GUIDELINES FOR DOCUMENTING ADHD
The students of Hobart and William Smith Colleges are protected from discrimination on the basis of disability by Section 504 of the Rehabilitation Act of 1973 as well as the Americans with Disabilities Act (ADA). By such legislation, individuals with disabilities are guaranteed certain protections and rights of equal access to programs and services. Eligibility is based on the existence of an identified physical or mental impairment in a disability that substantially limits a major life activity.
Not every impairment qualifies as a disability protected by the ADA, because not every impairment is substantially limiting. The court in E.E.O.C. v. Harvey L. Walner & Associates, 91 F.3d 963,996 (7th Cir. 1996), described the proper disability determination as follows:
A disability determination, however, should not be based on abstract lists as categories of impairments, as there are varying degrees of impairments as well as varied individuals who suffer from the impairments. In fact, the regulations note that a finding of disability is not necessarily based on the name or diagnosis of the impairment the person has, but rather, on the effect of that impairment on the life of the individual. Some impairments may be disabling for particular individuals but not for others, depending upon the stage of the disease or disorder, the presence of other impairments that combine to make the impairment disabling, or any number of other factors.
This is why a determination of disability must be made on an individualized, case-by-case basis. Whether a substantial limitation upon a major life activity exists, depends upon an analysis of (1) the nature and severity of the impairment, (2) the duration of the impairment, and (3) the permanent or long-term impact of impairment.
Thus, the key factor in answering the question of whether there is a substantial limitation is “the actual effect on the individual’s life.”
ADHD Documentation and Related Accommodation
ADHD is a term that is used to describe a condition, represented by manifestations which include developmentally inappropriate levels of inattention and/or hyperactivity- impulsivity. There are five main criteria listed in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) that comprises the elements of a comprehensive diagnosis of this disorder.
Hobart and William Smith Colleges recognize that some students with ADHD require accommodations. An HWS student, either incoming or enrolled, who believes that she/he may be eligible for disability related accommodations due to ADHD, must first establish eligibility by voluntarily disclosing the disorder and providing suitable evidence of disabling ADHD to the Colleges. This is accomplished by registering with the Office of Disability Services in the Center for Teaching and Learning and submitting comprehensive documentation of disability to that office. In order to receive accommodations, the registration and documentation processes must be completed.
Reasonable accommodation of ADHD is an effort on the part of the Colleges to provide students disabled by the disorder access to its programs and services, while maintaining the Colleges’ academic standards and the essential nature of its traditions and practices as a residential liberal arts college. Accommodations are determined on an individual basis as substantiated by diagnostic documentation, and are based on the impact to major life activities. Documentation review, accommodations, and student support are provided through various offices of the Colleges, and are coordinated through the Office of Disability Services in the Center for Teaching and Learning.
Guidelines for Documentation of Disabling ADHD
The following guidelines are intended to help define the type of information needed to substantiate eligibility and support requests for reasonable accommodations of disabling ADHD.
Documentation should be original copies of comprehensive clinical/diagnostic evaluations on the letterhead of the professionals who conducted the assessments. The name, title, and professional credentials of each evaluator as well as information about his or her licenses or certifications, area of specialization, and location of employment or practice should be included in the documentation. Faxed or emailed documentation is not acceptable.
Comprehensive documentation of ADHD should include the following six components: 1) evidence of existing impairment; 2) background information (e.g., interview, review of records); 3) relevant testing; 4) specific diagnosis, in the case of ADHD addressing the diagnostic criteria set forth in the DSM-IV; 5) rule-out of alternative diagnoses or explanations; 6) an integrated summary.
In making a specific diagnosis of ADHD, the evaluator should use direct, definitive language. Evaluators should avoid speculative language such as “suggests,” “has problems with,” “is indicative of,” etc. in making diagnostic statements. Terms like “individual learning style,” “academic problems,” and “test anxiety” do not substantiate a disability.
Comprehensive documentation should contain a description of the current levels of performance as they relate to functional limitations in the residential college environment. The degree to which these limitations affect major life activities should be clearly articulated.
A diagnosis of ADHD in and of itself does not automatically warrant accommodation. Further, prior history of accommodation without evidence of current disability related need does not warrant accommodation. It is important that the documentation submitted contains a rationale for each requested accommodation. A diagnostic link between the functional limitations to major life activities due to disability and the related reasonable accommodations in the residential college environment must be established. HWS encourages professionals to be very specific in establishing the disability/accommodation link.
In order for services to be provided, a student must request each specific service or accommodation.
The professionals conducting assessments, rendering diagnoses of specific disabilities, and recommending reasonable and appropriate accommodations should be qualified to do so. Comprehensive training with regard to the specific disability being addressed and/or direct experience with adolescent and/or adult populations are essential. The evaluators should not be related by blood or marriage, nor should an evaluator be a personal friend of the student being evaluated. Diagnostic reports must include the names, titles, and professional credentials of the evaluators as well as the dates of testing.
Typically, an initial diagnosis of ADHD is made by a physician specializing in pediatrics or psychiatry. Additional testing to determine academic strengths and weaknesses is usually done by a licensed neuropsychologist or certified school psychologist. This additional testing can be instrumental in establishing the disability/accommodation link.
Timeliness of the Evaluation
The evaluation should be current. One purpose for recent evaluation is to determine a student’s current level of functioning and need for accommodation. Some students with ADHD have diagnoses that are long standing. Even in such cases, the characteristics and manifestations of the disorder can change over time or due to factors such as variability of symptoms, living situation, course load, response to intervention, etc. Since reasonable accommodations at HWS are based on current levels of functioning in the residential college environment, there is a substantial need for current, relevant documentation that addresses such issues and informs the documentation and accommodation processes.
Generally, the principle documentation must be no more than three years old. Moreover, to insure that such documentation addresses the specific environment of the HWS community, an updated letter, no more than six months old from the original evaluator or an appropriate, qualified professional is generally required. Such documentation should include the current level of functioning including any relevant updated diagnostic information and a related rationale for each requested accommodation.
Hobart and William Smith Colleges will not release any information regarding an individual's diagnosis or medical information without his or her informed written consent. Information will be released only on a "need to know" basis, except where otherwise required by law. Furthermore, to safeguard the confidentiality of individuals with disabilities, evaluators may withhold any portion of the documentation that is not directly relevant to the Colleges criteria for establishing disability and rationale for requested accommodations.
For additional information, please consult the HWS Catalog for sections addressing disabilitypolicy and disabled student services. If you need further clarification, or have questions in regard to these guidelines, please contact:
The Coordinator of Disability Services
The Center for Teaching and Learning:
Rosensweig Learning Commons; Second Floor Library
334 Pulteney Street
Geneva, NY 14456
- Services and Accommodations
- Testing Accommodations
- Other Accommodations
- Interpreting Services (PDF)
- Request Testing Accommodations (PDF)
POLICIES AND PROCEDURES
- Service Animal Policy (PDF)
- Learning Disability
- Psychological Disability
- Physical Disability