The 2010 National Child Count of Children and Youth who are Deaf-Blind

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The 2010 National Child Count of Children and Youth who are Deaf-Blind NCDB The National Consortium on Deaf-Blindness The Teaching Research Institute Western Oregon University The Helen Keller National Center Sands Point, New York The Hilton-Perkins Program Watertown, Massachusetts October 2011 The National Consortium on Deaf-Blindness is funded through award #H326T060002 by the U.S. Department of Education, OSERS, OSEP. The opinions and policies expressed by this publication do not necessarily reflect those of The Teaching Research Institute, or the U.S. Department of Education. OSEP Project Officer Jo Ann McCann.

Introduction The National Child Count of Children and Youth who are Deaf-Blind is the first and longest running registry and knowledge base of children who are deaf-blind in the world. It represents a 25 plus year collaborative effort between NCDB, its predecessors and each state deaf-blind project throughout the country, as well as those projects funded in the Pacific Trust territories, the Virgin Islands and Puerto Rico. It has been collaboratively designed and implemented as the common vehicle to meet federal grant requirements for both the state/multi-state and national technical assistance projects and serves as a common data collection and reporting mechanism for use across the country. Consistent with the priorities under which NCDB, its predecessors, and the state/multi-state projects are funded, this national child count is used to identify national and state technical assistance needs for children and youth who are deaf-blind, their families and the service providers and systems which serve them (Killoran, 2007). The child count is conducted each year to supplement OSEP s Federal Part C and Part B Child Counts (Special Education Child Count), which include children as deaf-blind only when deafblindness is their single disability. In contrast to OSEP s December 1 Special Education Child Count, the December 1 Deaf-Blind Child Count data is collected for children with deaf-blindness in isolation, as well as those with additional disabilities (Muller, 2006). This is an important distinction in that nearly 90% of the children and youth on the Deaf-Blind Child Count have one or more additional disabilities. For 2010, a total of 9,320 children and youth are included on the December 1 Deaf-Blind Child count. To compare these counts for 2009 (the most recent year with comparable data) across the United States, 624 infants (Birth-2) and 8,529 children and young adults (3-21) were identified and reported as deaf-blind by the state projects on the December 1, 2009 Deaf-Blind Child Count (NCDB, 2010). An additional 49 students were reported by those state projects, who by their respective State s legislation or regulation, continue to provide services through the end of the school year in which the student turns 22 years of age; thus a total of 9,200 infants, children and young adults were identified as deaf-blind by the state/multi-state projects representing a 6.4 percent decrease from the previous year. This decrease represents a continuing effort on the part of projects to clean their databases. In contrast, WESTAT (2011) reports that 1,581 students (3-21) were identified as deaf-blind on OSEP s 12/1/09 Part B Special Education Child Count. Due to the non-categorical nature of Part C, no infants or toddlers are reported as deaf-blind since they are all reported as developmentally delayed or at-risk by their state Part C lead agencies (WESTAT, 2008). In reviewing the child count data submitted over the years, it is clear that no single portrait can be painted to represent a typical child with deaf-blindness. Children who are deaf-blind are as varied as the number reported and the nature and extent of deaf-blindness in children is often misunderstood (Malloy& Killoran, 2007). These children represent one of the lowest incidence, yet most diverse group of learners receiving early intervention and special education services. They are an extremely heterogeneous group whose sensory losses may be accompanied by additional physical or cognitive disabilities, complex medical needs and/or behavior challenges (Muller, 2006). State Deaf-Blind Project directors consistently indicate that most Part C lead agencies and State Education Agencies report their children and students with deaf-blindness as being developmentally delayed, multi-handicapped, visually impaired or hearing impaired, rather 2

than identifying them as deaf-blind. Concerns about the under-identification of deaf-blindness and its resulting unique intervention requirements has been a consistent problem and one which results in a lack of, or delay in receiving, appropriate intervention and instruction critical to children s early development (Muller, 2006). The opportunity for early identification, intervention and the provision of instructional services aimed at the unique needs of young children and students who are deaf-blind is a critical component that cannot be lost. Recent Changes in the Deaf-Blind Child Count NCDB implemented a comprehensive revision of its child count reporting elements that were piloted with the 12/1/06 count and became mandatory for the 12/1/07 count. Based on an ongoing dialogue with state deaf-blind project staff and other deaf-blind community members, four specific issues were addressed: Easing the data collection burden of the projects Increasing the efficiency of data collection activities Increasing the accuracy of the data collected and reported, and Increasing cost efficiency Activities initiated to ameliorate these identified issues included: Definitional changes to increase consistency across states Realignment of data elements with IDEA, section 618 data reporting requirements, and Changes in documentation procedures consistent with IDEA classification and reclassification regulatory changes Definitional changes to increase consistency across states Although each state deaf-blind project has the discretion of establishing the criteria for their project services, the IDEA 2004 definition of deaf blindness must now be used for defining students in early childhood special education (3-5) and school age special education (6-21) programs and for their inclusion on the Deaf-Blind Child Count. This definition was also adapted to provide a consistent definition of infants and toddlers with deaf-blindness served in Part C early intervention programs across the country. Realignment of data elements with Section 618 data reporting requirements All data elements reflect current section 618 IDEA data requirements. Existing data elements have been broken out into specific Part B and Part C elements using 618 language. Data elements which are consistent with the IDEA mandated child counts include: Race/Ethnicity Part B and C Category Codes 3

Early Intervention Setting (Birth through 2) Educational Setting (3-5 and 6-21), and Part C Exiting Status (Birth through 2) and Part B Exiting Status (3-21) Data elements identified for assisting projects in meeting their Priority b requirements (e.g., collection of demographic and needs assessment information) include: Gender Etiology Documented Vision Loss Cortical Vision Impairment Documented Hearing Loss; Central Auditory Processing Disorder Auditory Neuropathy Other Impairments or Conditions Living Setting; and The use of corrective lenses, listening devices and/or assistive technology Changes in documentation procedures Identifying and maintaining current information related to dates of assessment has been difficult and costly for projects. This difficulty was exacerbated with the legislative and regulatory changes to IDEA 97 and maintained in IDEA 2004, which allow a student s IEP team to use existing data in the reclassification process rather than requiring a new tri-annual re-evaluation. Consistent with the IDEA classification/reclassification process, revisions reflect a team decision to verify a student s Degree of Documented Loss, rather than relying upon ongoing assessments. Changes in the 2010 Deaf-Blind Child Count The new 7 category race/ethnicity data reporting requirements were added to the 2010 Child Count. This was the only change for 2010. Considerations for the Reader When reading the information that follows, the reader should note that: Though the IDEA definition is now used as the common definition of deaf-blindness across the state deaf-blind projects, each State Deaf-Blind Project has the discretion of establishing the criteria for their own project services The Deaf-Blind Child Count is collected in a timeline consistent with 618 IDEA data requirements. We use a point-in-time snapshot to reflect those infants, young children, and students identified and eligible for services from State Deaf-Blind Projects on 4

December 1 of each year. Thus, in many instances, projects serve more infants, young children and students over the course of the year than are reported on the December 1 child count date. The language and reporting elements used in the Deaf-Blind Child Count are consistent with those found in Section 618 of IDEA. The Deaf-Blind Child Count data presented are based on aggregate data reported by each State Deaf-Blind Project and the aggregated counts provide a national perspective. However, there is substantial variability in the individual state project data reports This is the second year in which the number of children/youth for which Further Testing Needed category has been analyzed for multiple years. The number of children/youth for which further vision and/or hearing testing is needed has changed from 2,873 in 2007 to 772 in 2008 to 989 in 2009 to 709 in 2010. This fluctuation is due to large numbers of children included on the 2009 Count for the first time, with additional testing conducted during this subsequent year. This testing must be completed prior to the next Child Count submission date for continued inclusion in the Count. Several states with new projects have undertaken significant efforts to confirm or re-build their child counts. Through these efforts, the numbers of children/youth submitted have decreased significantly this year. It is expected that through on-going efforts to establish valid child counts that the numbers will grow in 2011. Emerging Trends in the Deaf-Blind Child Count The overall numbers of children identified as deaf-blind has decreased over the past several years as projects continue to clean their databases. This trend is consistent with the time period of 1996-1998 when similar efforts were undertaken. The distribution of children/youth across age groups has remained relatively stable across the past five year, with a slight shift toward a younger overall population. There has been a slight increase in the percentage of the total Deaf-Blind Child Count made up of infants, birth 2 years of age (5.4% - 6.8%). However, early identification and referral to the deaf-blind programs continues to be an issue with less than 100 infants, birth to one year of age being included on the Count. The prevalence of CHARGE Syndrome has increased significantly over the past five years. The prevalence of Usher Syndrome reached a peak in 2007 and has decreased over the past three years. The number and percentage of children/youth identified as Hispanic has increased significantly over the past five years from 16.1% to 20.0% of the total count. This increase has been more significant for children ages birth through 5, changing from 18.9% to 24.9%. 5

