Special Education Related Services

The Unsung Heroes of Special Education: Related Service Providers

Did you know that adaptive PE teachers are in such demand that, in some places, people will pay for your masters degree? And that, when you are done, your job will be ridiculously fun and involve playing games? Or that many occupational therapists get to have trampolines in their offices– which I firmly believe they get to use to destress (don’t break my illusions on this one. It’s a fantasy). 

When I started in special education, I thought that special education meant a teacher, maybe an aide, and some students. And that would be enough for students to grow. Then I had students who had trouble expressing their wants and needs in ways that others could understand, students with rare medical conditions, students who got overwhelmed by loud noises and rapid changes, and students whose lives had included far too much trauma. That’s when I discovered the world of related services.

Related service providers are experts with specialized knowledge who can work directly with students or with you as a case manager to fill in the missing pieces that students need to succeed. Also, they bill out to Medicaid and have they best toys and ideas– which they are often willing to share.  Pro tip: Brain buttons help reduce rush hour road rage. 

For all of their expertise, toys, and willingness to answer questions, related services providers are truly the unsung heroes of special education! Keep reading to learn more about what the law says and why they are part of special education.

Summary: Related Services

Related services are all of the non-special education teacher services students with disabilities can get to help them grow and access school and typically developing peers. Related services include occupational therapy, transportation, counseling, speech and language therapy, nursing, and more. Each of these has to be provided by the school district at no cost to the family if they are needed for a student to grow and participate at school.

Related Services

Special education is more than just special education teachers running groups and school psychologists doing assessments. Special education also includes the other services and supports that students need to grow in all areas of suspected disability.

IDEA states that students are eligible for “related services and supplementary aids and services… to enable the child… to advance appropriately toward attaining the annual goals; to be involved in and make progress in the general education curriculum in accordance with paragraph (a)(1) of this section, and to participate in extracurricular and other nonacademic activities;…. and to be educated and participate with other children with disabilities and nondisabled children in the activities described in this section.” [§300.320(a)(4)]

Related services includes all of the professionals besides special education teachers who can support students with disabilities, like speech and language therapists or orientation and mobility services or even busing too and from school.

Per IDEA, related services includes: “transportation and such developmental, corrective, and other supportive services as are required to assist a child with a disability to benefit from special education, and includes speech-language pathology and audiology services, interpreting services, psychological services, physical and occupational therapy, recreation, including therapeutic recreation, early identification and assessment of disabilities in children, counseling services, including rehabilitation counseling, orientation and mobility services, and medical services for diagnostic or evaluation purposes. Related services also include school health services and school nurse services, social work services in schools, and parent counseling and training.”

The procedure for qualifying is different for each related service. Almost all related services, however, require a formal assessment plan. If you think a student might benefit from a related service, reach out to the related service provider! They almost always have a screening process they use that they can share with you. Based on the screening, they can suggest supports you might want to use or, if they think it is warranted, recommend full assessment.

  • (1) Audiology 
    • This includes identification of hearing difficulties and in school supports for them, including group sessions and support for teachers
  • “(2) Counseling services means services provided by qualified social workers, psychologists, guidance counselors, or other qualified personnel.”
    • This includes sessions with guidance counselors or therapy. All are part of related services.
  • (4) Interpreting services 
    • This is interpretation for students who are Deaf or Deaf-Blind
  • (6) Occupational therapy
    • At schools, OTs often work on fine motor skills (tying shoes, zippers, handwriting), sensory regulation, and self-regulation skills.
  • (7) Orientation and mobility services
    • These are special supports for students who are vision impaired or Blind
  • (8) (i) Parent counseling and training
    • This is how the law defines this “means assisting parents in understanding the special needs of their child; (ii) Providing parents with information about child development; and (iii) Helping parents to acquire the necessary skills that will allow them to support the implementation of their child’s IEP or IFSP.”
    • This is a RELATED SERVICE and can be put on an IEP! Just FYI!
  • (9) Physical therapy 
    • Typically, PTs at school work on gross motor issues like going up and down stairs.
  • (10) Psychological services
    • This includes working with staff members “in planning school programs to meet the special educational needs of children” and “planning and managing a program of psychological services, including psychological counseling for children and parents; and(vi) Assisting in developing positive behavioral intervention strategies.”
    • Many schools just use school psychologists to do assessments but the law says that they can meet with individual students, help solve behavior challenges, and support families and teachers.
  • (12) Rehabilitation counseling services
    • This is career counseling and transition support for students after K-12 ends.
  • (13) School health services and school nurse services 
    • This includes nursing support– for example, a student with diabetes might need weekly nursing hours to monitor blood sugar levels.
  • (14) Social work services in schools
    • According to the law, this means, “(i) Preparing a social or developmental history on a child with a disability; (ii) Group and individual counseling with the child and family;(iii) Working in partnership with parents and others on those problems in a child’s living situation (home, school, and community) that affect the child’s adjustment in school; (iv) Mobilizing school and community resources to enable the child to learn as effectively as possible in his or her educational program; and (v) Assisting in developing positive behavioral intervention strategies.”
    • Note that this means a social worker can help with behaviors, support the family, and provide comprehensive supports to student AS PART OF AN IEP
  • (15) Speech-language pathology services 
    • SLPs in schools often work on expressive and receptive language as well as social skills. They are also the experts on technology for communication. 
  • (16) Transportation 
Note that assistive technology is often part of the package students receive. The law says that, “Each public agency must ensure that assistive technology devices or assistive technology services, or both, as those terms are defined in §§300.5 and 300.6, respectively, are made available to a child with a disability if required” as part of either their special education services or their related services.

The list of related services above is long for a reason– it often takes a village to meet the needs of a student with disabilities! Here are some ways to maximize the impact of related services:

  • Use screenings. If you even think a student might benefit from a related service, find a provider and ask for a screening. If nothing else, you will get some good tips and resources for supporting the student.
  • Don’t let the provider be a stranger. Some providers are great. Some only appear at IEPs or for once a year consultations. Reach out to them. The law says that they are a part of the IEP team. That means that they have to talk to you to help you problem solve and to figure out how to meet a student’s needs.
  • Combine their goals with yours. Don’t write a child a million goals! Work with the providers to integrate your goals so that you are all pulling together for a student.
  • Ask them questions. Providers are busy and often overwhelmed (sound familiar?) so you need to be proactive. Ask them questions if a student is having challenges in any area that they have expertise on. Stop reinventing the wheel and reach out to them!
  • Build a team. Providers often work in isolation from each other. If a student has a large team, get them to talk. You need a shared vision and shared tools to help a student if you want them to progress. 
  • If there are a lot of providers, allocate more time for the IEP. Just saying. I had one provider talk for twenty minutes once without pausing. And the student had a lot of providers.