Welcome to my Differentiated Teaching Blog

A detection and support system resource for special needs like what's on teen's minds.

Tell me, I forget; Show me, I remember; Involve me, I understand. Chinese Proverb.



Showing posts with label disability resources. Show all posts
Showing posts with label disability resources. Show all posts

Tuesday, December 8, 2009

Of Sensory Impairments

Sensory Impairments include hearing and vision categories.  Since most teaching involves significant visual and auditory components, these impairments can severely restrict learning outcomes.

A) Characteristics of Sensory Impairments

Visual Impairments (adapted material image from fredshead.info)
  • Generally behind sighted peers in academics
  • Relatively unimpaired in language ability 
  • Concept development can depend on tactile experiences
  • Unable to use visual imagery, spatial information
  • May display withdrawn, dependent, socially immature or repetitive movements
Hearing Impairments
  • Academic levels significantly below hearing peers
  • Reading most affected, spelling problems, limited writing production
  • Dependence on EA, Withdrawal, less social maturity, difficulty making friends
  • Voice quality problems, language expression and comprehension difficulty, poor speech production
  • Intellectualy ability similar to hearing peers
B) Identifying Sensory Impairments
While severe vision loss is easily identified, mild losses are harder to assess.  School examinations and referrals to eye doctors when appropriate, can determine the extent of problems and modifications required.


Visual Impairment Symptoms (Hallahan and Kauffmann, 2003)
  • Complaints about eyes, vision, blurriness, dizzyness, headaches
  • Appearance of crossed, encrusted, red-rimmed, inflamed or watery eyes
  • Behaviour like excessive eye-rubbing, blinking, squinting, holding books close, distance vision problems or close use of eyes for reading 
Hearing Impairment Classifications and Symptoms
Hearing impairments are typically hidden and become apparent only when communication is required.
Subsets are: deafness which is loss so severe that speech cannot be understood through the ear unaided, and hard of hearing which describes loss that makes it difficult not impossible to understand through the ear unaided.  Symptoms include:
C) Classroom Adaptations and Modifications
The involvement of Educational Assistants (EAs) like sign language interpreters, brailleists and recorders is very important for effective intervention with sensory impairment.  They will typically benefit the entire class, they can assist with reading and writing outputs and provide a range of consultation and support for teachers.  Recent budget cuts have reduced the allocation of these resources, requiring teachers to ensure they are familiar with effective modifications.



Visual Impairment
A classroom workshop by a visually impaired secondary student, Alex Jurgensen, provided a range of helpful strategies for teaching visually impaired and other sensory impaired students with excerpts captured below:

i) Strategies
  • Advance preparation is required - for instance, modified texts require several month's lead time
  • TBS model - Strong collaboration between teacher, braillist and student
  • Ematerials - Software that produces text to voice and ensure comments are produced in-line
  • Avoid fill-in-the-blanks instruments
  • Review IEP for any students with sensory impairments
  • When organizing groups, consider right mix of partners good at explaining exercises
  • Use tactile versus visual descriptors
ii) Blindness in Society
  • Don't worry about cliches, no need to adapt
  • Directions should be done in adapted fashion (eg. clock-face technique, Cardinal Directions)
  • Use common sense to determine exceptions
  • Apply fairness in assessment - the impaired student must have the mats to be tested on them
  • Be yourself

Hearing Impairment
  • Use Assistive Learning Devices (ALDs) - Assist amplification, communications, alerting
  • Include interpreters in IEP team process
  • Check student understanding regularly
  • Seat the interpreter so the student can see teacher and interpreter
  • Be sensitive to interpreter "time-lag"
  • Provide copies of all visual materials before class
  • Brief the interpreter on topics and format

Monday, December 7, 2009

Of Emotional and Behavioural Disorders


Emotional and Behavioral Disorders (EBD) are typically identified due to discipline problems.  Still they are likely the most underidentified in the school system.   There is no single definition in Canada, but commonalities include the presence of one or more factors listed below to an intense degree for a long period (6 weeks or more):
  • Inability to learn that cannot be explained
  • Inabililty to build /maintain relationships (e.g. loners, commitment issues)
  • Inappropriate behaviour under normal circumstances (e.g. delinquents)
  • General pervasive unhappiness (often depression)
  • Tendency to develop physical symptoms in response to fears (eg. phobias, anorexia/bulimia)
The third factor skews male and the last two female.  Other labels include "emotionally disturbed or behaviourally disordered" (Council for Children with Behavioural Disorders).