The percentage of children/youth identified as needing further vision testing has decreased from 15.6% to 7.3%. The percentage of children/youth identified as needing further hearing testing has decreased from 20.4% to 8.9%. The number of children identified as having received cochlear implants has increased from 167 in 2005 to 622 in 2010. While the use of cochlear implants is still relatively rare with this population, the numbers of children/youth with cochlear implants has quadrupled over the past four years. This increase spans the age ranges, from infants to young adults. Overall, the number of children/youth with additional disabilities has increased. In 2005, over 20% of the children/youth on the Deaf-Blind Child Count had no additional disabilities. In 2010, just over 10% had no additional disabilities. In 2005, just 13.1% of the children/youth on the count had four or more additional disabilities. In 2010, over 40% of the children had four or more additional disabilities. More children are being educated in more inclusive settings in Early Childhood Special Education in 2010 than in 2005 (12.3% - 35.4%). Conversely, far fewer children are being educated in segregated settings in 2010 than in 2005 (18.5% - 55.4%). More children/youth are being educated in inclusive school age settings as well. The percentage of children/youth educated in inclusive settings has increased from 2005 to 2010, from 8.5% to 12.2%. When the number of children/youth in a regular class between 40% and 79% of the day are included, over 20% were educated in inclusive settings the majority of the day in 2010. One quarter (25%) of the children and youth on the 2010 Child Count have access to the regular curriculum as indicated by participating in statewide assessments tied to regular grade level standards. Implications The apparent continued under identification and referral to deaf-blind programs of very young infants and children remains an important need. These infants and toddlers can greatly benefit from the expertise of state deaf-blind programs in receiving appropriate services to address dual sensory impairments. Further, parents and families of these infants and toddlers can benefit from supports and networks established within states. Without such early identification and referral to state deaf-blind programs this is not possible. What has historically been one of the lowest incidence, yet heterogeneous populations, continues to become more so. As our nation s population becomes more diverse ethnically, racially, culturally and even linguistically, our national, state and local 6

systems need to continue to adapt to provide needed services effectively to these children and youth and their families. Concomitantly, this population continues to be more diverse in terms of additional or comorbid disabilities. Ninety percent of this population has one or more additional disabilities, and over 40% have four or more additional disabilities. This increasing level of complexity in the needs and challenges faced by this population also requires continued evolution and adaptation in the national, state and local systems to provide needed services effectively to these children and youth and their families. While the numbers are still not great, the continued trend toward education in inclusive settings, especially at the pre-school level, has tremendous implications for the implementation of effective practices in the general education system, and for the increased need for one-on-one supports, such as interveners. Even as the current population on the Deaf-Blind Child Count continues to grow younger, significant numbers of students are exiting Part B every year, either having received a diploma or certificate or simply aging out, transitioning to adult services, postsecondary education, or employment, has important implication for the continued development of effective post-secondary supports for this population. Historically around 90% of the children/youth identified on the Deaf-Blind Child Count have lived at home with their parents, extended family or foster parents. This percent is actually increasing (92.3% in 2010). Providing family supports, access to parent networks and leadership/self-advocacy skills continues to be a critical component in the umbrella of services to meet the needs of children who are deaf-blind and their families. Finally, technology is having an increasingly important place in the lives of children and youth who are deaf-blind. The past several years has seen rapid use of assistive technologies with these children, where in 2007, less than 1/3 of the population was identified as making use of some form of assistive technologies not related to vision or hearing (32%) to 42% in 2010. While the use of cochlear implants is still relatively rare with this population, the numbers of children/youth with cochlear implants has quadrupled over the past four years. This increase spans the age ranges, from infants to young adults. These implications provide a broad summary of the needs and challenges for the population of children who are deaf-blind, their families and those that serve them. Contact Information Additional copies of this report may be downloaded from: http://www.nationaldb.org/tachildcount.php Questions may be directed to Mark Schalock at schalom@wou.edu or Robbin Bull at bullr@wou.edu 7

References Malloy, P. & Killoran, J. (2007). Children who are deaf blind. Practice Perspectives - Highlighting Information on Deaf-Blindness. Monmouth, OR: National Consortium on Deaf-Blindness (NCDB), Teaching Research Institute, Western Oregon University. Available at: http://nationaldb.org/ncdbproducts. Mueller, E. (2006). Deaf-blind child counts: issues and challenges. Alexandria, VA: Project Forum at NASDSE. Available at: http://www.projectforum.org WESTAT. (2009). Part B annual report tables. Retrieved September 2011 from http://www.ideadata.org WESTAT. (2009). Part C annual report tables. Retrieved September 2011 from http://www.ideadata.org 8

Total Number Serve by State During Year Number Eligible to Receive Project Services on 12-1-2010 12-1-10 Snap Shot: Number on Child Count (1) Number Exiting Part B and Part C Prior to 12-1-10 Alabama 158 158 148 10 Alaska 24 23 23 0 Arizona 201 200 191 9 Arkansas 109 102 94 13 California 984 984 982 2 Colorado 150 125 124 10 Connecticut 72 62 62 2 Delaware 93 78 78 8 District of Columbia 11 11 11 0 Florida 420 420 395 25 Georgia 338 315 298 25 Hawaii 72 64 64 8 Idaho 64 60 57 7 Illinois 456 435 418 28 Indiana 217 217 200 17 Iowa 79 76 69 9 Kansas 122 114 114 1 Kentucky 195 190 182 12 Louisiana 114 109 93 21 Maine 39 34 31 5 Maryland 161 156 139 21 Massachusetts 247 236 234 11 Michigan 354 349 344 8 Minnesota 300 288 288 12 Mississippi 54 49 48 5 Missouri 264 182 169 63 Montana 44 42 41 2 Nebraska 106 105 104 1 Nevada 135 124 117 16 New Hampshire 75 67 67 4 New Jersey 252 251 251 0 New Mexico 113 105 102 6 New York 503 495 478 19 North Carolina 305 302 300 4 North Dakota 40 40 36 4 Ohio 391 372 364 9 Oklahoma 172 168 164 8 Oregon 75 74 68 6 Pacific Basin 63 53 53 10 Pennsylvania 245 242 242 3 Puerto Rico 82 78 77 5 Rhode Island 47 47 46 1 South Carolina 136 124 119 10 South Dakota 30 29 29 0 Tennessee 269 259 250 11 Texas 747 747 726 21 Utah 126 112 112 10 Vermont 29 29 29 0 Virgin Islands 31 31 31 0 Virginia 171 157 157 6 Washington 222 222 209 13 West Virginia 121 117 115 2 Wisconsin 145 144 140 5 Wyoming 40 39 37 3 Total 10013 9612 9320 511 (1) December 1 snapshot based on children/youth in Part C or Part B and eligible for project services. Columns do not sum.

