INTERVENTION
- If short-term lead exposure of>5 µg/dL, with no noted developmental delay or risk factors, complete the following actions (Level 1):
a. Develop monitoring plan
b. Follow in scientific research based interventions (SRBI), especially for language,
behavior, attention, and executive function.
c. Schedule formal annual case review
d. Make referral to after-school enrichment program (if available)
2. 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 (Level 2):
a. Consider eligibility under Section 504 and need for evaluation
b. Complete evaluation as indicated
c. Develop Section 504 accommodation and monitoring plan with scheduled review
d. If ineligible, follow Level 1 actions
3. If history of lead exposure >5 µg/dL with suspected or actual developmental delay, disability, or neuropsychological deficit, complete the following actions (Level 3):
a. Consider IDEA eligibility
b. Design/complete evaluation
c. Develop IEP as appropriate.
d. If not IDEA eligible, follow Level 2 actions
(CDC 2015)