A) Characteristics of EBD
The causes of EBD can include biological, phenomenological and sociological/ecological factors including economic disadvantage, school, family and community causes among others.  EBD behaviours can be categorized into two groups:

Externalizing Behaviours
  • Aggressiveness, temper tantrums, defiance
  • Jealousy, disobedience, noncompliance
  • Lying, stealing, trust issues
  • Argumentative, lack of self-control, destructive
Internalizing Behaviours
  • Withdrawn, apathetic, restricted activity levels
  • Fixation, social avoidance, fearful, anxious
  • Inferiority, sad, moody, depressed
  • Self-conscious, overly sensitive
  • Irritable, inapproriate crying
B) Identifying EBD
As an underreported problem, teachers should over-refer given that depression often underlies EBD.  As well, suicide is a risk factor and abuse a potential causality that must be considered.  As well, Nelson, Benner, and Cheney (2005) reported in a research review that language deficits are a common co-occurence.  Speech language pathologists should be involved in planning and intervention, when this correlation is suspected.

Instruments and assessment approaches that can be considered include:
  • Functional Behaviour Assessments (FBA) - described as "an analysis of the contingencies responsible for behaviour problems" the FBA considers specific behavours and patterns within the environmental context of physiology, classroom environment and curriculum and instruction.
  • Clinical Interviews
  • Observation including systemic documentation by teachers
  • Rating scales
  • Personality tests
C) Classroom adaptations and modifications
Social skills development is important for students with EBD.  A series of approaches including social skills development are suggested in External Influences on Learning - a presentation by the author and colleagues featured below that covers FAS, Tobacco, Toxins, Nutrition as factors and offers recommendations on approaches for teachers and parents.




Control Theory (Gardner) suggests a wheel analogy (see also above presentation) with four sectors: Belonging, Power, Freedom and Fun and a diagonal diagnostic that can provide guidance on what is really driving behaviour.  For instance, rebellious kids seemingly seeking power may be defused by providing more freedom of choice in classwork.

Other adaptations that assist effective classroom management include clear posted rules, support from Special Ed teachers and mental health professionals and:
  • Preventive discipline - "positive attitude that nurtures student's learning of personal, social and academic skills" (Sabatino, 1987)
  • Positive behaviour supports (PBS) - The Good Behaviour Game, Contingency Contracting and Individual Behaviour plans
  • Physical accomodations - Seating near teacher, quiet work areas, stored materials away, traffic patterns that lesson contact and disruptions
  • Positive reinforcement and peer tutoring
  • Medication - While sometimes overused and side effects and monitoring are key, medication has been proven to be effective with problems like attention and aggression
  • Cultural factors
See the sidebar for other resources on EBD.

Parent Resources for Exceptional Children

For ADHD

Boys represent the vast majority of ADHD diagnosis, behaviour problems and failing in school.  To counter these trends, a recommended resource that parents may find helpful is the website and book Mentoring Boys by author Barry McDonald.

As a parent of two boys, his premise that we should get past "boys will be boys" to an understanding of how teachers and parents can mentor them for school success resonates.  Parent resources can be found here and 12 tips for parents here.


Another boy-centric resource that parents may find interesting is Boys Adrift, by Dr. Leonard Sax, also the author of Why Gender Matters.  In this resource, he discusses the 5 factors contributing to "the decline of boys" including video games, endocrine disruptors and prescription drugs.  He covers his research and suggests remedies.

Like all "pop culture" resources, viewers need to consider all the opinions and views critically.  To view video of Dr. Sax on NBC's Today Show, click below.

For Learning Disabilities
The All kinds of Minds Parent Toolkit covers learning attention, math, reading, writing and provides extensive resources.  All Kinds of Minds is a not-for-profit organization that translates the latest research from neuroscience and other disciplines on how children learn — and vary in their learning — into a powerful framework for educators and parents.


For Social Skills
Michelle Garcia Winner has developed some very impressive resources based on her concept of Social Thinking including You are a Social Detective and SuperFlex.   Her premises include that in order for children to act social they need to think social.  


While her work has focused on Aspergers Syndrome, ASD and other barriers to social skills, the concepts are easily translated to other children.  In fact, reinforcement of social behaviours in the general classroom setting can be most effective for those with disabilities.  


