All students who register with the Barnard Office of Disability Services (ODS) are required to provide appropriate and timely disability-related documentation. Students with learning disabilities and/or ADD should refer to the guidelines in “Documentation of a Learning Disability/ADD” available on our website www.barnard.edu/ods. Students with all other disability diagnoses (mobility, visual and hearing impairments; chronic medical conditions; psychiatric disabilities; and substance abuse/recovery) must provide documentation which responds to the seven elements listed below. These guidelines have been modified as developed by the Association on Higher Education and Disability (www.ahead.org).
Notice to clinicians: Please provide a brief narrative report which addresses all seven elements and fax your report to us (212/854-7491) as soon as possible. Please remember that the student will not be formally registered with ODS—nor will she be able to receive any disability-related services and accommodations—until documentation as per these guidelines has been received and approved. Please call Morgan Murray, the Director of Disability Services at (212/854-4634) if you have any questions and thank you in advance for your assistance and consideration.
The best quality documentation is provided by a licensed or otherwise properly credentialed professional who has undergone appropriate and comprehensive training, has relevant experience, and has no personal relationship with the individual being evaluated. An appropriate match between the credentials of the individual making the diagnosis and the condition being reported is expected (e.g., an orthopedic limitation might be documented by a physician, but not a licensed psychologist).
Acceptable documentation includes a clear diagnostic statement (and DSM-IV diagnostic code/s, if appropriate) that describes how the condition was diagnosed, provides information on the functional impact, and details the typical progression or prognosis of the condition. While diagnostic codes from the Diagnostic Statistical Manual of the American Psychiatric Association (DSM) or the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization are helpful in providing this information, a full clinical description will also convey the necessary information.
Quality documentation includes a description of the diagnostic criteria, evaluation methods, procedures, tests and dates of administration, as well as a clinical narrative, observation, and specific results. Where appropriate to the nature of the disability, 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. Methods may include formal instruments, medical examinations, structured interview protocols, performance observations and unstructured interviews. If results from informal, non-standardized or less common methods of evaluation are reported, 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. A combination of the results of formal evaluation procedures, clinical narrative, and the individual’s self report is the most comprehensive approach to fully documenting impact. 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, frequency and pervasiveness of the condition/s. While relatively recent documentation is recommended in most circumstances, common sense and discretion in accepting older documentation of conditions that are permanent or non-varying is recommended. Likewise, 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. In most cases, documentation should be current within the past year; and in some cases, previous documentation may be requested.
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. If the condition is not stable, information on interventions for exacerbations (including the individual’s own strategies) and recommended timelines for re-evaluation are most helpful.
The most comprehensive documentation will include a description of both current and past medications, auxiliary aids, assistive devices, support services, and accommodations, including their effectiveness in ameliorating functional impacts of the disability. A discussion of any significant side effects from current medications or services that may impact physical, perceptual, behavioral or cognitive performance is helpful when included in the report. While accommodations provided in another setting are not binding on the current institution, they may provide insight in making current decisions.
Recommendations from professionals with a history of working with the student 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, a clear explanation of their relationship can be useful in decision-making. While the College has no obligation to provide or adopt recommendations made by outside clinicians or sources, those that are congruent with the programs, services, and benefits offered by the College may be appropriate.
ODS Disability Documentation Guidelines (DDG):
Note to clinicians: Using the seven-item Disability Documentation Guidelines (DDG), please provide current disability documentation for our student/your client or patient. Documentation should be type-written on your letterhead and must be completed in the seven-item format as seen below. Documentation which is not in the format below will neither be accepted nor will the student be eligible for ODS support services. Please fax or email to the attention of Morgan Murray, Director of Disability Services: firstname.lastname@example.org or 212/854-7491 (fax).
The DDG below is in the correct/required format; info may not pertain to your client.
On your letterhead
Disability Documentation for (name of Barnard student and class year)
Date of documentation
1. *****, Associate Director, **** Counseling Center. **** was in my eating disorders group last fall and spring semester. I have also seen her individually on a number of occasions.
2. **** has been diagnosed with depression and an eating disorder by several of our clinicians. Her depression, at its worst, involves self-loathing, suicidal ideation, and extreme interpersonal sensitivity. Her eating disorder, at its worst, involves fasting, bingeing, and purging. All the above symptoms have undermined her functioning at times.
3. **** diagnoses have been arrived at by numerous clinicians at our Center. She has been evaluated individually by psychologists and a psychiatrist, tracked weekly in the eating disorders group, and medically and nutritionally monitored in Health Services.
4. **** symptoms fluctuate in severity, depending partially on stress level. Her depression and eating disorder have made it hard for her to study well at times.
5. **** seems to have developed greater insight into the undermining potential of her disorders, and she is more willing to seek out therapeutic support. However, her disorders are long-standing and remain active.
6. **** has been on Prozac.
7. **** would strongly benefit from having her own kitchen, ideally in a single. Being able to prepare food would facilitate her ability to adhere to her meal plan, which she must do with considerable financial constraints. Living in a single would also help contain her interpersonal sensitivity, which has, at times, destabilized her psychologically.