July 2020 [Cohort 9] Assistive Technologies for Special Needs Students

Autism

Deafness

Emotional Disturbance

Multiple Disabilities

Hearing Impairment

Other Health Impairments

Speech or Language Impairments

Traumatic Brain Injuries

Specific Learning Disabilities

High Incidence

In 2020, it was reported that 1 in 54 children in the U.S. are diagnosed with autism. (Austism Speaks, 2020)

What is Autism?

Oxford Languages Definition

a developmental disorder of variable severity that is characterized by difficulty in social interaction and communication and by restricted or repetitive patterns of thought and behavior.

Assistive Technologies

What?

Assistive technology (AT) are varying methods of technology used to improve the functioning capabilities of people with disabilities. (ATiA, 2020)

Statistics and facts

Source: (Austism Speaks, 2020)

Boys are four times more likely to be diagnosed with autism than girls.

Most children were still being diagnosed after age 4, though autism can be reliably diagnosed as early as age 2.

31% of children with ASD have an intellectual disability

Autism affects all ethnic and socioeconomic groups.

Minority groups tend to be diagnosed later and less often.

Early intervention provides the best opportunity to support healthy development and deliver benefits across the lifespan.

Autism costs an average estimate of $60,000 a year through childhood

Nearly half of 25-year-olds with autism have never held a paying job.

Why?

AT is used to enhance communication for people with autism, regardless of the severity and speech ability. (Austism Speaks, 2020)

Note: Children with autism typically process visual information easier than alternative methods. Therefore, most AT used for children with autism are focused on delivering information through their strongest processing area. (NASET, N.D.)

"Low" Technology

"Mid" Technology

"High" Technology

Schedules

Object schedules image

Visual schedule image

Rules and signs

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Big Mac image

Talk Pad image

Voice in the Box

This device can be programmed with simple 1-4 step directions. The child is motivated to hit the buttons and thus complete the sequence of steps. This is particularly beneficial for kids with autism as they often struggle to follow the steps of a sequence to complete their "job"

This piece of equipment is a great motivational device to focus on turn-taking activities. It is used to promote social skills. For example, children will take turns pushing the Big Mack button to respond to prerecorded questions or routines.

This device can help the child to focus his attention during large group listening activities. These activities tend to be very difficult for children with autism.

For example, when the teacher is reading a book aloud to the class, numerous lines from a book can be visually represented with a corresponding recorded message on the buttons. The child can "assist" in "reading" the story by pushing the appropriate buttons for the story

Video taping

Computers

Children with autism are often highly interested, motivated and thus attentive to videos due to their "predictability". Video taping can serve as an excellent tool with which to teach numerous skills to children with autism.

Language comprehension skills

Social skills

Expressive language skills

Self help skills

Emotions

Academics

Research on the use of computers with autistic children have revealed the following.

Increase in focused attention

Increase in overall attention span

Increase in in-seat behavior

Increase in fine motor skills

Increase in generalization skills

Decrease in agitation

Decrease in self-stimulatory behaviors

Decrease in perseverative responses

Adaptive hardware

In order to access the computer, some children with autism might require that the standard computer be adapted with certain devices such as the following

Touch window

Big Keys and Big Keys Plus

Intellikeys

Trackballs

Intellectual Disability

Visual Impairment

Source for Low, Mid, and High AT: (NASET N.D.)

Orthopedic Impairments

What is "Orthopedic Impairment?"
According to the Individuals With Disabilities Education Act (IDEA), an orthopedic impairment is defined as a bone-, joint-, or muscle-related disability that is so severe that it negatively affects a child’s educational performance (IDEA, 2004).

Causes of Orthopedic Impairment

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Children might either be born with or acquire problems with their joints, bones or muscles.

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Genetic abnormality (e.g., the absence of a member, clubfoot)

Disease (poliomyelitis, bone tuberculosis)

Injury

Birth trauma

Amputation

Burns

Fractures

Cerebral palsy

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WHAT

This category covers difficulty with speech and language. A common example is stuttering. Also, trouble pronouncing words or making sounds with the voice. It also covers language problems that make it hard for kids to understand words or express themselves.

HIGH INCIDENCE

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About 8% of kids have speech language difficulties. It is the most common childhood disability, affecting approximately 1:12 children.