Highly recommended.  Visit here for more on Social Thinking.



Local Health and Disability Resources & Contacts













Here are some helpful resources from the Vancouver Coastal Health website with a focus on Vancouver, Burnaby and the North Shore.

HealthLink BC24-hour, confidential health information and advice.
Phone: 811
Deaf or hearing-impaired: 1.866.889.4700
Web: www.healthlinkbc.ca


Crisis Intervention and Suicide Prevention CentreConfidential, non-judgmental, free emotional support 24 hours a day, 7 days a week for people experiencing feelings of distress or despair, including feelings which may lead to suicide.
Phone: 604.872.3311
Deaf or hearing-impaired: 1.866.872.0113


Kids Help PhoneImmediate and caring support, information and, if necessary, referral to a local community or social service agency.
Phone: 1.800.668.6868


Youth in BC Distress Line24-hour distress line staffed by counsellors and trained volunteers who are committed to helping youths in crisis.
Phone: 604.872.3311


Vancouver Supported Child Development Program
Provides services to families with children from birth to age 19 who require extra support to attend child care or preschool programs. Offers individualized program plans to meet the child's specific needs, as well as information and referral services regarding licensed child care, preschool, out-of-school care programs, child care subsidies, and community resources. Also provides consultation services and workshops to child care providers who include, or wish to include, children with special needs. Offers a lending library which includes toys and information resources for service providers. Serves Burnaby and Vancouver.


Contact us
Address
2805 Kingsway, Vancouver
2805 Kingsway
Vancouver, B.C V5R 5H9


Phone
604.709.4551




Fax
604.709.4553






Odyssey I - Substance Misuse Program - Burnaby
Provides substance misuse programs for youth and their families. Offers individual and family counselling, support groups as needed, educational workshops, skill development, recreation, peer support, and peer counselling. Prevention activities include panel talks, peer counsellor training, and social/recreation programs for high-risk youth.


Contact us
Address
518 Howard Ave, Burnaby
518 Howard Avenue
Burnaby, B.C V5B 3R1


Phone
604.299.6377




Fax
604.299.4984




Burnaby Hearing and Deaf Services & Support


Contact us
Address
4211 Kingsway , Burnaby
4211 Kingsway
Burnaby, B.C. V5H 1Z6










Child and Adolescent Program - North Shore - Central Community Health Centre
Provides mental health assessment and treatment for youth and families experiencing behavioural, emotional and/or social difficulties. Services include consultation, individual, group, and family therapy, recreation therapy, psycho-pharmacological treatment and parent education. Both office and community-based services are available.


Contact us


Address
Central Community Health Centre
132 W Esplanade
North Vancouver, B.C V7M 1A2


Phone
604.904.4336
Services for the Visually Impaired - West Vancouver School District - 1075 21st Street, West Vancouver (serves N. Van too)
The teacher for the visually-impaired supports students whose visual acuity is not sufficient for the student to participate with ease in everyday activities. Serves students who are blind, legally blind, partially sighted, have low vision, and/or cortically visually impaired. It is not intended to include students described as having visual perceptual difficulties unless they also have a vision loss as described above. Services may include: functional vision assessment; participation on Individual Education Planning teams to define goals, objectives and strategies pertaining to student vision needs; modifications and/or adaptations directly related to the students visual impairment; collaboration with district and school-based special education staff and other professionals.


Contact us


Address
1075 21st Street, West Vancouver
1075 21st Street
West Vancouver, B.C V7V 4A9


Phone
604.981.1000




Fax
604.981.1001






School Health Program
Provides immunization, health information to school-aged children, staff and parents. Nurses also provide referrals for a variety of assessments such as dental, hearing, speech, nutrition and mental health. Individual consultation also provided through a nurse.


Find this service near you
Click on a link below for contact information and more details about the service(s) offered at each location.
Location
Address
City
Three Bridges Community Health Centre
1292 Hornby Street
Vancouver
North Community Health Centre
1651 Commercial Drive
Vancouver
Raven Song Community Health Centre
2450 Ontario Street
Vancouver
Pacific Spirit Community Health Centre
2110 W 43rd Avenue
Vancouver
South Community Health Centre
6405 Knight Street
Vancouver
Evergreen Community Health Centre
3425 Crowley Drive
Vancouver


Audiology Services - North Shore - Central Community Health Centre
Provides audiology services for children aged 0 -19 years and for dependent adults requiring professional caregiver support, such as frail elderly and developmentally disabled adults. Services include full hearing assessment, hearing screening for newborns and school-age children, fitting and follow up of amplification devices, counseling and education on hearing loss and community education of hearing loss.


