Assistive Technologies for Intervention of Students with Special Needs: Group 4

Moderate to Severe Intellectual Disabilities

What is an intellectual disability?

Intellectual disabilities are a type of "lifespan development disorder." People with intellectual disabilities have problems with intellectual functioning (such as learning, problem solving, and judgement) which results in a low IQ level, as well as adaptive functioning (activities of daily life such as communication and independent living) which results in issues communicating and functioning on a day-to-day basis. This diagnosis is usually found in someone before the age of 18. Intellectual disability is formally known as mental retardation and it affects about 1% of the population.

The levels of intellectual disabilities

Mild

Moderate

Severe

Profound

People with mild intellectual disabilities have an IQ between 50 and 69. They have the highest intellectual and adaptive functioning of those diagnosed with intellectual disabilities. They may take longer to speak and understand, but they are still able to communicate and usually can take care of themselves.

The levels of intellectual disabilities are classified by a person's IQ level.

People with moderate intellectual disabilities have an IQ between 35 and 49. They usually have trouble communicating and can somewhat take care of themselves, but they are likely not able to live alone throughout their lives.

People with severe intellectual disabilities have an IQ between 20 and 34. They typically have issues with motor skills, communicating, learning and taking care of themselves.

People with profound intellectual disabilities have an IQ under 20. They have the lowest intellectual and adaptive functioning of those diagnosed with intellectual disabilities. They are oftentimes immobile and cannot take care of themselves or communicate.

Moderate to Severe Intellectual Disabilities Citations:
Boyd, Natalie (2018). Intellectual Disabilities: Definition, Levels, Causes, Prevention & Treatment. Retrieved from https://study.com/academy/lesson/mental-retardation-definition-levels-causes-prevention-and-treatment.html)
Parekh, Ranna (July 2017). What is Intellectual Disability? Retrieved from (https://www.psychiatry.org/patients-families/intellectual-disability/what-is-intellectual-disability)
Langley Residential Support Services, Inc. (2013). Level of Impairment. (http://www.langleyresidential.org/level-of-impairment.html)
McKinney, Emily (Oct. 5, 2018). My Process for Students with Special Needs. Retrieved from (https://coggle.it/diagram/W7YiK4OR049bZdcl/t/my-process-for-students-with-special-needs/b196e3826040f83558f138f85904b75932f97a70c7e4bda5e793449311901c25)
Pennington, Robert, Courtade, Ginevra, Jones Ault, Melinda, Delano, Monica (2016). Five Essential Features of Quality Education Programs for Students with Moderate to Severe Intellectual Disability: A Guide for Administrators. Retrieved from (http://daddcec.org/Portals/0/CEC/Autism_Disabilities/Research/Publications/Education_Training_Development_Disabilities/etadd_2016/Pennington.PDF)
Downs, Peter (Dec. 10, 2011). Adapting Activities for People with Intellectual Disability. Retrieved from ()

Moderate to Severe Intellectual Disabilities are low incidence, with the likelihood of your classroom's student population having this disability being <1%.

5 Ways to Support Students with Intellectual Disabilities

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  1. Create a Safe and Respectful Environment

Unfortunately, due to society's stigma of intellectual disabilities, creating a safe and respectful environment in the classroom is differentiated instruction. This includes: treating students with dignity and respect by keeping facial features and tones of voice calm and free of sarcasm or ridicule, encouraging students to self-advocate by allowing them to make choices and then honoring their choices, removing pain and fear from the classroom by abolishing the use of physical restraints or seclusion, and allowing students access to the peers and activities that all students have access to.

  1. Instructional Focus on Communicate Competence

Though people with moderate to severe intellectual disorders often have issues communicating, they oftentimes find a way of doing so that may not be through verbal contact. Aiding the process of developing each student's communication includes observing how they're comfortable communicating and ensuring it's a safe and productive way for learning. After effective communication has been established, work with the student using their individualized communication method. Then, help them to develop that language further by expanding vocabulary and teaching within that new means of communication.

  1. Instructing an Appropriate Curriculum Outside of Grade Level

Students with moderate to severe intellectual disabilities do not necessarily learn at the rate of their age or grade level. While grade level content needs to be taught, it should be done so in a way that's appropriate for the child's learning ability. This means formulating an IEP or similar plan with administrators to provide applicable instruction for each individual student who requires these needs.

  1. Keeping Instruction Systematic

Students without intellectual disorders are engaged in activities throughout the school day that are purposeful and supportive of their educational experience, with few breaks. Students with moderate to severe intellectual disabilities should be given instruction in the same, systematic way. While the lessons being taught may be on a broader spectrum than those without these specific needs, instruction should still be given consistently throughout the day and with a goal of progressing the student towards an acquisition of a targeted skill.

  1. Continued Assessment and Adjustment

As with any student, those with moderate to severe intellectual disabilities need regular evaluation, to observe and assess progress, and adjustment, if the student needs a more or less rigorous instruction. This will help support the effectiveness of what is being taught and how, as well as the continuation of differentiated instruction.

Multiple Disabilities

What is multiple disabilities

"Multiple Disabilities" is a broad umbrella term meaning, simply, that the student has more than one disability. The specifics of this diagnosis are almost endlessly variable, and great care needs to be taken to adjust individual educational support to the child's particular needs. :

The cause of multiple disabilities are as varied as the diagnosis itself. The condition may be the result of a traumatic brain injury (TBI), or a genetic disorder, or a chromosomal abnormality, or premature birth, developmental delay, etc.

Children with multiple disabilities have a combination of more than one disability, such as intellectual disability, mobility issues, visual or auditory deficits, language delay, brain injury, and more. The term "multiple disabilities" does not specify which of the many possible disabilities a student has, nor does it specify how severe those disabilities are. The specifics vary greatly by the individual.

