For parents whose child has special needs, there can be concerns about the ability of child care providers to effectively manage a child’s needs. For Military Families this can be of additional concern with frequent relocation. What are the military-sponsored options for families whose child has disabilities?
According to Floyd and Phillips (2013), Department of Defense (DoD) operates the largest employer-sponsored child care system in the United States. It’s widely considered to be a model program, with rigorous standards regarding facilities, provider training, and accreditation. Services at DoD-run facilities are subsidized, with each branch of service setting fees based on overall DoD policy.
A U.S. General Accounting Office Report (2012) gives an overview of types of DoD-operated childcare and fee assistance for community child care settings:
|Child Development Center||On-installation child care centers certified, inspected, and operated by the DoD and the services.||Provides high-quality full time, part time, and drop-in child care|
|Family Child Care||On- and off-installation care in Licensed Family Child Care.
Providers-usually military spouses-are trained and certified by the services, and the homes are inspected according to DoD and service requirements.
|Provides an alternative to CDC care if CDCs are full or if families’ needs are not met by CDC. Some Family Child Care may offer overnight, emergency, or infant care, for example.|
|School-Age Care||On- or off-base providers, including CDCs, Family Child Care, youth centers, community-based nonprofits, or schools. Providers must be certified or licensed, and inspected, by the DoD or the state.||Provides before-school, after-school, and summer/holiday care.|
|Operation Military Child Care: Child Care Aware of America (external link)
Military Child Care in Your Neighborhood (Army, Navy, Air Force, Marines): Child Care Aware of America (external link)
|Off-installation child care providers licensed and inspected by the state, including child care centers and family child care homes. Military Child Care in Your Neighborhood providers must be accredited to ensure quality comparable to a CDC. In practice, service branches may waive this requirement if no accredited provider is available.||Subsidizes the cost of off-installation care if on-installation facilities are full or there is no installation nearby.
Operation Military Child Care offers fee assistance during deployments or (for Navy) ship duty.
In addition, each branch of service may offer additional programs; parents should find information on their local installation’s website.
Demand for these high-quality services is generally greater than availability and for some CDCs, parents have been advised to apply for openings well before a child is born! Wait lists for on-installation full-time care, and low availability of part-time care are a reality. In addition, many military families live too far away to use on-installation care. To cover these situations, “Operation Military Child”, (external link) and “Military Child Care in Your Neighborhood” (external link) were established to provide subsidies for civilian-provided child care that meet certain standards.
When a child has special needs, parents may have concerns about the ability of child care providers to manage those needs effectively. All branches of service have developed programs to determine appropriate child care placement for children with special medical and/or educational needs. The processes work to provide “reasonable accommodation” but do not guarantee a placement. The placement process only applies to child care and youth programs operated by DoD.
The placement process begins with screening questions relating to medical and educational needs on child care or youth program applications. “Yes” answers to certain conditions, or enrollment in the Exceptional Family Member Program (EFMP) will initiate the placement process. [Note: allergies, asthma, and ADHD are conditions that may not require the placement process.]
Each service uses different designations for their programs but the process is broadly similar across the three services. Each installation has a team to determine placement. Members may consist of the installation EFMP manager, the Child, Youth & School Services Coordinator (CYSS), an appropriate installation medical provider, parents, an installation staff judge advocate (military legal representative), and other members as appropriate. For instance, the parents may choose to have their own medical personnel participate on the team. Sometimes additional CYSS program staff may be brought in. Installation commanders are always members of the core team, although in practice they usually appoint designees.
The titles of each of these positions will vary from service to service, but the important point is the membership of these teams: command, legal, medical, educational and program points of view are all represented. These teams make recommendations to the parents for placement based on the child’s requirements and the programs’ abilities to provide reasonable accommodation.
Recommendations that don’t meet parents’ expectations may be reviewed by a subcommittee of the placement team to ensure that all placement options have been explored. This is not an appeals process: the subcommittee usually consists of members of the original team.
Installation command has the final say on placement for a DoD-operated child care program. It is important to help families understand that funding alone can’t be a justification for not supporting the child in these services.
How Can Parent Centers Assist Military Families Get Appropriate Child Care Placement for their Child with Special Educational/Medical Needs?
- Go to the placement planning meeting with them
- Offer resources on community child care that supports and includes children with special needs
- Help them develop an “About Me” resource to introduce their child to child and youth services providers
- Help families understand that the childcare center is not required to provide a specialized program for their child (if the accommodations the family is requesting would alter the basic program or require additional 1:1 support the centers can deny the child).