AGE OF CHILD (Respective Count Year) 0 thru 2 3 thru 5 6 thru 11 12 thru 17 18 thru 21 Over 21 Unknown/ Missing Total Alabama 6 15 40 53 34 0 0 148 Alaska 2 3 8 4 4 2 0 23 Arizona 16 38 59 55 23 0 0 191 Arkansas 7 11 39 29 8 0 0 94 California 67 172 286 294 150 4 9 982 Colorado 16 24 43 25 16 0 0 124 Connecticut 3 7 15 26 11 0 0 62 Delaware 3 19 27 18 10 1 0 78 District of Columbia 1 0 1 5 3 1 0 11 Florida 38 61 104 124 58 0 10 395 Georgia 30 60 97 74 36 0 1 298 Hawaii 9 10 14 22 5 2 2 64 Idaho 3 16 16 18 4 0 0 57 Illinois 31 44 132 145 65 1 0 418 Indiana 12 19 75 73 21 0 0 200 Iowa 4 7 26 21 11 0 0 69 Kansas 12 16 33 34 19 0 0 114 Kentucky 3 26 51 56 46 0 0 182 Louisiana 1 7 27 31 27 0 0 93 Maine 3 1 12 12 3 0 0 31 Maryland 1 15 43 43 30 6 1 139 Massachusetts 17 37 66 59 55 0 0 234 Michigan 15 34 103 114 48 30 0 344 Minnesota 10 41 90 81 60 6 0 288 Mississippi 5 4 14 14 11 0 0 48 Missouri 10 27 62 41 29 0 0 169 Montana 2 8 10 16 5 0 0 41 Nebraska 5 11 24 43 21 0 0 104 Nevada 33 25 23 19 17 0 0 117 New Hampshire 4 10 25 17 11 0 0 67 New Jersey 12 15 42 82 100 0 0 251 New Mexico 8 20 35 29 10 0 0 102 New York 8 29 82 122 203 34 0 478 North Carolina 6 46 89 112 47 0 0 300 North Dakota 6 7 11 8 4 0 0 36 Ohio 8 31 89 143 92 1 0 364 Oklahoma 3 18 45 68 30 0 0 164 Oregon 3 10 23 25 7 0 0 68 Pacific Basin 3 4 21 15 7 2 1 53 Pennsylvania 18 25 73 98 27 0 1 242 Puerto Rico 1 8 27 24 15 2 0 77 Rhode Island 0 7 18 10 11 0 0 46 South Carolina 17 19 41 32 10 0 0 119 South Dakota 0 4 14 8 3 0 0 29 Tennessee 27 29 78 67 41 8 0 250 Texas 66 115 234 215 92 4 0 726 Utah 1 18 35 41 15 2 0 112 Vermont 1 3 12 7 6 0 0 29 Virgin Islands 7 2 5 10 7 0 0 31 Virginia 7 18 53 44 31 4 0 157 Washington 9 30 72 60 36 2 0 209 West Virginia 9 21 43 31 11 0 0 115 Wisconsin 5 18 52 46 19 0 0 140 Wyoming 4 6 10 9 8 0 0 37 Total 598 1271 2769 2872 1673 112 25 9320

Indian or Alaska Native Black or African American Race/Ethnicity Hispanic/Lat ino Native Hawaiin/Pac ific Islander Two or more races Unknown/ Missing Asian White Total Alabama 1 2 48 7 90 0 0 0 148 Alaska 10 2 0 0 10 0 0 1 23 Arizona 18 3 13 78 79 0 0 0 191 Arkansas 0 1 25 6 61 0 1 0 94 California 10 84 44 504 300 8 9 23 982 Colorado 6 3 8 37 70 0 0 0 124 Connecticut 0 1 15 8 38 0 0 0 62 Delaware 0 3 22 15 37 0 0 1 78 District of Columbia 1 1 7 1 1 0 0 0 11 Florida 1 21 69 110 172 0 4 18 395 Georgia 0 7 88 37 155 0 6 5 298 Hawaii 0 45 2 0 7 5 1 4 64 Idaho 2 0 0 7 45 0 3 0 57 Illinois 0 23 82 74 238 0 1 0 418 Indiana 2 1 18 13 164 0 2 0 200 Iowa 0 1 2 4 62 0 0 0 69 Kansas 1 9 11 13 77 0 3 0 114 Kentucky 0 2 11 11 154 0 4 0 182 Louisiana 0 0 37 0 56 0 0 0 93 Maine 0 1 0 1 29 0 0 0 31 Maryland 1 3 48 10 75 0 0 2 139 Massachusetts 1 8 13 47 164 0 0 1 234 Michigan 1 13 54 28 247 0 1 0 344 Minnesota 13 15 21 22 216 0 1 0 288 Mississippi 0 0 20 0 27 0 1 0 48 Missouri 2 3 40 8 113 2 1 0 169 Montana 6 0 1 0 34 0 0 0 41 Nebraska 2 0 5 8 89 0 0 0 104 Nevada 2 2 13 38 52 5 5 0 117 New Hampshire 0 1 2 1 62 0 0 1 67 New Jersey 0 11 49 53 138 0 0 0 251 New Mexico 10 0 0 65 25 0 1 1 102 New York 2 18 78 82 234 0 0 64 478 North Carolina 2 8 103 30 150 0 7 0 300 North Dakota 6 0 0 2 28 0 0 0 36 Ohio 2 2 73 8 275 2 2 0 364 Oklahoma 26 5 15 18 100 0 0 0 164 Oregon 3 1 2 13 48 1 0 0 68 Pacific Basin 0 0 0 0 0 53 0 0 53 Pennsylvania 0 8 40 14 173 2 4 1 242 Puerto Rico 0 0 0 77 0 0 0 0 77 Rhode Island 1 2 4 10 28 0 0 1 46 South Carolina 0 1 49 5 63 0 1 0 119 South Dakota 3 1 0 0 25 0 0 0 29 Tennessee 0 8 57 14 168 0 2 1 250 Texas 7 20 81 295 316 1 6 0 726 Utah 3 3 1 8 96 0 1 0 112 Vermont 0 1 1 1 26 0 0 0 29 Virgin Islands 0 0 15 3 6 0 0 7 31 Virginia 2 9 37 16 91 0 0 2 157 Washington 6 11 5 47 139 0 1 0 209 West Virginia 0 0 10 0 105 0 0 0 115 Wisconsin 5 3 19 8 105 0 0 0 140 Wyoming 2 0 1 5 29 0 0 0 37 Total 160 367 1359 1862 5292 79 68 133 9320

Gender Male Female UNKNOWN/ MISSING Total Alabama 79 69 0 148 Alaska 12 11 0 23 Arizona 94 97 0 191 Arkansas 54 40 0 94 California 534 437 11 982 Colorado 74 50 0 124 Connecticut 29 33 0 62 District of Columbia 46 32 0 78 Delaware 7 4 0 11 Florida 193 190 12 395 Georgia 160 133 5 298 Hawaii 36 25 3 64 Idaho 29 26 2 57 Illinois 238 180 0 418 Indiana 105 95 0 200 Iowa 33 36 0 69 Kansas 68 46 0 114 Kentucky 98 84 0 182 Louisiana 48 45 0 93 Maine 21 10 0 31 Maryland 77 61 1 139 Massachusetts 115 119 0 234 Michigan 186 158 0 344 Minnesota 142 146 0 288 Mississippi 28 20 0 48 Missouri 94 74 1 169 Montana 21 20 0 41 Nebraska 67 37 0 104 Nevada 66 51 0 117 New Hampshire 40 27 0 67 New Jersey 150 101 0 251 New Mexico 52 49 1 102 New York 268 209 1 478 North Carolina 173 127 0 300 North Dakota 14 22 0 36 Ohio 203 161 0 364 Oklahoma 81 83 0 164 Oregon 35 33 0 68 Pacific Basin 28 25 0 53 Pennsylvania 133 108 1 242 Puerto Rico 36 41 0 77 Rhode Island 20 26 0 46 South Carolina 60 59 0 119 South Dakota 14 15 0 29 Tennessee 120 130 0 250 Texas 393 333 0 726 Utah 63 49 0 112 Vermont 13 16 0 29 Virgin Islands 14 7 10 31 Virginia 82 75 0 157 Washington 118 90 1 209 West Virginia 64 51 0 115 Wisconsin 82 58 0 140 Wyoming 21 16 0 37 Total 5031 4240 49 9320