Students with multiple disabilities often need support in every aspect of their life, both in the classroom and beyond

Inclusion provides students with an environment that stimulates awareness, learning, and communication

Support from paraprofessionals and peers

General curriculum that has been adapted to fit the abilities of the student

First and foremost, it is vital to understand the nature of the child's disabilities (to the fullest extent possible), and tailor your interventions accordingly. A student with hydrocephaly and autism, for instance, will need a very different set of treatments than a student with cerebral palsy and deafness.

Assistive Technology

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Assistive technology can be an effective tool for students with multiple disabilities in overcoming functional and communicative limitations.

A variety of evaluations should be conducted by qualified professionals to determine the appropriate technological support for the needs of the individual student. Positioning, language, motor skills, and sensory issues all need to be considered in implementing the most effective support system. Both the environment and the specific tasks to be addressed should also guide the selection of the most appropriate assistive technology.

One particularly promising technological support can be found in the handheld personal computer. Using software such as the Visual Assistant, teachers and service providers can program a number of different skill sets and instructions to be accessible to the student at any time. These technology can include visual information in the form of digital pictures or line drawings, as well as audio messages and instructions.

Functional and personal skill instruction

Opportunity for partial participation in challenging activities

Related services for physical therapy, occupational therapy, and speech/language acquisition

Augmentative and alternative communication devices

How Technology Supports Students With Disabilities

Brain Injury

Autism spectrum disorder (ASD)
(High Incidence Disability)


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Moderate to Severe multiple disabilities are low incidence. 0.23% of school-age-children are listed as having multiple disabilities under IDEA.

Studies also show that autism is four to five times more common among boys than girls. An estimated 1 out of 37 boys and 1 in 151 girls are diagnosed with autism in the United States. ASD is estimated to affect more than 2 million individuals in the U.S. and tens of millions worldwide.
Resource:https://www.autismspeaks.org/what-autism/faq

The American Psychiatric Association described a triad of impairments in social communication, social interaction and the presence of restricted and repetitive behaviours and interests. Resource: https://www.sciencedirect.com/science/article/pii/S0891422210002647

What is Autism spectrum disorder?

How common is autism in the US?

What are the 3 types of autism?

autistic disorder

Asperger's syndrome

pervasive developmental disorder not otherwise specified (PDD-NOS) or “autism spectrum disorders

INDICATORS

problems with social interaction with others.

unusual interest in objects.

need for sameness.

great variation in abilities.

under or over reaction to one or more of the five senses: sight, touch, taste, smell, or hearing.

repeated actions or body movements.

Assistive Technologies

High Tech

Non-Tech

Low-Tech

robotic smart toys Ex; Ozobot, Romido, Dash and Leka

High tech devices and software

Covered overlays

E-readers

touch screen devices

Computerized testing

mp3 player

portable word processors

pencil Grip

Post-it notes

tactical letters

PATTERNS OF BEHAVIOR

Repetitive behaviors like hand-flapping, rocking, jumping, or twirling

Constant moving and “hyper” behavior

Fixations on certain activities or objects

Specific routines or rituals (and getting upset when a routine is changed, even slightly)

Extreme sensitivity to touch, light, and sound

Not taking part in “make-believe” play or imitating others’ behaviors

Fussy eating habits

Lack of coordination, clumsiness

Impulsiveness (acting without thinking)

Aggressive behavior, both with self and others

Short attention span

TIPS FOR TEACHERS

  1. Use Task Analysis –very specific, tasks in sequential order.
  1. Always keep your language simple and concrete.
  1. Teach specific social rules/skills, such as turn-taking and social distance.
  1. Give fewer choices.
  1. Asking a student what you just said helps clarify that you’ve been understood.
  1. Avoid using sarcasm.
  1. Give very clear choices and try not to leave choices open ended.
  1. Using various means of presentation – visual, physical guidance, peer modeling, etc.
  1. Allowing some access to obsessive behavior as a reward for positive efforts.

IEP`s APPROCHES

STEP 1.Preparing to have a student with autism in the classroom

STEP4. Communicating and collaborating with the parents and/or guardians of a student with autism

STEP2. Supporting the inclusive classroom environment

STEP 3. Collaborating with a student’s IEP team

Symbols to speech boards for communication

TIPS FOR PREPARING THE CLASSROOM

Need for sameness and difficulty with
transitions

Define classroom areas: Create individual work

Keep classroom consistently organized

Choose designated seat for student

Keep daily schedule in one place in classroom

Develop a visual agenda to help the student

Understand the agenda in advance

Problematic or acting-out behavior

Have a recreation area or playground nearby forstudent to let off steam

Identify a home base area to escape classroom stimulation for a while

Easily distracted by sights and sounds

Seat student in low traffic area of classroom

Face desks away from windows and doors

Designate a home base area to escape classroom stimulation for a while

Teach child when he or she can and cannot use computer; some teachers cover the computer to indicate it’s not time to use it

Seat students away from toys and books

Sensitivity to touch

Avoid touching student initially

Teach tolerance to touch

Sensitivity to smells

Avoid using perfumes or heavy lotions

Seat student near open door or open window in rooms with strong smells (art room)

Ask custodians to order and use unscentedAsk custodians to order and use unscented cleaning supplies

Sensitivity to sounds

Move student away from sounds

Use soft voice when possible

Have student use earplugs or comfortable headphones (when appropriate)

Install carpeting or carpet remnants

Put material under desk legs

Prepare student for sounds (before bell rings, fire drills)

Gradually teach tolerance to sounds