Contact us
Address
Central Community Health Centre
132 W Esplanade
North Vancouver, B.C V7M 1A2


Phone
604.983.6704




Fax
604.983.6839




Providing Resources and Independence for Youth with Disabilities - Mobile - Burnaby
Provides one-to-one and group support to children and youth with special needs. Goals are to increase independence of clients by enhancing their life skills, socialization, and community access, and to support families in maintaining their children at home.


Contact us
Address
Mobile - Burnaby
4949 Canada
Burnaby, B.C V5G 1M2


Phone
604.874.2938










Hearing Resource Teachers - North Vancouver School District - 721 Chesterfield Ave, North Vancouver
Provide direct services (hearing assessments and monitoring) and consultative services for students who have a diagnosed hearing loss. They work with children experiencing hearing loss to plan alternate teaching strategies as well as provide information and referral on assistive listening devices and community based hearing loss services, agencies and support groups. Also provides district and school based training to staff on hearing loss and related issues. Teachers are also accessed through the principal and the school based resource team.


Contact us
Address
721 Chesterfield Ave, North Vancouver
721 Chesterfield Avenue
North Vancouver, B.C V7M 2M5


Phone
604.903.3444




Fax
604.903.3445





Case Study – Jim has a Learning Disability

This case study was completed for classwork in exceptionalities by the blog author and colleagues.


BACKGROUND
Jim can’t spell and Helen won’t lower her singular view of spelling standards for her co-teacher Mary.  His exceptionalities are language learning delays (category Q under Bill 33 in BC: Learning Disability or more specifically Sequencing and Auditory Processing Deficits).  Jim does well on literature that is read aloud so he is probably an auditory learner despite his Deficit in that area.  A physician we consulted tells us that the two areas (spelling/auditory processing) are in the same hemisphere and proximate to each other.   The personal assistance that Mary tried did not seem to affect the outcome.  Helen not only places huge emphasis on regular testing but weights the grade at 50%.

Our assumption is that Jim is in our Business Education class not English as per the example.  Business Education spans a range of courses that typically require strong communication and conceptual skills (marketing, digital media) to analytical skills (accounting, finance, economics) to technology and dexterity skills (computer use) to spanning both skill needs and others (entrepreneurship).  That said, very little is hand-written today.  It is reasonable to think that Jim can be successful without perfecting manual spelling with the aid of computer programs and auditory learning.

 For exceptionality in spelling, there are a range of accommodations that can be identified with appropriate resources to execute them.  For a student doing well in other classes that is highly motivated with an opportunity for scholarship it seems reasonable to offer these Accommodations as a form of Differentiated Learning without realizing Helen’s concerns about impacting the rest of the class.  We would also expect that there would be accommodations on the testing Helen is worrying about for exceptional students like Jim.

Class-room Accommodations


ACCOMMODATION # 1
The first accommodation is to modify Jim’s Output: Allowing Jim use of a spellchecker or not penalizing him for spelling errors in assignments.  The spellchecker could be the resource teacher or allowing him to complete his work on a computer at school or home. 

Two resources in this area that may help given Jim performs well in other classes that are “read aloud” are:                  
i) the software program Readplease available at Readplease.com and
ii) the software program Kurzweil


ACCOMMODATION # 2
Given Jim is an auditory learner, the next is an Input accommodation: to focus on spoken phonetics versus a visual approach to learning.  This focus on how words sound enables Jim to attach cues to the sounds that he is receiving.  So, Mary could ensure that written assignments were read aloud to Jim and  other auditory learners in the class.  This assumes that his auditory processing disability does not impede this accommodation.  

