A naturalistic inquiry involving early childhood special education teachers' perceptions of integrating children with complex health care needs into the classroom found that teachers' initial reactions were fear and apprehension, but teachers later had positive feelings and adjusted to dealing with life-threatening situations and communicable…

This article discusses the efforts of Virginia school divisions as they prepared for and received students with complex health care needs. Findings from four studies that interviewed early childhood special education teachers and occupational therapies are described. The need for team planning and the development of a Health Services Plan is…

Analysis of a survey of 234 early childhood special education (ECSE) teachers in Virginia found that ECSE staff conducted gastrostomy feedings and/or catheterizations, that nurses provided care for tracheostomies and mechanical ventilation, and that 38% of school systems (mostly urban and suburban) had written policies concerning preschoolers with…