School Nursing

Nurses support the academic success of all students by helping to address existing and potential health barriers to learning. All Hamilton County ESC School nurses are Registered Nurses that specialize in the practice of nursing within schools and are licensed through the Ohio Department of Education as a “School Nurse.”

School Nurses provide a wide range of comprehensive services to students, families, and school communities in compliance with local, state, and federal legislation.

School Nurses

  • Provide direct care for students including management of illness, injury, emergency, medication, medical treatments, screenings, and case management of students with complex medical health needs
  • Collaborate with school personnel, parents, healthcare providers and community agencies regarding student needs in the physical, social, emotional, and psychological areas
  • Participate in or lead school wellness initiatives through program development, implementation, and evaluation activities
  • Assist with individual and group health education by providing health information and resources for students, families, and staff
  • Adhere to professional School Nursing Standards of Practice and maintain up-to-date knowledge of best practices in nursing and school health
  • Generate reimbursement revenue by billing Medicaid for direct services to eligible students through the Ohio Medicaid School Program (per district participation)
  • Adhere to professional School Nursing Standards of Practice and maintain up-to-date knowledge of best practices in nursing and school health
  • Receive orientation, professional resources and forms, mentoring, supervision, and performance reviews from a qualified School Nursing Supervisor

School Nursing Consultation & Staff Development for district-hired school nurses

  • Consultation and mentoring including on-site visits to your school
  • Access to Hamilton County ESC School Nurse Collaboration Website
  • Access to Hamilton County ESC Policy and Procedure handbook
    with additional resources and form templates
  • Professional meetings focusing on school health issues and nursing practice


Brenda Hodge

School Psychological Services

School psychologists provide a full range of comprehensive services to school communities in compliance with local, state, and federal legislation. School psychologists utilize best practices to collaborate in defining and solving problems, planning and implementing programs, providing supportive consultation, and delivering direct service to students and families.

Benefits include

  • Consistency of personnel
  • Recruiting, interviewing, mentoring and supervision saves district time and expense
  • Customized and pre-service training for full- or part-time school psychologists
  • Continuous professional development specific to school psychology
  • Face-to-face support on cases and legal/professional issues
  • Individual school psychologists’ network with our large staff of school psychologists, intervention and support staff and consultants to gain information to best support school communities

School Psychologists will

  • Provide information about mental health issues of children
  • Know best practices in the field of education
  • Implement problem-solving strategies
  • Conduct assessment and evaluation
  • Understand violence prevention and participate in crisis prevention and intervention
  • Perform individual and group counseling
  • Assist in academic and behavioral interventions for school-wide, targeted group, and/or individual students [MTSS/RtI and PBIS]
  • Participate on teacher-based teams and committees
  • Collaborate to develop, provide and evaluate in-service

Consultation and Staff Development for District-Hired School Psychologists

  • Access to specialized assessment equipment and resource library materials
  • Consultation with district and building administrators regarding state and federal special education regulations
  • Quarterly professional development designed specifically for school psychologists


Chris Gilkey, PhD, Supervisor

School Counseling Services

School counselors provide a full range of comprehensive services to individuals and schools that focus on student outcomes. School counselors assist in the development of school counseling core curriculum and responsive services protocols to deliver direct services to students and the school community.


  • Recruiting, interviewing, mentoring and supervising saves school time and expense
  • Customized full- or part-time school counselors
  • Consistency of personnel
  • Continuous professional development specific to school counseling
  • Face-to-face support on cases and legal/professional issues
  • Individual school counselors network with our intervention and support staff colleagues and consultants to gain information

School Counselors

  • Keep the school community informed to encourage active participation in the school counseling program
  • Coordinate systemic activities to assist students in establishing personal goals and developing future plans
  • Provide class and group counseling for assisting students to attain developmentally relevant skill competencies
  • Perform responsive individual and/or group counseling to meet students’ immediate needs

Consultation and Staff Development for District-Hired School Counselors

  • Consultation with district and building administrators regarding state and federal education regulations
  • Professional development designed specifically for school counselors


Amy Fugate

Physical Therapy

Physical Therapists teach functional movement skills, provide evaluations and therapeutic educational interventions in the areas of sensory motor development, movement and mobility skills, balance, coordination, and self-care. PTs design and adapt equipment to improve postural support, facilitate functional movement and increase independence within the school environment. A physician prescription may be requested.

School-Based Physical Therapy is designed to assist students in accessing the school environment and participating in class activities in order to benefit and be successful in the learning environment.

This might include…

  • Working on functional motor skills, balance and coordination
    to improve movement and mobility so the student can move safely within the various areas: bus, classroom, hallway, bathroom, cafeteria, doors, gym, stairs, playground
  • Helping the student learn how to safely use adaptive equipment such as crutches, walkers, gait trainers, wheel chairs, and powered seating systems
  • Helping teachers and staff learn how to safely use and assist students with adaptive equipment such as standers, adapted chairs and desks
  • Consult for facility planning and transition planning (work sites, community access and plans for after graduation)
  • Assist with development and training for safety and prevention policies, activities and procedures (e.g. evacuation, good body mechanics, health promotion)


Cassy Stidham

Occupational Therapy

Occupational Therapists (OTs) teach skills in the development of fine motor, prewriting, visual motor perception, sensory processing, behavioral regulation, and self-help (feeding, oral motor and personal care). OTs provide functional educationally based evaluations, customize activities and provide adaptations for successful participation in the classroom.

