Structured checklists and clinical frameworks for SLD (PSW/RTI/C-SEP), Intellectual Disability, OHI/ADHD, and collaborative eligibility categories. Professional judgment required — this tool supports team decision-making, not substitute for it.
Diagnostician primary scope:📚 SLD🧠 Intellectual Disability🎯 OHI (ADHD)Collaborative (team determination):ED • AU • Speech • VI • HI • OI • TBI • DB • MD • SI
Specific Learning Disability — TAC §89.1040(c)(10)
SLD means a disorder in one or more basic psychological processes involved in understanding or using language — spoken or written — that may manifest as an impaired ability to listen, think, speak, read, write, spell, or do mathematical calculations. In Texas, SLD is identified through one of three approved approaches. Texas prioritizes the PSW approach per TEA SLD Guidance 2025.
Step 1 — Choose Identification Approach
🔍 Texas-Approved SLD Identification Approaches
⭐ Preferred in Texas
PSW — Patterns of Strengths & Weaknesses
Documents a cognitive processing weakness + academic achievement weakness + adequate cognitive strengths. C-SEP (Schultz & Stephens) is the Texas-developed PSW model. XBA (Cross-Battery Assessment, Flanagan) is also accepted.
RTI / MTSS
Response to Intervention
Insufficient response to high-quality, evidence-based tiered interventions. Requires documented intervention fidelity data, progress monitoring, and team determination that RTI data supports SLD identification.
Also PSW-based
C-SEP (Schultz & Stephens)
Texas-developed PSW model integrating cognitive processing, academic achievement, and ecological/functional data. Explicit data collection protocol with structured team decision framework.
Step 2 — Core Criteria Checklist
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Academic Achievement Deficit
Must document underachievement in at least one area
SLD Academic Areas (check all that apply)
Achievement scores should be Low or Very Low (SS ≤ 85, ≤16th %ile) in the identified area(s) to support the deficit criterion. Low Average (SS 80–89) may qualify with supporting processing data.
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Cognitive Processing Weakness (PSW)
Required for PSW/C-SEP approach
Processing areas — check what is documented below average
PSW requires the processing weakness to be linked to the academic deficit — the processing area must logically underlie the academic area of concern (e.g., phonological weakness → Basic Reading Skills deficit).
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Cognitive Strengths (PSW)
Required: at least one area in Average range or above
Confirm adequate cognitive strengths are present
A student with a specific processing profile (e.g., Low phonological/RAN, Average reasoning/comprehension) is a stronger PSW candidate than a student who is uniformly low across all cognitive areas.
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Adverse Educational Impact
Required for all eligibility determinations
Adverse educational impact is not established by test scores alone — classroom performance, CBMs, and functional impact must corroborate the formal findings.
Step 3 — Exclusionary Factors
⚠️ SLD Must NOT Be Primarily Caused By…
Intellectual DisabilityCognitive profile consistent with ID (GIA/FSIQ < 70 with adaptive behavior deficits) — see ID tab instead
Visual / Hearing / Motor ImpairmentUncorrected sensory or physical impairment is the primary cause — document screening results
Emotional DisabilityIf ED is the primary cause of academic difficulty, SLD is not identified. Student CAN have both — see ED/SLD Differentiation reference
Cultural / Environmental FactorsLimited English proficiency, environmental disadvantage, or cultural differences are the primary explanatory factor — document bilingual/EB context
Limited English ProficiencyAcademic difficulties are primarily attributable to language difference rather than a processing-based disorder — conduct bilingual evaluation if indicated
Lack of Appropriate InstructionStudent has not received adequate, evidence-based instruction in reading and/or math — document instructional history and RTI data
For each exclusionary factor, the team must document that it has been ruled out as the primary cause — not merely that it exists. A student can have co-occurring factors (e.g., bilingual + SLD) if the processing data supports the SLD identification independent of the factor.
Research note on EB referral timing: A 2026 nationally representative longitudinal study (Ortiz & Chow, Research in Special Education) found that emergent bilinguals are systematically underidentified in early elementary and overidentified in 3rd–5th grade — a pattern driven largely by delayed referrals rather than by actual disability prevalence changes. Ruling out LEP as the primary cause does not require waiting for English proficiency — it requires appropriate bilingual evaluation. Early evaluation with bilingual-appropriate tools is the correct response to early signs of disability, not postponement.
Dyslexia & Dysgraphia Pattern Recognition
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Dyslexia Pattern
Texas Dyslexia Handbook — name the pattern explicitly
If Basic Reading Skills + phonological processing weaknesses are both present, the narrative must state this pattern is "consistent with characteristics of dyslexia as described in the Texas Dyslexia Handbook." Do not diagnose — name the pattern.