Legally Blind Primary Classification of Vision Impairment Light Perception Only Totally Blind Diagnosed Progressive Vision Loss Further Testing Needed (1 year only) Documented Functional Vision Loss Low Vision Total Alabama 61 32 8 7 2 38 0 148 Alaska 9 4 2 3 2 1 2 23 Arizona 53 35 4 7 8 4 80 191 Arkansas 38 26 4 3 5 2 16 94 California 159 341 62 69 22 129 200 982 Colorado 68 29 7 4 13 3 0 124 Connecticut 17 33 1 3 1 1 6 62 Delaware 30 22 4 2 5 10 5 78 District of Columbia 0 3 0 0 0 7 1 11 Florida 194 87 21 30 20 24 19 395 Georgia 54 93 28 20 12 17 74 298 Hawaii 6 14 4 11 3 5 21 64 Idaho 9 10 6 0 7 0 25 57 Illinois 125 101 44 20 27 2 99 418 Indiana 45 45 23 7 5 4 71 200 Iowa 23 16 5 5 2 0 18 69 Kansas 45 41 9 4 1 2 12 114 Kentucky 53 54 31 4 4 0 36 182 Louisiana 19 30 7 7 8 8 14 93 Maine 15 5 0 3 2 0 6 31 Maryland 34 26 15 10 4 17 33 139 Massachusetts 93 78 19 13 6 5 20 234 Michigan 99 103 22 23 10 0 87 344 Minnesota 135 46 17 11 17 4 58 288 Mississippi 12 19 6 7 0 1 3 48 Missouri 40 44 16 18 5 2 44 169 Montana 18 9 0 3 5 6 0 41 Nebraska 38 42 10 7 2 0 5 104 Nevada 13 25 9 5 5 18 42 117 New Hampshire 21 20 0 1 1 2 22 67 New Jersey 134 80 15 7 8 0 7 251 New Mexico 34 20 7 5 2 6 28 102 New York 79 116 28 47 3 194 11 478 North Carolina 87 88 26 32 3 7 57 300 North Dakota 14 3 6 1 1 1 10 36 Ohio 71 87 33 35 15 13 110 364 Oklahoma 54 30 16 9 6 0 49 164 Oregon 31 8 3 4 8 1 13 68 Pacific Basin 10 5 9 5 1 8 15 53 Pennsylvania 44 81 4 18 2 50 43 242 Puerto Rico 26 25 10 5 10 0 1 77 Rhode Island 7 19 6 0 1 3 10 46 South Carolina 48 23 5 6 5 5 27 119 South Dakota 11 4 0 2 3 0 9 29 Tennessee 86 51 7 12 14 17 63 250 Texas 205 333 37 41 10 22 78 726 Utah 50 30 6 3 5 0 18 112 Vermont 6 1 3 1 1 1 16 29 Virgin Islands 13 8 2 1 0 7 0 31 Virginia 40 48 7 10 11 5 36 157 Washington 73 45 11 18 12 3 47 209 West Virginia 52 21 10 1 1 1 29 115 Wisconsin 24 35 7 8 4 0 62 140 Wyoming 11 10 2 2 1 1 10 37 Total 2736 2604 644 580 331 657 1768 9320

Cortical Visual Impairment Yes No Unknown Missing Total Alabama 13 135 0 148 Alaska 5 17 1 23 Arizona 58 105 28 191 Arkansas 48 46 0 94 California 218 579 185 982 Colorado 30 84 10 124 Connecticut 23 38 1 62 Delaware 41 36 1 78 District of Columbia 1 2 8 11 Florida 71 275 49 395 Georgia 91 176 31 298 Hawaii 20 13 31 64 Idaho 37 19 1 57 Illinois 133 273 12 418 Indiana 39 106 55 200 Iowa 18 51 0 69 Kansas 48 46 20 114 Kentucky 107 75 0 182 Louisiana 27 46 20 93 Maine 7 19 5 31 Maryland 35 65 39 139 Massachusetts 46 157 31 234 Michigan 103 241 0 344 Minnesota 59 229 0 288 Mississippi 15 28 5 48 Missouri 42 123 4 169 Montana 8 29 4 41 Nebraska 17 80 7 104 Nevada 26 50 41 117 New Hampshire 22 26 19 67 New Jersey 85 166 0 251 New Mexico 43 36 23 102 New York 34 19 425 478 North Carolina 128 141 31 300 North Dakota 6 29 1 36 Ohio 102 63 199 364 Oklahoma 49 111 4 164 Oregon 24 43 1 68 Pacific Basin 6 11 36 53 Pennsylvania 64 178 0 242 Puerto Rico 28 40 9 77 Rhode Island 21 22 3 46 South Carolina 31 70 18 119 South Dakota 7 22 0 29 Tennessee 73 174 3 250 Texas 208 494 24 726 Utah 45 64 3 112 Vermont 19 10 0 29 Virgin Islands 1 30 0 31 Virginia 24 133 0 157 Washington 72 100 37 209 West Virginia 59 56 0 115 Wisconsin 69 71 0 140 Wyoming 12 14 11 37 Total 2618 5266 1436 9320

Primary Classification of Hearing Impairment Moderately Severe Severe Profound Diagnosed Progressive Loss Further Testing Needed (1 year only) Documented Functional hearing Loss Mild Moderate Total Alabama 50 19 6 18 18 0 37 0 148 Alaska 0 4 7 2 5 1 2 2 23 Arizona 22 37 38 28 50 0 3 13 191 Arkansas 12 24 14 5 15 2 5 17 94 California 42 90 99 182 234 11 182 142 982 Colorado 27 31 23 17 20 1 5 0 124 Connecticut 5 18 13 3 16 0 1 6 62 Delaware 17 19 7 10 13 0 9 3 78 District of Columbia 0 0 0 0 1 0 9 1 11 Florida 120 47 61 50 83 4 21 9 395 Georgia 63 44 45 34 59 3 12 38 298 Hawaii 4 10 5 3 10 0 26 6 64 Idaho 18 8 9 8 6 1 3 4 57 Illinois 136 75 43 48 51 10 3 52 418 Indiana 18 39 30 26 36 1 6 44 200 Iowa 13 13 12 10 18 1 0 2 69 Kansas 20 20 16 11 30 0 5 12 114 Kentucky 34 22 28 17 32 2 1 46 182 Louisiana 16 19 10 10 16 1 6 15 93 Maine 10 8 5 1 5 0 2 0 31 Maryland 18 28 19 14 24 1 23 12 139 Massachusetts 51 54 34 22 40 2 11 20 234 Michigan 39 55 42 43 69 5 0 91 344 Minnesota 33 67 49 37 74 4 1 23 288 Mississippi 6 7 8 9 11 0 6 1 48 Missouri 19 25 32 21 35 0 14 23 169 Montana 5 6 8 6 5 0 11 0 41 Nebraska 11 19 21 29 18 0 0 6 104 Nevada 15 16 16 14 11 4 18 23 117 New Hampshire 16 15 5 9 4 0 3 15 67 New Jersey 42 74 38 41 48 0 1 7 251 New Mexico 17 24 17 13 20 1 7 3 102 New York 41 73 53 40 80 76 110 5 478 North Carolina 54 44 35 29 54 4 28 52 300 North Dakota 4 11 6 4 5 0 0 6 36 Ohio 40 48 35 34 67 9 58 73 364 Oklahoma 22 17 25 20 43 3 0 34 164 Oregon 8 21 16 11 10 0 0 2 68 Pacific Basin 10 8 5 4 3 0 13 10 53 Pennsylvania 29 35 23 40 18 1 42 54 242 Puerto Rico 22 20 11 3 9 2 1 9 77 Rhode Island 10 11 7 3 3 0 7 5 46 South Carolina 25 25 22 18 16 0 2 11 119 South Dakota 6 4 6 0 11 0 0 2 29 Tennessee 44 29 27 42 50 10 15 33 250 Texas 77 140 138 136 171 2 34 28 726 Utah 19 26 26 12 22 2 1 4 112 Vermont 5 9 2 2 2 1 3 5 29 Virgin Islands 16 5 1 0 2 0 7 0 31 Virginia 18 30 24 22 45 2 7 9 157 Washington 27 39 37 27 50 4 0 25 209 West Virginia 27 18 15 5 13 0 4 33 115 Wisconsin 12 16 10 19 25 3 1 54 140 Wyoming 3 6 7 3 9 0 1 8 37 Total 1418 1572 1291 1215 1785 174 767 1098 9320

Number Submitted with Further Hearing and/or Vision Testing Total Submitted by State Needed: 2nd Year Alabama 158 17 Alaska 24 2 Arizona 201 1 Arkansas 109 3 California 984 192 Colorado 150 3 Connecticut 72 1 Delaware 93 12 District of Columbia 11 0 Florida 420 3 Georgia 338 1 Hawaii 72 23 Idaho 64 0 Illinois 456 0 Indiana 217 2 Iowa 79 0 Kansas 122 2 Kentucky 195 1 Louisiana 114 11 Maine 39 0 Maryland 161 13 Massachusetts 247 11 Michigan 354 0 Minnesota 300 0 Mississippi 54 4 Missouri 264 8 Montana 44 5 Nebraska 106 0 Nevada 135 12 New Hampshire 75 1 New Jersey 252 0 New Mexico 113 70 New York 503 180 North Carolina 305 3 North Dakota 40 0 Ohio 391 58 Oklahoma 172 0 Oregon 75 1 Pacific Basin 63 10 Pennsylvania 245 8 Puerto Rico 82 1 Rhode Island 47 7 South Carolina 136 2 South Dakota 30 0 Tennessee 269 4 Texas 747 31 Utah 126 0 Vermont 29 1 Virgin Islands 31 0 Virginia 171 1 Washington 222 3 West Virginia 121 0 Wisconsin 145 1 Wyoming 40 0 Total 10013 709

