Other Health Impairment (OHI): Supporting Students with Hidden Health Challenges

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Source: https://www.parentcenterhub.org/ohi/

Definition

Under IDEA, Other Health Impairment (OHI) refers to a health condition that limits a student’s strength, energy, or alertness and affects their ability to learn. This includes both chronic (long-lasting) and acute (short-term but serious) health issues. Conditions may include ADHD, epilepsy, asthma, diabetes, cancer, Tourette syndrome, heart conditions, and more. These students may look “typical” but face daily challenges that impact learning and participation.

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Characteristics

Students with OHI may:

• Tire easily or have limited strength

• Miss school often for medical appointments or illness

• Struggle to concentrate or stay alert (e.g., ADHD)

• Take medications that affect mood, focus, or energy

• Need help managing health-related tasks at school (e.g., blood sugar checks, inhaler use)

• Have fluctuating performance depending on how they feel that day

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Accommodations & Modifications

Educators can support students with OHI by:

• Allowing breaks or rest time when needed

• Giving extra time for assignments or tests

• Providing a quiet space for medication or medical tasks

• Offering flexible attendance and make-up work

• Using behavior supports and visual reminders for students with ADHD

• Collaborating with school nurses, counselors, and families

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Resources

1. 🧤 Center for Parent Information and Resources – Other Health Impairment

Explains the OHI category under IDEA, with guidance for parents and educators on common conditions, support, and rights.

2. 🧤 American Diabetes Association – Safe at School® Resources

Provides training materials, care plans, and legal guidelines to help school staff safely support students with diabetes

3. 📽  Video: “Other Health Impairment (OHI) – Ways to Support Students”

A clear, teacher-oriented video explaining what OHI means, with practical classroom strategies to support students with diverse health challenges

4. 📖 Book: Teaching Students with Medical, Physical, and Multiple Disabilities

A concise, practical guide offering strategies and assistive technologies to support students with medical and physical impairments—ideal for educators and school nurses

5. 🧤 Easier with AT – Other Health Impairment (OHI)

Provides a comprehensive overview of OHI and highlights assistive technology tools (e.g., writing aids, organizational supports, AT for mobility and daily living) that can help students thrive