Application Assignment 1 Flashcards
(33 cards)
Define Severe Disability (SD)
a condition in which the development of typical abilities is both adversely and substantially affected across multiple domains
What % of students have SD
1-2%
4 types of SD
Autism
Deaf-Blindness
Intellectual Disabilities
Multiple Disabilities
Autism
- Developmental
- affects verbal and nonverbal communication and social interaction
- adversely affects educational performance
- restrictive and repetitive behavior, interests, or activities
Deaf-Blindness
- concomitant hearing and visual impairment
- causes severe communication, developmental, and educational needs
Intellectual Disability
- sub-average general intellectual functioning
- deficits in adaptive behavior that manifested during developmental period
- adversely affects educational performance
Multiple Disabilities
- concomitant impairments
- severe educational needs
Environmental description of SD
- at risk for being excluded from society
- perceived as most challenging
- have rights abridged
- living, working, playing, and learning in segregated environments
- least to have tools and opportunities to advocate for oneself
- need ongoing, individualized supports to enjoy a quality of life similar to others
American Association on Intellectual and Developmental Disabilities (AAIDD) Definition:
- ID is characterized by significant limitations in intellectual functioning and adaptive behavior
- covers every day social and practical skills
- originates before 18
American Association on Intellectual and Developmental Disabilities (AAIDD) 5 core assumptions:
- limitations must be considered within context of community environments typical of age, peers, and culture
- Valid assessment considers cultural and linguistic diversity, differences in communications, sensory, motor, and behavioral factors
- limitations coexist with strengths
- purpose of limitations is to create profile of needed supports
- life functioning generally will improve with personalized supports
ID IQ Scores
mild: 50-70
moderate: 35-50
profound: below 25
What % of SD can be linked to genetic disorders, chromosomal abnormalities, abnormalities of brain development, substance abuse, maternal infections, other pregnancy difficulties
75%
Most common identifiable causes for SD
Down Syndrome (DS)
Fragile X Syndrome
Fetal Alcohol Syndrome
Down Syndrome (DS)
- 1 in every 700
- trisomy 21
- Physical: flattening head, slanted eyelids, skin at inner corner of eye, depressed nasal bridge, small ears, small mouth, small feet, decreased muscle tone
- health: congenital heart problems, GI conditions, ortho problems, visual difficulties, hearing loss, seizures, obesity, diabetes, dementia
- receptive language better than expressive
- 16% ASD
- better visual processing and memory
- good at sight words
- low maladaptive behavior
Fragile X Syndrome
- 1.4 in 10,000 male/0.9 in 10,000 female
- cause: inactivation of FMRI gene that results in loss of protein vital for learning and memory
- 80% of boys will be ID
- Physical: long-narrow face, prominent jaw and forehead, large-protruding ears, high-arched palate, hyper-extensible joints, flat feet, enlarged testicles
- health: disorders of eye, ortho disorders, mitral valve prolapse, seizures, otitis media
- learning better with whole task presented
- strong daily living skills (good humor)
- echolalia
- speech is cluttered and perseverative
- difficult auditory memory and receptive language
- behaviors: hand flapping, lack of eye contact, tactile defensiveness, hyperactivity, inattention
- 30% ASD
Fetal Alcohol Syndrome
- 9 in 1,000
- physical: smooth ridge between nose and upper lip, lower height, lower weight, small head size
- behavior: hyperactivity, problems with attention, poor coordination
- verbal learning most impaired
- challenges in planning, sequencing, self-monitoring, goal-directed behavior
Prader-Willi Syndrome
- 1 in 10,000
- not-inherited - chromosomal abnormality
- physical: low muscle tone, obesity, short, small hands and feet, underdeveloped sex organs, insatiable appetite (specifically 1-3)
- behavior: compulsive, skin-picking, excessive sleeping, verbal perservations, stubbornness, obsessions, meltdowns, impulsivity
- delayed motor, cognitive abilities, and emotional-behavioral development
- speech and language difficulties
- difficulties with sequential processing, stronger on tasks with simultaneous processing
Angelman Syndrome
- 1 in 12,000 to 1 in 20,000
- part of chromosome 15 missing
- physical: jerky body movements, stiff-legged walking, wide-smiling mouth, thin upper-lip, deep set eyes, fair hair and skin, light blue eyes
- 80% have epilepsy
- similar behaviors to ASD: little to no speech, hand flapping, short attention span, motor delays
- social, happy, and affectionate
- comp is advanced despite little verbal ability
Multiple Disabilities characteristics
- one with ID with additional sensory or physical disability
- 122,000 children have multiple disabilities
- common conditions: high blood pressure, obesity, brittle bones, depression, general tiredness, heart disease, respiratory disease, eating disorders, growth impairments
- uncommon behaviors: repetitive movements, hand flapping, self-injurious behavior, making loud and atypical vocalizations
Deaf-Blindness Characteristics
- 1,300 children
- causes: viral infections or genetic problems like mutations
- average or above average intelligence
- limited social and communication abilities and require structured learning opportunities
- transdisciplinary model of intervention must be developed to address both problems together
ASD Characteristics
- 1 in 59
- primary characteristics: social-emotional reciprocity, nonverbal communicative behaviors, development and maintaining of relationships
- rocking, hand-flapping, echolalia, spinning, tapping, babbling, pointing, meaningful gestures at early age, no words by 16 months, no 2 word combos by 2 years, no response to name, lose previously acquired language or social skills, poor eye contact, line up toys in methodical way, be attached to toy or object, not smiling, seeming unable to hear
- 1/3 have ID
Learning Characteristics and Abilities
- language: difficulties with articulation, grammar, vocab, general expressive ability, difficulty comprehending and conversing with others
- attention: difficult to attend to the person, item, or condition
- observational & incidental: do not learn through observation unless additional attention is incorporated
- memory: short term limited, but long term may be better
- skill synthesis: may struggle to see the relationship between skills and use skills in various different situations
- generalization: struggle to show their knowledge with different people, at different times, in different locations, and under different conditions
- self-management: few opportunities to learn the skills of monitoring what they are doing, engaging in correct action, and reinforcing themselves to do so
Personal-Social Characteristics
- challenging behaviors: repetitive behaviors, aggression, self-injury, non-compliance, elopement; these behaviors may be to communicate, escape, gain attention, gain access to reinforcement, or gain sensory stimulation
- friendships & peer relationships: restricted social networks due to skills of the student, attitudes
- love & intimacy: most are provided with limited info and support related to physical and emotional aspects of intimacy; some struggle with boundaries and privacy while others have been taught that their physical feelings are bad and should be ignored
Physical Characteristics
- cerebral palsy: neurological, inability of the brain to control voluntary muscles in a normal fashion; 4 forms of CP
- epilepsy: result of irregular activity within the brain that causes seizures
- cardiovascular disorders: congenital defects, narrowed valves of heart, lack of separation of heart chambers, narrowed arteries, underdevelopment of heart, mix of deoxygenated and oxygenated blood, abnormal development of major veins, attachment of arteries in wrong place
- respiratory disorders: Ashma, bronchitis, apnea, bronchopulmonary dysplasia, cystic fibrosis, respiratory distress syndrome, chronic colds, flu, or pneumonia
- eating problems: poor oral-motor functioning, those with respiratory disease or cardiac disease may lack energy to eat, others struggle with meltdowns, gagging, and regurgitating
- spina bifida & hydrocephaly: most common is myelomeningocele, hydrocephalus occurs when spinal fluid is not absorbed normally (causes brain and head to become enlarged)