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IDEAS FOR CLASSROOM MODIFICATION

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Speech Language Pathologists are trained to identify language-based learning disabilities and implement techniques to help students continue to learn with their peers. It is very important to identify language problems early on in a child's education.

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A person with orthopedic impairment may have:

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Musculoskeletal disorders

Neuromotor impairment

Degenerative diseases

Orthopedic problems can be the result of:

deformities

Orthopedic issues may be ones from birth such as:

muscular dystrophy

or joint deformities.

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diseases

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injuries

Orthopedic problems vary - children may experience trouble using their hands, arms, or legs. Some of these children will make use of assistive devices and technologies in order to function as independently as they can.

help students with various levels of severity of orthopedic impairment. These devices enable access to the educational curriculum and may include one or more of the following:

surgeries/injuries

osteogenesis imperfect

Loss of bone or muscle tissue, or include the amputation of a limb.

Broken bones and burns may also lead to damage to either muscles or bones.

can result in:

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Children may experience trouble using their hands, arms, or legs.

Some of these children will make use of assistive devices and technologies in order to function as independently as they can.

ASSISTIVE TECHNOLOGIES

Classroom Modifications and Accommodations

Assistive Technology Devices

People with orthopedic impairments usually need physical accommodations in school, and at home. They have legal rights to this support under the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act of 1973.

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speech recognition software

alternative keyboards and mice

augmentative and alternative
communication devices

word prediction software

screen reading software

academic software for
students with disabilities

Due to the unique nature of orthopedic impairments, additional specialists might need to become involved in the development and implementation of appropriate educational programming for the student.

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What Are Other Health Impairments?
Other health impairment means having limited strength, vitality, or alertness, including a heightened alertness to environmental stimuli, that results in limited alertness with respect to the educational environment
(IDEA,2020)

High Incidence

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Attention Deficit Hyperactivity Disorder (ADHD)

Tourettes Syndrome

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Epilepsy

Assistive Technologies

Definition: ADHD is not a behavior disorder. ADHD is not a mental illness. ADHD is not a specific learning disability. ADHD is, instead, a developmental impairment of the brain’s self-management system

Audiobook services like audible. Listen to someone read books to them on a small tablet can help them to be active while listening to the readings

Speech recognition software Allows students to express themselves quickly and efficiently

Reminder devices such as a vibrating watch. Students can receive simple reminders to refocus on their classwork.

Talking Calculators Helps them to hear numbers as they work out problems before submitting a final amswer

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Definition: A nervous system disorder involving repetitive movements or unwanted sounds.

Assistive Technologies

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Pre-recording class presentations on video To help lower stress for these students, they can make a video at home of themselves where anxiety is lower

Speech-to-text software Valuable for these students because they will be able to say aloud what they want to type and software creates a document for them

Recording Devices By recording the lecture instead of trying to write them down, a student will be able to listen to the information later

Reader software Software designed to read written text out loud

Definition: A disorder in which nerve cell activity in the brain is disturbed, causing seizures.

Assistive Technologies and strategies

Inform the class about epilepsy. Emphasize that epilepsy is not a disease and that it is not contagious

Modified monitors that are flicker free and audio adjusted where the screen fades out instead of blinking off

Strategies Repetition of material, Redirection, Memory learning, strategies Extra time on assignments, Non-timed assessments

Diabetes

Productivity and organization tools Digital organizers, timers, calendars and spreadsheets to help them keep track of what they need to do

Definition: A group of diseases that result in too much sugar in the blood (high blood glucose).

Assistive Technologies

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Visual aids Students with diabetes often experience ongoing visual problems

Portable magnifiers

Software magnification for computer use

Electronic prompting aids

Personal digital assistance

Glucose Monitor

Alarm watch reminder

What is a traumatic brain injury?


The National Institute for Neurological Disorders and Strokes (2020) defines a Traumatic Brain Injury as an injury which is acquired from a sudden trauma and results in damage to the brain. It normally occurs when the head is hit suddenly and violently. The resulting injuries can range from mild to severe.

How common is a traumatic brain injury?


Of all the acquired disabilities in childhood, sever brain injury is the most common (Michaud, Duhaime, & Batshaw, 1993).

Results of a traumatic brain injury


A mild traumatic brain injury can result in a change of consciousness or mental state. The majority of incidents are mild and are usually referred to as concussions.

