Other health impairment exists as an umbrella term encompassing hundreds of types of impairment that may result in a chronic condition limiting the individual’s ability to effectively access and perform in educational and work environments. These include: physical functioning, intellectual functioning, and social/emotional functioning. Individuals with Disabilities Education Act − IDEA: lists a number of different chronic health problems as possible reasons for the other health impairment label, including asthma, attention deficit disorder(ADD), attention deficit hyperactivity disorder (ADHD), diabetes, epilepsy, cardiac conditions, hemophilia, leukemia, rheumatic fever, sickle cell anemia, and nephritis. This category may cause limitations in strength, vitality, and alertness, while these individuals may be cognitively intact. To date, TA has collaborated with special educators, therapists, and other medical personnel to design and provide special adaptive outdoor programs.