Join from PC, Mac, Linux, iOS or Android: https://Region10.zoom.us/j/186605511?pwd=R21tNFhlSlhsN1gxdHMxdlVWQU9HZz09

Password: 863912

If joining via telephone dial: 408-638-0968 or 646-876-9923 or 669-900-6833 and enter the meeting ID when prompted.

Meeting ID: 186 605 511

If you wish to join via an H.323 device please contact our Help Desk at (972) 348-1234 Opt. #1 for assistance.

Link to Q & A document from Regional meeting on March 30, 2020, weekly office hours and emailed questions. To be updated on regular basis as needed.

https://drive.google.com/open?id=17preX1nz59SUUFonVfZ5zeCrrZNcaxhY0-oNrOq4BfM

Link to the recording of Meeting On April 21, 2020 Access Password: 5G*88l69

https://Region10.zoom.us/rec/share/5dVHF5zx1UJOY5XJyEXhXYocANX5aaa81nQfrPNfy049GiTOXn1NRdJSc8nf1wh-

Link to the recording of meeting on April 14, 2020 password: m3*&*w6K

https://Region10.zoom.us/rec/share/5uxxK5-350JLS9Lm52_Vfp9mFJXraaa80CFK_qAFzksK-OysuV-mIGEu5EG51EsB?startTime=1586872355000

4/21/2020 Presentation:

https://drive.google.com/open?id=1vsw9LpeY40R60rtgdzOIw9FkGu2iODMdH2_avK0QBpg

Why is freedom of movement important in early childhood development?

https://hub.permobil.com/blog/why-is-movement-important-in-early-childhood-development?utm_campaign=Education&utm_source=hs_email&utm_medium=email&utm_content=86082170&_hsenc=p2ANqtz--WiG87FQ6dZ9v1iibPnSI-EejHa7bqbSHjqwu4adrilgT-d2UYXqCSYjzf-pKX3OQsyl3WdEXY1pAd2Lez6o4IHpRAHw&_hsmi=86082170

There are many, many resources available for fine and gross motor activities. Here are just a few:

National Center on Health, Physical Activity and Disability (NCHPAD)

well done videos - https://www.nchpad.org/Videos

Your Therapy source - free worksheets and activities

https://www.yourtherapysource.com/freestuff.html

The Measured Mom Activity List

https://www.themeasuredmom.com/indoor-gross-motor-activities/

The Inspired Treehouse Motor Activity List

https://theinspiredtreehouse.com/activities-index/

Facebook Page - Diane's Kids Diane is a OT in Fort Worth and has public group with lots of activities for home.

Photo by Gabriel Baranski on Unsplash

Buggy and Buddy.com - free printable scavenger hunts and more.

https://buggyandbuddy.com/free-printables/

Parent videos and free downloads:

https://makesociallearningstick.com/keep-calm-and-structure-on-how-to-manage-emotions-and-build-structure-at-home-during-covid-19/

Handwriting Without Tears offered free to parents thru July 2020

https://www.lwtears.com/programs/distance-learning

Ready Bodies Learning Minds has posted a video and suggestion page for Virtual/Home Motor lab for students who have already been taught motor lab activities at home.

https://readybodieslearningminds.com/create-a-virtual-motor-lab/

Youtube Channel - PE with Joe (Joe Wicks)

Daily PE class at home.

Tips on Providing Telehealth for PT

https://drive.google.com/open?id=16o_ejd9YlHUXD7-frcJ2h2HgUdBkAUvg

Youtube: StorylineOnline - Books being read by various celebrities. Student can listen in various positions.

Laura Harris NBC5 Facebook live on Thursdays to Read kids books.

Planesandballoons.com - Free printaable worksheets

Lakeshore Learning has made available over 1000 free printables, videos and more. NEW

https://www.lakeshorelearning.com/resources/free-resources?ref=hpH2

Youtube: Cosmic Kids Yoga

Youtube: Pediatric Physical Therapy Exercises - exercises and videos on how to teach developmental and mobility skills (mostly younger kids)

Pink Oatmeal - movement breaks

https://www.pinkoatmeal.com/

Seakfreaks has posted a list of free or mostly add free resources: NEW April 9, 2020

http://seekfreaks.com

Free printables

https://www.toolstogrowot.com/

Brain Breaks - Move and Freeze Added April 20, 2020

https://www.youtube.com/watch?v=388Q44ReOWE

Balloon Activities - Added April 20, 2020

https://youtu.be/OvnkgOXuEps

Animal Walk Video - Added April 20, 2020

https://www.youtube.com/watch?v=hOKm8l-Vx78&feature=youtu.be

Sidewalk Chalk Course - Added April 20, 2020

https://www.youtube.com/watch?v=GTPCaqxECi0&feature=youtu.be

Action Words - Added April 20, 2020

https://www.youtube.com/watch?v=GTPCaqxECi0&feature=youtu.be

The following thoughts are generated from various documents and meetings. Districts should be in contact with their attorneys for specific guidance. The most important thing is to communicate with your administrators and follow the directives from your LEA on the decisions have been made at the local level.

