Need Special Education Services and Accommodations? 504 Plans and IEPs

If a young person’s mental health challenges are interfering with their ability to learn, they may need accommodations within the classroom, and possibly specialized instruction, to help them thrive. In addition, learning disabilities can affect a child’s mental health, such as feeling sad or anxious because they’re struggling to keep up academically.
Two levels of support schools can offer if the student qualifies are:
- A 504 plan, which offers accommodations.
- An Individualized Education Program (IEP), which offers specialized instruction.
Key differences between an IEP and a 504 plan are outlined below and described more fully in this Opens in a new tabdownloadable chart provided by Understood. Or you can watch Opens in a new tabthis video created by Understood comparing a 504 and an IEP.
Which laws cover school accommodations?
Two important laws cover accommodations and special education for students:
- Section 504 of the Rehabilitation Act of 1973, a federal civil rights law to prevent discrimination, requires schools to provide certain accommodations when needed, such as special seating or adjusted class schedules.
- A federal law known as the Individuals with Disabilities Education Act (IDEA) requires public schools to evaluate students thought to have disabilities — including mental health concerns — at no cost to families, and to create an IEP if the student qualifies. Private schools are not required to follow IEP recommendations unless a child is placed out-of-district in that school by their public school.
Even if a young person already has a diagnosis from a psychologist, pediatrician, or other medical provider, a school coordinated evaluation is required for an IEP and may also be needed for a 504 plan, depending on the district. Schools may take outside evaluations that parents may have previously commissioned into account, but they are not required to act on these recommendations.
How do you request an evaluation for special education services?
Ask about the process and steps that the school takes to review and support students who may need additional services. Appropriate interventions as necessary may be tried out and monitored — for example, frequent movement breaks, sitting closer to the front of the room, or having a fidget.
If these informal interventions do not seem to help your child, you can make a formal request for an evaluation to determine eligibility for accommodations.
To request an evaluation:
- Ask a teacher, counselor, or the principal how to make a referral and for the contact information of the person who coordinates accommodations in your school district. In some districts, this will be the special education coordinator. In other districts, specific school staff are assigned to evaluate 504 or IEP requests.
- After the above steps are complete, provide a request in writing to the coordinator. You can simply state that you are requesting a 504 plan or an IEP evaluation for your child, and you can also include any helpful information like records, diagnoses, or a description of the ways in which the young person’s challenges affect their ability to learn. In some cases, the school may suggest the evaluation before you request it, but you will always need to provide consent before the evaluation happens.
- If an evaluation is needed (required by law for an IEP; some schools require for a 504 plan), the school will usually arrange and pay for one, either with a school psychologist or an outside professional. If an evaluation is not needed, the school will tell you the next steps after they have received your request. It’s important to note that evaluations and subsequent recommendations are often academically focused, so if your child needs a neuropsychological evaluation for a mental health concern, that will need to be done through a healthcare provider outside of school.
For more, read Opens in a new tabHow to Get a Core Evaluation Completed Through Your School District from The Clay Center for Young Healthy Minds.
504 plan
A 504 plan helps students who have disabilities or health conditions that are a barrier to learning in a classroom along with their peers. It provides accommodations intended to help make this possible, but doesn’t provide a plan for specialized instruction. For example, if the young person has anxiety, they might be allowed movement breaks, extra time for work or processing, or fidget toys. Or if they have ADHD, they might be given a seat at the front of the classroom or have extra time to finish a test.
The process for evaluating the need for a 504 plan varies depending on the school district. For example:
- Some districts will review your child’s medical and school records, observe your child in the classroom, or talk with your child’s teachers or other involved adults.
- Other schools will do a formal evaluation, at their expense, that may involve testing.
If a 504 plan is approved, the school’s 504 coordinator and team will work with you to determine the best accommodations for your child. Legally, a 504 plan does not need to be in writing, but it’s a good idea to request this and make sure that the plan goes into your child’s school file.
Though rules vary by state, 504 plans are often reviewed annually by school staff, such as a 504 plan coordinator. They will work with you to determine if the plan is still necessary, or if accommodations need to be adjusted based on a young person’s evolving or changing needs. If the school requires an evaluation for a 504 plan, this is usually redone every three years or when needed. It’s a good idea to ask the school how often the plan will be reviewed, and what your role will be in that re-evaluation process.
See Opens in a new tabIDEA disability categories from Understood for more detail on each of these categories.
IEP
An Individualized Education Program (IEP) provides special education services to students whose challenges fit into one of 13 disability categories that negatively affect their ability to learn in school. Services provided in an IEP plan range from accommodations within the classroom to specially designed instruction. An IEP might also include time outside the classroom, such as time in a resource room or time in psychological counseling.
After an evaluation, the school’s IEP or special education team will meet with you and your child (if appropriate) to review the results. One or more of your child’s teachers and other IEP team members such as a school psychologist will attend the meeting. You also can invite others you would like to have participate, such as your child’s mental health provider, a club advisor, a coach, a family member, or other parents who have IEP experience.
If an IEP is approved, you will determine together as a team the best accommodations and services for the young person. An IEP is a formal plan that is detailed in writing, with trackable annual goals that are reviewed yearly by the school’s IEP team. This team must inform you in writing before they meet and before any changes are made to the IEP.
By law, a young person with an IEP must be reevaluated every three years to determine if they still need an IEP. At the first IEP meeting, ask the team when and how they review the IEP and how you will be involved in the process.

How much input will you have?
As a parent or guardian, you must approve a 504 plan or IEP before it can be implemented. You also have the right to appeal decisions that you don’t agree with. It’s important that you stay in contact with the assigned accommodations team so that you can continually work together to make sure your child is getting the support they need.
It’s also important to ask about privacy. School-employed staff must abide by the Family Educational Rights and Privacy Act (FERPA), a federal law that protects the privacy of students’ education records, while school mental health records of school-based community providers are protected by HIPAA. That said, schools vary in how they share medical information among staff, and it can be unclear to caregivers — and subsequently their adolescent — what information about them can and cannot be shared and with whom. Be sure to ask who can access private medical and behavioral health information about your child, and under what circumstances.
Opens in a new tab Download this file for more information about FERPA and HIPPAGetting support and resolving disputes
If you’re having trouble coordinating accommodations for your child, you can seek help from a special education advocate. Your local Opens in a new tabNAMI chapter is a good place to start.
Even if you have an accommodations plan in place, there may come a time when you and the school disagree on aspects of the support offered. The organization Understood shares helpful information about Opens in a new tabresolving a 504 plan dispute or Opens in a new tabresolving an IEP dispute.
Your child’s school should provide a rights and responsibilities packet. It may be helpful to seek guidance and support from other parents you may know whose children have 504 plans or IEPs, or find out if your district offers any local groups where you could connect with other caregivers.
For more, read Opens in a new tabNavigating Special Education in Schools Part 1: Legal and Practical Tips and Opens in a new tabHow is Special Education Eligibility Determined? from The Clay Center for Young Healthy Minds.
Understanding School Resources for Mental Health
Explore available support services at school, from counselors to accommodations for mental wellness.
