04/03/2025
Related Services
What are Related Services?
Related services include transportation and developmental, corrective, and other supportive services that are required to assist a child with a disability. These services are required for the child to receive benefit from special education. This includes speech language pathology, audiology services, interpreting services, psychological services, physical and occupational therapy, recreational therapy, counseling services, and more. This extensive, yet not exhaustive, list essentially aims to touch on all additional services a student with a disability may need to benefit from specialized instruction. Disputes tend to arise in the areas of therapy- what does a school therapist look like, and how does that compare with a therapist who works outside of the school.
Speech and Language
In a community-based model, a speech and language pathologist (SLP) is involved in all areas of language development including oral motor structure, and aspects of literacy. In this model, the therapist may look at phonological processing, aspects of reading instruction and written expression. This form of intervention rests on the theory that reading and writing fall under the broader umbrella of communication. SLP’s in schools are generally limited to the impact of oral communication on a child’s education. In school, articulation, expressive language, receptive, and pragmatic (social language) are the focus of the therapist. The scope of intervention is broader in community setting, while in a school setting, aspects of literacy are regarded as the domain of special education instruction.
Occupational Therapy
In a medical model or clinical setting, an occupational therapist (OT) will address daily living skills and broader functional abilities. This includes, but is not limited to, sensory integration, fine motor skills, executive functioning, and self-care tasks. In a school setting, an OT focuses on fine motor and sensory skills required for school tasks, such as handwriting (which is becoming rarer), typing, and using school-related tools. The scope of a school-based OT is much narrower and relates directly to school-based performance.
Physical Therapy
The medical model of a physical therapist (PT) focuses on overall physical function, mobility, and long-term rehabilitation. In a school setting, the target is once again based on school functions, such as navigating the classroom, hallways, stairs, playground equipment, and using assistive devices such as a wheelchair. The main goal is to support the child’s ability to participate in school activities, and not rehabilitation.
How Can Parents Advocate for more Expansive Services?
Since school-based models are rather limited in their scope of services, it is common for parents to feel frustrated. A few strategies that you can use are:
1. Request an evaluation if one has not been completed in the past three years;
2. Review your child’s IEP with any community-based providers to see if there are unmet areas of need, and bring those to the attention of the IEP team;
3. If finances permit, seek out a private evaluation that can provide some data-driven guidance for an IEP team to consider; and,
4. Make sure to provide consent for the school to collaborate with your child’s outside providers.
Reducing Conflict Between Parents and Schools
A major source of conflict arises when parents expect medical-level services from school-based providers. School districts approach therapy with a focus on educational access, while medical professionals view the child from a more comprehensive angle.
Understanding these limitations and working collaboratively with school teams can help reduce tension. Schools and parents should strive for open communication and realistic expectations while ensuring that the child’s educational needs are met. Keeping the focus on the child, and not on the school, is in everyone’s best interest.