Using guided credible history interviews to establish special education eligibility for students with traumatic brain injury

NeuroRehabilitation. 2023;52(4):597-604. doi: 10.3233/NRE-220211.

Abstract

Background: In Oregon in 2019, only 261 students were eligible for special education under the traumatic brain injury (TBI) category. Many students with TBIs are not treated by a medical provider, so the requirement for a medical statement could prevent eligible youth from receiving special education services.

Objective: This study investigated barriers to using a medical statement to establish special education eligibility for TBI, support for using a guided credible history interview (GCHI), and training needs around GCHI.

Results: Among participants, 84% reported difficulty obtaining a medical statement for TBI eligibility determination, and 87% favored the GCHI as an alternative, though they reported a need for training in TBI and GCHI.

Conclusion: The results support the use of GCHI to establish special education eligibility for TBI and informed Oregon's addition of GCHI to TBI special education eligibility determination.

Keywords: Brain injury; concussion; medical statement; policy; school; services; special education.

MeSH terms

  • Adolescent
  • Brain Injuries, Traumatic*
  • Education, Special / methods
  • Eligibility Determination*
  • Humans
  • Students