Slide 1

COMPLEX NEEDS MULTIPLE DISABILITIES SUPPORT Office of Specialized Instructional Services Slide 2 LIFE SKILLS SUPPORT A FUNCTIONAL SKILLS PROGRAM STUDENTS LEARN LIFE SKILLS FUNCTIONAL ACADEMICS FOR STUDENTS WITH MODERATE INTELLECTUAL DISABILITIES Slide 3 MULTIPLE DISABILITIES SUPPORT A FUNCTIONAL LIFE SKILLS PROGRAM STUDENTS WITH SEVERE TO PROFOUND INTELLECTUAL DISABILITY (MENTAL RETARDATION) AND AN ADDITIONAL DISABILITY OR DISABILITIES SPEECH AND LANGUAGE IMPAIRMENT AUTISM ORTHOPEDIC IMPAIRMENT OTHER HEALTH IMPAIRED DEAF/HEARING IMPAIRED and/or BLIND/VISUALLY IMPAIRED BEHAVIOR PROBLEMS MAY BE PRESENT Slide 4 MULTIPLE DISABILITIES SUPPORT INTELLECTUAL DISABILITY SIGNIFICANT AND GENERAL IMPAIRED COGNITIVE FUNCTIONING AS MEASURED BY INTELLEGENCE QUOTIENT (I.Q. UNDER 70) DEFICITS IN AT LEAST TWO AREAS OF ADAPTIVE BEHAVIOR MANIFESTED DURING THE DEVELOPMENTAL YEARS (UNDER 18) Slide 5 MULTIPLE DISABILITIES SUPPORT MOST SCHOOL DISTRICT OF PHILADELPHIA MDS PROGRAMS PROVIDE SUPPLEMENTAL SUPPORT CASELOAD OF UP TO 8 CLASSES HAVE A TEACHER AND AND 2 CLASSROOM ASSISTANTS SOME STUDENTS RECEIVE RELATED SERVICES AS PER IEP Slide 6 MULTIPLE DISABILITIES SUPPORT Some students may have medical conditions requiring special treatments during the school day Some students are fed through a feeding tube Some students are accompanied by a private duty nurse who comes with on the bus Some students have limited ability to move their body intentionally Adapted equipment assists students with head and trunk supports, supported standing, mat level positioning, seating to facilitate maximum participation. It is common for students to be on toileting schedules and to need assistance using the toilet, or to need diaper changes Slide 7 MULTIPLE DISABILITIES SUPPORT Wide range of abilities Some students are ambulatory and walk/run very well Some students walk short distances with supervision Some students need a walker or their hand held Some students can stand to transfer to a chair Some students are completely dependent on caregivers for all care and need to be lifted and positioned Some students say some words and can show what they want Some students can communicate by smiling, crying, facial expressions or by motor behavior Slide 8 MULTIPLE DISABILITIES SUPPORT- EARLY INTERVENTION MANY STUDENTS IN MDS PROGRAMS RECEIVED EARLY INTERVENTION SERVICES STUDENTS ARE DIAGNOSED WITH DEVELOPMENTAL DELAY UNDER AGE 5 TRANSITION TO SCHOOL AGE PROGRAM INCLUDES REEVALUATION ENTRY REEVALUATION CAN INCLUDE- Review of records, observation, interview of parent and teachers, assessment of cognitive functioning and adaptive behavior, screening for related services, other assessments as indicated Slide 9 MULTIPLE DISABILITIES SUPPORT- ASSESSMENT PSYCHOLOGICAL EVALUATION and/or MEASURES OF COGNITIVE FUNCTIONING ADAPTIVE BEHAVIOR COMMUNICATION PHYSICAL and/or OCCUPATIONAL THERAPY SPECIAL EDUCATION MEDICAL EVALUATION SOCIAL AND BEHAVIOR EVALUATIONS LIFE SKILLS AND TRANSITION NURSING ASSESSMENT FUNCTIONAL VISION ASSESSMENT FUNCTIONAL HEARING ASSESSMENT Slide 10 MULTIPLE DISABILITIES SUPPORT- ASSESSMENT TEACHERS CAN ADMINISTER BRIGANCE INVENTORY OF EARLY DEVELOPMENT BRIGANCE INVENTORY OF BASIC SKILLS COMMUNICATION MATRIX STAGES CAREER AND TRANSITION SKILLS INVENTORY Slide 11 MULTIPLE DISABILITIES SUPPORT- ASSESSMENT FUNCTIONAL BEHAVIOR ASSESSMENT INTERVIEW OF PARENT, THERAPISTS, TEACHERS, AND OTHER PEOPLE WHO WORK WITH THE STUDENT OBSERVATIONS REVIEW OF DATA LOOK FOR PATTERNS SUMMARY STATEMENT- WHEN____ (antecedent to the behavior of concern),student ________ (behavior of concern),in order to (perceived function of the behavior)________. ANALYZE BEHAVIOR