LEAD INTERVENTION LEVELS
Level 1If short-term lead exposure of >5 µg/dL, with no noted developmental delay or risk factors, complete the following actions:
- Develop monitoring plan
- Follow in scientific research based interventions (SRBI), especially for language, behavior, attention, and executive function.
- Schedule formal annual case review
- Make referral to after-school enrichment program (if available)
If history of lead exposure of >5 µg/dL with one additional risk factor (for example, home remodeling, old housing in poor condition, anemia, lack of enrichment) but without developmental delay or disability, complete the following actions:
- Consider eligibility under Section 504 and need for evaluation
- Complete evaluation as indicated
- Develop Section 504 accommodation and monitoring plan with scheduled review
- If ineligible, follow Level 1 actions
If history of lead exposure >5 µg/dL with suspected or actual developmental delay, disability, or neuropsychological deficit, complete the following actions:
- Consider IDEA eligibility
- Design/complete evaluation
- Develop IEP as appropriate
- If not IDEA eligible, follow Level 2 actions
(CDC 2015)