SPED 537 ECSE Methods: Multiple Disabilities Chapter 3Hierarchy of Responses to Sensory StimuliObservationsCHARGE ASSOCIATIONSensory Impairments and Additional DisabilitiesAdditional DisabilitiesGuiding QuestionsChild with Visual ImpairmentsBaseline ObservationIntervention Observation # 1Intervention Observation# 2Final ObservationChild with Hearing LossChild who is Deaf-BlindObservation # 1Child who is PrematureChild with Seizure DisorderChild with Physical DisabilitiesChild with AutismPowerPoint PresentationSPED 537 ECSE Methods: Multiple DisabilitiesChapter 3Deborah Chen, Ph.D.California State University, NorthridgeFebruary 13-14, 2006Hierarchy of Responses to Sensory StimuliAwareness/reflexive reactionsAttention/alerting responsesDiscriminationRecognitionComprehensionObservationsCarefully observe the child’s reactionsWhat do you know about the child’s use of hearing?What do you know about the child’s use of vision?What are the child’s strengths?What are the child’s needs?CHARGE ASSOCIATION- C oloboma-Heart defect-choneal Atresia-growth and/or mental Retardation-growth and mental Retardation-Ear anomalies/hearing lossSensory Impairments and Additional Disabilities33% children with hearing loss have another disability40-90% children with severe disabilities are visually impaired40-70% preschoolers with visual impairment have another disabilityAdditional DisabilitiesDevelopmental delay/mental retardationPhysical disabilityMedical problemsBehavior challengesVisual impairment or hearing lossGuiding QuestionsTypical day and family activitiesFamily’s concerns and priorities?Services?When is child alert and attentive?Favorite toys and activities?Child’s strengths and interests?Child’s primary intervention needs?Child’s diagnoses and prognoses?Child with Visual ImpairmentsType and severity?Medical concerns and interventions?Corrective lenses?Use of functional vision?Use of compensatory senses?Additional disabilities?Learning needs?Baseline ObservationHow would you describe this interaction?What is mother doing?How does the child respond?What would you say to the mother?As an early interventionist what would you do?Suggestions for intervention?Intervention Observation # 1What does the EI do?How does the child respond?What would you do next?Intervention Observation# 2What does the EI do?How does the child respond?What would you do next?Final ObservationHow would you describe this interaction?What has changed from the first observation?How does the child respond?What would you say to the mother?Child with Hearing LossType and degree of hearing loss?Amplification?Communication?Additional disabilities?Learning needs?Child who is Deaf-BlindType and degree of visual impairment?Type and degree of hearing loss?Corrective lenses?Amplification?Communication?Additional learning needs?Observation # 1 How would you describe this interaction?What is the mother doing?How does the child respond?What would you say to the mother?Suggestions for next steps?Child who is PrematureHow premature at birth?Child’s current age?Child’s health and development?Medical needs and their influence?Any restrictions?Medical or other interventions?Child with Seizure DisorderType of disorder? Behavioral indicators?Medication? Side effects?Who is the child’s physician?Key situations? Triggers?First aid procedures?Restrictions?When is child most alert?Child with Physical DisabilitiesType of motor difficulty?Influence on development?Positioning techniques?Handling strategies?Ways to promote vision use?Ways to promote other senses?Ways to promote hand use?Equipment?Child with AutismSymptoms of autism?Interactions with familiar people?Communication?Interaction with toys and objects?Responses to sensory stimuli?Primary difficulties?Recommended interventionsEarly Start - Part C ServicesDepartment of Developmental ServicesRegional CentersVendored Infant Programs-Developmental Delay-Autism-Speech & Language Problems-Multiple DisabilitiesCalifornia Department of Education (CDE)Local Educational Agency (LEA) School DistrictsInfant Programs-Deaf & Hard of Hearing-Visual Impairments-Physical Disabilities -(Solely
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