TO DETERMINE FUNCTION Slide 12 MULTIPLE DISABILITIES SUPPORT- ASSESSMENT POSITIVE BEHAVIOR SUPPORT PLAN-PBSP START WITH SUMMARY OF FBA LOOK FOR REINFORCER THAT IS MAINTAINING BEHAVIOR REPLACEMENT BEHAVIORS STRATEGIES- POSITIVE REINFORCERMENT, REDIRECT, AVOID TRIGGERS, BEHAVIOR SHAPING ADDRESS SKILLS DEFICITS BEHAVIOR GOALS, OBJECTIVES AND STRATEGIES (SDIs ON IEP) BEHAVIORS MAY BE SENSORY SEEKING BEHAVIORS MAY BE SELF-INJUROUS (SIB) Slide 13 MULTIPLE DISABILITIES SUPPORT- ASSESSMENT ALL GOALS AND OBJECTIVES ARE BASED ON BASELINE DATA AND PRESENT LEVELS MUST ASSESS AND REVIEW DATA TO ESTABLISH BASELINE PERCENTAGE AND SET TARGET PERCENTAGE DATA COLLECTION TO TRACK PROGRESS Slide 14 MULTIPLE DISABILITIES SUPPORT- ASSESSMENT TRANSITION ASSESSMENTS-FOR HIGHER FUNCTIONING STUDENTS CDM-CAREER DECISION MAKER BRIGANCE TRANSITION INVENTORY BRIGANCE INVENTORY OF EARLY DEVELOPMENT Slide 15 MULTIPLE DISABILITIES SUPPORT- ASSESSMENT PASA-PENNSYLVANIA ALTERNATE SYSTEM OF ASSESSMENT FROM NCLB- ALL STUDENTS MUST BE ASSESSED ALTERNATE TO THE PSSA, ANNUALLY GRADES 3,4,5,6,7,8,11-READING AND MATH GRADES 4,8,11- SCIENCE MUST BE DETERMINED TO BE ELIGIBLE- IEP TEAM FOR STUDENTS WITH SIGNIFICANT COGNITIVE DISABILITIES IN MODIFIED PROGRAMS PERFORMANCE ASSESSMENT- VIDEO TAPED Slide 16 MULTIPLE DISABILITIES SUPPORT- ASSESSMENT SPEECH AND LANGUAGE/COMMUNICATION SPEECH AND LANGUAGE PATHOLOGIST ADMINISTERS LANGUAGE ASSESSMENT COMMUNICATION MATRIX USED TO IDENTIFY LEVEL OF COMMUNICATION ASSISTIVE TECHNOLOGY EVALUATION FOR STUDENTS NEEDING AN ALTERNATIVE COMMUNICATION SYSTEM HIGH TECH DEVICES AND LOW TECH PICTURE SYSTEMS Slide 17 MULTIPLE DISABILITIES- ASSESSMENT FOR ASSISTIVE TECHNOLOGY AT lead therapists in each region assist with evaluations - Permission to Evaluate is necessary - School team completes student evaluation guide and SETT Framework Picture Exchange (PECS), communication boards (object or picture), electronic devices -single message to multiple messages Modeling communication, using devices and engineering the environment to encourage communication is the JOB of everyone in the classroom Slide 18 MULTIPLE DISABILITIES SUPPORT- CURRICULUM AND INTERVENTIONS LIFE SKILLS CURRICULUM FUNCTIONAL SKILLS ALTERNATIVE CURRICULUM LEADS TOWARDS INDEPENDENCE VOCATIONAL SKILLS FOCUS TRANSITION SKILLS INCLUDED EMBED FUNCTIONAL SKILLS IN CORE CURRICULUM CONTENT STANDARD ALIGNED IEPS AND INSTRUCTION AVAILABLE FOR ELEMENTYARY AND SECONDARY PROGRAMS ON THE SCHOOL DISTRICT OSIS WEBSITE Slide 19 MULTIPLE DISABILITIES-CURRICULUM AND INTERVENTIONS 6 LIFE SKILLS DOMAINS PERSONAL MAINTAINANCE INTERPERSONAL COMMUNICATION VOCATIONAL FUNCTIONAL ACADEMICS DOMESTRIC MAINTAINANCE RECREATION AND LEISURE BEHAVIOR AND TRANSITION GOALS ARE INCLUDED WHEN INDICATED. STUDENTS MAY BE ASSISTED BY PROMPTS AND CUES Slide 20 MULTIPLE DISABILITIES- CURRICULUM AND INTERVENTIONS PERSONAL MAINTENANCE CARE OF SELF DRESSING HYGIENE BATHROOM AND TOILETING SKILLS MEALTIME SKILLS AND ETIQUETTE FITNESS AND EXERCISE SAFETY HEALTHY FOOD CHOICES STUDENTS PARTICIPATE IN ACTIVITIES OF DAILY LIVING TO BECOME AS INDEPENDENT AS POSSIBLE Slide 21 MULTIPLE DISABILITIES- LIFE SKILLS CURRICULUM DOMESTIC MAINTENANCE CARE OF ENVIRONMENT KEEPING DESK AREA CLEAN AND NEAT CARE OF BELONGINGS SHOPPING- MAKING CHOICES COOKING AND MEAL PREPARATION DOMESTIC SKILLS-CLEANING AND ORGANIZATION OPERATING APPLIANCES,ON/OFF SWITCHES LEADS TO INDEPENDENCE CAN LEAD TO VOCATION SKILL Slide 22 MULTIPLE DISABILITIES- LIFE SKILLS CURRICULUM VOCATIONAL FINE MOTOR SKILLS WORK HABITS TASK COMPLETION FOLLOWING DIRECTIONS WORK RELATED SKILLS AND BEHAVIOR CARE OF ENVIRONMENT HIGH SCHOOL -SUPERVISED WORKSHOP SKILLS