A more serve implication can result in memory loss or a long period of unconsciousness.

837,000 cases were identified in children in 2014 .

Difficulties expressing language

Lower physical strength and agility

Teachers struggling to communicate

Problems with word retrieval

Balance problems

Impairments in memory

What symptoms should you look for in your students?

Fatigue

Poor coordination

Sleep disruption

Anger

Inappropriate social behavior

Dizziness

Headaches

What are the causes?

How should students receive differentiation for a severe brain injury?

ABC (Antecendent-Behavior-Consequence) assessment to analyst each moment of unwanted behaviour

Controlled noise and activity levels

A formalised assessment of cognitive skills to assess what extra help is needed

Dividing work levels into smaller sections

Strong co-ordination between hospital, therapists school and families

Designated space to rest and take time out

Predictable and consistent routine in the classroom

What assistive technologies can be used to support a student?

A walking device such as crutches or a wheelchair to help movement between classes

A calendar or notebook to help keep them organized and to help planning

Magnifying glass or glasses to help their vision such as looking at the board

A grip attached to their pen to help with writing

Frustration, anger and discouragement

High Incident: “a severe orthopedic impairment that adversely affects a child’s educational performance.” (IDEA, )

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-Allow student time to express themselves.
-Do not interrupt a slow speaker.
-Be a good model and speak directly to student.
-Reduce unnecessary classroom noise.
-Provide student with written information on topics being covered prior to discussion.
-Private location for testing.
-Pre-teach words and ideas.
-Teach one concept at a time.
-Use visual cues.
-Provide hands on experiences.

Low technology ideas: Use dry erase boards, binders, folders, images and graphic organizers.

Communication tools and text-speech-tools such as Dragon voice recognition software. Apps for helping students with letter and word pronunciation. ClaroSpeak. QuestionIt. Articulation Station. Proloquo200. There are also digital creation tools that help kids write and share stories. Cast UDL Book Builder. My Story School eBook Maker. GoAnimate for Schools.

Assistive Devices/Strategies

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Deaf-Blindness

Low Incidence

a rare, challenging, and demanding condition (Caporusso, 2014)

a rare, challenging, and demanding condition (Caporusso, 2014)

What

combination of hearing and visual impairments

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Assistive Technologies

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there is poor assistive technology for deaf-blind people (Trizio, 2014).

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Tractor Suit: delivers touch cues on the torso TS

Hey yaa: wearable, 2 waist belts, using vibrotactile cues belt

Braille to Go: a standard Android smartphone with a Braille display BtoGo

Cochlear Implant Cochlear

V-Braille: Braille Characters in a haptic form on a standard mobile phone V B

Identity Cane: indicates a person has a vision impairment ID

Long Cane: detects obstacles and surface changes LC

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Awareness in participation of physical education classes

Note-taking assistance

extended time to complete assignments

Teacher awareness of student’s condition and its affect (such as tiring easily)

Adequate awareness of the student's medical condition and its affect on the student

Securing assistive technology and suitable augmentative communication and other assistive devices

Instruction focused on impairments in, and the improvement/development of gross and fine motor skills

Seating arrangements to develop useful posture and movements, and larger tables

Low Tech Screenshot (93)

Mid Tech Screenshot (88)

High Tech Screenshot (91)

What

combination of hearing and visual impairments

What? As defined by IDEA: an impairment in hearing, whether permanent or fluctuating, that adversely affects a child's educational performance but is not included under the definition of "deafness."

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Educational Challenges

A hearing loss below 90 decibels is classified as a hearing impairment. Though some students may suffer from permanent hearing loss, many younger students may have temporary hearing loss due to colds and ear infections. Whether permanent or temporary, this can affect language development and access to the curriculum.

Teaching Hearing Impaired Students

participating in classroom discussions

taking notes (while listening to teacher)

watching videos

presenting oral reports

grammar, spelling, and vocabulary

Classroom Adaptations

area rugs, heavy curtains, tennis balls on the bottom of chair legs-all can reduce extra noise.

Assistive Devices/Technology

Turn off/ eliminate equipment that makes background noise (ie projectors, fans)

Flashing fire alarm

arrange desks/students in a circle so impaired hearer can see all peers faces.