Central Auditory Processing Disorder Auditory Neuropathy Cochlear Implant Unknown/ Unknown/ Unknown/ No Yes Missing No Yes Missing No Yes Missing Alabama 131 17 0 147 1 0 147 1 0 Alaska 20 0 3 19 1 3 21 1 1 Arizona 170 6 15 169 0 22 166 16 9 Arkansas 50 6 38 50 4 40 79 4 11 California 404 122 456 219 27 736 683 31 268 Colorado 110 2 12 109 5 10 115 7 2 Connecticut 50 5 7 52 3 7 50 10 2 Delaware 67 0 11 60 6 12 66 1 11 District of Columbia 1 0 10 1 0 10 1 0 10 Florida 224 30 141 174 25 196 258 25 112 Georgia 187 45 66 200 15 83 270 23 5 Hawaii 24 5 35 15 1 48 50 1 13 Idaho 20 31 6 40 3 14 53 3 1 Illinois 379 8 31 381 14 23 367 44 7 Indiana 113 4 83 46 1 153 161 19 20 Iowa 42 5 22 7 0 62 57 10 2 Kansas 46 15 53 47 8 59 95 18 1 Kentucky 137 45 0 173 1 8 172 10 0 Louisiana 67 10 16 47 6 40 57 10 26 Maine 18 2 11 26 0 5 23 3 5 Maryland 69 1 69 84 12 43 66 4 69 Massachusetts 94 8 132 174 3 57 130 9 95 Michigan 297 45 2 318 22 4 317 27 0 Minnesota 216 6 66 166 10 112 235 49 4 Mississippi 23 4 21 15 1 32 32 5 11 Missouri 144 16 9 136 9 24 138 14 17 Montana 34 2 5 34 3 4 38 3 0 Nebraska 95 5 4 92 6 6 98 6 0 Nevada 58 10 49 45 5 67 111 3 3 New Hampshire 35 7 25 42 6 19 50 0 17 New Jersey 229 6 16 199 35 17 242 9 0 New Mexico 67 8 27 52 1 49 64 2 36 New York 381 12 85 18 4 456 38 13 427 North Carolina 195 46 59 196 33 71 271 25 4 North Dakota 35 0 1 33 1 2 31 5 0 Ohio 107 27 230 147 11 206 267 24 73 Oklahoma 145 8 11 86 4 74 149 15 0 Oregon 54 1 13 51 0 17 60 5 3 Pacific Basin 14 4 35 14 4 35 47 0 6 Pennsylvania 229 13 0 233 9 0 220 22 0 Puerto Rico 40 27 10 57 2 18 76 1 0 Rhode Island 38 3 5 46 0 0 46 0 0 South Carolina 79 6 34 78 7 34 98 4 17 South Dakota 29 0 0 28 1 0 25 4 0 Tennessee 191 30 29 0 0 250 218 16 16 Texas 675 51 0 696 30 0 658 68 0 Utah 110 0 2 103 2 7 103 9 0 Vermont 17 1 11 17 0 12 26 1 2 Virgin Islands 9 0 22 24 0 7 19 0 12 Virginia 26 1 130 27 3 127 42 11 104 Washington 134 34 41 149 14 46 188 15 6 West Virginia 80 9 26 85 7 23 108 4 3 Wisconsin 91 33 16 43 7 90 104 9 27 Wyoming 18 4 15 21 3 13 34 3 0 Total 6318 786 2216 5491 376 3453 7240 622 1458

PRIMARY IDENTIFIED ETIOLOGY Hereditary Syndromes/Disorders CHARGE Syndrome 774 Usher Syndrome (I,II,III) 265 Down syndrome (Trisomy 21 syndrome) 228 OTHER: Hereditary/ Syndrome Disorders 2316 Pre-Natal/Congenital Complications Cytomegalo-virus (CMV) 333 Microcephaly 277 Hydrocephaly 231 Congenital Rubella 83 OTHER: Pre-Natal/ Congenital Complications 645 Post-Natal/ Non-Congenital Asphyxia 238 Meningitis 202 Severe Head Injury 192 Encephalitis 78 OTHER: Post-Natal/ Non-Congenital 591 Complication of Prematurity 1129 No Determination of Etiology 1738

State CHARGE Syndrome Down Syndrome PRIMARY IDENTIFED ETIOLOGY Hereditary Syndromes/Disorders Prenatal/Congenital Complications Usher Syndrome (I, II, III) Other Hereditary Syndromes Disorders Congenital rubella Cytomegalovi sus (CMV) Hydrocephaly Microcephaly Other Prenatal congential Complications Alabama 4 3 0 30 1 2 2 2 14 Alaska 2 4 1 5 0 0 0 1 2 Arizona 23 5 6 50 1 13 0 3 16 Arkansas 6 2 2 33 0 6 3 3 7 California 72 27 21 201 14 16 25 39 56 Colorado 7 4 5 47 3 7 2 1 5 Connecticut 11 1 1 21 1 4 0 0 2 Delaware 3 2 2 12 0 1 5 4 8 District of Columbia 1 0 0 1 1 0 1 1 0 Florida 42 14 13 77 7 7 9 6 23 Georgia 22 6 8 75 2 13 5 3 22 Hawaii 2 0 0 17 0 2 2 2 8 Idaho 4 1 1 13 0 2 1 1 6 Illinois 37 11 20 101 1 17 12 7 42 Indiana 23 3 4 46 1 12 5 7 11 Iowa 13 2 2 12 0 4 2 4 5 Kansas 5 3 1 34 1 3 2 1 8 Kentucky 15 2 8 32 0 10 1 1 17 Louisiana 5 0 9 19 0 3 6 3 5 Maine 4 0 3 10 0 0 0 0 3 Maryland 12 3 4 29 1 1 3 3 6 Massachusetts 24 11 8 70 1 10 3 12 14 Michigan 37 6 10 44 1 10 7 15 11 Minnesota 36 9 12 105 0 15 6 3 11 Mississippi 1 0 1 10 0 2 3 2 3 Missouri 20 4 3 39 0 11 5 9 12 Montana 1 2 3 18 0 1 1 0 2 Nebraska 5 1 2 23 0 0 4 2 25 Nevada 4 5 0 46 2 4 3 6 6 New Hampshire 5 1 4 24 1 3 0 2 6 New Jersey 30 9 10 73 10 5 0 4 22 New Mexico 2 4 2 29 1 8 5 2 12 New York 39 13 12 67 8 12 16 16 41 North Carolina 16 9 8 79 3 7 13 14 16 North Dakota 4 0 3 10 0 1 1 0 4 Ohio 28 4 10 108 1 15 12 15 20 Oklahoma 3 3 4 40 0 11 2 8 13 Oregon 10 0 4 27 0 6 2 2 4 Pacific Basin 1 2 0 2 2 0 0 1 5 Pennsylvania 12 5 4 51 0 5 6 7 18 Puerto Rico 5 0 3 22 1 0 6 1 5 Rhode Island 3 1 1 14 0 0 0 0 6 South Carolina 21 2 2 35 2 4 3 1 4 South Dakota 4 2 3 6 0 2 0 0 0 Tennessee 15 5 5 63 2 14 5 10 10 Texas 77 15 21 233 10 37 14 16 43 Utah 9 5 2 21 0 3 3 2 3 Vermont 0 0 0 7 0 2 1 4 3 Virgin Islands 0 0 0 6 0 0 0 0 2 Virginia 14 3 8 38 0 4 5 2 8 Washington 15 5 4 71 4 6 4 16 15 West Virginia 3 3 1 28 0 3 10 4 22 Wisconsin 14 5 2 30 0 7 5 7 12 Wyoming 3 1 2 12 0 2 0 2 1 Total 774 228 265 2316 83 333 231 277 645

