Max M. v. ThompsonMax M. v. Thompson
ORDER
This оrder concerns the parties’ cross-motions for summary judgment pursuant to
I. BACKGROUND
The plaintiffs’ initial complaint stated claims which, although based on various federal and state statutory and constitutional provisions, were primarily derived from the Education for All Handicapped Children Act (EAHCA).
1
The plaintiffs are Max M., a handicapped child within the meaning of the EAHCA, 2 and his parents. The parties named as defendants in the original complaint were designated as the “State Defendants,” the “Intermediate Defendants,” and the “Local Defendants.” The State Defendants included: (1) James R. Thompson, Governor of Illinois; (2) the Illinois State Board of Education (ISBE); (3) Donald Gill, the Illinois Superintendent of Education; and (4) Edward Copeland, the Chairperson of the Illinois State Board of Education. The Local Defendants were: (1) New Trier High School District # 203 (District # 203); (2) the New Trier District # 203 Board of Education; (3) Ronald Bickert, Superintendent of Schools in District # 203, and (4) James Walter, Director of Special Education for District # 203. The final group of defendants, the Intermediate Defendants, included: (1) the North Suburban Special Education District (NSSED); and (2) Stanley Bristol, Superintendent of the NSSED.
The relevant facts taken from the complaint and exhibits thereto have been set forth in this Court’s published order of July 1, 1983,
Max M. v. Thompson,
On May 15, 1981, District 203 notified Mr. and Mrs. M. of its decision to issue Max a high school diploma. Under the EAHCA, a handicapped child in Illinois becomes ineligible for continued benefits upon graduation. On May 21, 1981, Mr. and Mrs. M. requested a due process hearing, alleging violations of Max’ right to a free appropriate public education. Subsequently, District 203 issued Max a diploma. On October 13, 1981, a state appointed hearing officer conducted a hearing, and ordered the diploma revoked, with services to continue based upon a new IEP. District 203 appealed the ruling to the Illinois State Board of Education, which, on February 19, 1982, reversed the decision of the hearing officer. Plaintiffs’ complaint challenged this ruling on several grounds. This Court dismissed all claims against all defendants except for plaintiffs’ claim against the Local Defendants under
In light of intervening Seventh Circuit precedent, the plaintiffs motioned for reconsideration of two of the previously dismissed claims. Basing their motion on the recent decision in
Timms v. Metropolitan School District of Wabash County, Ind.,
On April 4, 1984, this Court ordered that the plaintiffs’ claim for compensаtory remedial educational services under EAHCA be reinstated against the State, Local and Intermediate Defendants.
Max M. v. Thompson,
II. THE ISSUES
Three basic issues are raised in the parties’ cross-motions for summary judgment: Whether psychiatric services are required to be provided as a related service under
The state act’s language, while not duplicating the language of the EAHCA verbatim, parallels the EAHCA in substance. As with the EAHCA, the state act’s concern appears to be ensuring proper educational placement for handicapped children. Absent a persuasive argument to the contrary, it must be assumed that § 14 of the Illinois School Code, a mere creature of the EAHCA, is a reflection of the EAHCA on the state level. As such, it can confer no more rights than can the EAHCA itself. Since damages are allowed only in limited form under the EAHCA, this Court does not believe that expanded monetary relief is provided by § 14 of the Illinois School Code. Max M. I,566 F.Supp. at 1338 .
In their present argument, the plaintiffs cite various sections of the Rules and Regulations to Govern the Administration and Operation of Special Education, Ill.Admin. Reg.Vol. 3, Issue 5 (Feb. 2, 1979) in an attempt to establish that psychiatric services are required under state regulations if not under the EAHCA. Specifically, plaintiffs contend that provisions found in State Rule 5.10(3) and 5.01(6)(a) mandate the availability of psychiatric services for handicapped children in Illinois. Yet, this Court is of the opinion that the state regulations enacted pursuant to the EAHCA do not confer greatеr rights to therapeutic services than those mandated directly by the EAHCA. Nothing in the state regulations unequivocally provides for psychiatric therapy. As no greater rights to psychiatric therapy are conferred by the state regulations, this Court dismisses the plaintiffs’ arguments for independent summary judgment under the state regulations as duplicative.
Defendants, on the other hand, argue that the 1980 revisions of the state regulations expressly disavow a school district’s responsibility to provide the therapeutic services Max privately received.