- As parents evaluate a child care placement, help them look at future benefits the child will gain from a program, and what skills/behaviors he/she can learn that will help them in school and future childcare and educational settings.
Special Needs Child Care Placement by Branch of Service
Air Force: Inclusion Action Team (IAT). Will usually consist of the installation’s Special Needs Coordinator (an EFMP position), a medical provider assigned to the installation, Child and Youth Program personnel. Parents may attend planning meetings, but are not considered part of the IAT. Parents have the option of bringing additional professionals to an IAT planning meeting, at their own expense.
- Army Special Needs Accommodation Process (SNAP). The SNAP consists of a multi-disciplinary team which assists in determining the safest, least restrictive, and most appropriate placement for children who require specialized child care, school-age services, youth services, or recreational sports and fitness activities. Children who are enrolled in the Exceptional Family Member Program (EFMP) can be referred to SNAP. During the SNAP process, the team: explores child care installation and youth supervision options for children/youth with a medical diagnosis that reflects life threatening conditions, functional limitations, or behavioral/psychological conditions
- determines child care and youth supervision placement considering feasibility of program accommodations and availability of services
- recommends a placement setting that accommodates the child’s individual needs
- develops and implements the Department of Army (DA) Form 7625-3, SNAP Team Care Plan
- conducts annual periodic review of the child/youth individual SNAP Care Plan
- establishes an installation SNAP Review Team consisting of garrison commander or designee, staff judge advocate, installation EFMP manager, and Children and Youth Services (CYS) coordinator
- Coast Guard Special Needs Resource Team (SNRT): Addresses the placement of children with special needs in the CDC/FCC homes taking into consideration developmentally appropriate environment, adult/child ratios, group sizes, and any necessary program adaptations. The team is comprised of the Family Resource Specialist, CDC Director/FCC Provider, Coast Guard Health Care Provider, and parents of the child involved. Families shall be allowed to have a knowledgeable professional accompany them to the team meeting, at their cost. Recommends a placement, which accommodates, to the extent possible, the children’s individual needs, parents’ mission requirements, and parents’ preference for care setting. b. Facilitate the placement of children into the least restrictive environment. c. Consider developmentally and/or physically appropriate environment: adult and child ratios; risk assessment; group sizes; and necessary program adaptations.
- Marine Corps Special Needs Evaluation Review Team (SNERT). The SNERT consists of qualified personnel who make an assessment of the accommodations necessary for a child with special needs to participate in Marine Corps Children, Youth, and Teen Programs (CYTP) and to determine the most appropriate placement for the child. Children who require medical or educational intervention, assistance, or other accommodations are eligible for services. Upon request for services, the SNERT will make an assessment of the accommodations necessary for a child with special needs to participate and determine the most appropriate placement. More information on the SNERT is available in Marine Corps Order P1710.30E, Marine Corps Children, Youth and Teen Programs, (external link) June 24, 2004.
- Navy Special Needs Review Board (SNRB). The SNRB determines the ability of the Navy’s Child and Youth Program (CYP) to reasonably accommodate children with special needs. The SNRB makes an assessment and reports to the responsible commander on the program’s ability to accommodate the child with special needs. More information on the SNRB process is available in OPNAV Instruction 1700.9E, Child and Youth Program (CYP), July 10, 2008.”
- Application forms for on-installation child care and youth programs are usually available on the installation’s website.
- DoD is rolling out an online childcare search tool (MilitaryChildCare.com -external link) that’s currently only available at select installations, but is due to be services-wide sometime in 2016. MilitaryChildCare.com (external link) also recommends child care placement for children with special needs through Inclusion Action Teams, which are similar to SNAP, SNERT, and SNRB and follow protocol appropriate to the parent’s branch of service.
- For off-installation options, parents are usually directed to the installation’s Resource and Referral program. Resource and Referral contact information for each installation is available at MilitaryINSTALLATIONS (external link).
- Child Care Aware of America (external link) is where families can get information and applications for Operation Military Child and Military Child Care in Your Neighborhood.
For a general overview of all DoD programs: http://www.militaryonesource.mil/family-and-relationships/special-needs?content_id=282435 (external link).
U.S. Government Accountability Office. (2012) Military Child Care: DOD Is Taking Actions to
Address Awareness and Availability Barriers. (5) Washington: GAO.
Floyd, L., Phillips, D. (2013). Child Care and Other Support Systems. The Future of Children, 23(2), 79-98. Retrieved from: http://www.princeton.edu/futureofchildren/publications/journals/journal_details/index.xml?journalid=80