SPED 537: ECSE Methods Multiple Disabilities/Sensory Impairments

Class 2, February 6-7, 2006Deborah Chen, Ph.D.

California State University, Northridge

Agenda

Chapters 1 and 2 Early intervention: Purpose and

Principles Caregiver-Infant Interactions:

Context of Intervention

Early Intervention: Purpose and Principles Effects of early experience Transactional model of development Family-centered philosophy Federal legislation Assessment practices IFSP Early intervention services Early interventionists: Roles and

competencies Service delivery: Team models and settings

TRANSACTIONAL MODEL

OF DEVELOPMENT

Child’s Biological

traits

Child’s Biological

traits

Influencesof

Environment

Influencesof

EnvironmentOutcomeOutcome

Family-Centered Philosophy Support family to promote child’s

development Legal rights Family/professional collaboration Family involvement Complexity of child’s disabilities Interaction with multiple service providers Different intervention strategies Unique family situations

Assessment Multiple disciplines Family’s Concerns, Priorities, Resources

Multiple sources Different measures Appropriate for individual child Social context with familiar caregiver

IFSP

1. Current levels of: physical (fine and gross motor,

vision, hearing, and health) cognitive communication social or emotional adaptive (or self help) development

Key Roles and Responsibilities Early interventionist/ECSE teacher Speech and language therapist Physical or occupational therapist Teacher credentialed in VI O & M instructor Teacher credentialed in DHH

Team Models Multidisciplinary Interdisciplinary Transdisciplinary Primary service provider

Child andFamily

Teammember

Teammember

Teammember

Teammember

Teammember

Multidisciplinary Team Functioning Model

Child andFamily

Teammember

Teammember

Teammember

Teammember

Teammember

Interdisciplinary Team Format

Transdisciplinary Team Functioning

TeamLeader

TeamMember

TeamMember

TeamMember

TeamMember

TeamMember

TeamMember

TeamMember

TeamMember

Child andFamily

Natural Environments or LRE Home Day care Preschool Community settings Center-based programsBenefits and challenges of each

setting?

Home Visiting Approaches Teaching child Working with caregiver

- information - modeling general caregiving strategies- modeling specific interventions- teaching specific strategies

Home Visit Approaches Supporting the family-child relationship Developing a positive

family/professional relationship Providing family with emotional support

and resources

Source: Klein, M.D. (2001). Home visiting approaches in early intervention serving infants with disabilities. In SPED 695K Interdisciplinary strategies for working with infants who have multiple disabilities [CD-ROM]. Department of Special Education, California State University, Northridge

Home Visiting Strategies and Activities Adult-child dyadic interaction

- assessment or intervention activities Adult-adult dyadic interaction

- “relationship-based”, problem-solving, “routines-based” assessment

Triadic interaction - modeling and coachingSource: Klein, M.D. (2001). Home visiting approaches in early intervention serving

infants with disabilities.

Potential Effect of Disability on Caregiver Interactions Visual Impairments Dual sensory impairments Hearing loss Physical disabilities Developmental disabilities Prematurity and health and medical

needs Multiple disabilities

Video Observation: Ryan and his mother 6 months old Medical needs Cerebral palsy Cortical visual impairment Developmental disabilities

Observations of their interactions

Contingent Experiences Child’s behavior elicits response

from environment Adult’s responsive interactions

increases child’s contingency experiences

Increase child’s motivation to learn, initiation of social interaction and responsiveness

Noncontingent Experiences Adult responses that are not

related to the child’s behaviors Stimulation that is independent of

the child’s actions Decrease child’s motivation and

responsiveness Leads to learned helplessness and

prompt dependence

Video Observation: Little Room Jeffrey 2 years old Premature Cerebral palsy Visual impairment Hearing loss Developmental delays

Lilli Nielsen’s Little RoomAdvantages Contingent

experience Cause-effect Stable environment Predictable reactions Exploration of objects Child’s initiation Independent activity

Disadvantages Nonsocial Artificial

environment Difficult to

generalize May be misused

- Unsupervised- Too long

Hierarchy of Responses to Sensory Stimuli Awareness/reflexive reactions Attention/alerting responses Discrimination Recognition Comprehension