State Asphyxia Encephalitas Meningitis PRIMARY IDENTIFED ETIOLOGY Postnatal Non-Congenital Complications Severe Head Injury Other Postnatal Non-Congenital Complications of Complications Prematurity No Determination of Etiology Alabama 0 0 6 1 11 17 55 Alaska 0 0 0 1 3 3 1 Arizona 1 0 3 2 12 15 41 Arkansas 4 0 2 3 12 5 6 California 24 5 21 22 54 96 289 Colorado 6 0 1 0 17 6 13 Connecticut 2 0 3 1 2 7 6 Delaware 3 6 4 4 8 6 10 District of Columbia 0 0 1 1 1 3 0 Florida 3 1 0 1 33 61 98 Georgia 3 0 4 7 17 71 40 Hawaii 2 1 3 2 6 8 9 Idaho 0 0 1 2 3 11 11 Illinois 9 3 19 15 23 49 52 Indiana 2 0 8 3 16 34 25 Iowa 2 0 3 1 3 6 10 Kansas 2 2 3 3 9 16 21 Kentucky 8 7 7 4 13 25 32 Louisiana 1 2 1 1 3 15 20 Maine 1 0 0 0 4 3 3 Maryland 2 1 2 3 9 27 33 Massachusetts 7 0 3 3 13 21 34 Michigan 6 4 3 9 16 48 117 Minnesota 9 2 6 3 7 31 33 Mississippi 2 0 1 1 5 14 3 Missouri 4 4 6 3 9 18 22 Montana 0 0 0 1 2 4 6 Nebraska 2 1 4 4 2 14 15 Nevada 3 1 2 7 9 8 11 New Hampshire 3 0 1 0 2 8 7 New Jersey 6 4 2 6 11 19 40 New Mexico 5 0 0 4 7 12 9 New York 13 7 9 6 20 41 158 North Carolina 8 3 3 7 16 49 49 North Dakota 1 2 1 0 1 3 5 Ohio 12 4 7 8 22 40 58 Oklahoma 10 1 7 5 11 25 21 Oregon 2 0 0 1 3 5 2 Pacific Basin 0 0 3 2 3 0 32 Pennsylvania 5 2 4 2 24 19 78 Puerto Rico 0 2 2 7 3 11 9 Rhode Island 7 0 0 0 2 10 2 South Carolina 0 0 5 1 8 14 17 South Dakota 1 0 0 1 1 3 6 Tennessee 9 0 8 8 24 36 36 Texas 13 3 13 6 48 107 70 Utah 7 3 2 1 11 15 25 Vermont 1 0 0 0 1 5 5 Virgin Islands 0 0 1 0 1 4 17 Virginia 8 3 4 3 17 13 27 Washington 7 2 3 5 15 17 20 West Virginia 3 0 3 2 11 15 7 Wisconsin 7 2 6 8 3 12 20 Wyoming 2 0 1 1 4 4 2 Total 238 78 202 192 591 1129 1738

Orthopedic Physical Impairments OTHER (ADDITIONAL) DISABILITIES Cognitive Impairments Behavioral Disorders Complex Health Care Needs Speech Language Impairments Total with 1or Other more Additional Impairments Disabilities Alabama 69 100 40 48 64 18 129 Alaska 16 18 1 13 20 2 22 Arizona 90 95 8 63 141 51 161 Arkansas 77 88 12 67 83 29 93 California 357 587 173 461 465 295 784 Colorado 87 62 4 68 72 11 104 Connecticut 40 44 6 32 55 9 58 District of Columbia 61 59 8 45 64 0 66 Delaware 7 7 2 3 1 0 9 Florida 195 253 49 176 259 140 322 Georgia 204 219 20 162 245 151 272 Hawaii 46 54 7 46 33 4 60 Idaho 48 53 7 41 57 10 57 Illinois 298 291 13 166 279 27 390 Indiana 122 137 12 94 119 65 184 Iowa 42 48 7 46 54 1 65 Kansas 84 91 11 68 95 35 109 Kentucky 123 142 7 96 172 4 173 Louisiana 72 76 4 56 58 18 88 Maine 14 15 4 16 23 6 29 Maryland 88 105 14 76 83 19 127 Massachusetts 130 125 24 124 176 70 199 Michigan 232 267 47 191 282 50 310 Minnesota 178 185 60 162 188 52 256 Mississippi 33 28 8 28 19 15 40 Missouri 112 121 10 97 150 8 169 Montana 26 25 10 23 34 2 40 Nebraska 66 70 6 59 93 33 99 Nevada 89 86 19 83 105 12 115 New Hampshire 44 45 9 35 55 19 58 New Jersey 143 171 48 110 231 32 248 New Mexico 69 73 13 48 72 26 96 New York 242 266 36 111 50 218 373 North Carolina 198 248 49 151 247 49 280 North Dakota 18 23 2 25 34 5 35 Ohio 286 297 54 260 275 59 344 Oklahoma 110 139 22 67 163 7 164 Oregon 49 46 1 28 53 11 65 Pacific Basin 29 39 9 26 41 8 47 Pennsylvania 136 153 38 128 167 33 191 Puerto Rico 47 61 3 50 73 29 74 Rhode Island 37 40 3 26 45 2 45 South Carolina 75 88 6 64 92 22 108 South Dakota 14 15 1 13 27 2 27 Tennessee 157 163 13 120 211 57 234 Texas 477 502 31 389 612 82 690 Utah 79 107 8 72 109 0 110 Vermont 27 24 6 19 28 10 28 Virgin Islands 0 0 4 8 0 5 13 Virginia 57 72 3 55 73 17 87 Washington 167 182 14 142 196 114 206 West Virginia 77 85 26 57 103 41 109 Wisconsin 102 118 10 90 98 19 134 Wyoming 29 28 6 26 32 7 35 Total 5675 6436 1008 4730 6576 2011 8331

IDEA Part C Reported Category At-Risk Developmentally delayed Not Reported under Part C Unknown/ Missing Total Alabama 0 6 0 0 6 Alaska 0 2 0 0 2 Arizona 8 7 1 0 16 Arkansas 3 4 0 0 7 California 4 51 1 11 67 Colorado 0 16 0 0 16 Connecticut 0 3 0 0 3 Delaware 0 3 0 0 3 District of Columbia 0 1 0 0 1 Florida 0 35 0 3 38 Georgia 9 21 0 0 30 Hawaii 0 9 0 0 9 Idaho 0 3 0 0 3 Illinois 7 24 0 0 31 Indiana 0 12 0 0 12 Iowa 1 3 0 0 4 Kansas 0 12 0 0 12 Kentucky 0 3 0 0 3 Louisiana 0 1 0 0 1 Maine 1 2 0 0 3 Maryland 1 0 0 0 1 Massachusetts 8 9 0 0 17 Michigan 3 12 0 0 15 Minnesota 5 5 0 0 10 Mississippi 0 5 0 0 5 Missouri 2 8 0 0 10 Montana 0 2 0 0 2 Nebraska 0 5 0 0 5 Nevada 0 33 0 0 33 New Hampshire 2 2 0 0 4 New Jersey 1 11 0 0 12 New Mexico 0 8 0 0 8 New York 1 2 0 5 8 North Carolina 0 6 0 0 6 North Dakota 1 5 0 0 6 Ohio 4 4 0 0 8 Oklahoma 0 3 0 0 3 Oregon 0 3 0 0 3 Pacific Basin 0 3 0 0 3 Pennsylvania 0 18 0 0 18 Puerto Rico 0 1 0 0 1 Rhode Island 0 0 0 0 0 South Carolina 5 12 0 0 17 South Dakota 0 0 0 0 0 Tennessee 2 25 0 0 27 Texas 0 65 1 0 66 Utah 0 1 0 0 1 Vermont 0 1 0 0 1 Virgin Islands 0 0 0 7 7 Virginia 0 7 0 0 7 Washington 3 6 0 0 9 West Virginia 1 7 1 0 9 Wisconsin 1 4 0 0 5 Wyoming 0 4 0 0 4 Total 73 495 4 26 598