See,
Emergency Rules and Regulations to Govern the Administration and Operation of Special Education, Ill.Admin.Reg.Vol. 4, Issue 39 (Sept. 26, 1980). However, state laws, regulations, or procedures cannot conflict with the provisions of the EAHCA.
Monahan v. Nebraska,
A. The Psychiatric Services Issue
A motion for summary judgment may only be granted when a moving party establishes that there is no genuine issue of material fact and that the moving party is entitled to judgment as a matter of law.
*1442
The plaintiffs argue that the psychotherapy Max received is mandated by
The plaintiffs, attempting to support their contention that psychiatric psychotherapy is a related service, point to a number of decisions which have addressed the scope of psychological and counseling services required in
In
Papacoda v. State of Connecticut,
Defendants take the position that any service rendered by a psychiatrist is a medical service under
The defendants cite two district court decisions to support their position that psychiatric psychotherapy is not a related service under the EAHCA. In
McKenzie v. Jefferson,
Defendants also cite the recent decision of
Darlene L. v. Illinois State Board of Education,
This Court agrees that the EAH-CA’s related serviсes provision was not intended by Congress to be expansively interpreted so as to “impose upon the states a burden of unspecified proportions and weight.”
Board of Education v. Rowley,
In defining the scoрe of related services, Congress attempted to set limitations beyond which services possibly related to the education of a handicapped child would not be provided at the public’s expense. Health care services appear to be one of the areas limited by Congress. Specifically, health care services characterized as medical services are excluded under the statute except for diagnostic or evaluative purposes. 20 U.S.C. 1401(17) (1976). Medical services are defined as services provided by a licensed physician.
*1444
Apparently, a distinction lies in who is to perform the related services: a licensed physician or a nonphysician, such as a school nurse.
See McKenzie v. Jefferson,
Clearly, most health care services from bandaging a finger to conducting physical therapy could be provided by both a physician or nonphysiсian. The simple fact that a service could be or actually is rendered by a physician rather than a non-physician does not dictate its removal from the list of required services under EAHCA. The mere accident that a physician happened to perform the service should not make any difference with respect to the mandatory nature of the service itself.
A school district is only required to provide the minimum level of health care personnel recognized as legally and professionally competent to perform a related service.
The defendants, however, read
In the context of our case, it is clear that the EAHCA requires psychological services which include counseling and testing.
This Court agrees that services that can only be provided by a psychiatrist are properly classified as medical services under
The approach taken by this Court will require the plaintiffs to present proof of their expenditures for Max’ psychotherapy and the defendants to provide estimates of the cost of having qualified school personnel render such psychotherapy. Although this approach may be more cumbersome than those advocated by the parties, this approach is no more time consuming than the computation of damages in many cases. Most importantly, however, the approach taken today seems mandated by the EAH-CA because it properly limits expenditures for medical treatments but insures the provision of required services for the handicapped.
B. The Procedural Violations Issue
State and local educational agencies are required by
Local educational agencies under
Plaintiffs contend, first, that the defendants failed to comply with the aforementioned procedures, and second, that these failures were so egregious as to amount to bad faith on the part of the defendants. The plaintiffs point specifically to the defendants’ failure to inform Mr. and Mrs. M. of their procedural rights and failure in not allowing parental participation in planning conferences concerning Max. Based on the affidavits, exhibits and relevant portions of the administrative record that the parties have brought to the Court’s attention, the plaintiffs must prevail on this issue.
In January of Max’ freshman year his poor grades alerted school officials to a potential problem. Representatives of defendant District 203 met with Mr. and Mrs. M., suggested outside therapy, and raised the possibility of special education courses as a short-term measure. The parties also arranged for Max to undergo a psychological evaluation by the school psychologist in February. The evaluation characterized Max as an unusually “anxiety-ridden teenager,” and unequivocally recommended long-term intensive psychotherapy.
