title: Hospital assessments of children with learning problems: perspectives from special education administrators and hospital evaluators.
abstract: BACKGROUND
  The schooling of 1 of every 8 children is influenced by the Individuals with Disabilities Education Act (IDEA). The IDEA also governs, to a degree, the relationship between interdisciplinary hospital clinics that evaluate many of these children and the schools that provide educational services. Little is known about how this relationship functions or how educational personnel perceive reports from hospital settings.
  
  
  OBJECTIVE
  To describe special education administrator and hospital evaluator perspectives on hospital assessments of children with learning problems.
  
  
  METHODS
  A survey of attendees at a 1998 meeting of the Massachusetts Association of Special Education Administrators was conducted by use of a questionnaire using closed and open-ended questions. Subsequently, focus groups were held with hospital evaluators.
  
  
  RESULTS
  Special education administrators describe a high level of frustration with hospital-school relations. They state that hospital reports do not meet the needs of children in the educational setting. They seek closer collaboration with medical evaluators. Evaluators working in hospital settings acknowledge frustration perceived by school personnel. They state that communication with educational personnel improves the quality of their reports and outcomes for the child.
  
  
  CONCLUSIONS
  Hospital assessments of children with learning problems are associated with high levels of frustration among special education administrators. These assessments might be made more useful if careful attention were paid to the needs of educators. Greater communication between hospital evaluators and school personnel may increase the usefulness of hospital clinic assessments of children with learning problems.
authors.affiliation: Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA.
authors.forename: Ludwig
authors.initials: L
authors.lastname: von Hahn
authors.forename: Caroline
authors.initials: C
authors.lastname: Linse
authors.forename: Janet
authors.initials: J
authors.lastname: Hafler
mesh_terms: D001294:Attitude to Health; D002648:Child; D003142:Communication; D003220:Conflict, Psychological; D003299:Cooperative Behavior; D004519:Education, Special / Q000458:organization & administration*; D017144:Focus Groups; D006753:Hospital Records / Q000592:standards; D006801:Humans; D007373:Interinstitutional Relations; D007859:Learning Disabilities / Q000175:diagnosis*; D008404:Massachusetts; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration*; D011785:Quality Assurance, Health Care; D012574:Schools / Q000458:organization & administration*; D011795:Surveys and Questionnaires