Malkentzos v. Debuono

102 F.3d 50, 1996 U.S. App. LEXIS 31173
Court of Appeals for the Second Circuit·Decided December 5, 1996·No. 752·Published·Cited by 14 cases

Opinion

102 F.3d 50

114 Ed. Law Rep. 786, 19 A.D.D. 922

Nicholas MALKENTZOS, individually, and on Behalf of "MM," an
infant, Plaintiff-Appellee,
v.
Barbara A. DeBUONO, as Commissioner of the New York State
Department of Health; The New York State Department of
Health; The New York City Department of Mental Health,
Mental Retardation and Alcoholism Services, Defendants-Appellants.

No. 752, Dockets 96-7569(L), 96-7589(CON).

United States Court of Appeals,
Second Circuit.

Argued Sept. 25, 1996.
Decided Dec. 5, 1996.

Victoria A. Kummer, New York City (Alan B. Miller and Harris J. Yale, Weil, Gotshal & Manges, on the brief), for Plaintiff-Appellee.

Joseph I. Lauer, New York City (Paul A. Crotty, Francis F. Caputo and Elizabeth A. Wright, Corporation Counsel of the City of New York, on the brief), for Defendant-Appellant New York City Department of Mental Health, Mental Retardation and Alcoholism Services.

Thomas R. Sofield, Assistant Attorney General, State of New York, New York City (Dennis C. Vacco, Attorney General of the State of New York, Kay-Ann D. Porter, Assistant Attorney General, State of New York, of counsel), for Defendants-Appellants DeBuono and New York State Department of Health.

Before: WALKER, JACOBS, Circuit Judges, and CARMAN, Chief Judge, United States Court of International Trade, sitting by designation.*

CARMAN, Chief Judge:

BACKGROUND

The Individuals with Disabilities Education Act (IDEA), 20 U.S.C. §§ 1400-85 (1994), establishes the standards states must meet in providing education services to disabled infants and children in order to receive financial assistance from the federal government. Part H of the IDEA requires states to provide "appropriate early intervention services to all infants and toddlers with disabilities and their families." 20 U.S.C. § 1476(a) (1994). The statute defines "infants and toddlers with disabilities" as "individuals from birth to age 2, inclusive." 20 U.S.C. § 1472(1) (1994). Similarly, states must provide "a free appropriate public education" to disabled individuals between the ages of three and twenty-one years old to be eligible to receive federal funds under part B of the IDEA. 20 U.S.C. § 1412(1), (2)(B) (1994).

In the Fall of 1994, Nicholas Malkentzos and his wife sought help for their son "MM", who was born on March 1, 1993, believing that he was not developing normally. "MM" would not permit anyone to hold him and appeared unable to focus on individuals speaking to him. Based on the recommendation of their pediatrician, the Malkentzos consulted the New York City Department of Mental Health, Mental Retardation and Alcoholism Services (DOMH) to determine whether "MM" was eligible to receive early intervention services.

The DOMH referred the Malkentzos to Children at Play (CAP), a state-approved early intervention service provider, so that a core evaluation could be performed to determine whether "MM" was eligible for publicly provided early intervention services. At CAP, "MM" was evaluated by a psychologist, a special educator, a speech therapist and an occupational therapist, and was diagnosed as experiencing Generalized Developmental Delay. This diagnosis made "MM" eligible to receive early intervention services.

Once "MM" 's eligibility to receive early intervention services was established, an Individualized Family Service Plan (IFSP) was drafted which specified "MM" 's individual treatment needs as well as the services which would be provided to "MM" to satisfy those needs. "MM" 's IFSP, as initially drafted, provided for 5 1/2 hours of early intervention services per week, consisting of a "structured play" program offered by CAP.

Following "MM" 's evaluation by the professionals at CAP, the Malkentzos' pediatrician suggested "MM" might be autistic and recommended he be examined by a pediatric neurologist. On November 22, 1994, "MM" was examined by Dr. Regina DeCarlo, who diagnosed "MM" to be autistic and recommended "MM" be enrolled in an Applied Behavioral Analysis (ABA) program for a minimum of twenty hours per week.

After receiving Dr. DeCarlo's diagnosis and recommendations, Mr. Malkentzos attempted to enroll "MM" in an ABA program. Mr. Malkentzos first approached CAP to request it provide ABA services to "MM", but was informed that CAP did not offer such services. Mr. Malkentzos then approached the Eden II school, a state-certified program for autistic children ages three and older which uses the ABA modality. While "MM" was too young to enter the Eden II program, Joanne Gerenser, Eden II's Director of School Services, assisted Mr. Malkentzos in organizing a treatment program for "MM" and in hiring individuals to provide in-home ABA services. As part of the arrangement, Mr. Malkentzos hired local college students to provide "MM" with the twenty hours of ABA services recommended by Dr. DeCarlo. Unlike Ms. Gerenser and the other providers at CAP who administered early intervention services to "MM", the college students hired by Mr. Malkentzos held no state certification or license for the delivery of ABA services.

In late 1994, following signs "MM" was reacting favorably to ABA services, Mr. Malkentzos contacted the DOMH's regional director for early intervention services to request that "MM" 's IFSP be modified to provide forty hours of ABA per week. Mr. Malkentzos was informed the ABA services he requested were not available due to a shortage of qualified providers and his request was denied. As a result of this denial, the Malkentzos continued to employ college students to deliver ABA services to "MM".

On February 6, 1995, Mr. Malkentzos withdrew "MM" from the CAP program, based on his belief that the "structured play" services offered by CAP were hindering the progress "MM" was making through ABA. The following day, "MM" 's IFSP was amended to provide 8 1/2 hours of ABA services per week, consisting of six hours of in-home ABA special education services and 2 1/2 hours of ABA speech therapy at the Staten Island University Hospital.

Slightly more than one week after his IFSP was modified, "MM" was examined by Dr. Ira Cohen, a psychologist with a specialty in autism. Dr. Cohen recommended "MM" receive a minimum of forty hours per week of ABA services. Following Dr. Cohen's diagnosis and recommendation, Mr. Malkentzos made a second request that "MM" 's IFSP be modified to provide additional ABA services. This second request also was denied based on the inability of the DOMH to find any providers licensed to deliver ABA to children ages three and under. On or about April 24, 1995, DOMH offered to amend "MM" 's IFSP to provide him with 12 1/2 hours of "structured play" services per week at the Elizabeth Pouch Center. The plaintiff rejected this offer, opting instead to continue to employ the college students in order to ensure "MM" received the recommended forty hours of ABA services per week.

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Malkentzos v. Debuono, 102 F.3d 50, 1996 U.S. App. LEXIS 31173 (2d Cir. 1996).

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