As early as January and February, 1978, during Max’ freshman year, representatives of District 203 failed to comply with the procedural regulations of the EAHCA. The evaluation by the school psychologist was cleаrly the initiation of “identification” or “evaluation” of Max under
In Max’ sophomore year in November, 1978, on “upperclass parents’ night,” District 203 stated that it shared with the Ms the IEP it had prepared for Max’ sophomore year. However, Mrs. M’s affidavit states that she did not participate in the writing of the 1979-80 IEP. In any case, neither the Ms nor District 203 had produced any written communication immediately prior to, during, or immediately after the meeting, apprising the Ms of their procedural rights. Indeed, from the first identification and evaluation of Max as a student requiring special education, the winter of his freshman year to the end of the summer following his sophomore year, no indication exists that shows that the Ms were ever notified, orally or in writing, of the procedures available to them through which they could have received a hearing to review District 203’s decisions concerning Max. Yet for much of this time, the Ms clearly expressed to District 203 their dissatisfaction with Max’ progress and the school’s program for him. The Ms requested counseling by a particular staff counsel- or in January, 1978, but were told that he was too busy. The parents objected in February, 1978 to Max’ placement in two special education classes. The Ms requested modification of Max’ schedule during his sophomore year and other help to get Max to counseling appointments, but were told this could not be provided. In May, 1979, at a conference held at the end of Max’ sophomore year, Mrs. M expressed dissatisfaction with the program and services provided to Max. A week later, in June, 1979, *1447 Mrs. M. called the school to state that she was very discouraged with the end-of-year conference. She voiced her unhappiness with the school’s recommendation that Max be placed in a separate facility, the Central Campus Learning Center ("CCLC”). The school repeatedly recommended outside psychotherapy, and the Ms repeatedly explained their inability to pay for such services.
Each expression of dissatisfaction voiced by the Ms constituted a point at which, if properly informed, the Ms could have exercised their procedural rights under the EAHCA. In all fairness to the defendants, District 203 did respond to several of the Ms’ requests and objections. Furthermore, District 203 did meet numerous times with the Ms over this period. However, the fact remains that as of July, 1979, District 203 had never provided notice, written or oral, to the Ms of their procedural rights, in clear violation of
In this state of ignorance, Mr. and Mrs. M. engaged Dr. Robert L. Rosenfeld, a psychiatrist, to begin treating Max on a weekly basis. These sessions began on July 6, 1979, during the summer between Max’ sophomore and junior years. The Ms contend, and the defendants’ do not contradict, that the reasoning for engaging Dr. Rоsenfeld was due in large part to the school’s insistent recommendation that Max get psychotherapy for which the Ms would have to bear the cost themselves.
The procedural violations by District 203 continued during Max’ junior and senior years. In early August, 1979, prior to the beginning of Max’ junior year, Max was re-evaluated by the school psychologist in preparation for the 1979-80 IEP. Again, the District sent no written notice of procedural rights. The psychologist’s findings confirmed his observations, made some 20 months earlier, that Max was confused and dysfunctional, and required intensive, long-term psychotherapy. At a staff meeting with the Special Education Committee on August 16, the committee again decided that Max should be placed in the CCLC, and called for a meeting to discuss this conclusion with the Ms. That meeting took place on August 20, 1979, at the office of Dr. Rosenfeld, Max’ new psychiatrist. Present were defеndant James Wolter, Director of Special Education, the Ms, and Dr. Rosenfeld. The parties support their allegations concerning the events of that meeting with excerpts from the “Due Process Administrative Hearing” that was held sometime after Max’ graduation on October 13, 1981. The transcript presents a conflicting picture of what occurred. Dr. Rosenfeld is quoted in the transcript as saying:
I raised the question of whether there was inadequacy [in] this program, and Dr. Wolter’s response was that that could be reviewed at a later date, and that there was always that option of a due process investigation whether there was inadequacy. I would like to add one thing at this point. I think that I can’t speak for them [Mr. and Mrs. M.], but the impression was almost left that this was something that could be initiated by the school. (TR., page 151)
Dr. Wolter’s testimony was not to the contrary, but he added that at that August 20, 1979 meеting, he actually presented the parents with a copy of Art. 10 of the Illinois State Board of Education Rules and Regulations to Govern the Administration and Operation of Special Ed, a list of their due process rights, and a list of advocates that the plaintiffs could obtain at no charge. Plaintiffs, represented by counsel at the time Dr. Wolter testified concerning the earlier meeting, neither contradicted nor questioned his testimony. However, Mrs. M. does now, by affidavit state, “We were never informed of any of our rights under the special ed laws until sometime in our son’s senior year.”
If Dr. Wolter's testimony is to be believed, then it appears that District 203 did finally attempt to comply with some provisions of
An IEP was prepared for Max’ final year, 1980-81, and was discussed with the Ms on a parents’ night in October, 1980. Again, no written notice conforming to
Finally, on May 15, 1981, District 203 wrote the Ms stating that Max was scheduled to be graduated, and that, as a result, he would no longer be eligible for special education or related services. The letter stated, “Sinсe graduation constitutes a change in special education status, you may appeal the decision to graduate____” According to Mrs. M’s affidavit, this was the first time that the Ms had been given notice, written or oral, of their procedural rights. The Ms questioned the efficacy of the District’s decision, given Max’ poor grades, and obtained an independent psychological evaluation of Max during the summer of 1981. Based on the examiner’s recommendation that Max be afforded additional vocational training or advanced educational programming, the Ms requested a due process hearing which was held on October 13, 1983.