School-Based Occupational Therapy is designed to enhance the student’s ability to fully access and be successful in the learning environment.

This might include…

  • Working on handwriting, fine motor, and visual perceptual skills so the child can complete written assignments
  • Helping the child organize himself or herself in the environment (including work space in and around the desk)
  • Helping the child stay on task
  • Helping the child learn to regulate behavior
  • Working with the teacher to modify the classroom and/or adapt learning materials to facilitate successful participation in the curriculum
  • Assist with transition planning and task analysis for work
    and community service


Cassy Stidham

Visually Impaired and Orientation Mobility Services

Itinerant Teachers of the Visually Impaired and Certified Orientation and Mobility Specialists (COMS) provide a wide range of services to students and school districts in compliance with local, state, and federal legislation. The teachers participate with district evaluation teams in qualifying students under state guidelines, assist in developing program plans, provide direct and indirect services, and facilitate appropriate materials for individual students. Braille/VI Para-educators support instructional needs under the supervision of the VI teacher.

What does a Teacher of the Visually Impaired do?

  • Interpret eye reports and conduct functional vision evaluations to help teams determine student qualification and needs
  • Help school teams to better understand how vision impacts student learning and assist in developing effective program plans including ETRs and IEPs
  • Teach students Braille and Nemeth code
  • Teach students to use low vision aids
  • Coordinate/order Braille or enlarged materials for the district in most cost-effective manner
  • Conduct workshops/in-services for staff on effective strategies for students with visual impairments
  • Train district staff to use district owned Braille production software/hardware
  • Produce Braille materials at Hamilton County ESC workstation
  • Refer to appropriate agencies for assistive technology evaluation

What does a Certified Orientation and Mobility Specialist do?

  • Teach students how to move safely within their school and community using spatial and environmental concepts and information received by the senses (such as sound, temperature and vibrations) to establish, maintain, or regain orientation and line of travel (e.g., using sound at a traffic light to cross the street)
  • Teach students to use the long cane or a service animal to safely
    negotiate the environment
  • Teach students to use remaining vision and distance low vision aids in order to travel independently


Teresa Clevidence, Coordinator

Sign Language Interpreter Services

We provide quality sign language interpreter services to help ensure students with hearing impairments or communication challenges can understand instruction and communicate with teachers and peers throughout the school day.

Sign Language Interpreter

  • Provide quality educational interpreting using student’s method of communication (ASL, CASE, SEE, and Oral Transliteration)
  • Ensure that full-time interpreters have proper credentials and are credentialed by the Ohio Department of Education as an Educational Interpreter
  • Provide substitute interpreters who are qualified to meet student’s needs
  • Routinely evaluate the technical skills and performance of each educational interpreter
  • Provide technical assistance and support for interpreters and teams
  • Provide interpreter services for school-related functions (these services are contracted on an hourly, as needed basis)- After school functions including extracurricular student activities, programs, graduations, meetings, class trips, and more Interpreter services for deaf parents (parent-teacher conferences, special education related meetings and more)

Consultation Services

Do you have a student who you are not sure needs or would benefit from an educational interpreter? Hamilton County ESC has professional interpreters who conduct sign language observations and provide suggestions for educational teams.

  • Meeting with the student, teacher and family to discuss communication needs
  • Observing the student in a variety of educational settings and situations
  • Interacting with the student using a variety of sign language communication styles
  • Assessing current level of sign language vocabulary and ability to learn and produce signs for communication
  • Writing reports of observation
  • Attending team meetings to discuss observation and answer questions


Amy Hoerst

Teachers of the Deaf and Hard of Hearing

We can provide related services to support the learning of students with hearing impairments. Teachers of the deaf and hard of hearing have an in-depth knowledge of deaf language acquisition. This knowledge and special training enables our staff to assist the student in appropriately accessing the general curriculum. Itinerant teachers provide direct and consultative services.

What does a teacher of the deaf and hard of hearing do?

  • Make key professionals aware of the student’s degree of hearing loss and its implication and effect on his/her language, speech and general academic ability
  • Instruct students using oral/auditory communication or total communication
  • Participate in collaborative consultation with teams of professionals who serve students with hearing impairments
  • Share knowledge about hearing aids, HAT (i.e. classroom systems for personal use, captioning, video phones, adaptive equipment, etc.) and language deficits
  • Recommend classroom accommodations that affect students with hearing impairments
  • Provide assistance in curricular or academic areas where a student is struggling using strategies proven to assist students with hearing impairments
  • Assist in the transition and self-advocacy training for students
  • Maximize auditory skills by evaluating the student’s current level of functioning and the accessibility to the environment
  • Conduct workshops/in-services for staff on effective strategies for students with hearing impairments
  • Administer educational and language assessments when needed
  • Serve deaf students with other special needs (i.e., intellectual disability, autism, deaf-blindness)
  • Work with students with cochlear implants and educate school teams
  • Continually assess and evaluate student’s progress and, through diagnostic intervention, modify the program when needed


Keady Delia


Educational Audiologists are uniquely qualified to facilitate support for students with hearing loss in the educational setting. Our Educational Audiologists help determine the educational impact of the hearing loss so the needs of each individual student can be addressed by the school team.

