Monday, December 3, 2012

Developmental Delay



IDEA Category of Disability (Developmental Delay)
Nichole V & Kara H

Description & Definition of developmental delay:

(1) Who is experiencing developmental delays as defined by the State and as measured by appropriate diagnostic instruments and procedures in one or more of the following areas: Physical development, cognitive development, communication development, social or emotional development, or adaptive development; and

(2) Who, by reason thereof, needs special education and related services. [34 CFR §300.8(b)]

a)      Children aged three through nine experiencing developmental delays. Child with a disability for children aged three through nine (or any subset of that age range, including ages three through five), may, subject to the conditions described in §300.111(b).

It’s a good idea to find out if your state has added details to this definition of developmental delay. States are allowed to do so, if they choose. They also decide on the age range of children with whom the term may be used (3-5, 3-9, or any subset between 3-9).

It may be helpful to know that, under IDEA:



  •  
    Your state may not require that your local school district also adopt and use the term developmental delay in working with children.
  • If your local school district decides to use the term, it must use the same definition and age range as the state does.

Characteristics:

 Skills such as taking a first step, smiling for the first time, and waving “bye bye” are called developmental milestones. Children reach milestones in playing, learning, speaking, behaving, and moving (crawling, walking, etc.). A developmental delay is when your child does not reach these milestones at the same time as other children the same age.

What are developmental milestones?
Developmental milestones are a set of functional skills or age-specific tasks that most children can do at a certain age range. Your pediatrician uses milestones to help check how your child is developing. Although each milestone has an age level, the actual age when a normally developing child reaches that milestone can very quite a bit. Every child is unique!

Examples of Developmental Milestones:

  • Gross motor: using large groups of muscles to sit, stand, walk, run, etc., keeping balance, and changing positions.
  • Fine motor: using hands to be able to eat, draw, dress, play, write, and do many other things.
  • Language: speaking, using body language and gestures, communicating, and understanding what others say.
  • Cognitive: Thinking skills: including learning, understanding, problem-solving, reasoning, and remembering.
  • Social: Interacting with others, having relationships with family, friends, and teachers, cooperating, and responding to the feelings of others.
If a developmental delay is not recognized early, children must wait to get the help they need. This can make it hard for them to learn when they start school. In the United States, 17 percent of children have a developmental or behavioral disability. But, less than half of children with problems are identified before starting school.

Additional Resources:
NICHCY Developmental Delay Resources:
The National Dissemination Center for Children with Disabilities (NICHCY) offers brief, but detailed fact sheets on Developmental Delays. Each fact sheet defines the disability, describes its characteristics, offers tips for parents and teachers, and connects you with related information and organizations with special expertise. Also, lists early intervention services by state. 
  

Center for Disease Control and Provention (CDC), Local Health Department & Make-A-Difference Information Network:  An alternative to questions about children development is the local health department or finding testing locations near your community contact the Make-A-Difference Information Network at 1-800-332-6262 begin_of_the_skype_highlighting

Developmental Delay Resources (DDR): 
A nonprofit organization dedicated to meeting the needs of those working with children who have developmental delays in sensory motor, language, social, and emotional areas. DDR publicizes research into determining identifiable factors that would put a child at risk and maintains a registry, tracking possible trends. DDR also provides a network for parents and professionals and current information after the diagnosis to support children with special need.
What is Developmental Delay? 
This website answers many of the frequently asked questions about Developmental Delays, the causes of them, what to do if you suspect DD, early intervention strategies and techniques, special education, and transition.



Emotional Disturbance


Emotional Disturbance

Mickayla W. & Michelle H.
Examples of ED  
  Anxiety Disorder    
 


Bipolar Disorder


Eating Disorder


Psychotic Disorder


Obsessive-Compulsive Disorder
Conduct Disorder

What is Emotional Disturbance?

A condition exhibiting one or more of the following characteristics over a long period of time:

· An inability to learn that cannot be explained by intellectual, sensory, or health factors

· An inability to build or maintain satisfactory interpersonal relationships with peers and teachers

· Inappropriate types of behavior or feelings under normal circumstances

· A general pervasive mood of unhappiness or depression

· A tendency to develop physical symptoms or fears associated with personal or school problems

Definition from IDEA
Characteristics
When a person’s physical, social, or cognitive skills are affected

·        Hyperactivity (short attention span, impulsiveness)

·        Aggression/self-injury (acting out, fighting)

·        Withdrawal (not socially interacting, excessive fear/anxiety)

·        Immaturity (inappropriate crying, temper tantrums)

·        Learning difficulties (academically below grade level) 

Learning Strategies:

·       Family therapy

·       Training strategies for parents

·       Training in problem-solving for child

·       Community-based services

·       Psychotherapy or counseling

·       Diet

·       Medication

·       Positive behavioral support in the school environment

·       Reward appropriate behaviors

  

Resources & Support
· Positive Behavioral Interventions & Supports (www.pbis.org)

o Provides school assistance for identifying, adapting, and sustaining disciplinary practices

· Anxiety& Depression Association of America (www.adaa.org

o Provides information and helpful services available.

o Information separated into categories (military, women, college, teens, children)

· National Eating Disorders Association (www.nationaleatingdisorders.org)

o Supports individuals and families affected by eating disorders

o Serves for prevention, cures, and access to quality care

· National Alliance on Mental Illness (www.nami.org)

o Information available, provides programs and services, online support groups, and advocacy

Multiple Disabilities

Brittinie G & Tricia T.