A recommended resource in the area of phonetics would be books on tape or textbooks available as CD-ROMs.  These can be found at:
WEBSITES   

TAPES
1. Audio Tapes: Shriberg: Clinical Phonetics Audio Cass [Audiobook] (Audio Cassette)
by Lawrence D. Shriberg (Author), Raymond D. Kent (Author)


2. Clinical Phonetics (4 Audio Tapes) (3RD 03) by Lawrence D. Shriberg and Raymond D. Kent 




BOOKS FOR THE RESOURCE TEACHERS


Clinical Phonetics by Lawrence D. Shriberg / Raymond D. Kent


Acoustic and Auditory Phonetics (2ND 03)

by Keith Johnson (Paperback | ISBN10: 1405101237, ISBN13: 9781405101233)


Articulation and Phonology Resource Guide for School-Age Children and Adults



by Ann Bosma Smit (Paperback | ISBN10: 0769300758, ISBN13: 9780769300757)




WORKBOOKS FOR THE RESOURCE TEACHER
1.
http://images.textbooks.com/TextbookInfo/Thumb/1588900185_t.gif
by Pamela Garn-Nunn (Paperback | ISBN10: 1588900185, ISBN13: 9781588900180

2.
http://images.textbooks.com/TextbookInfo/Thumb/9781597560948_t.gif
by Cancio (Spiral | ISBN10: 1597560944, ISBN13: 9781597560948)


ACCOMMODATION # 3
The third accommodation is to increase the Level of Support in a more effective way.   The resource teacher can spend extra time helping Jim grasp a phonetics approach to learning spelling as well as acting as a scribe or reader.  The parents can also be involved in collaboration to learn phonetics.  Another approach may be to use flash cards (visual stimuli).  This can be enhanced by digitalizing it on a digital photo frame. The words would come up every 20 seconds. Jim would have to take a “snap-shot” of them and write them out under the Resource teacher’s supervision.


Another resource would be sound cards found at: 

ACCOMMODATION # 4
The fourth accommodation is based on Participation: to increase the use of group work projects where possible.  This is very common in Business Ed and Jim, being participative in discussions, can be very effective at the verbal aspects of group work and he can present the group’s work while somebody else writes it up.   Plus his written work can be checked by a classmate for the final group output.  The fact that he gets A’s in Math means he will be able to manage those units of course-work that require those skills. 

RECOMMENDED RESOURCES
The recommended resources that would improve his participation are listed below.
1. Make 'em Laugh: Single Video
2. Wake 'em Up Business Presentations Book (336 Pages)

ACCOMMODATION # 5
The fifth accommodation is to adapt the co-teaching relationship to be more successful by allowing Mary to have responsibility for more instructional approaches and grading rubrics.   If necessary, the administration can be involved to ensure that the relationship between the teachers is “connect and collaborate” oriented vs. “command and control” (Helen).  An example is to ensure the kids know that Mary and Helen have the same authority in the class-room.

ACCOMMODATION # 6
 A sixth accommodation would be to substitute curriculum.  This could be done by Jim spending Friday’s learning phonetics instead of taking the spelling test.  The challenge to manage here is his separation from the rest of the class.  With some planning, this could be managed.


Test Accommodations
ACCOMMODATION # 7
 A seventh accommodation would be to adjust the “tests” given to Jim.  This would require that Mary create visual and/or memory prompts to assist Jim in communicating his knowledge and learning’s of business concepts covered in class.  This could be done by hints specific to the theory or concept tested. In addition, case studies discussing “what should/would you do if...?” scenarios can be used to test these concepts.

ACCOMMODATION # 8
An eighth accommodation would be to allow Jim more time to complete his “tests.”  By spending the time to assess the extent of his auditory processing deficit and his learning delays, Mary will have to try varying lengths of time to figure out the best formula to allow Jim to be successful. 

ACCOMMODATION # 9
A ninth accommodation would be to adjust the grading rubric for Jim. It may be either reducing the number of items tested or allowing more time for Jim to cover the concepts tested.  There will be times when retesting should be allowed to ensure that Jim understands the business concepts covered

ACCOMMODATION # 10
A tenth accommodation is to allow Jim to use a computer with spellchecker for his tests. This will allow Jim to show his knowledge in a quick and efficient manner.  There may be times when oral answers will be acceptable.

Conclusion
The key to the success of any accommodation or modification for Jim will be to ensure that he continues to be motivated and encouraged.  He is obviously successful in other classes.  He is very motivated and has a goal of continuing on to college.  It is crucial that Mary and Helen continue to encourage Jim.  They need to find ways to give him the accommodation required without ostracizing him from his classmates.  The fact that he is a popular athlete will be helpful.  Regular monthly meetings should be scheduled with the teachers, the education assistants/ resource teachers and Jim’s parents to discuss his progress and discuss the effectiveness of these accommodations on his Learning Plan.