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Dysgraphia,
ADD
Dysgraphia
From:
http://www.ldonline.org/article/6202
Dysgraphia Accommodations and Modifications
By: Susan Jones (1999)
Many students struggle to produce neat, expressive written work,
whether or not they have accompanying physical or cognitive difficulties.
They may learn much less from an assignment because they must focus
on writing mechanics instead of content. After spending more time
on an assignment than their peers, these students understand the material
less. Not surprisingly, belief in their ability to learn suffers.
When the writing task is the primary barrier to learning or demonstrating
knowledge, then accommodations, modifications, and remediation for
these problems may be in order.
There are sound academic reasons for students to write extensively.
Writing is a complex task that takes years of practice to develop. Effective
writing helps people remember, organize, and process information. However,
for some students writing is a laborious exercise in frustration that
does none of those things. Two students can labor over the same assignment.
One may labor with organizing the concepts and expressing them, learning
a lot from the 'ordeal.' The other will force words together, perhaps
with greater effort (perhaps less if the language and information has
not been processed), with none of the benefits either to developing
writing skills or organizing and expressing knowledge.
How can a teacher determine when and what accommodations are merited?
The teacher should meet with the student and/or parent(s), to express
concern about the student's writing and listen to the student's perspective.
It is important to stress that the issue is not that the student can't
learn the material or do the work, but that the writing problems may
be interfering with learning instead of helping. Discuss how the student
can make up for what writing doesn't seem to be providing -- are there
other ways he can be sure to be learning? Are there ways to learn to
write better? How can writing assignments be changed to help him learn
the most from those assignments? From this discussion, everyone involved
can build a plan of modifications, accommodations, and remediations
that will engage the student in reaching his best potential.
Signs of dysgraphia Generally illegible writing (despite appropriate
time and attention given the task Inconsistencies : mixtures of print
and cursive, upper and lower case, or irregular sizes, shapes, or slant
of letters Unfinished words or letters, omitted words Inconsistent position
on page with respect to lines and margins Inconsistent spaces between
words and letters Cramped or unusual grip, especially
holding the writing instrument very close to the paper, or
holding thumb over two fingers and writing from the wrist Strange
wrist, body, or paper position Talking to self while writing, or carefully
watching the hand that is writing Slow or labored copying or writing
- even if it is neat and legible Content which does not reflect the
student's other language skills
What to do
- Accommodate -- reduce the impact that writing has on learning
or expressing knowledge -- without substantially changing the process
or the product.
- Modify -- change the assignments or expectations to meet the student's
individual needs for learning
- Remediate - provide instruction and opportunity for improving
handwriting
Accommodations
When considering accommodating or modifying expectations to deal
with dysgraphia, consider changes in
- The rate of producing written work
- The volume of the work to be produced
- The complexity of the writing task
- The tools used to produce the written product
- The format of the product
- Change the demands of writing rate
- Allow more time for written tasks including note-taking, copying,
and tests
- Allow students to begin projects or assignments early
- Include time in the student's schedule for being a 'library assistant'
or 'office assistant' that could also be used for catching up or
getting ahead on written work, or doing alternative activities related
to the material being learned.
- Encourage learning keyboarding skills to increase the speed and
legibility of written work.
- Have the student prepare assignment papers in advance with required
headings (Name, Date, etc.), possibly using the template described
below under "changes in complexity."
- Adjust the volume
- Instead of having the student write a complete set of notes, provide
a partially completed outline so the student can fill in the details
under major headings (or provide the details and have the student
provide the headings).
- Allow the student to dictate some assignments or tests (or parts
of tests) a 'scribe'. Train the 'scribe' to write what the student
says verbatim ("I'm going to be your secretary") and then allow
the student to make changes, without assistance from the scribe.
- Remove 'neatness' or 'spelling' (or both) as grading criteria
for some assignments, or design assignments to be evaluated on specific
parts of the writing process.
- Allow abbreviations in some writing (such as b/c for because).
Have the student develop a repertoire of abbreviations in a notebook.
These will come in handy in future note-taking situations.
- Reduce copying aspects of work; for example, in Math, provide
a worksheet with the problems already on it instead of having the
student copy the problems.
- Change the complexity
- Have a 'writing binder' option. This 3-ring binder could include:
- A model of cursive or print letters on the inside cover (this
is easier to refer to than one on the wall or blackboard).
- A laminated template of the required format for written work.
- Make a cut-out where the name, date, and assignment would go and
model it next to the cutout. Three-hole punch it and put it into
the binder on top of the student's writing paper. Then the student
can set up his paper and copy the heading information in the holes,
then flip the template out of the way to finish the assignment.
He can do this with worksheets, too.
- Sample Template
- Break writing into stages and teach students to do the same.
- Teach the stages of the writing process (brainstorming, drafting,
editing, and proofreading, etc.).
- Consider grading these stages even on some 'one-sitting' written
exercises, so that points are awarded on a short essay for brainstorming
and a rough draft, as well as the final product. If writing
is laborious, allow the student to make some editing marks rather
than recopying the whole thing. On a computer, a student can
make a rough draft, copy it, and then revise the copy, so that
both the rough draft and final product can be evaluated without
extra typing.
- Do not count spelling on rough drafts or one-sitting assignments.
- Encourage the student to use a spellchecker and to have someone
else proofread his work, too. Speaking spellcheckers are recommended,
especially if the student may not be able to recognize the correct
word (headphones are usually included).
- Change the tools Allow the student to use cursive or manuscript,
whichever is most legible Consider teaching cursive earlier than
would be expected, as some students find cursive easier to manage,
and this will allow the student more time to learn it.
