Traumatic Brain Injury (TBI)
Based on information in the Evaluation Report and the student file, the student must meet the requirements in all five areas below. The determination must be made by a multidisciplinary team and supported by information collected from multiple settings and sources.
A. Medical Documentation
_____ There is documentation by a physician of a medically verified traumatic brain injury (TBI).
B. Functional Impairment
The student’s file must include documentation of a functional impairment attributed to the TBI that adversely affects education performance in at least one of the following:
_____ Intellectual-cognitive
_____ Sensory
_____ Academic
_____ Social-emotional-behavioral
_____ Motor
_____ Functional skills-adaptive behavior
_____ Communication
C. Previously Existing Conditions
Verification that the student’s impairments are not primarily the result of previously existing condition:
_____ Visual, hearing, motor impairments
_____ Developmental disabilities
_____ Environmental or economic disadvantage
_____ Emotional/behavioral disorders
_____ Language or specific learning disabilities
_____ Cultural differences
D. Documentation
The student file must include documentation of functional impairment through at least one of the following:
_____ Checklists
_____ Classroom or work samples
_____ Documented, systematic behavioral observations
_____ Educational/medical history
_____ Interviews with parent, student and other knowledgeable individuals
E. Documentation
The student’s file must include documentation of functional impairment based in at least one of the following:
_____ Criterion-referenced measures
_____ Personality or projective measures
_____ Sociometric measures
_____ Standardized assessment measures (academic, cognitive, communication, neuropsychological or motor)
Review of Eligibility Determination
To determine compliance with eligibility determination, one of the following must be checked.
_____ The documentation supports the team decision.
_____ The documentation does not support the team decision.
For complete information regarding disability criteria requirements, refer to Minnesota Rules, part 3525.1348.