PEDIATRICS Vol. 85 No. 4 April 1990, pp. 518-525
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Providing Therapeutic Services to Children in Special Educational Placements: An Analysis of the Related Services Provisions of Public Law 94-142 in Five Urban School Districts

Judith S. Palfrey MD1, Judith D. Singer PhD1, Ellen S. Raphael PhD1, and Deborah K. Walker EdD1

1 From the Children's Hospital, Boston, Massachusetts

Using the sample of 1726 special education students from the Collaborative Study of Children With Special Needs, the authors describe the related services being provided to the children and then analyze the relationship between service provision and class placement. Related services are provided in all settings, with a concentration in special schools and special classes. For even the most severely involved children the trade-off with academics is no more than 1 hour per day. It is argued that schools now are major sites of therapeutic service provision for children with special needs.

Key Words: special education • children with special needs • therapeutic services

Submitted on January 9, 1989
Accepted on May 8, 1989




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