Case Study Analysis of an Adaptive Academic School Service Delivery Model With Multiple Disabilities/Handicapped Students

This chapter focuses on multiple disability (MD) or multiple handicapped (MH) students. Being considered equal to their grade- and age-level peers is essential for MD/MH students. Thus, in this chapter, use of the adaptive academic service delivery model with MD/MH students is examined through a case study within a junior and high school setting. This chapter includes a discussion about the causes and characteristics, the educational placement and instructional strategies, and the eligibility criteria for students with multiple disabilities or multiple handicaps. The chapter concludes with a discussion about future trends for MD/MH students and service providers.

Expert Perspectives on the Inclusion of Students With Significant Disabilities in Schoolwide Positive Behavioral Interventions and Supports

Schoolwide Positive Behavioral Interventions and Supports (SWPBIS) is a framework intended to benefit all students in a school. However, recent research suggests that students with significant disabilities may not fully participate in SWPBIS. Given the complex reasons for varied involvement in SWPBIS (e.g., student educational placement), the purpose of this study was to investigate expert perspectives on the extent to which students with significant disabilities should be included in SWPBIS. Overall, experts agreed students with significant disabilities should be included in all tiers of SWPBIS, receive instruction in schoolwide rules and expectations, and have the opportunity to participate in schoolwide reward systems. Experts shared differing perspectives on the ways behavior violations of students with significant disabilities should be documented.

Accent, Comprehensibility, and Confidence in Second and Third Languages of Adolescents: How Do They Relate to Language Proficiency and Language Interactions?

Purpose This study examines the degree to which adolescents in Iceland are judged by native Icelandic speakers to have a foreign accent both in Icelandic and in English, two languages that are learned under different conditions, as the community and school language, and through school and incidental exposure. Method Fifty-eight adolescents, 27 with Icelandic as their first language (L1), 21 as their second language (L2), and 10 as one of two L1s read passages in Icelandic and English. Twelve untrained native speakers of Icelandic rated the degree of foreign accent, comprehensibility, and confidence level and selected from multiple-choice options what they thought was the L1 of the speakers. Results Significant group differences were found in Icelandic but not in English. L2 speakers had a significantly greater foreign accent than the other groups in Icelandic; however, there was substantial overlap with some L2 speakers judged to be native and some L1 speakers judged as nonnative. All groups had a significantly greater accent in English than in Icelandic. Accent was judged more sternly than comprehensibility and confidence and related differently to vocabulary proficiency. Conclusions Accent is typically not considered in studies of bilingual attainment in children for purposes of clinical assessment or educational placement but should be given closer attention. The study confirms previous findings that many young L2 learners have a detectable foreign accent. The overlap with L1 speakers also raises questions about the ideal of a native accent. More research is needed on how accent relates to bilingual and multilingual proficiency and on its impacts on comfort level, ease of communication, choice of language, and language exposure.

Differential diagnosis of autism spectrum disorder, intellectual disability and attention-deficit hyperactivity disorder (ADHD)

Purpose Professionals working with community populations are often presented with complicated cases where it is difficult to determine which diagnosis or diagnoses are appropriate. Differentiating among neurodevelopmental disorders such as autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder and intellectual disability can be a complex process, especially, as these disorders have some overlapping symptoms and often co-occur in young children. This series of case studies aims to present commonly overlapping symptoms in children who present to clinics with developmental concerns. Design/methodology/approach This paper presents three case studies that were completed at a free community ASD screening clinic in Southern California. Findings The case studies have common presenting behaviors and symptoms (e.g. social communication difficulties) that often co-occur across diagnoses; explanations for the final diagnoses are given in each case. Research limitations/implications Conclusions from these three cases cannot generalize to all children being seen in clinics for neurodevelopmental concerns. Practical implications This series of case studies highlights commonly overlapping symptoms in children who present for differential diagnosis with social and/or behavioral concerns. Implications for educational placement and intervention are discussed. Social implications These cases highlight the challenges involved in the differential and dual diagnostic process for young children with developmental concerns. Diagnostic considerations can affect later educational placement and opportunities for socialization. Originality/value This series of case studies provide practical information for clinicians about how to effectively differentiate between commonly occurring neurodevelopmental disorders, particularly given recent changes to the Diagnostic and Statistical Manual, 5th edition (DSM-5).

