可及性服务

The best quality documentation is provided by a licensed or otherwise properly credentialed professional who has undergone appropriate and comprehensive training, 有相关经验, 并且与被评估的个体没有私人关系. A good match between the credentials of the individual making the diagnosis and the condition being reported is expected (e.g.例如，骨科方面的限制可以由医生记录，而不是有执照的心理学家)。.

质量文件包括一个清晰的诊断说明，描述了如何诊断的条件, 提供有关功能影响的信息, 并详细说明病情的典型进展或预后. While diagnostic codes from the Diagnostic Statistical Manual of the American Psychiatric Association (DSM) or the International Classification of Functioning, 世界卫生组织的残疾和健康(ICF)有助于提供这方面的信息, 完整的临床描述也将传达必要的信息.

质量文档包括诊断标准的描述, 评价方法, 程序, 测试和管理日期, 以及临床叙述, 观察, 以及具体的结果. 在适合残疾性质的情况下, having both summary data and specific test scores (with the norming population identified) within the report is recommended. Diagnostic methods that are congruent with the particular disability and current professional practices in the field are recommended. 方法可能包括正式的文书, 医学考试, 结构化面试协议, 业绩观察和非结构化面试. 它源于非正式的, 报告了非标准化或不太常见的评估方法, an explanation of their role and significance in the diagnostic process will strengthen their value in providing useful information.

Information on how the disabling condition(s) currently impacts the individual provides useful information for both establishing a disability and identifying possible accommodations. 一种结合结果的正式评价程序, 临床的叙述, 个人的自我报告是全面记录影响的最全面的方法. The best quality documentation is thorough enough to demonstrate whether and how a major life activity is substantially limited by providing a clear sense of the severity, 情况的发生频率和普遍性. 虽然在大多数情况下建议使用相对较新的文档, common sense and discretion in accepting older documentation of conditions that are permanent or non-varying is recommended. 同样的, changing conditions and/or changes in how the condition impacts the individual brought on by growth and development may warrant more frequent updates in order to provide an accurate picture. It is important to remember that documentation is not time-bound; the need for recent documentation depends on the facts and circumstances of the individual’s condition.

It is helpful when documentation provides information on expected changes in the functional impact of the disability over time and context. Information on the cyclical or episodic nature of the disability and known or suspected environmental triggers to episodes provides opportunities to anticipate and plan for varying functional impacts. 如果病情不稳定, information on interventions (including the individual’s own strategies) for exacerbations and recommended timelines for re-evaluation are most helpful.

最全面的文件将包括当前和过去药物的描述, 辅助艾滋病, 辅助设备, 支持服务, 和住宿, 包括它们在改善残疾的功能影响方面的有效性. 讨论当前药物或服务可能影响身体的任何重大副作用, 知觉, 行为或认知表现在报告中是有帮助的. 而在其他环境中提供的住宿对当前机构没有约束力, 它们可能为当前的决策提供洞察力.

Recommendations from professionals with a history of working with the individual provide valuable information for review and the planning process. It is most helpful when recommended accommodations and strategies are logically related to functional limitations; if connections are not obvious, 清楚地解释它们之间的关系有助于决策. While the post-secondary institution has no obligation to provide or adopt recommendations made by outside entities, 那些与程序一致的, 服务, 大学或项目提供的福利可能是合适的. 当建议超越公平和包容性的服务和福利时, 他们在建议其他住宿和/或服务时可能仍然有用.