson plans).
  • Two copies of handouts/worksheets

They also ensure the Home and Hospital teacher’s grades are averaged proportionately with classroom grades and placed on the report card. These grades are considered to be final grades.

School Psychologist

For students who are applying for Home and Hospital Teaching for a diagnosed emotional or behavioral condition, the school psychologist should:

  • Review Application and Transition Plan, and sign where indicated on form.
  • Develop or augment Transition Plan with the assistance of the school team, as needed.
  • Collaborate with private providers to plan and program transition schedules.
  • Participate in ongoing reviews of Home and Hospital Teaching.

Special Education Case Manager

For students who have an existing IEP (Individualized Education Plan), the student’s special education case manager should:

  • Schedule an IEP Team meeting to develop and approve an IAS (Interim Alternative Setting)-IEP.
  • Review IAS-IEP with the Home and Hospital Teacher.
  • Schedule IEP Team meetings to monitor and review IAS-IEP.

School-based Pupil Personnel Worker (PPW)

Each school is assigned a school-based PPW. These individuals may collaborate with the Home and Hospital Program

They also:

  • Participate in school-based problem-solving team.
  • Advocate for appropriate interventions for students in need.
  • Provide community-based connections.
  • Review Application and Transition Plan, and sign where indicated on form.
  • Develop or augment Transition Plan with the assistance of the school team, as needed.
  • Participate in ongoing reviews of Home and Hospital Teaching.
  • Plan course offerings for major academic subjects for students. Electives are reviewed on a case-by-case basis. Selected courses may be offered through online instruction via virtual classroom format.

Cluster Nurse

  • Participate in school-based problem-solving team.
  • Advocates for appropriate interventions for students in need.
  • Provide community-based connections.
  • Collaborate with private providers to plan and program transition schedules.
  • Participate in ongoing reviews of Home and Hospital Teaching.