⚠️ Note on definitions: Texas currently maintains two parallel dyslexia definitions — the TEA Dyslexia Handbook definition (phonological basis, consistent with IDA) and TEC §38.003 (broader "disorder of constitutional origin"). A 2025 peer-reviewed analysis of TEA guidance documents (Pater-Rov, 2025) recommends TEA consolidate dyslexia under the SLD framework and remove the IDA definition from TEA policy to reduce confusion. This hub reflects current TEA practice; be aware the field is actively debating whether these frameworks should be unified.
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Dysgraphia Pattern
Texas Dyslexia Handbook — name the pattern explicitly
If spelling + orthographic processing are both below average, state the pattern is "consistent with characteristics of dysgraphia." If Basic Reading Skills are ALSO low, the combined pattern is "consistent with characteristics of dyslexia" — name both.
Intellectual Disability — TAC §89.1040(c)(5)
ID requires three concurrent criteria: (1) significantly below-average intellectual functioning, (2) significant deficits in adaptive behavior, and (3) adverse educational impact. Both cognitive AND adaptive behavior must be documented — adaptive behavior is not optional. The diagnostician administers the cognitive and adaptive behavior measures; the full team makes the eligibility determination.
SS ≤ 70 (use MPI for bilingual students — reduced Gc loading)
NVI (Nonverbal Index)
KABC-II
Consider for students with significant language differences — interpret with caution
⚠️ Texas does not use a strict ≤70 cutoff as the sole criterion. The score must be interpreted in context — measurement error (SEM), confidence intervals, and clinical observations all inform the determination. A FSIQ of 71–75 with significant adaptive deficits and functional impairment may still qualify; a FSIQ of 65 without adaptive deficits does not.
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Cognitive Criteria Checklist
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Criterion 2 — Adaptive Behavior
ABAS-3 or comparable measure — REQUIRED
ABAS-3 Domain
Threshold
GAC (General Adaptive Composite)
SS ≤ 70 — primary indicator
Conceptual (Con)
SS ≤ 70 — language, academics, self-direction
Social (Soc)
SS ≤ 70 — leisure, social interaction
Practical (Prac)
SS ≤ 70 — self-care, home/school living, safety
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Criterion 3 — Adverse Educational Impact
⚠️ Do NOT identify ID based on cognitive scores alone. Both cognitive AND adaptive behavior criteria must be met concurrently. A student with low cognitive scores but average adaptive behavior does NOT meet ID criteria.
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ID Exclusionary & Differentiation
Rule out / differentiate from:
Other Health Impairment / ADHD — TAC §89.1040(c)(7)
OHI means having limited strength, vitality, or alertness — including a heightened alertness to environmental stimuli — that results in limited alertness with respect to the educational environment. ADHD is the most common condition qualifying under OHI in school settings. The diagnostician's role is to document the educational impact through behavioral rating scales and evaluation data; a physician provides the medical documentation of the health condition.
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Medical Documentation
Must be provided by a licensed physician
⚠️ Educational eligibility under OHI does NOT require ADHD medication. The health condition must affect educational performance — medical management status is separate from eligibility determination.
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Behavioral Rating Scale Data
Conners-4 — cross-informant pattern is critical
Conners-4 T-Score
Classification
T ≥ 70
Very Elevated — clinically significant concern
T 65–69
Elevated — significant concern
T 60–64
High Average — above average, monitor
T 40–59
Average range
T < 40
Low — below average (fewer concerns reported)
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"Limited Alertness" Standard
The educational threshold for OHI
Document "limited alertness" in the educational environment
OHI eligibility requires the health condition to adversely affect educational performance — a medical ADHD diagnosis alone is not sufficient. The team must document the educational impact.
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Adverse Educational Impact
If ADHD is documented but academic performance and functional impairment are within normal limits — student may qualify for a 504 plan rather than special education under OHI. Document the team's reasoning either way.
Collaborative Eligibility Categories
For these categories, the eligibility determination belongs to the multidisciplinary team — the diagnostician contributes cognitive and achievement data, documents educational impact, and collaborates with the specialist who owns the primary evaluation (LSSP, SLP, VI specialist, audiologist, etc.). Each card below summarizes the diagnostician's role and what data to bring to the team.
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Emotional Disability (ED)
TAC §89.1040(c)(2)
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Primary evaluator: LSSP (psychological evaluation) in most districts. Some districts assign the diagnostician depending on local practice. Always clarify team roles at the onset of referral.
What the Diagnostician Brings
Cognitive assessment data (processing profile, ruling out ID), academic achievement documentation, CBM and classroom performance data, behavioral rating scales (Conners-4) documenting cross-setting emotional/behavioral concerns.