Mental Retardation Hearing Impairment Speech Language Impairment IDEA Part B Reported Category Visual Impairment Emotional Disturbance Orthopedic Impairment Other health Impairment Specific Learning Disability Deaf- Blindness Alabama 2 8 1 6 0 8 1 10 41 Alaska 0 1 0 2 1 0 1 0 5 Arizona 0 14 1 13 0 0 0 0 0 Arkansas 0 3 0 0 0 0 1 0 7 California 30 179 1 77 1 55 9 1 133 Colorado 0 5 0 4 1 2 0 0 44 Connecticut 0 1 1 1 0 0 0 0 19 Delaware 0 0 0 0 0 0 0 0 73 District of Columbia 0 0 0 0 0 0 0 0 0 Florida 1 0 0 0 0 0 0 0 0 Georgia 75 15 1 24 0 1 13 1 30 Hawaii 0 2 0 2 0 0 1 0 9 Idaho 2 1 0 0 0 0 1 0 7 Illinois 74 56 2 19 0 5 34 2 28 Indiana 4 19 2 14 0 3 0 0 25 Iowa 3 1 0 1 0 0 0 0 1 Kansas 7 18 0 2 0 0 5 0 22 Kentucky 0 11 0 2 0 0 2 0 29 Louisiana 14 7 0 3 0 1 1 0 12 Maine 0 4 1 0 1 0 3 0 2 Maryland 3 12 0 7 0 0 7 0 21 Massachusetts 1 7 2 4 0 0 0 0 118 Michigan 15 52 0 9 0 3 6 0 12 Minnesota 25 25 1 11 1 1 16 0 79 Mississippi 0 4 1 2 0 0 1 0 15 Missouri 7 4 1 16 0 0 9 0 21 Montana 2 9 0 1 0 1 3 1 4 Nebraska 5 5 1 2 1 0 19 0 13 Nevada 4 3 0 0 0 0 2 2 6 New Hampshire 3 4 0 1 0 3 4 0 15 New Jersey 1 13 1 6 0 0 0 0 14 New Mexico 1 5 0 6 0 0 4 1 14 New York 16 37 4 9 0 16 146 2 15 North Carolina 32 12 0 18 0 3 10 1 35 North Dakota 5 7 1 3 0 2 7 0 2 Ohio 16 21 0 15 0 1 6 0 41 Oklahoma 2 8 0 6 0 0 3 0 19 Oregon 11 9 0 12 0 8 8 0 9 Pacific Basin 0 2 0 3 0 0 0 0 13 Pennsylvania 13 48 1 36 0 0 3 2 65 Puerto Rico 0 1 0 5 0 0 4 0 40 Rhode Island 0 5 0 0 0 0 0 0 4 South Carolina 23 23 0 12 0 1 3 0 2 South Dakota 0 3 2 3 0 0 0 0 1 Tennessee 13 13 0 12 0 1 15 2 8 Texas 73 98 3 81 1 11 114 0 235 Utah 2 5 0 0 0 0 3 1 26 Vermont 1 2 0 2 0 1 2 0 5 Virgin Islands 0 0 0 0 0 0 0 0 0 Virginia 10 11 0 7 0 1 8 1 20 Washington 1 4 1 2 0 0 18 0 35 West Virginia 23 7 2 16 0 3 2 0 20 Wisconsin 35 17 2 6 0 2 13 0 12 Wyoming 1 8 0 0 0 0 5 0 0 Total 556 829 33 483 7 133 513 27 1426

Multiple Disabilities IDEA Part B Reported Category - Continued Traumatic Brain Injury Developmentally Delayed (optional age 3-9) Non- Categorical Unknown/ Not reported under Part B Autism Total Alabama 60 0 0 0 1 4 142 Alaska 8 0 1 2 0 0 21 Arizona 144 2 0 0 0 1 175 Arkansas 65 0 3 3 0 5 87 California 102 4 3 13 0 307 915 Colorado 44 0 0 0 0 8 108 Connecticut 28 1 0 8 0 0 59 Delaware 0 0 0 0 0 2 75 District of Columbia 0 0 0 0 0 10 10 Florida 235 0 0 0 117 4 357 Georgia 2 3 1 96 0 6 268 Hawaii 37 1 0 2 0 1 55 Idaho 25 1 1 16 0 0 54 Illinois 124 2 3 27 0 11 387 Indiana 97 3 1 4 0 16 188 Iowa 0 0 0 0 58 1 65 Kansas 37 1 2 4 0 4 102 Kentucky 102 2 0 10 0 21 179 Louisiana 49 0 1 3 0 1 92 Maine 15 0 0 2 0 0 28 Maryland 62 1 0 2 0 23 138 Massachusetts 58 0 0 23 0 4 217 Michigan 217 6 0 0 1 8 329 Minnesota 81 1 2 35 0 0 278 Mississippi 17 0 0 0 0 3 43 Missouri 80 0 2 13 0 6 159 Montana 5 0 0 9 1 3 39 Nebraska 44 0 4 5 0 0 99 Nevada 55 0 3 6 0 3 84 New Hampshire 20 0 1 11 0 1 63 New Jersey 198 0 1 5 0 0 239 New Mexico 43 1 1 7 0 11 94 New York 136 14 9 10 6 50 470 North Carolina 157 4 1 18 0 3 294 North Dakota 0 1 0 0 1 1 30 Ohio 195 2 5 6 1 47 356 Oklahoma 88 3 1 30 0 1 161 Oregon 3 0 0 3 0 2 65 Pacific Basin 23 0 0 0 0 9 50 Pennsylvania 44 2 0 2 0 8 224 Puerto Rico 25 0 0 0 1 0 76 Rhode Island 37 0 0 0 0 0 46 South Carolina 24 1 0 10 0 3 102 South Dakota 18 0 1 0 0 1 29 Tennessee 95 1 2 16 3 42 223 Texas 29 4 3 0 5 3 660 Utah 67 1 1 5 0 0 111 Vermont 9 1 1 4 0 0 28 Virgin Islands 0 0 0 0 0 24 24 Virginia 74 1 0 8 1 8 150 Washington 112 0 3 23 0 1 200 West Virginia 17 1 1 8 0 6 106 Wisconsin 39 0 4 5 0 0 135 Wyoming 16 0 1 2 0 0 33 Total 3262 65 63 456 196 673 8722

Early Intervention Setting - Birth through 2 years old Home Communitybased setting Other setting Unknown/ Missing Total Alabama 6 0 0 0 6 Alaska 2 0 0 0 2 Arizona 16 0 0 0 16 Arkansas 1 6 0 0 7 California 51 3 1 12 67 Colorado 16 0 0 0 16 Connecticut 3 0 0 0 3 Delaware 3 0 0 0 3 District of Columbia 1 0 0 0 1 Florida 28 3 2 5 38 Georgia 29 1 0 0 30 Hawaii 9 0 0 0 9 Idaho 3 0 0 0 3 Illinois 30 0 0 1 31 Indiana 10 2 0 0 12 Iowa 4 0 0 0 4 Kansas 11 1 0 0 12 Kentucky 3 0 0 0 3 Louisiana 1 0 0 0 1 Maine 3 0 0 0 3 Maryland 1 0 0 0 1 Massachusetts 13 3 1 0 17 Michigan 15 0 0 0 15 Minnesota 10 0 0 0 10 Mississippi 4 0 1 0 5 Missouri 10 0 0 0 10 Montana 2 0 0 0 2 Nebraska 5 0 0 0 5 Nevada 31 0 1 1 33 New Hampshire 4 0 0 0 4 New Jersey 5 4 3 0 12 New Mexico 6 2 0 0 8 New York 4 0 1 3 8 North Carolina 5 0 1 0 6 North Dakota 5 1 0 0 6 Ohio 6 2 0 0 8 Oklahoma 3 0 0 0 3 Oregon 3 0 0 0 3 Pacific Basin 2 0 1 0 3 Pennsylvania 18 0 0 0 18 Puerto Rico 1 0 0 0 1 Rhode Island 0 0 0 0 0 South Carolina 16 1 0 0 17 South Dakota 0 0 0 0 0 Tennessee 25 2 0 0 27 Texas 62 3 1 0 66 Utah 1 0 0 0 1 Vermont 1 0 0 0 1 Virgin Islands 0 0 0 7 7 Virginia 6 0 1 0 7 Washington 7 2 0 0 9 West Virginia 9 0 0 0 9 Wisconsin 5 0 0 0 5 Wyoming 3 1 0 0 4 Total 518 37 14 29 598