TRANSITION PLANNING Slide 23 MULTIPLE DISABILITIES- LIFE SKILLS CURRICULUM RECREATION AND LEISURE GAMES- FOLLOWING RULES AND TURN TAKING PLAYING OR LISTENING TO MUSIC/MOVIES SPECTATOR ETTIQUETTE EXPRESSING REFUSAL,DISCOMFORT, FINISHED MAKING CHOICES SHOWING A PREFERENCE ENTERTAINMENT- THE ARTS ENJOYING SHARING PARTICIPATE IN READING A BOOK Slide 24 MULTIPLE DISABILITIES- LIFE SKILLS CURRICULUM INTERPERSONAL COMMUNICATION SPEAKING AND LISTENING REQUESTING AND REFUSING COMMENTING SOCIAL INTERACTIONS APPROPRIATE INTERACTIONS ALTERNATIVE COMMUNICATION SYSTEMS PICTURES, SIGNS,GESTURES, DEVICES, MOTOR BEHAVIORS, ENGINEER ENVIRONMENT TO FACILITATE COMMUNICATION EVERYONE MODELS COMMUNICATION SYSTEM EVERY CHILD COMMUNICATES INCREASED COMMUNICATION CAN IMPROVE BEHAVIORS Slide 25 MULTIPLE DISABILITIES- LIFE SKILLS CURRICULUM FUNCTIONAL ACADEMICS- LITERACY RESPONDING TO OBJECTS AND PICTURES AWARENESS OF SAME AND DIFFERENT SURVIVAL SIGNS AND ICONS RESPONDING TO SPOKEN AND WRITTEN NAME READING PICTURES IDENTIFYING ATTRIBUTES- COLOR,SIZE,SHAPE IDENTIFYING FUNCTIONS OF OBJECTS WRITING- SCRIBBLING,TRACING,LINES LOCATING SIGNS, PICTURES, LETTERS,WORDS Slide 26 MULTIPLE DISABILITIES- LIFE SKILLS CURRICULUM FUNCTIONL ACADEMICS- MATH COUNTING, CONCEPTS, AND MATH LANGUAGE IDENTIFYING ONE OF, TWO OF, ETC IDENTIFYING NUMERALS MONEY TIME MEASUREMENT CONCEPTS SAME,DIFFERENT,LARGEST,SMALLEST MORE,LESS,MOST,LEAST,LONG,SHORT WORD PROBLEMS KITCHEN MATH CALCULATOR AND COMPUTER Slide 27 MULTIPLE DISABILITIES SUPPORT- RELATED SERVICES OCCUPATIONAL AND PHYSICAL THERAPY Related services provided to assist a child with a disability to benefit from his/her education Occupational therapy-fine motor (hand) Sensory integration Physical therapy-gross motor(mobility, movement) Adapted equipment, positioning equipment Provided in environment where needed Monitor program and consult with staff Slide 28 MDS-INTERVENTIONS RESEARCH BASED, DIRECT INSTRUCTION PROGRAMS AVAILABLE FOR STUDENT WHO HAS HIGHER LEVEL SKILLS PLACEMENTS TESTS READING MASTERY LEVELS K-5 PHONEMIC AWARENESS, PHONICS AND DECODING USES ABA TECHNIQUES READING FLUENCY STRESSES MASTERY Language for learning Slide 29 MDS-INTERVENTIONS RESEARCH BASED MATH PROGRAMS PLACEMENT TESTS FOR ENTRY DIRECT INSTRUCTION USES ABA TECHNIQUES DISTAR ARITHMETIC COUNTING CONCEPTS, NUMERATION, PLACE VALUE Slide 30 MDS-INTERVENTIONS COMMUNICATION MATRIX COMMUNICATION SKILL ASSESSMENT FOR INDIVIDUALS AT THE EARLIES STAGES OF COMMUNICATION DEVELOPMENT FOR INDIVIDUALS WHO USE ANY FORM OF COMMUNICATION INCLUDING PRESYMBOLIC OR ALTERNATIVE AND AUGMENTATIVE FORMS SEVEN LEVELS OF COMMUNICATIVE COMPETENCE Slide 31 MDS-INTERVENTIONS SEVEN LEVELS OF COMMUNICATIVE COMPETENCE 1.Pre-intentional (reactive) behavior Childs behavior not under their control Reactions- body movements,facial expressions, general behavior 2.Intentional (pro-active) behavior Childs behavior now intentional but without understanding of communicative effect- Adult interprets needs from behavior, movements, facial, vocalizations, eyegaze 3.Non-conventional presymbolic communication Child uses pre-symbolic behaviors intentionally to express needs Not socially acceptable as child gets older-body movements, pointing, tugging on people, vocalizations, and gestures Slide 32 MDS-INTERVENTIONS 4.Conventional communication Child uses pre-symbolic behaviors intentionally Pointing, nodding and shaking head,-difficult for visually impaired adults continue to use conventional gestures with speech 5.concrete symbols Symbols resemble what they represent Can be picture or part of the actual object, sounds, or motions Physically impaired children use device, point, or