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Reflection Questions

The Reflection Questions document can be downloaded at any time and used in a variety of ways. You can view it before starting your work so that you know which questions will be asked in the videos and/or on the webpages. You can also access it at the end of your work so that you can see all your responses to the questions. This tool can be helpful for documenting your learning and referring to later or for sharing it with others in group discussions or as demonstration of your online progress.


Discussion Questions

The Discussion Questions provided below can supplement and extend your individual learning and be used by facilitators or coaches to prompt meaningful discussions.

  1. What do you currently use to assess your students with CN? How do you use this information to change or modify your practice? Sample of discussion points might include:

    • Does the data only identify what the student cannot do?
    • Do you have a way to take data on increases in communication strategies and opportunities? Is there a tool in the tool belt or list of resources that could help?
    • Do you use video tape to measure both adult/peer interaction and student responses? How might this work? What observation questions would help you develop next steps?
  2. What are your school's current options for placement/programming for students with complex needs? What is part of the discussion? Are there areas or topics that need to be expanded or added to the discussion? Examples include some of the following:

    • Do most children with a label of complex needs seem to be placed within the same classroom? How might the school add more options to current practice?
    • Do the IEP goals align with essential elements standards?
    • How do parents' dreams and vision for their child's future play into the development of goals, objectives, and program design?
    • How does staff expectancy for the child's success and progress influence the design of the program?
  3. Close your eyes and visualize a student with complex needs actively engaged in a UDL-designed general education classroom for reading, math, and science blocks. Describe what would be happening in the classroom that makes this so successful. Some of the following may be parts of the vision:

    • The student with CN is not physically located on the fringe of the classroom observing the other students but moves within hubs of student activity and is actively engaged.
    • The student with CN has a communication system, either low tech, high tech, mixed, that everyone understands and can use.
    • The general education teacher includes the student with CN in discussions at his or her level and uses different types of materials to engage the student in lessons.
    • The classroom assistant is a guide on the side and not the gatekeeper of all interactions. Often other students serve as communication partners during group work.
    • The student with CN has a variety of equipment that is readily available, and more than one person understands how and when to step in to assist the student with its use.
    • General and special education staff have time to discuss and prepare the environment and lesson participation ahead of lesson delivery.
    • There is a culture of acceptance and expectancy within the classroom for all children. The child with CN is included as a full member.
  4. Discuss and define the role of a functional curriculum for a student with CN. The following may be elements of this discussion:

    • A child with CN will always be dependent on adults for activities of daily living. So task analysis of these activities might be better approached by spending time working on communication within these activities. That way the student may be part of the process of directing caregivers rather than a passive participant.
    • The most functional human ability is the ability to communicate. That includes language, writing, and reading. How can these skills be developed and encouraged within the daily plan?
      • Scribbling activities using alternative pencil
      • Using core words
      • Using PODD books
      • Daily access to same age language models.
  5. Your student with CN seems to fall asleep during group every morning. What could you do? Discussion might include some of the following ideas:

    • Change the child to a different environment and see if time of day is the issue. 
    • Check to see what medications were taken prior to the activity. Could the drowsiness be related to the medication schedule?
    • Is there a sensory issue in the environment that is causing the student to be under- or over-aroused so she shuts down?
      • Light stimuli: Is the background too "light"? Is the child facing a window that lets in too much sun, so she needs to drop her head to avoid the glare?
      • The teacher's role: Does the teacher do all the talking/singing/handling of materials while the student just sits?
      • Conflicting sounds: Are loud sounds coming from any other area of the room that interfere with the particular activity?
      • Positioning: Look at the child's positioning. Is she in an active engagement posture? Is she able to engage with materials from this position?
    • Is the activity so routine and predictable that it is uninteresting? How can you change this?
    • Is the activity built upon an interest of the child?
    • Does the student have to wait a turn for longer than her attention span allows for active engagement? Can you change roles so the child becomes more directive?
    • What other environmental factors might be affecting the student? Discuss how videotaping group time might help staff to assess for causal factors.

Activities on this page are provided at both the introductory and advanced level and can be copied and used within existing professional development or university coursework.

Introductory Activities

  1. Expanding use of the AT Decision-Making Guide

    Consider one of your students' needs for AT using the AT Decision-Making Guide. Look at the specific area of need within the ATIM WATI modules (Reading, Communication, Writing, etc.). Are there additional questions you have regarding the student and environment?

    Student:

    • Have you done a sensory preference assessment?
    • How much physical support is required for movement?
    • How does the child's medical condition affect learning?

    Environment

    • Do all adults understand how to use a participation model?
    • How many adults are trained in using child strategies and equipment?
    • Is there a curriculum in place?
    • Does the child have access to same-age communication partners?
    • What AT is available?
    • Does the level of classroom stimulation (vocal noise/music/video/decorations/movement) match the child's sensory preference needs?
    • Do all the adults working with the child have the same expectation of learning?
  2. Review supporting documents

    Download and review the following materials from the Documents section of this module:

    Student Information Guide - Complete the first two pages of the information guide and think deeply about the referral question. Complete that question with a specific observable task.

    Environmental Observation Guide - Use this guide to observe the student completing the target task in his/her typical manner. Record your observations for discussion later.

    Section 13 General Questions - Answer the four questions as directed. If you are unfamiliar with the answers, ask the student's parent or another familiar adult.

    Tool Belt: Supports for Students With Complex Needs - Review the document for questions that you might have had after completing the forms. Use a highlighter to mark supportive resources to pursue.

  3. Teaching Learners with Multiple Special Needs

    Read "Yes and ____" on the Teaching Learners With Multiple Needs blog. Write your reflection.

Advanced Activities

  1. Sensory-Motor Preferences

    Download the Sensory-Motor Preference Checklist (for Adults). Complete the checklist and with your team or by yourself reflect on the questions at the end. What does this tell you about yourself? Does this help you to understand your student's sensory preferences. Can you use this information to help plan how you might activate learning in your students?

  2. Communication Interactions

    Read the study Children With PIMD in Interaction With Peers With PIMD or Siblings. This study compared the qualities of interactions between students with profound intellectual and multiple disabilities (PIMD) with (a) peers who also had PIMD and (b) their siblings. Siblings were included because no nondisabled, same-age peers were available for comparison. It may be that we can look at what this research indicates to make some predictions about interactions in your settings.

    a. Read the article. Create a T-chart (a listing of two separate viewpoints on a topic) to consider if there are findings that might influence how we thinking about:

    • Inclusion with same-age, nondisabled peers
    • The role of verbal and nonverbal attention-directing behaviors
    • Optimal time on joint attention activity
    • Environmental influences that may predict better outcomes

    b. What techniques does the study suggest that instructional or personal care assistants working with children with CN should use (both in terms of physical support and communication practice)?

    c. Create a list of next steps to provide communication partner training for same-age peers (review WATI modules on communication for further support).

    d. How can you support instructional/child-specific aides to help them better support communication interactions and not unknowingly sabotage them? (More information about this may be found in the WATI communication modules Part I, Part II and Part III.)

  3. Tool Belt of Supports

    With your team, use the Tool Belt: Supports for Students With Complex Needs to decide on categories of need within your district that require additional support. Create your own tool belt of supports to assist teachers, students, and parents in creating a responsive learning environment with high expectations for engaged learning.

  4. Facilitated Discussion

    Purchase the DVD or download (from iTunes $19.99 or $195.00 for large-group viewing) Certain Proof - A Question of Worth. Also download the viewing guide and additional resources. Create a learning group. Watch the video using the guiding questions. End with a facilitated discussion aimed at creating more responsive environments.

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