Academic and post-secondary participation of students with ABI after the BrainSTEPS program

Purpose: To describe and analyze educational and post-high school participation of individuals who sustained an acquired brain injury (ABI) during childhood and participated in a state-wide school-based brain injury support program, BrainSTEPS in Pennsylvania (BrainSTEPS). Method: Retrospective analysis of programmatic information and data collected through electronic and phone surveys during a follow-up survey for a statewide, school-based, school consultation program for students with ABI. Participants: Caregivers reported on 190 individuals with ABI who participated in Pennsylvania’s BrainSTEPS Program. Results: Individuals post-ABI who participated in the BrainSTEPS were most likely to have experienced a mild ABI in high school due to sports. Post-injury, students were most likely to be enrolled in regular education, have graduated high school, pursued four-year college education and be attending post-secondary education and living with family. Additional significant relationships were not reported within the concussion or moderate-severe traumatic brain injury subgroups. Significant relationships for educational outcomes included higher likelihood of regular educational placement at the time of referral given an older grade at injury and regular educational placement before injury. For post-high school outcomes, a younger age at survey was associated with current attendance in post-secondary education, compared to other vocational options. Conclusions: Individuals with a history of ABI before school age and during primary and secondary education present with heterogeneous educational and post-high school outcomes. A greater breadth of measures of formal and informal educational and vocational supports and post-high school attainment should be implemented to accurately capture the needs and outcomes of these students to inform supports and services.

Comparison of responses of parents of hearing and hearing impaired children for the questionnaire 'awareness of aspects related to hearing'

Background: Congenital hearing loss has a profound enervating impact on the child and the family's global development in many domains. If identified during the earlier years of life and apt rehabilitative measures are sought, it would aid in the child's near-normal development and optimize the educational placement. However, parental involvement in this process is crucial. The present study aimed to ‘develop, administer and compare the scores of the questionnaire on ‘Parent’s awareness on aspects related to hearing’ among the parents of children with normal hearing and hearing impairment.Methods: A total of eighty participants, divided into group I (parents of normal hearing children) and group II (parents of children with hearing impairment), participated in the study.Results: Mann-Whitney test showed that there was a significant difference between the groups for all the subsections. The receiver operating characteristic curve was analyzed, and the cut-off scores of 26.5 were obtained. The sensitivity of 0.825 and 1-specificity of 0.225 was achieved.Conclusions: More awareness to be created among the parents of normal-hearing children not only on the risk factors of hearing loss but also on the educational options which would hoist towards inclusion.

Psychometric Properties of WISC-IV Verbal Scales: A Study of Students in China Who Are Blind

Introduction: Numerous studies have investigated the use of Wechsler tests on individuals with visual impairments. However, few studies have examined the utilization of the fourth edition of the Wechsler Intelligence Scale for Children (WISC-IV) for such individuals. This study investigated the reliability and validity of the WISC-IV Verbal Scales’ (i.e., the Verbal Comprehension Index [VCI] and the Working Memory Index [WMI]) scores for children with blindness in China. Methods: One hundred children with blindness were assessed using the Chinese version of the WISC-IV Verbal and Nonverbal Cognitive Development Scales. Results: The results of this study generally support the internal consistency reliability and validity of WISC-IV Verbal Scale scores for Chinese children who are blind. The split-half reliability coefficients ranged from .79 to .97, while Cronbach’s alpha or KR-20 (KR-20 is a measure of internal consistency reliability for measures with dichotomous choices) reliability coefficients ranged from .83 to .97. In terms of construct validity through exploratory factor analysis, the subtests of the WISC-IV Verbal Scale were confirmed to belong to VCI or the WMI as intended by the original structure of the WISC-IV. The convergent validity showed that the VCI and WMI scores were moderately and positively correlated with the Nonverbal Cognitive Development Scale. Discussion: The WISC-IV VCI and WMI were found to be valuable instruments for assessing the cognitive abilities of students in China with blindness. Finally, the limitations and significance of the study were also discussed. Implications for practitioners: The WISC-IV Verbal Scales may be used to assess the cognitive abilities of the numerous students in China who are blind and may be used as one of many tests to provide reference information for educational placement, educational planning, employment, and project evaluation.