eye gaze 6.abstract symbols Speech, manual signs, Brailled or printed words Do not look like what they represent 7.language Combines symbols, grammatical rules, understands word combinations Slide 33 MDS- INTERVENTIONS Goals for seven levels 1-establish purposeful behavior- responsive environment 2-respond to communicative behaviors to make child aware 3-shape gestures into conventional gestures and symbol use 4-teach 1:1 correspondence of symbols and referents 5-teach 1:1 correspondence between abstract symbols and referents 6-teach combination of symbols into 2 and 3 word utterances 7-expand semantic and syntactic abilities MASTERY *initiate and respond appropriately to interactions with people *initiate actions upon objects and structures, respond to problems and demands presented by the environment Slide 34 MDS-INTERVENTIONS Design to Learn Design Profile Environmental Inventory Transitions The activity Adults interaction Communication system Peer interaction Opportunities to communicate Opportunities to use objects materials Slide 35 MDS-Design to Learn Seven principles for promoting functional and spontaneous behavior Capitalize on the learners natural preferences, motivations, and affinities Allow the learner as much control as possible over environment Shift stimulus control of target behavior toward environmental stimuli that may occur naturally Ensure learner has means to communicate that is appropriate to sensory, cognitive, and physical abilities Provide comfortable and predictable environment Remain alert and available to interact and respond Respond to learners communication appropriately Slide 36 MULTIPLE DISABILITIES SUPPORT- TRANSITION TRANSITION-BRIDGE TO ADULT LIFE TRANSITION PLANNING BEGINS IN ELEMENTARY SCHOOL IEP MUST ADDRESS TRANSITION AT AGE 14 THREE AREAS FOR TRANSITION POST SECONDARY EDUCATION EMPLOYMENT INDEPENDENT LIVING Slide 37 MULTIPLE DISABILITIES SUPPORT- TRANSITION One of the primary purposes of the Individuals with Disabilities Education Act (IDEA) is to: ensure that all children with disabilities have available to them a free appropriate public education that emphasizes special education and related services designed to meet their unique needs and prepare them for employment and independent living. (34 CFR 300.1(a)) Slide 38 MULTIPLE DISABILITIES SUPPORT- TRANSITION EFFECTIVE TRANSITION PLANNING IS KEY Special Education Services are ultimately intended to prepare students with disabilities to meet the challenges and opportunities of living, working, and participating fully in community life. Slide 39 MULTIPLR DISABILITIES SUPPORT- TRANSITION TRANSITION PLANNING MUST Identify and link students and families to needed post-school services, supports, and/or programs before students exit the school system. AGENCY PARTICIPATION AT IEP MEETINGS WILL PROMOTE PARTNERSHIPS WITH COMMUNITY SUPPORTS Slide 40 MDS-SUMMARY OF TRANSITION REQUIREMENTS OF IDEA Provide instruction, related services, community experiences, adult living, employment, and daily living training to students while in high school. Assist students and families in making linkages to services needed after high school. Increase chances for students to be successful once they exit Slide 41 MDS- TRANSITION VOCATIONAL PROGRAMS STUDENTS LEARN RESPONSIBILITY HIGH SCHOOL 14-17 YEAR OLDS BEGIN AWARENESS OF SPECIFIC JOBS APPROPRIATE FOR THEIR ABILITY COMMUNITY BASED INSTRUCTION INCLUDES FUNCTIONING IN THE COMMUNITY AND INDEPENDENT LIVING SKILLS SOME STUDENTS PARTICIPATE IN SUPERVISED, APPROPRIATE SCHOOL BASED JOBS GOAL TO TEACH STUDENTS TO PARTICIPATE IN THEIR DAILY CARE AND LIVING ACTIVITIES AS MUCH AS POSSIBLE Slide 42 