Communication Accommodations

Obtain student's attention before speaking

do not speak when your back is to the student

clearly enunciate speech, speak slower, and repeat/rephrase when necessary

use a talking stick or some other method (hand raising) so the student knows what peer is speaking so they can face the speaker.

check frequently for understaning

to ehance lip readers conditions: avoid hands in front of face, keep facial hair well groomed, do not chew gum

reduce visual distractions

for lip readers : avoid backlighting, so speakers faces are not in a shadow

Assistive Listening Devices-devices that help amplify the sound

personal hearing devices (hearing aid, cochlear implant)

use closed captioning while viewing videos

use facial expressions, body language and gestures to help convey message

explicitly teach idioms and explain jokes or sarcasm, and pre-teach new, specific vocabulary

microphone for speaker/s (pass to all peers when they talk)

Test Taking/Curriculum Modifications

allow test to be taken in a quiet room

Have a person read them the test, rather than using a digital or computer generated voice- this allows for speech intonation/inflections, speech to be slowed, and can be repeated to ensure understanding

allow extra time for test taking, as hearing loss can effect one's ability to process information, including written information

Physical Therapists

Additional Therapists

Occupational Therapists

Speech-Language Pathologists

Adapted Physical Education Teachers

Classroom Accommodations

-Make an inclusive environment to respect people's differences.
-Allow a service animal to accompany the student.
-Let the student have a preferable seat.
-Ask the student about any concerns.
-Allow the student to use an interpreter.
-Give extra time for tests.
dog

What?


Specific learning disorder (often referred to as learning disorder or learning disability) is a neurodevelopmental disorder that begins during school-age, although may not be recognized until adulthood. Learning disabilities refers to ongoing problems in one of three areas, reading, writing and math, which are foundational to one’s ability to learn (American Psychiatric Association, & Penesetti, D., Nov. 2018).

Com Touch: increases remote voice communication with the use of touch CT

WHAT IS IT? >> According to the IDEA Act (Revised May 2017), Emotional Disturbance is defined as showing one or more of the below characteristics during a marked length of time and to a degree has an effect of a child’s educational performance:

‣ an inability to learn (excluding intellectual, sensory, or health factors)

‣ inability to build or maintain relationships with peers and teachers

‣ Inappropriate behavior or feelings relevant to the current situation

a pervasive mood of unhappiness or depression

‣ developing physical symptoms/fears associated with personal or school problems

Examples of disabilities classified as Emotional Disorders (Center for Parent Information & Resources, 2017):

Anxiety Disorder Generalized, PTSD, Obsessive Compulsive, Panic

Bipolar Disorder Depressive, Manic

Conduct Disorders Oppositional Defiant, Intermittent Explosive

Psychotic Disorders Schizophrenia, Dissociative Identity, Schizoaffective

Eating Disorder Anorexia, Bulimia, Pica, Over Eating

DIAGNOSTIC TOOLS & ASSISTANCE

Diagnostic and Benchmark Assessment Tools Social-Emotional Assets and Resilience Scale, Social Skills Improvement System Rating Scales, Behavioral and Emotional Rating Scale (Denham, 2016)

Physician Prescribed Medication: Mood Stabilizers, Antipsychotics, SSRIs, Benzodiazapines (Anxiety Disorders: Parents’ Medication Guide, 2020)

Psycho, Cognitive & Behavioral Therapies and Counseling

ASSISTIVE TECHNOLOGY IN THE CLASSROOM

Text-To-Speech Software - Can Help Students relieve stress by being read to (especially if they have co-morbid disorders such as dyslexia) (Lynch, 2018)

Voice Recognition Software - Can help students take notes without feeling the stress of physically writing (also helpful for students with co-morbid dysgraphia

Reminder Devices - such as vibrating or flashing light alarms or other sensory-engaging tools (stress balls, fidget spinners) that can help ground students and remind them to pay attention.

The TALKLIGHT App - helps teachers monitor classroom noise levels and modulate their own voices, which can help create a calmer environment for the students with emotional disorders

pills

therapy

cellphone

grip pen

Motor crashes 20%

Other 21%

Struck my objects 19%

Falls 24%

Assault 11%

Suicide 1%

As a cohort, we believe it has low incidence in the classroom

means concomitant impairments (such as intellectual disability-blindness or intellectual disability-orthopedic impairment)

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Enviornmental considerations:

Are there multiple ways of presenting content?

