Christiana Care Health System
First State School
At the First State School, day to day intensive individually planned services, educational services, medical and total case management are provided in a setting where children and adolescents can grow socially, emotionally, intellectually, and spiritually.
Criteria for Admission to the First State School
- Chronic illness or acute prolonged illness which requires frequent medical treatments including skilled nursing assessment, physical therapy, occupational therapy, daily treatments, speech therapy, etc. which preclude regular school attendance.
- An ability to learn in, work independently and benefit from a school environment.
- Exclusions would be: Students who are violent, students who have an easily communicable disease which is not treatable and poses a threat to other students.
Goals for the Program:
- To stabilize illness and/or help student and family to become competent in self and supervised care.
- To decrease or eliminate need for daily home care and decrease need for intermittent hospitalization.
- To improve students general self esteem and well being. These are factors which enhance compliance and feeling of control.
- To develop individual treatment goals which enhance the student’s emotional, social, educational, and spiritual well being and functioning.
- To have student keep academically on same level as peers and perform well in school at First State School and on return to home school.
- To guide students toward challenging careers they can perform with physical limitations recognizing that children and adolescents with chronic illness need to have realistic future goals. “To be the best I can be” (school motto).
- To develop a strong transition program for academic and community services that are individually planned with active buy in by the student and family.
Criteria for Program Termination:
- Disease process is stabilized to point that the student no longer needs daily monitoring or frequent treatment and is not at high risk for exacerbation and hospitalization.
- Student is colonized with an untreatable infection that is easily transmissible to other students.
- Student and/or family are noncompliant with treatment goals which were made with them.
- Student has been threatening or violent with other students.