by Jeannette Babiak, Lou Peterson, Bill Schiesler
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Modification 1, Modification 2, Modification 3 For ED Students: https://www.washington.edu/doit/Faculty/Strategies/Disability/Psych/ Psychiatric or mental
health impairments are broad and range from mild depression to chronic
disorders such as schizophrenia or bipolar disorder. Negative stereotypes and
the fact that these disabilities are typically "invisible" further
complicate making accommodations for students with these disorders. Students with mental
health or psychiatric impairments can be affected in many ways. They may be
more susceptible to the common stressors of school involving academic demands
as well as interpersonal relationships. Students may have particular problems
receiving, processing and recalling information during times of stress. Side effects from
medication may also impact attention, memory, alertness, and activity level.
The episodic and unpredictable onset and recurrence of illness can also
interrupt the educational process. Individuals with
psychiatric impairments may be treated with a combination of medication,
counseling, and behavioral therapy. A student with a psychiatric impairment
may need to build time into his schedule for therapy and/or support services. Accommodations for
students who have mental health impairments include: Notetakers. Early notification of
projects, exams, and assignments to reduce stress. Flexible attendance
requirements. An encouraging,
validating, academic environment. Alternative testing
arrangements in a quiet room. Assignments available in
electronic format. Web page or electronic
mail distribution of course materials and lecture notes. For
Muscular Distrophy: Classroom
modifications to be spelled out in your IEP could include: a peer volunteer
to take notes, extra time and an aide for test-taking, or modifications in the
amount of homework required. http://www.mdausa.org/publications/journey/7.html For ADHD: http://www.as.wvu.edu/~scidis/add.html To be diagnosed as
having ADHD a student must display, for six months or more, at least eight of
the following characteristics prior to the age of seven: 1) fidgets,
squirms, or is restless 2) has difficulty
remaining seated 3) is easily
distracted 4) has difficulty
waiting for his/her turn 5) blurts out
answers 6) has difficulty
following instructions 7) has difficulty
sustaining attention 8) shifts from one
uncompleted task to another 9) has difficulty
playing quietly 10) talks
excessively 11) interrupts or
is rude to others 12) does not
appear to listen 13) often loses
things necessary for tasks 14) frequently
engages in dangerous actions * Self-monitoring
techniques can be very effective in the school setting. Self-monitoring
of attention involves cueing the student so that he/she can determine how
well he/she is attending to the task at hand. Cueing is often done by providing
an audio tone such as a random beep, timer, or the teacher can give the cue.
The student then notes whether he/she was on or off task on a simple
recording sheet. Self-monitoring techniques are more likely to be effective
when tied to rewards and accuracy checks. * Behavior
management techniques must often be used in the learning environment. By
examining a student's specific problem behavior, understanding it's
antecedents and consequences, teachers can help students with AD/HD to
develop behaviors that lead to academic and social successes. Provide
supervision and discipline: * Monitor proper behavior frequently and
immediately direct the student to an appropriate behavior. * Enforce classroom rules consistently. * Avoid ridicule and criticism. Remember
that students with AD/HD have difficulty staying in control. * Providing Encouragement: * Reward more than punish. * Immediately praise any and all good
behavior and performance. * Change rewards if they are not effective
in motivating behavioral change. * Find alternate ways to encourage the AD/HD
students. * Teach the student to reward himself or
herself. Encourage positive self-talk (e.g., "You did very well
remaining in your seat today. How do you feel about that?"). This
encourages the student to think positively about himself or herself. * Bring to the student's attention science role model who has a
disability similar to that
of the student with an impairment. Point out that this individual got ahead
by a combination of effort and by asking for help when needed. * Reduce the amount of materials present
during activities by having the student put away unnecessary items. Have a
special place for tools, materials, and books. * Reward more than you punish, especially
with positive reinforcers. * Try to be patient with an AD/HD student. Seat students with
AD/HD in the front near the teacher with their backs to the rest of the
class. Be sure to include them as part of the regular class seating. * Place these students up front with their
backs to the rest of the class to keep other students out of view. * Surround students with AD/HD with good
peer models, preferably students whom the AD/HD student views as significant
peers. * Encourage peer tutoring and
cooperative/collaborative learning. * A class that has a low student-teacher
ratio will be helpful to a student with AD/HD. * Avoid all distracting stimuli. Try not to
place students with AD/HD near air conditioners, high traffic areas, heaters,
doors, windows, etc. * Avoid transitions, physical relocation,
changes in schedule, and disruptions. * Be creative! Produce a somewhat
stimuli-reduced study area with a variety of science activities. Let all
students have access to this area. * Encourage parents to set up appropriate
study space at home, with set times and routines established for study. Also,
use this home area for parental review ofcompleted homework, and periodic
notebook and/or book bag organization. * Educational, psychological, and/or
neurological testing is recommended to determine learning style, cognitive
ability, and to rule out any learning disability (LD is common in about 30%
of students with AD/HD). * A private tutor and/or peer tutoring will
be helpful to a student with AD/HD. * Have a pre-established consequences for
misbehavior, remain calm, state the infraction of the rule, and avoid
debating or arguing with the student. * Avoid publicly reminding students on
medication to "take their medicine." Consult with
special education personnel to determine specific strengths and weaknesses of
each student. * Maintain eye contact during verbal
instructions. * Make directions clear and concise. Be
consistent with all daily instructions. * When you ask an AD/HD student a question,
first say the student's name and then pause for a few seconds as a signal for
him/her to pay attention. * To help with changes in assignments,
provide clear and consistent transitions between activities and notify the
student with AD/HD a few minutes before changing activities. * Repeat instructions in a calm, positive
manner. * AD/HD students may need both verbal and
visual directions. You can do this by providing the student with a model of
what he/she should be doing. You can give an
AD/HD student confidence by starting each assignment with a few questions or
activities you know the student can successfully accomplish. * Self-monitoring techniques can prove
effective in the school setting. Self-monitoring of attention involves cueing
the student so that he/she can determine how well he is attending to the task
at hand. Cueing is often done by providing an audio tone. * Behavior management techniques must often
be used in the school. By examining a child's specific problem behavior,
understanding it's antecedents and consequences, educators can help students
with AD/HD develop behaviors that lead to academic and social success. * Develop an individualized education
program. By identifying each student's individual strengths and specific
learning needs, you can design a plan for mobilizing those strengths to improve
students academic and social performance. * Gradually reduce the amount of assistance,
but keep in mind that these students will need more help for a longer period
of time than the student without a disability. Require a daily
assignment notebook as necessary and make sure each student correctly writes
down all assignments. If a student is not capable of this, the teacher should
help the student. * Initial the notebook daily to signify
completion of homework assignments. (Parents should also sign.) * Use the notebook for daily communication
with parents. |
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