That District 203 violated procedural regulations throughout Max’ four years is evident. Though numerous conferences took place both in person and over the telephone, the
written
notice requirements of
*1449 C. The Bad Faith Issue
Based on the determination that procedural violations have occurred under the EAHCA, the question becomes under what circumstances will such violations entitle the plaintiffs, as a matter of law, to receive damages for the cost of Max’ psychotherapy. Although a damage remedy is generally not appropriate under the EAH-CA, certain “exceptional circumstances” have been identified whereby damages, limited to reimbursement, might be available.
Anderson v. Thompson,
The plaintiffs’ initial complaint against the defendants alleged that both
Anderson
exceptions were applicable to their claims for damages. In
Max M. v. Thompson,
Defendants argue that
Teplitz v. Mt. Prospect Elementary School District,
At first glance,
Teplitz
appears to be identical to the situation currently before this Court. Both deal with the failure of a school district to notify plaintiffs of their procedural safeguards under the EAHCA. Viewing the present case in light of what the defendants knew about Max, their cognizance of the Ms’ inability to pay for private counseling, and their awareness of the Ms’ repeated objections and expressions of dissatisfaction over Max’ education, the repeated violations of the plaintiffs’ procedural rights by the defendants clearly outnumber and outweigh those identified in
Teplitz.
Moreover, in
Teplitz,
it appears that at least at some point during the child’s third year of high school, the school district did inform the parents in writing of their right to object to the proposed IEP and seek review.
The issue of whether the procedural violations in failing to notify plaintiffs of their due process rights were in bad faith in this case is not appropriate for summary judgment. From the facts previously set forth, it is clear that a genuine issue of material fact remains.
III. CONCLUSION
The parties’ crоss-motions for summary judgment are denied. Although this Court finds that the psychotherapy received by Max is a related service in the context of
IT IS SO ORDERED.
Notes
. Plaintiffs originally brought claims under the EAHCA,
. The term “handicapped children” in the context of the EAHCA includes “seriously emotionally disturbed children ... or children with specific learning disabilities, who by reason thereof require special education and related services."
. Related services is defined by the EAHCA as meaning, "transportation, and such developmental, corrective, and other supportive services (including speech pathology and audiology, psychological services, physical and occupational therapy, recreation, and medical and counseling services, except that such medical services shall be for diagnostic and evaluation purposes only) as may be required to assist a handicapped child to benefit from special education, and includes the early identification and assessment of handicapping conditions in children.”
.
See
. See 34 C.F.R. 300.13(b)(4) (1983).
. The defendants argue that the exclusion of medical services under EAHCA, with the exception of those needed for evaluative or diagnostic purposes, applies to any services rendered by any licensed physician, including a psychiatrist.
. 34 C.F.R. 300.13(b)(2) (1983) defines "Counseling services” as "services provided by qualified social workers, psychologists, guidance counselors, or other qualified personnel.”
. The defendants in
Darlene L.
included the Illinois State Board of Education, the Governor’s Purchased Case Review Board, the Board of Education of Township High School District 211, the Northwest Suburban Special Education Organization, and “various others.”
Darlene L. v. Illinois State Board of Education,
. The plaintiffs also allege procedural violations under 34 C.F.R. 300.344, .345 (1983), insofar as they were deprived of the opportunity to participate in meetings. Though the foregoing discussion of facts may have revealed some technical violations of the regulations, these violations were only of the letter and not the spirit of § 300.344, .345.
Clearly, District 203 conducted several regular meetings with the Ms in person and over the phone. The Ms were also listened to, at least to some extent by District 203. This was especially true when the school changed its plan to put Max in a special education class during his sophomore year. Thus, if any technical violations existed, they were minimal. Given the regular efforts of District 203 to communicate with the Ms and let the Ms participate, this Court, as a matter of law, cannot find that the alleged violations were in an egregious fashion amounting to bad faith.
Finally, the plaintiffs argue that District 203's failure to provide Max with the proper psychotherapy violated Max’ substantive rights under the EAHCA. This issue, however, is irrelevant to a claim for damages under the EAHCA. The Seventh Circuit decision in
Anderson v. Thompson,