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Severe Disability
Significant disabilities/impairments in intellectual physical (motor) and.or social functioning that is significantly below the norm and identified after birth
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TASH
an organization that advocates people with significant disabilities and support needs are most at risk for being excluded in the society
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Profound Disabilities
affects cognition, communication, social skills development, motor-mobility, and activities of daily living
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Multiple Disabilities
concomitant impairments, the combination of which causes severe educational needs that cannot be accomodated in sped programs solely for one of the impairments
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Deaf-Blindness
concomitant hearing and visual impairments that causes severe communication and other developmental and educational needs that they cannot be accommodated in sped programs solely for children with deafness or children with blindness
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Severe Disabilities can include students under:
ID, OHI, MD, Autism, TBI, DB
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Characteristics of students with severe disabilities
- Slow acquisition rates for learning new skills
- Poor generalization and maintenance of newly learned skills
- Limited communication skills
- Impaired physical and motor development
- Deficits in self-help skills
- Infrequent constructive behavior and instruction
- Stereotypic and challenging behavior
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Generalization
performance of skill in settings or under conditions defferent from those in which the skill was learned intially
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Maintenance
continued use of skill after instruction has been terminated
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The cause of severe intellectual disabilities:
biological conditions that may occur before birth, during birth, or after birth
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The causes of brain disorders
- brain dysgenesis
- brain damage
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Brain dysgenesis
abnormal brain development
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Brain damage
caused by influences that alter the structure or function of the brain that had been developing normally up to that point
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Traumatic Brain Injury
acquired injury to the brain caused by external force, resulting in total or partial functional disability or psychosocial impairment or bothe that adversely affects a child's educational performances
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Open Head Injury
result of penetration of the skull, such as that caused by a bullet or a forceful blow to the head with a hard or sharp object
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Closed Head Injury
head hits a stationary object with such force that the brain slams against the inside of the cranium
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Concussion
a mild brain injury, is a brief loss of consciousness
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Contusions
accompany a moderate brain injury and consists of bruising, swelling, and bleeding
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Hematoma
occurs when blood vessels in the brain rupture
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Coma
a severe head trauma
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Anoxia
loss of oxygen to the brain for a period of time during a severe brain injury
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Three categories of impairments from brain injuries:
- Physical and sensory changes
- Cognitive impairment
- Social, behavioral, and emotional problems
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Functional Skills
activities of daily living skills needed now and in the future
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Curriculum for students with severe and multiple disabilties:
- Functional skills
- Age-appropriate skills
- Communication skills
- Literacy
- Recreation and leisure skills
- Making choices
- Access to gen ed curriculum
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Components of an Instructional Program:
- Precisely assess the student's current level of performance (determine what needs to be taught)
- Clearly define the skill to be taught
- Break down skills into smaller steps
- Determine how the learner can actively participate
- Provide a clear response prompt or cue to the child
- Gradually withdraw response prompt
- Provide immediate feedback
- Use strategies that promote maintenance and generalization
- Directly and frequently assess the student's performance
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Naturalistic teaching
"teachable moment" when a student demonstrates an interest in something, great time to teach them a related skill
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Strategies of naturalistic teaching
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MAnd
verbal instruction that cues students to perform a behavior that they may know how to perform but do not do
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Mand-prompt
teacher mands, as stated above, but also prompts a student
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Model
student can perform a behavior but hesitates to do so, teacher may dispense with mands and just model the correct behavior for students to imitate
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Partial Participation
individuals with severe disabilities can be taught to perform selected components or an adapted version of the task
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Positive Behavior Support
Use of functional assessment methodologies to support student's placement and guide the development of positive behavior support plans
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Functional Assessment
determines environmental variable that cue and maintain undersirable behavior
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Benefits of the neighborhood school and inclusion:
- integrated schools are more meaningful instructional environments
- parents and families have greater access to school activities
- students with severe disabilities are more likely to develop social relationships with students without disabilities if they are included at least aprt of the time in the regular classroom
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