Are multiple means of showing what the student knows supported?

Are multiple approaches to student engagement accepted?

Are there areas without visual clutter?

How flexible is the classroom schedule?

How much adult support is in the room?

Medical considerations

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Does the child recieve medications that might affect their learning and engagement?

Implementing assistive for seating and positioning in the case of severe physical challenges

Most common forms

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SpLD is an umbrella term used to cover a range of frequently co-occurring difficulties (The Dyslexia Association, 2020).

Dyslexia

Dyspraxia or Developmental Coordination Disorder (DCD)

Dyscalculia

Dysgraphia

Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder (ADD or AD(H)D)

Variability of abilities in times of day: Teachers will need to examine what happens prior to an optimal learning conditon. What variables promote the best learning outcome for the student? Did they just get off a long bus ride? After lunch? Change in their seating positions?

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What Is It? Individuals With Disabilities Education Act (IDEA) defines visual impairment as "impairment in vision that, even with correction, adversely affects a child’s educational performance. The term includes both partial sight and blindness" (IDEA, 2004).

Use Sensory Learning Tools

High Incidence

According to the National Institute of Health (2019), research shows that 8 to 10 percent of American children under 18 years of age have some type of learning disability.

Ideas for classroom adaptations

Bean bags

Maipulatives like animals, fruits, or other toys

Flashcards for matching

Music and songs about colors and numbers

Art supplies such as crayons, markers, paints

Low incidence in the classroom

Inclusion

Inclusion means putting students with disabilities into the general classroom.

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Most Common Forms Include (Willings, n.d.):

Intellectual Disabilities

Achromatopsia: the inability to differentiate colors

The focus on instruction should be on the student

Myopia: extreme nearsightedness

Astigmatism: the inability of an eye to focus sharply, causing extreme blurriness

retinitis pigmentosa: progressive retinal degeneration that is hereditary and can lead to blindness

References:


Psychiatry.org. 2020. What Is Intellectual Disability?. [online] Available at: https://www.psychiatry.org/patients-families/intellectual-disability/what-is-intellectual-disability [Accessed 8 August 2020].


Inc, C. and Technology, A., 2020. How Assistive Technology Helps People With Intellectual Disabilities Achieve Independence – Createability Inc. [online] Createabilityinc.com. Available at: http://createabilityinc.com/2020/05/27/how-assistive-technology-helps-people-with-intellectual-disabilities-achieve-independence/ [Accessed 9 August 2020].

What is "intellectual disability"?

Focus on multiple intelligence

Adaptive curriculum

Request classroom accomodations

Intellectual disability1 involves problems with general mental abilities that affect functioning in two areas:
intellectual functioning (such as learning, problem solving, judgement)
adaptive functioning (activities of daily life such as communication and independent living)


Intellectual disability affects about one percent of the population, and of those about 85 percent have mild intellectual disability. Males are more likely than females to be diagnosed with intellectual disability.
(What Is Intellectual Disability?, 2020)

According to the World Health Organization (WHO), around 18.9 million children who are 15 years old and under are visually impaired worldwide (Vishnuprasad et al., 2010).

Consult with teachers about making simple changes to the classroom that will aid your child in their learning. The right accommodation depends on the specific learning disability that your child has.


Create an IEP (Individualized Education Plan

School administrators and teachers can create a roadmap for dealing with your child's needs and how the school will fulfill those requirements

How-to-Accommodate-and-Support-a-Child-with-a-Visual-Impairment

INNOVATIVE ASSISTIVE TECHNOLOGIES (University of Illinois Library, 2020)

TEACHING STRATEGIES (Henkler, 2020)

Find a specialist

Look for a specialist with ongoing professional education in learning disabilities as well as your child’s required subject area — whether that’s reading, writing, math, or a combination of those.

JAWS Screen Reader

Kurzweil Education

Refreshable Braille Displays

Audiobooks

Have visually impaired students sit away from bright, harsh lights if they experience light sensitivity. Have visually impaired students also closer to the blackboard/near the front of the classroom

Write on the board with large letters and contrasting colors (e.g. black ink on a white board)

Always give instructions to students orally

Give detailed explanations, from presentations and lectures to diagrams.

When testing students, ensure that visually impaired students are given enough support so they can do their best on the test. Use big text, braille, a recording of the questions, etc.