- Encourage primary students to use paper with the raised lines
to keep writing on the line. Allow older students to use the line
width of their choice. Keep in mind that some students use small
writing to disguise its messiness or spelling, though.
- Allow students to use paper or writing instruments of different
colors.
- Allow student to use graph paper for math, or to turn lined paper
sideways, to help with lining up columns of numbers.
- Allow the student to use the writing instrument that is most comfortable.
Many students have difficulty writing with ballpoint pens, preferring
pencils or pens which have more friction in contact with the paper.
Mechanical pencils are very popular. Let the student find a 'favorite
pen' or pencil (and then get more than one like that). Have some
fun grips available for everybody, no matter what the grade. Sometimes
high school kids will enjoy the novelty of pencil grips or even
big "primary pencils."
- Word Processing should be an option for many reasons. Bear in
mind that for many of these students, learning to use a word processor
will be difficult for the same reasons that handwriting is difficult.
There are some keyboarding instructional programs which address
the needs of learning disabled students. Features may include teaching
the keys alphabetically (instead of the "home row" sequence), or
sensors to change the 'feel' of the D and K keys so that the student
can find the right position kinesthetically. Consider whether use
of speech recognition software will be helpful. As with word processing,
the same issues which make writing difficult can make learning to
use speech recognition software difficult, especially if the student
has reading or speech challenges. However, if the student and teacher
are willing to invest time and effort in 'training' the software
to the student's voice and learning to use it, the student can be
freed from the motor processes of writing or keyboarding.
Modifications
- For some students and situations, accommodations will be inadequate
to remove the barriers that their writing problems pose. Here are
some ways assignments can be modified without sacrificing learning.
- Adjust the volume Reduce the copying elements of assignments
and tests. For example, if students are expected to 'answer in complete
sentences that reflect the question,' have the student do this for
three questions that you select, then answer the rest in phrases
or words (or drawings). If students are expected to copy definitions,
allow the student to shorten them or give him the definitions and
have him highlight the important phrases and words or write an example
or drawing of the word instead of copying the definition.
- Reduce the length requirements on written assignments -- stress
quality over quantity.
- Change the complexity
- Grade different assignments on individual parts of the writing
process, so that for some assignments "spelling doesn't count,"
for others, grammar.
- Develop cooperative writing projects where different students
can take on roles such as the 'brainstormer,' 'organizer of information,'
'writer,' 'proofreader,' and 'illustrator.'
- Provide extra structure and intermittent deadlines for long-term
assignments.
- Help the student arrange for someone to coach him through the
stages so that he doesn't get behind.
- Discuss with the student and parents the possibility of enforcing
the due dates by working after school with the teacher in the event
a deadline arrives and the work is not up-to-date.
- Change the format
- Offer the student an alternative project such as an oral report
or visual project.
- Establish a rubric to define what you want the student to include.
For instance, if the original assignment was a 3-page description
of one aspect of the Roaring Twenties (record-breaking feats, the
Harlem Renaissance, Prohibition, etc) you may want the written assignment
to include:
- A general description of that 'aspect' (with at least two details)
- Four important people and their accomplishments
- Four important events - when, where, who and what
- Three good things and three bad things about the Roaring Twenties
- You can evaluate the student's visual or oral presentation of
that same information, in the alternative format.
Remediation
Consider these options:
- Build handwriting instruction into the student's schedule. The
details and degree of independence will depend on the student's
age and attitude, but many students would like to have better handwriting
if they could.
- If the writing problem is severe enough, the student may benefit
from occupational therapy or other special education services to
provide intensive remediation. Keep in mind that handwriting habits
are entrenched early. Before engaging in a battle over a student's
grip or whether they should be writing in cursive or print, consider
whether enforcing a change in habits will eventually make the writing
task a lot easier for the student, or whether this is a chance for
the student to make his or her own choices. Teach alternative handwriting
methods such as "Handwriting Without Tears." Even if the student
employs accommodations for writing, and uses a word processor for
most work, it is still important to develop and maintain legible
writing.
- Consider balancing accommodations and modifications in content
area work with continued work on handwriting or other written language
skills. For example, a student for whom you are not going to grade
spelling or neatness on certain assignments may be required to add
a page of spelling or handwriting practice to his portfolio.
More information on dysgraphia
The Writing Dilemma: Understanding Dysgraphia. Richards,
Regina G. RET Center Press, 1998.
This booklet defines and outlines the stages of writing, the effects
of different pencil grips on writing, and dysgraphic symptoms. Guidelines
are provided to identify dysgraphic students and specific helps and
compensations are provided.
Educational Care: A System for Understanding and Helping Children
with Learning Problems at Home and in School. Levine, Melvin.
Cambridge, MA: Educators Publishing Service, 1994.
Concise, well organized descriptions of specific learning tasks, variations
in the ways students process information, and concrete techniques
that teachers and parents can use to bypass areas of difficulty.
Handwriting Without Tears. Olsen, Jan Z. Shannon, Molly,
OTR/L Dysgraphia Defined: The Who, What, When, Where and Why of Dysgraphia
- conference presentation, 10/10/98.
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ADD
General Strategies
- Bring to the student's attention science
role models with disabilities with a similar disability to that
of the student. Point out that this individual got ahead by a combination
of effort and by asking for help when needed.
- Student monitoring, self management, discipline, and encouragement
can be a very important aspect for academic success. Below are the
two basic aspects of AD/HD facilitation.
- 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 of completed 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."
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