MULTIPLE DISABILITIES SUPPORT- INCLUSION STUDENTS IN MULTIPLE DISABILITIES SUPPORT PROGRAMS BENEFIT FROM PARTICIPATION IN ALL SCHOOL ACTIVITIES AND EVENTS IDEA gives all children with disabilities the right to a Free and Appropriate Public Education (FAPE) in the Least Restrictive Environment (LRE) PLANNING MUST OCCUR TO PROVIDE APPROPRIATE INCLUSION OF STUDENTS IN MULTIPLE DISABIOLITIES SUPPORT PROGRAMS IN REGULAR EDUCATION AS MUCH AS APPROPRIATE AND POSSIBLE NON-DISABLED PEERS CORE CURRICULUM Slide 43 MDS-PROGRESS MONITORING DATA COLLECTION IS REGULARLY SCHEDULED IN MULTIPLE DISABILITIES SUPPORT CLASSROOMS GOALS AND OBJECTIVES OBSERVABLE MEASURABLE CRITERIA FOR MEETING TARGET INCLUDES CONDITION AND PROMPTS PROMPTS ENVIRONMENTAL,SETTING, MATERIALS VERBAL-DIRECT AND INDIRECT, PICTURES OR DEVICE,SIGNS GESTURES MODEL PHYSICAL ASSIST TO INCLUDE HAND OVER HAND PROBES TAKEN WEEKLY OR BIWEEKLY Slide 44 MDS-PROGRESS MONITORING EACH STUDENT SHALL HAVE A BINDER OR FOLDER DATA COLLECTION SHEETS COMMUNITY BASED INSTRUCTION IEP WORK SAMPLES TEACHER MADE TESTS INTERVENTIONS PERFORMANCE/MASTERY CHECKS DESIGN TO LEARN INVENTORY Slide 45 MDS-PROGRESS MONITORING PROGRESS REPORTING INFORMAL NOTES TO PARENTS IN COMMUNICATION BOOK ANNUAL IEP MEETING OR PARENT REQUEST REPORT CARD CONFERENCES PROGRESS REPORT FROM EasyIEP GRADEBOOK REPORT CARD, 4 TIMES A YEAR MARKS ARE GIVEN FOR GOALS IN DOMAINS A-ACHIEVED B-MADE PROGRESS C-MAINTAINED D-REGRESSED Slide 46 MDS COMMUNITY BASED INSTRUCTION CBI-COMMUNITY BASED INSTRUCTION Sites needed determined by IEP goals IEP goals/objectives are implemented in community settings Students generalize and practice skills learned Data is taken for every student Sites must meet special criteria- Insurance certificates- ACORD Accessibility and temperature control Approved by Office of Risk Management Slide 47 MDS- ALTERNATIVE LEARNING ENVIRONMENTS BUSES PROVIDED TO PRE-APPROVED ALTERNATE LEARNING ENVIRONMENTS FOR COMMUNITY BASED INSTRUCTION REQUEST FORMS SENT TO TEACHERS IN SEPTEMBER REQUESTS MUST INCLUDE JUSTIFICATION AND GOALS FOR EACH STUDENT PRINCIPAL REVIEWS AND SIGNS DATA IS TAKEN ON GOALS IN COMMUNITY SITES STUDENTS SHOULD ALSO HAVE EXPERIENCES IN AND AROUND THE SCHOOL Slide 48 MDS- ESY Extended School Year ESY must be considered for all students with disabilities. In considering whether a student is eligible, a list of questions must be considered. No single factor will be considered determinative. Students in complex support programs must have this eligibility determined prior to February 28, for the ESY year. If this determination is not part of the annual IEP, a NOREP for ESY must be issued. If the student has a severe disability such as autism, severe intellectual disability ( mental retardation),or severe multiple disabilities, this is a factor considered for eligibility. Slide 49 MDS- ESY Extended School Year Other factors to be considered for ESY eligibility Does the student have a measurable decrease in skills or behavior following a break in programming (regression)? What is the students capacity to recover ?(recoupment) Will problems with regression and recoupment make it unlikely that student will maintain skills and behaviors? Did the student master new skills at the point that the educational program would be interrupted? Is a skill or behavior crucial for student to meet goals of self- sufficiency and independence from caregivers? Do interruptions cause withdrawal from learning process? Slide 50 MDS-ESY Extended School Year Sources for data- Progress on goals in consecutive ieps Data of progress before and after interruptions Reports by parents of negative changes Medical reports of