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JAWS stands for Job Access With Speech. It is a screen reader that provides braille and text-to-speech output.


Text-to-speech software that enables visually impaired students to access computers functions and also hear what is displayed as text on their computer screens.

overview-cover-2016

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Audiobooks are recordings of book readings

Children with visual impairments can listen to audiobooks instead of reading books for class assignments

Plage-braille

A refreshable braille display raises and lowers pins in braille cells, based on the text on a computer screen. As the student moves the computer's cursor around, the pins will raise and lower depending on what is displayed on the computer screen

Provide visually impaired students with a voice recording of the lectures/lessons and/or handouts with your notes in big, large print

Low Incidence

What?

Low Incidence

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Non-tech Accomodations

Assistive Technologies

The IDEA Act (last modified May 2018) describes deafness as a hearing impairment that is so severe that the child is impaired in processing linguistic information through hearing, with or without amplification, that adversely affects a child’s educational performance.

According to the Center for Parent Information and Resources (CPIR), children are usually only considered deaf if their hearing loss exceeds 90 decibels (2015)

"Profound deafness occurs in 4-11 per 10,000 children" (CPIR, 2015), so from 0.04% to 0.11%

Hearing loss can be caused by either genetic or environmental factors.
Environmental causes include loud noises, ear infections, a build-up of fluid, and others. (CPIR, 2015)

(Special Education Guide, 2020)

Hearing Loop System-(induction Loop System)- connects teachers' microphone directly to the students hearing aid via a wire

FM systems-similar to the hearing loop system- uses a radio signal to transmit sound from the microphone to the hearing aid- no wire is necessary.

ASR- Automatic Speech Recognition- software that transcribes speech to text- ( to use with a computer at student's seat)

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A note-taker - can be recruited from the other students

A sign language interpreter

Enable captions on videos shown in class and online lectures

Telecommunications (National Deaf Center, 2019)

Text-to-speech software or devices for note-taking or communication

modify written and reading assignments- (shorten length, adjust evaluation criteria, alter phonics assignments)

"With or without amplification" means that even a hearing aid is not enough to allow the child to succeed in the classroom. (Deafness, n.d.)

pre teach vocabulary

American Sign Language Interpreter or supplemental lessons to learn ASL

use a peer notetaker- so student can concentrate on watching/listening to the speaker- and/or provide a written outline of the lesson as well as notes for the lesson

utilize visual aids when possible in a lesson - ie posters, flash cards, graphic organizers, charts, or any visual item that helps illustrate the concept of the lesson

Arranging seating in a circle so the student can read every student's lips, and the teacher standing where the student can read theirs

Extra speech and language training with a specialist for the student

Extra training in sign language and nonverbal communication for the teacher

Relias
屏幕快照 2020-08-08 下午8.33.56

Assistive Listening Devices to amplify sound (National Deaf Center, 2019)

Hearing Loop Systems: a system installed in the classroom that provides wires so that the teacher's microphone can be linked directly to the student's hearing aid or cochlear implant

FM/DM systems that transmit the signal wirelessly from the teacher's microphone, and the student can tune a receiver device to pick up the signal and connect it to their hearing aid or cochlear implant

Relias has developed “6 Building Blocks for Empowering People with IDD” which provides an organized roadmap to decision-making for both the care provider and the consumer with IDD. (Inc and Technology, 2020)

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Personal devices

Hearing Aids

Cochlear Implants - surgically implanted in the inner ear

kidusing videophone Videophones

smartphone Smartphones

Low Incident

tty Text telephone

(Verbit, 2020). (Bright Hub, 2020) (Accommodations for Students With Hearing Loss, 2020)

Visible fire alarms (e.g. flashing lights)

an old but still used system, functionally similar to modern text messaging

a subscriber based system available only to deaf people but able to connect to others, run through the FCC

can be used like a videophone, text telephone, or in many other ways

In-class or take-home tablets or laptops, with assistive apps/programs installed

Assure student is looking at your face before speaking

More visual and kinesthetic-directed teaching

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(Special Education Guide, 2020)

(Bright Hub, 2020). (Accommodations for Students with Hearing Loss, 2020)

(Accommodations for Students with Hearing Loss, 2020). (Bright Hub, 2020)

(Bright Hub, 2020)