Regular EC setting 80% of time Regular EC setting 40-79% of time Regular EC setting < 40% of time Educational Setting ECSE (3-5) Settings Separate Class Separate School Residential facility Service provider location Unknown/ Missing Home Total Alabama 1 0 14 0 0 0 0 0 0 15 Alaska 0 0 1 0 0 0 0 2 0 3 Arizona 0 0 31 0 7 0 0 0 0 38 Arkansas 2 0 1 1 6 1 0 0 0 11 California 15 3 1 33 13 3 0 18 86 172 Colorado 14 0 3 1 4 0 0 1 1 24 Connecticut 2 0 1 0 2 0 0 2 0 7 Delaware 1 0 0 0 5 0 0 1 12 19 District of Columbia 0 0 0 0 0 0 0 0 0 0 Florida 9 2 9 4 4 0 0 22 11 61 Georgia 6 1 3 22 3 0 0 10 15 60 Hawaii 1 0 1 4 1 0 0 3 0 10 Idaho 0 1 5 4 1 0 3 2 0 16 Illinois 7 2 17 4 7 0 0 7 0 44 Indiana 1 3 0 6 0 0 0 2 7 19 Iowa 1 0 0 4 1 0 0 0 1 7 Kansas 10 0 4 0 1 0 0 1 0 16 Kentucky 17 1 0 1 5 1 0 1 0 26 Louisiana 1 0 0 1 0 2 0 3 0 7 Maine 0 0 0 0 0 0 0 1 0 1 Maryland 2 0 0 4 4 0 0 4 1 15 Massachusetts 5 1 3 1 10 0 0 14 3 37 Michigan 3 3 0 5 21 0 0 2 0 34 Minnesota 5 15 0 9 6 0 0 6 0 41 Mississippi 0 0 2 0 0 0 0 2 0 4 Missouri 3 5 4 6 6 0 0 3 0 27 Montana 0 3 0 0 0 0 0 5 0 8 Nebraska 6 4 0 0 0 0 1 0 0 11 Nevada 0 2 3 5 4 0 0 9 2 25 New Hampshire 0 0 0 0 1 0 0 9 0 10 New Jersey 3 1 2 1 5 0 0 1 2 15 New Mexico 2 1 0 1 9 0 0 1 6 20 New York 1 0 2 0 5 0 0 2 19 29 North Carolina 10 2 1 13 13 3 1 3 0 46 North Dakota 2 0 1 1 0 1 0 2 0 7 Ohio 1 0 1 4 2 0 0 7 16 31 Oklahoma 1 2 9 2 2 0 0 2 0 18 Oregon 1 0 1 6 0 0 0 1 1 10 Pacific Basin 1 0 0 0 0 0 1 0 2 4 Pennsylvania 5 0 3 2 12 0 1 1 1 25 Puerto Rico 1 0 2 0 2 0 3 0 0 8 Rhode Island 0 0 1 2 4 0 0 0 0 7 South Carolina 1 0 4 5 2 0 0 7 0 19 South Dakota 1 0 1 1 1 0 0 0 0 4 Tennessee 3 1 4 7 1 0 3 4 6 29 Texas 35 13 19 24 1 1 2 18 2 115 Utah 1 0 2 9 6 0 0 0 0 18 Vermont 3 0 0 0 0 0 0 0 0 3 Virgin Islands 0 0 0 0 0 0 0 2 0 2 Virginia 3 0 6 3 1 1 1 2 1 18 Washington 4 1 6 9 5 0 0 4 1 30 West Virginia 5 1 5 0 0 3 1 6 0 21 Wisconsin 3 2 6 4 1 0 0 2 0 18 Wyoming 2 1 2 0 0 0 1 0 0 6 Total 201 71 181 209 184 16 18 195 196 1271

Regular class > 80% Regular Class 40-79% Regular class < 40% Educational Setting School aged (6-21) Settings Separate school Residential facility Homebound Hospital Parentally placed private school Unknown / Missing Total Alabama 13 0 100 0 6 4 1 3 127 Alaska 3 1 10 2 0 0 1 1 18 Arizona 20 13 73 26 0 3 0 2 137 Arkansas 3 1 39 8 13 11 0 1 76 California 97 36 302 157 16 27 17 91 743 Colorado 15 9 31 23 3 1 0 2 84 Connecticut 6 4 25 11 4 1 1 0 52 Delaware 1 0 0 4 0 0 0 51 56 District of Columbia 0 0 0 0 0 0 0 10 10 Florida 42 9 135 69 2 16 5 18 296 Georgia 30 10 126 27 1 10 4 0 208 Hawaii 2 3 24 5 1 1 0 9 45 Idaho 0 2 26 3 1 4 2 0 38 Illinois 30 17 160 77 29 21 7 2 343 Indiana 21 17 77 14 14 12 14 0 169 Iowa 7 11 28 10 1 1 0 0 58 Kansas 7 6 47 7 13 5 1 0 86 Kentucky 21 27 58 8 12 16 11 0 153 Louisiana 5 5 41 8 6 12 1 7 85 Maine 7 8 0 4 3 3 1 1 27 Maryland 17 3 8 45 4 5 7 34 123 Massachusetts 29 12 35 73 6 8 13 4 180 Michigan 30 21 45 146 40 11 2 0 295 Minnesota 54 50 86 16 16 13 2 0 237 Mississippi 0 0 28 2 1 7 1 0 39 Missouri 17 18 20 58 1 6 2 10 132 Montana 5 8 10 3 2 0 2 1 31 Nebraska 13 23 31 11 5 3 2 0 88 Nevada 7 3 23 17 0 8 0 1 59 New Hampshire 8 6 15 8 4 4 8 0 53 New Jersey 22 32 17 143 2 6 2 0 224 New Mexico 8 4 12 13 2 10 3 22 74 New York 39 3 206 32 29 1 102 29 441 North Carolina 18 16 81 52 69 11 1 0 248 North Dakota 3 1 7 1 9 2 0 0 23 Ohio 28 12 69 138 11 18 6 43 325 Oklahoma 8 25 100 0 3 7 0 0 143 Oregon 10 8 30 1 1 2 3 0 55 Pacific Basin 4 5 18 1 0 5 5 8 46 Pennsylvania 60 21 27 70 10 3 2 6 199 Puerto Rico 7 3 23 15 0 19 1 0 68 Rhode Island 3 3 14 15 0 4 0 0 39 South Carolina 8 3 39 9 18 6 0 0 83 South Dakota 4 1 6 3 3 4 2 2 25 Tennessee 31 11 58 28 10 17 2 37 194 Texas 80 60 306 22 37 37 3 0 545 Utah 2 10 30 49 0 2 0 0 93 Vermont 6 6 9 0 1 3 0 0 25 Virgin Islands 0 0 14 2 0 1 4 1 22 Virginia 13 5 61 9 21 4 4 15 132 Washington 16 18 114 10 3 7 2 0 170 West Virginia 7 12 32 0 25 9 0 0 85 Wisconsin 13 9 76 6 7 3 3 0 117 Wyoming 6 2 16 0 2 1 0 0 27 Total 906 593 2968 1461 467 395 250 411 7451

Regular gradelevel state assessment Regular with accommodations Participation in Statewide Assessment Alternative Alternative assessments - assessment - regular grade level alternative standards standards Modified standards Not required at age grade level Unknown/ Missing Total Alabama 16 51 29 31 0 21 0 148 Alaska 0 4 0 5 2 12 0 23 Arizona 19 2 0 87 2 76 5 191 Arkansas 0 5 41 9 0 38 1 94 California 19 64 21 423 39 358 58 982 Colorado 3 9 40 0 0 72 0 124 Connecticut 1 6 4 14 15 22 0 62 Delaware 5 1 28 2 0 37 5 78 District of Columbia 0 0 3 1 0 1 6 11 Florida 10 48 5 98 48 146 40 395 Georgia 7 44 112 23 0 112 0 298 Hawaii 0 2 1 16 2 28 15 64 Idaho 0 0 1 12 15 29 0 57 Illinois 6 46 14 115 17 220 0 418 Indiana 4 25 47 90 3 31 0 200 Iowa 0 12 0 37 0 20 0 69 Kansas 1 8 14 48 3 38 2 114 Kentucky 1 22 21 1 0 137 0 182 Louisiana 0 10 28 24 0 27 4 93 Maine 2 3 3 9 1 13 0 31 Maryland 3 18 6 43 1 47 21 139 Massachusetts 1 27 42 56 11 89 8 234 Michigan 13 25 148 18 5 135 0 344 Minnesota 6 57 11 64 63 87 0 288 Mississippi 0 2 1 16 0 15 14 48 Missouri 1 22 32 33 0 75 6 169 Montana 1 6 10 7 0 14 3 41 Nebraska 1 9 62 0 0 32 0 104 Nevada 0 12 0 36 0 69 0 117 New Hampshire 1 7 2 29 1 26 1 67 New Jersey 3 28 31 37 107 45 0 251 New Mexico 0 10 6 12 1 43 30 102 New York 1 3 1 8 1 49 415 478 North Carolina 0 18 41 119 30 92 0 300 North Dakota 1 1 3 14 0 17 0 36 Ohio 5 39 40 171 9 73 27 364 Oklahoma 0 1 124 0 0 39 0 164 Oregon 2 12 0 18 7 28 1 68 Pacific Basin 0 2 17 11 1 14 8 53 Pennsylvania 7 62 5 42 44 76 6 242 Puerto Rico 0 7 18 12 3 37 0 77 Rhode Island 0 1 0 28 0 15 2 46 South Carolina 3 14 10 28 0 63 1 119 South Dakota 2 7 0 9 0 10 1 29 Tennessee 1 31 5 49 7 123 34 250 Texas 19 26 263 0 63 355 0 726 Utah 0 6 2 80 1 23 0 112 Vermont 0 0 1 4 0 24 0 29 Virgin Islands 0 0 0 0 0 0 31 31 Virginia 6 11 5 65 2 48 20 157 Washington 2 24 23 67 9 83 1 209 West Virginia 0 14 13 35 0 53 0 115 Wisconsin 4 6 7 102 3 18 0 140 Wyoming 3 5 1 14 4 10 0 37 Total 180 875 1342 2272 520 3365 766 9320