Key ED/SLD Differentiation Question
Is the emotional disability the primary cause of academic difficulty — or is there an independent SLD present? See the ED/SLD Differentiation tab in the Behavior & FBA Reference. Document which pattern applies: ED exclusionary, ED contributing, or concurrent ED+SLD.
Texas ED Criteria (5 characteristics — must show ≥1)
Inability to learn not explained by intellectual/sensory/health factors; inability to build/maintain satisfactory relationships with peers and teachers; inappropriate behavior or feelings under normal circumstances; pervasive unhappiness or depression; tendency to develop physical symptoms or fears associated with school. Must be present over a long period of time, to a marked degree, and adversely affect educational performance.
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Autism (AU)
TAC §89.1040(c)(1)
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Primary evaluator: LSSP (psychological evaluation including autism-specific instruments — ADOS-2, ADI-R, GARS). SLP often involved for communication assessment.
What the Diagnostician Brings
Cognitive assessment (WJ-V COG, WISC-V, or KABC-II — important for identifying uneven cognitive profiles common in AU), academic achievement across all domains, adaptive behavior (ABAS-3), and classroom observation of communication, social engagement, and behavioral flexibility.
Key Considerations
AU + SLD co-occurrence is common — a student with autism may also have processing deficits in phonological awareness, working memory, or written expression that warrant SLD identification. Document the independent processing/achievement data to support or rule out co-occurring SLD.
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Speech/Language Impairment (SI)
TAC §89.1040(c)(11)
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Primary evaluator: Speech-Language Pathologist (SLP). SLP conducts and owns the speech/language evaluation and eligibility determination.
What the Diagnostician Brings
Oral language scores from achievement batteries (WJ-V Oral Language cluster, WIAT-IV Oral Language, KTEA-3 Oral Language) provide context for academic impact; cognitive data contextualizes the language findings. Diagnostician does not conduct the speech/language evaluation — shares relevant data with the SLP.
Key Consideration
Distinguish SI from SLD — Oral Expression and Listening Comprehension are SLD academic areas, but a student with primary speech/language impairment may qualify under SI rather than (or in addition to) SLD. Coordinate with SLP to avoid duplication and ensure the right eligibility category is applied.
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Visual Impairment (VI)
TAC §89.1040(c)(13)
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Primary evaluator: Licensed VI specialist / Teacher of the Visually Impaired (TVI). Clinical vision evaluation by licensed eye care professional required.
What the Diagnostician Brings
Cognitive data using measures not dependent on visual acuity (verbal subtests, auditory processing measures); academic achievement with testing accommodations as appropriate. Screen documentation — verify vision was screened and results are on record. VI is an exclusionary factor for SLD — document that visual impairment has been ruled out or appropriately accounted for before SLD identification.
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Hearing Impairment (HI)
TAC §89.1040(c)(4)
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Primary evaluator: Licensed Audiologist for hearing evaluation; Teacher of the Deaf/Hard of Hearing (TDHH) for educational assessment.
What the Diagnostician Brings
Cognitive data adapted for hearing status (nonverbal measures preferred if appropriate — KABC-II NVI, visual-spatial tasks); academic achievement documentation. Screen documentation is critical — hearing screening results must be on record. HI is an exclusionary factor for SLD — confirm and document hearing has been screened prior to SLD identification.
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Orthopedic Impairment (OI)
TAC §89.1040(c)(8)
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Primary evaluator: Multidisciplinary team including OT/PT and physician. Medical documentation of the orthopedic condition required.
What the Diagnostician Brings
Academic achievement data with appropriate accommodations for motor limitations (oral responses, scribe, extended time); cognitive assessment adapted as needed. Document how the orthopedic condition specifically impacts educational access and output — particularly writing and graphomotor tasks.
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Traumatic Brain Injury (TBI)
TAC §89.1040(c)(12)
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Primary evaluator: LSSP / neuropsychologist, in coordination with medical documentation. Requires documented acquired brain injury from external physical force.
What the Diagnostician Brings
Comprehensive cognitive and academic assessment to document post-injury functioning; comparison to any pre-injury data if available. Processing speed, working memory, and executive functioning are commonly affected areas after TBI. Document the profile carefully — TBI profiles are often uneven and may improve over time.
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Multiple Disabilities (MD)
TAC §89.1040(c)(6)
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Primary evaluator: Full multidisciplinary team — multiple specialists typically involved depending on the combination of disabilities.
What the Diagnostician Brings
Cognitive and academic data adapted for the student's multiple needs; adaptive behavior (ABAS-3). Multiple Disabilities requires that the combination of impairments causes such severe educational needs that the student cannot be accommodated in programs for a single disability. The diagnostician contributes the intellectual functioning and academic achievement components of that documentation.