• If an LEA closes its schools and does not provide any educational services to the general student population, then an LEA would not be required to provide services to students with disabilities during that same period of time.
• Once instruction resumes, the LEA must make every effort to provide special education and related services to the child in accordance with the child’s individualized education program (IEP) or, for students entitled to FAPE under Section 504, consistent with a plan developed to meet the requirements of Section 504.
• It is important to know what instruction is being offered to the general education, so commensurate instruction and services can be offered to students with disabilities.
• It is important to follow your districts instructions/policy and procedures in regards to how services will be provided under these circumstances.
• Providing PT or OT in Texas via Telehealth is legal. See Practice Acts/Rules cited later in this newsletter.
• It is important to communicate well with parents, teachers and administrators.
• It is important to document all sessions, communication and attempts at communication during this period.
• Special Education personnel will need to determine if each student can be provided FAPE according to the current IEP while the school buildings are closed - either by virtual instruction, sending home activities or in some other format.
• If not, IEP and services may need to be amended by the ARD committee for a temporary period of time.
• If FAPE cannot be provided in a virtual environment, then do the best possible services/instruction and know compensatory services may be needed.
• FAPE is considered making overall progress, not necessarily meeting each IEP objective or service minutes.
• ARDs can be held virtually, consent and timelines still apply.
• Evaluation timelines also apply, complete as much of the evaluation as possible virtually and amendment/addendum may have to be added later when their educational demands/location change from home to school building.
• When activities or "assignments" are sent home, include some type of data tracking. Will need some way to track progress and follow up virtually as well (phone, tablet or computer).
• Work with your teachers so parents are not overwhelmed with the volume of information and activities going home, keep it simple.
• Providing something is better than nothing.
• Matching services minute by minutes is not expected, do what the student needs to make progress and prevent regression.

TEA Guidance Document on OT and PT. Posted 4/16/2020

https://tea.texas.gov/sites/default/files/COVID-19%20SPED%20Task%20Force%20OT-PT%20Guidance%20_April%2016.pdf

Region 10 ESC Teaching and Learning At-Home Learning Page:

https://sites.google.com/region10.org/r10-remote-learning-resources/home

Region 10 ESC Digital Learning: Live and Recorded sessions on various digital technology.

https://sites.google.com/region10.org/region10webinarseries/home

Region 10 ESC Special Populations At-Home Learning page:

https://sites.google.com/region10.org/specialpopulationshomelearning/home

Here is a link to the Newsletter shared with Special Education Directors across Region 10. It will be updated as information becomes available. https://www.smore.com/y6de4

Updated Q & A from TEA (April 7)

https://tea.texas.gov/sites/default/files/covid19_special_ed_qa_updated_april_7.pdf

TEA Supporting Students with Complex Needs (LID) _ Posted April 9, 2020

https://tea.texas.gov/sites/default/files/COVID-19%20Support%20for%20Students%20with%20Complex%20Needs_April%209_Final.pdf

At Home Resources for Students with Disabilities TEA Posted April 9, 2020

https://tea.texas.gov/sites/default/files/covid-19_-_at_home_learning_resources_april_7.pdf

Progress Monitoring from TEA posted April 14, 2020

https://tea.texas.gov/sites/default/files/covid-19_progress_monitoring_checklist_april_14.pdf

US Department of Ed/IDEA

https://sites.ed.gov/idea/idea-files/q-and-a-providing-services-to-children-with-disabilities-during-the-coronavirus-disease-2019-outbreak/

APTA:

http://www.apta.org/PTinMotion/News/2020/03/17/CoronavirusUpdateMarch17/

Academy of Pediatric PT: School based services page NEW

https://sites.google.com/view/sbptcovid-19perspectives/home?authuser=0

Texas PT Board added Telehealth FAQ document: NEW

https://www.ptot.texas.gov/idl/7F9C31AC-EAD1-6635-405A-448E602C640A

AOTA:

https://www.aota.org/Publications-News/AOTANews/2020/coronavirus-resources.aspx?promo_name=coronavirus&promo_creative=Advocacy-Policy&promo_position=hero