 
 
“It should be noted however, that these
students can also have average or even above-average intelligence”

Resources:
 
United Cerebral Palsy Association – www.ucp.org
 
Utah Center for Assistive Technology – ucat.usor.utah.gov
 
Assistiveware – www.assistiveware.com
 
 
National Dissemination Center for Children with Disabilities http://nichcy.org/disability/specific/multiple
 

Multiple Disabilities

Encompasses a combination of conditions that may impact a student’s ability to learn and achieve success in an academic setting. 
o   Students with severe disabilities are typically included under this terminology.
o   This disability category includes those students with the most severe physical, cognitive, and communicative impairments. 
o   The common connection isn’t that they have two or more co-existing impairments, but that they generally need extensive support across any number of skill areas
 

Characteristics - Six Categories that impact their learning:
Intellectual functioning-  Most have severe impairments
 
Adaptive skills-  Especially self-care and social skills
Programs should include self-care and self-advocacy components (essential for their inclusion in the community)

Motor development- Significant delays in fine and gross motor skills
Physical Therapy w/ orthopedic supports to improve deficits in motor
Sensory impairments- Hearing and visual impairments are common
Having a clear understanding of their sensory impairments will
help develop appropriate instructional programs.
Health care needs- Medical procedures, medical aids, medications
Communication skills- Challenges requiring augmentative and alternative communication

 

Teaching Strategies:

 

Planning process: a multidisciplinary process (parents, teachers, physical therapist, assistive technology teachers, and any additional support staff). 
Determining the students strengths and desires 
Determine what Resources and support will be needed 
Develop an IEP 
Integrate students with multiple disabilities with other peers.  Part of the
learning process is social development.
Peer tutoring – Must be reciprocal.  Student with MD should be able to provide something to the tutoring process, even if it is simply social behavior. 
Assistive technology – is an effective tool for students with MD in overcoming functional and communicative limitations. 
Augmentative and Alternative Communication –is any
instructional device, technique, or system that serves to support and bolster communication
GOAL: AAC devices allow students with MD to share countless emotional and social benefits that can come from a reciprocal interaction with another person. 
Tangible and tactile symbol systems:
Choice boards
Object prompts & symbols
Physical modeling & prompting
Computer or microswitch technology

Orthopedic Impairment


Orthopedic Impairment
Brecken C. & Patsy M.

DefinitionOrthopedic impairment is defined as a severe orthopedic impairment that adversely affects a child's educational performance. The term includes impairments caused by congenital anomaly (e.g., clubfoot, absence of some member, etc.), impairments caused by disease (e.g., poliomyelitis, bone tuberculosis, etc.), and impairments from other causes (e.g., cerebral palsy, amputations, and fractures or burns that cause contractures).
Characteristics of Students who have Orthopedic Impairment:
·         Learning, perceptual, or sensory problems
·         May impede speech production
·         Impede expressive language of the child
Characteristics based on 3 Categories of Orthopedic Impairments:
Neuromotor Impairments: an abnormality of, or damage to, the brain, spinal cord, or nervous system that sends impulses to the muscles of the body. These impairments are acquired at or before birth, and often result in complex motor problems that can affect several body systems.
·         Limited limb movement
·         Loss of urinary control
·         Loss of proper alignment of spine
Two most common are Spina Bifida and Cerebral Palsy
1.      Spina Bifida: is a developmental defect of the spinal column. It may or may not affect intellectual functioning. Spina bifida occulta is a mild condition while spina bifida cystica is more serious.
·         Involves some paralysis
2.       Cerebral Palsy : refers to several nonprogressive disorders of voluntary movement or posture that are caused by malfunction of or damage to the developing brain that occurs before or during birth or within the first few years of life. Individuals with cerebral palsy have abnormal, involuntary, and/or uncoordinated motor movements.
The four most common types of cerebral palsy include:
·         Spastic (very tight muscles occurring in one or more muscle groups that result in stiff, uncoordinated movements)
·         Athetoid (movements are contorted, abnormal, and purposeless)
·         Ataxic (poor balance and equilibrium in addition to uncoordinated voluntary movement)
·         Mixed (any combination of the types)
Degenerative Diseases:  are composed of various diseases that affect motor development. The most common is muscular dystrophy.
·         Muscular dystrophy: group of inherited diseases characterized by progressive muscle weakness
Musculoskeletal Disorders: are composed of various conditions that can result in various levels of physical limitations
·         juvenile rheumatoid arthritis
·         limb deficiency
Teaching Tips
  • Special seating arrangements to develop useful posture and movements
  • Instruction focused on development of gross and fine motor skills
  • Securing suitable augmentative communication and other assistive devices
  • Awareness of medical condition and its effect on the student (such as getting tired quickly)
  • Educate everyone in the school community on a student’s disability
  • Have parent/student/resource staff conferences to ensure classroom is accommodating for each child’s IEP
Due to the various levels of severity of orthopedic impairment, multiple types of assistive technology may be used
·         speech recognition software
·         screen reading software
·         augmentative and alternative communication devices (such as communication boards)
·         academic software packages for students with disabilities
Learning Tools
  • Physical Therapists who work on gross motor skills (focusing on the legs, back, neck and torso)
  • Occupational Therapists who work on fine motor skills (focusing on the arms and hands as well as daily living activities such as dressing and bathing)
  • Speech-Language Pathologists who work with the student on problems with speech and language
  • Adapted Physical Education Teachers, who are specially trained PE teachers who work along with the OT and PT to develop an exercise program to help students with disabilities
  • Other Therapists (Massage Therapists, Music Therapists, etc.)

Additional Resources
·         Bright Hub Education: http://www.brighthubeducation.com
·         National Center on Accessible Instructional Materialshttp://aim.cast.org/learn/disabilityspecific/physical
United Cerebral Palsy: http://www.ucp.org/