degenerative-type difficulties Observations by educators, parents, and others Results of tests ESY is NOT based on need for day care, respite care, summer recreation, or desire or need for programs not needed for provision of FAPE. If all goals are not met during the year, this does not mean ESY should be provided to meet the goals. This information is provided in more detail is ESY section of EasyIEP. Slide 51 MDS- ESY Extended School Year SDP currently operates a summer program 6 weeks, three days a week from 9-1 Provides setting to implement ESY goals Currently at 8 sites Receive breakfast and lunch Transportation Goals for program determined by IEP team Data taken for goals identified for ESY Related services included as determined by IEP team. Slide 52 MDS-ESY Extended School Year Eligibility lists are taken from EASY IEP after the February 28 deadline for determination Eligible students are registered Parents are informed and given the opportunity to indicate if they will decline the offer for ESY Teachers collect information and data and compile a folder of information- IEP, related service information, medical information, student profile, materials list, intervention levels Teachers must inform OSIS of all changes /additions Slide 53 MULTIPLE DISABILITIES SUPPORT- ABA ABA - Applied Behavior Analysis Basis of instruction strategies Many positive repetitions needed to learn Positive reinforcement to correct answer increases learning and likelihood that the learner will want to repeat skill Incorrect responses followed by several correct responses Reinforcements of correct associations/responses- academics Behavior shaping-reinforcement for attempt or response close to desired response Many skills are learned as response to a stimulus Design to learn uses ABA principles Slide 54 MULTIPLE DISABILITIES SUPPORT- ABA ABA- Applied Behavior Analysis Basis for positive behavior support plan Behavior is caused by an antecedent and maintained by the consequence Identifying/eliminating the antecedent helps to reduce the behavior Removing the consequence can reduce the occurrence of a behavior Ignoring a negative behavior can remove the consequence that is maintaining the behavior Rewarding a desired behavior will increase the occurrence of the desired behavior Data is taken to identify antecedents and consequences, and to track progress. Slide 55 MULTIPLE DISABILITIES SUPPORT- Quality Program Checklist Developed as a guide for teachers and administrators Long form has more specific descriptions One page short form available for quick overview AD1 has developed a one page look-for s Additional section for Vocational Itinerant Program Slide 56 MULTIPLE DISABILITIES SUPPORT- Quality Program Checklist QPC-General Program Overview Student folder/binder has iep,norep,data,work samples, Design to Learn Environmental Inventory. Emergency procedures posted ALL classroom staff are engaged in student activities Staff knows their assignments Decorations and materials are age appropriate Non-instructional time is limited All students are engaged in meaningful activities Slide 57 MDS-Quality Program Checklist (QPC) QPC-Inclusive Practices Methods and materials similar to those provided in general education classrooms Content is appropriate and aligned to that of same age student in general education classrooms Specific plans in place to increase participation in general education setting for students not fully included Must include efforts to establish opportunities for MDS students not in gen ed settings to access typical peers and school activities whenever appropriate Slide 58 MDS-Quality Program Checklist (QPC) QPC-IEPs