TxSpot is adding resources so check back often:

https://www.txspot.org/SitePages/Resources.aspx

Information regarding HIPPA

https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html

FERPA considerations:

https://tea.texas.gov/sites/default/files/covid-19_privacy_and_ferpa_considerations_for_virtual_instruction_april_2.pdf

CDC:

https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/guidance-for-schools.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fspecific-groups%2Fguidance-for-schools.html

Medicaid/SHARS:

https://nam02.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.tmhp.com%2FManuals_PDF%2FTMPPM%2FTMPPM_Living_Manual_Current%2F2_Telecommunication_Srvs.pdf&data=02%7C01%7CLois.Goodin%40region10.org%7C6b9fc007d22e4b30e0c808d7d010ba20%7C31049577a6864b2d9222b60ccb42a5fc%7C0%7C0%7C637206642560862962&sdata=ZVHjHt7q5i8vbsAXbL5rxxbPPHZBhPzhNnv6%2BBG5GZo%3D&reserved=0

Recommended hours of homeschooling per grade: Posted 4/14/2020

https://www.popsugar.com/family/homeschool-hours-by-grade-chart-47384958

(Photo by Roman Kraft on Unsplash)

PT Rules:

§322.5. Telehealth (a) When used in the rules of the Texas Board of Physical Therapy Examiners, telehealth is the use of telecommunications or information technology to provide physical therapy services to a patient who is physically located at a site in Texas other than the site where the physical therapist or physical therapist assistant is located, whether or not in Texas. (b) Physical therapy telehealth services must be provided by a physical therapist or physical therapist assistant under the supervision of the physical therapist who possesses a current: (1) unrestricted Texas license; or (2) Compact Privilege to practice in Texas. (c)The provision of physical therapy services via telehealth requires synchronous audiovisual or audio interaction between the physical therapist or physical therapist assistant and the patient/client, which may be accompanied by the use of asynchronous store and forward technology. (d) Standard of Care. A physical therapist or physical therapist assistant that provides telehealth services: (1) is subject to the same standard of care that would apply to the provision of the same physical therapy service in an in-person setting; and (2) the physical therapist is responsible for determining whether an evaluation or intervention may be conducted via telehealth or must be conducted in an in-person setting. (e) Informed Consent. A physical therapist that provides telehealth services must obtain and maintain the informed consent of the patient, or of another individual authorized to make health care treatment decisions for the patient, prior to the provision of telehealth services. (f) Confidentiality. A physical therapist or physical therapist assistant that provides telehealth services must ensure that the privacy and confidentiality of the patient's medical information is maintained during and following the provision of telehealth services, including compliance with HIPAA regulations and other federal and state law. (g) The failure of a physical therapist or physical therapist assistant to comply with this section shall constitute detrimental practice and could subject the licensee to disciplinary action by the Board. (h) Telehealth is a mode for providing one-on-one physical therapy services to a patient/client and is not a means for supervision of physical therapy aides. Source Note: The provisions of this §322.5 adopted to be effective November 11, 2018, 43 TexReg 7353; amended to be effective March 1, 2020, 45 TexReg 899.

Definitions: (39) Telehealth--A mode of service delivery for the provision of occupational therapy services delivered by an occupational therapy practitioner to a client at a different physical location using telecommunications or information technology. Telehealth refers only to the practice of occupational therapy by occupational therapy practitioners who are licensed by this Board with clients who are located in Texas at the time of the provision of occupational therapy services. Also may be known as other terms including but not limited to telepractice, telecare, telerehabilitation, and e-health services.

Evaluation: (4) The occupational therapist must have contact with the client during the evaluation via telehealth using synchronous audiovisual technology or in person. Other Texas Board of Occupational Therapy Examiners December 2019 37 telecommunications or information technology may be used to aid in the evaluation but may not be the primary means of contact or communication.

Plan of Care: (7) Except where otherwise restricted by rule, the occupational therapy practitioner is responsible for determining whether any aspect of the intervention session may be conducted via telehealth or must be conducted in person.

(8) The occupational therapy practitioners must have contact with the client during the intervention session via telehealth using synchronous audiovisual technology or in person. Other telecommunications or information technology may be used to aid in the intervention session but may not be the primary means of contact or communication.

(9) Devices that are in sustained skin contact with the client (including but not limited to wheelchair positioning devices, splints, hot/cold packs, or therapeutic tape) require the on-site and attending presence of the occupational therapy practitioner for any initial applications. The occupational therapy practitioner is responsible for determining the need to be on-site and attending for subsequent applications or modifications.