What does an Educational Audiologist do?

  • Complete audiological evaluations to determine range, nature and degree of hearing loss and/or provide interpretation of outside test results
  • Evaluate the student’s functional listening abilities in the classroom environment and determine any deficits in auditory access
  • Determine the need for HAT and provide selection, fitting and monitoring of HAT
  • Make recommendations regarding classroom acoustics to maximize the child’s auditory learning
  • Provide education and support to teachers and staff members regarding communication needs of the child; effects of hearing loss on academics and literacy; personal amplification, HAT and appropriate use of technology; modifications and educational planning/accommodations
  • Provide comprehensive on-site device checks for hearing aids, cochlear implants and HAT
  • Collaborate with outside agencies/managing audiologists
  • Serve as a member of the evaluation and educational planning teams for ETRs and IEPs
  • Provide information regarding eligibility, IDEA and Section 504
  • Consult on development of self-advocacy skills and listening skills
  • Provide counseling and guidance to children, parents and teachers regarding the impact of hearing loss in the school setting
  • Consult on newly identified and children with implants

Did you know?

Hearing and auditory function have a significant impact on the development and use of language and communication which can affect academic progress and outcomes for children. Educational Audiologists are professionals that support schools and students in the following areas: Identification of Hearing Loss, Assessments, Habilitation and Educational Management, Hearing Loss Prevention and Counseling.

We make your life easier by purchasing a variety of HAT equipment and renting it to school districts. We purchase HAT in a large volume and, therefore, secure better prices than that of an individual school district. We maintain, repair (and provide back-ups when repair is needed), restock and provide the required summer servicing to each piece of equipment. Let our experts help you to provide your HAT equipment in a cost-effective manner.

Educational Audiology services are required by IDEA for a child with a hearing disability. Only an Educational Audiologist can determine the need for Hearing Assistive Technology (HAT) and provide HAT recommendations and fittings.


Katie Marshall, Supervisor

Instructional Specialists

Let us provide instructional specialists in reading, math, gifted, and special education to your school(s). Each specialist is licensed and/or holds endorsements in their subject area(s). They provide individual or small group instruction utilizing best practices and research-based methods to your students in grades K-12 on a part-time or full-time basis. They collaborate and work with your staff as an integral member of your academic team.

Intervention Specialists

Intervention specialists provide direct and intervention services to students who require specially designed instruction. As the case manager of a group of students, they conduct evaluations and write reports, develop, implement, and comply with IEP/ISP goals, objectives, and deadlines, and work collaboratively with team members to ensure that student needs are met.

  • Available full or part time for grades K-12
  • Provide direct, specially designed instruction to individuals or small groups utilizing research and best practice instructional methods.
  • Provide intervention and tiered instruction
  • Case manager for students to conduct evaluations and write ETRs; develop, implement, and comply with IEP/ISP goals, objectives, and deadlines; work collaboratively with team members to ensure that student needs are met, IEP goals are taught and IEP provisions are followed
  • Knowledgeable and up to date on special education laws and policies

Gifted and Enrichment Specialists

Gifted intervention specialists provide challenging learning opportunities for high-achieving and gifted children. Upon screening and identifying these students, specialists design rigorous experiences that meet the unique needs and developmental characteristics of gifted children. By fostering higher level skills such as analytical, critical and creative thinking, gifted specialists strive to enrich and enhance the high-ability student’s education.

  • Licensed Gifted Intervention Specialists available full or part time for grades K-12
  • Understand the unique learning needs as well as the distinctive social and emotional characteristics of high ability children
  • Provide instruction in core subjects or in enrichment programming
  • Provide consultative and support services such as identifying high potential students; designing and evaluating effective programs; delivering high quality professional development to staff; and co-teaching with regular classroom teachers

Math Specialists

Math specialist provide direct instruction and interventions to individuals or small groups of students in the areas of math instruction as outlined in the content standards.

  • Licensed math educators available full or part time for grades K-12
  • Provide direct math instruction and interventions to individuals and/or small groups
  • Collaborate with team members to screen, assess, and develop plans of action to provide students with additional practice and/or instruction on mathematical concepts

Reading Specialists

Reading specialists are licensed teachers who have their reading endorsement. They provide direct instruction, intervention, and assessments to individuals or small groups of students.

  • Available full or part time for grades K-12
  • Provide direct instruction and interventions to individuals or small groups in reading fluency, vocabulary, phonemic awareness, phonics and comprehension
  • Provide direct instruction for writing content and mechanics
  • Assist with school-wide screenings and assessments (e.g. DIBELS, AIMS Web, MAPS, STAR, etc.)


Cindy Herald, Supervisor

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