Complete and Compliant with signatures Materials in general terms, not by specific brand name Include researched validated programs ALL goals and objectives observable and measurable Criteria for goal attainment Positively stated what student will do IEP at a Glance shared with specialist teachers Slide 59 Multiple Disabilities-Quality program Checklist QPC-Program Practices Instruction delivered in various settings/groups Instruction promotes independence and generalization Prompts/reinforcements faded Specially designed instruction customized as needed Data collected all goals, objectives, in all settings Including community based instruction Data is kept in organized system ABA is used throughout day Communication, instruction, behavior management Slide 60 Multiple Disabilities-Quality Program Checklist QPC-Communication Primary method of communication listed on IEP and used throughout day by all staff Assistive communication systems developed for students without effective verbal communication Signs, gestures, body movements, pictures, devices Staff trained and able to use signs and devices Staff models language and encourage students Ask questions Speak in full sentences Slide 61 MDS- Quality Program Checklist QPC-Classroom Behavior Management Rules posted ( if appropriate for class) Consequences (positive/negative) posted or known Behavior charts/token boards accessible to students Reinforcement chosen by student preferences Praise for positive responses Staff refrains from giving verbal attention to negative or problem behavior situations Restraining of students must comply with guidelines and reported as directed. Adapted equipment used appropriately. Students have FBA and PBSP if needed Staff aware of triggers, reinforcers, and de-escalation Slide 62 MULTIPLE DISABILITIES SUPPORT- Quality Program Checklist QPC- Personal Care Students taken to bathroom/changed regular basis Privacy Dignity Hand washing Universal precautions when body fluids present Handwashing Staff washes hands before feeding student Slide 63 MULTIPLE DISABILITIES SUPPORT Quality Program Checklist QPC-Classroom Care Room not cluttered or have broken/unused equipment Equipment and materials (including mats and toys) clean and safely stored Desk and table tops wiped down before and after use If equipped- kitchen and appliances clean Food is prepared for students only as outcome of instructional activity Slide 64 Multiple Disabilities Support-Quality Program Checklist QPC-Community Based Instruction (CBI) Community Learning Environments determined by IEP goals and objectives Community learning sites are approved by principal Have needed ACORD insurance certificates Accessible and climate/temperature control Approved by Office of Risk Management Date is collected in all community environments For goals and objectives implemented in community Slide 65 Multiple Diusabilities Support- Master Schedule Instructional times, domains, areas, activities, skills Staff schedule breaks, lunch assignments (including before and after school hours) Students assigned to specific staff members Rotations when used Related services Prep/specialist classes Learning environments Slide 66 Multiple Disabilities Support CONTACT INFORMATION Office of Specialized Instructional Services 215-400-4170 215-400-4172 (F) Coordinator for Complex Support Programs Liz Thompson, elthompson, 215-400-6564 Coordinator for Autistic Support Jane Cordero,jcordero,215-400-5928 Director of School Health Services (PT and OT) Tracey Williams, twilliams2, 215-400-6953 Coordinator of Speech, Hearing, and Vision Support Susanne Kelly, sukelly,215-400-6747 Transportation- 215-400-4350