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ASSESSMENT ELEMENTARY POINT PERSON TRAINING PRESENTED BY: PAM LEONARD SABRINA BEAUDRY 1/26/11

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ASSESSMENT

ELEMENTARY POINT PERSON

TRAININGPRESENTED BY:

PAM LEONARD

SABRINA BEAUDRY

1/26/11

ASSESSMENT FOR ASD

ELIGIBILITY DETERMINATION

October 2010

IDEA Partnership 2

Jointly Developed By:

The Autism Society The IDEA Partnership

Project (at NASDSE)

With funding from the US Department of Education, Office of Special Education Programs (OSEP)

Development TeamThe following role groups worked together to create the documents and tools for the

ASD Assessment for Identification presentation:

Behavior Analyst

Educational

Diagnosticians

General Education

Administrator

Higher Education

Occupational Therapist

Parents

Person on Spectrum

Psychologists

Social Worker

Special Education

Administrator

Speech Language

Pathologist

Technical Assistance

Providers

October 2010 IDEA Partnership 4

Outline for presentation from

Department of Education

Definitions/foundations

Process for determining eligibility

Evaluation areas

Evaluation outcomes

October 2010

5

IDEA Partnership

Definition of Assessment

Assessment is an ongoing, comprehensive process used

to determine a student’s strengths and challenges in

multiple areas

Evaluation may be defined as a specific set of

assessments designed to determine eligibility for

services under IDEA

October 2010

6

IDEA Partnership

Guiding Principles of Assessment

Each individual has limitless potential

Each student has an individual spectrum of

characteristics, strengths and challenges that range

from mild to severe across various domains

Assessment tools should be chosen to gather specific

information based on the individual’s characteristics,

be appropriate across the spectrum, and across the

age-range

contOctober 2010

7

IDEA Partnership

Guiding Principles of Assessment

Assessment is comprehensive; it goes beyond

academics into various domains, such as sensory,

social, behavior, and so forth

Information, observation, interviews, and

interpretation by a skilled multidisciplinary team are

each important to the assessment process

The essential information in assessment goes beyond

the score on a particular assessment measure

contOctober 2010

8

IDEA Partnership

Guiding Principles of Assessment

Team members should have experience and a broad

knowledge of characteristics of ASD, assessment,

intervention strategies, and development of program

recommendations for students across the spectrum

It is important to value the input of all members of the

team, including parents/guardians and the student, as

appropriate

October 2010

9

IDEA Partnership

Educational Definition

(IDEA) 34 CFR §300.8(c)(1)(i)

“Autism” means a developmental disability significantly affecting verbal and non-verbal communication and social interactions, generally evident before age 3,that adversely affects a child’s educational performance.

October 2010

10

IDEA Partnership

Communication and Social Challenges

Nonverbal & verbal

communication

Nonverbal

Echolalic

Initiating and

maintaining social

interactions

Superficially social

Active

“Little professor”

presentation

Conveying own thoughts

Literalness

Hidden curriculum

Perspective taking

Passive

Withdrawn

October 2010 11IDEA Partnership

Adverse Effect on Educational

Performance…

Academic performance

Communication

functioning

Social functioning

Pragmatic language

Organizational skills

Group work skills

Problem solving skills

Emotional regulation

Hygiene

Behavior

Attention challenges

Daily living

skills/adaptive behavior

Transition

October 2010 12IDEA Partnership

Educational Definition (IDEA)

34 CFR §300.8(c)(1)(i) also includes

Other characteristics often associated with autism are engagement in repetitiveactivities and stereotyped movements, resistance to environmental change or change in routine, and unusual responses to sensoryexperiences.

October 2010

13

IDEA Partnership

Restricted, Repetitive, and Stereotyped Patterns of

Behaviors and Interests

Repetitive, stereotypic movements

Narrow, intense interests

Often appear “uncontrollable”

Role of the interest: interest; fun; security, comfort;

relaxation; stress reduction

May change over time

October 2010

14

IDEA Partnership

The Sensory Systems

October 2010

15

IDEA Partnership

In case we forget…….

When you have

seen one child

with autism, you

have seen one

child with autism.

Stephen Shore, n.d

October 2010 IDEA Partnership 15

Diagnosis vs. Eligibility Process

Diagnosis Eligibility

Based on a set of criteria

(e.g., DSM-IV-TR, ICD-10)

Based on federal law (IDEA)

Refers to a specific disorder

(e.g., Autistic Disorder,

Asperger Disorder)

Refers to a broad disability

category

Used in private settings Used only in public school

system

May be determined by an

individual or team

Must be determined by a

team

October 2010

17

IDEA Partnership

Evaluation Procedures

34 CFR §300.304

(4) ...child is assessed in all areas related to the suspected disability, including, if appropriate, health, vision, hearing, social and emotional status, general intelligence, motor abilities; academic performance, communicative status;(6) ... evaluation is sufficiently comprehensive to identify all of the child’s special education and related services needs, whether or not commonly linked to the disability category in which the child has been classified.

October 2010

18

IDEA Partnership

Areas Related to Disability

Autism characteristics

Academic achievement

Adaptive behavior

Cognitive

Developmental

Emotional/behavioral

Functional/behavioral

Motor

Sensory

Speech/language/

communication

Social/relationship

Transition

Vocational

October 2010 19IDEA Partnership

Additional Requirement

The IEP Team including

parents must review

evaluations and

information provided by

the parents of the child..

34 CFR 300.305(a)(1)(i)

October 2010 20IDEA Partnership

Myth of “Medical Diagnosis”

“There are no medical tests for diagnosing autism. An

accurate diagnosis must be based on observation of the

individual’s communication, behavior, and

developmental levels.”

Autism Society, n.d.

October 2010

21

Evaluation:

Eligibility vs. Program Planning

Eligibility Program Planning

Purpose Determine eligibility Looks at child as individual;

strengths and weaknesses

Evaluator Team of experts IEP Team

Law Consent required No consent required – Review

existing data

Scope Child Find – all areas

related to disability

Areas needed for program

planning

October 2010

22

IDEA Partnership

Flow Chart

Suspect ReferScreen –Autism Specific

Evaluate

October 2010

23

IDEA Partnership

Screening for ASD

Follow written district procedures

Ensure that at least one team member is familiar with

characteristics of ASD

Avoid unnecessary delays in identification

Delay in identification = Delay in intervention

Research shows that the earlier the intervention, the better

the outcomes!

It is never too late!

October 2010

24

IDEA Partnership

Components of Evaluation

Obtaining informed

consent

Vision/hearing

clearance

Screening

Structured interviews

Structured observations

Naturalistic

observations

Developmental history

Bio-psychosocial history

Previous assessment

history

Records review

Checklists

Student assessments

October 2010 25IDEA Partnership

Student-Centered Factors that

Influence Identification

Delay in assessment/identification

Severity

Gender

Ethnicity and culture

Age

English language learners

Other disorders/co-occurring conditions

October 2010

26

IDEA Partnership

Other Factors that Influence

Identification

Experience/knowledge of school personnel

Local school district resources

Geographical region

Parent educational level

Behaviors that are not consistent across environments

Misunderstanding of the characteristics of ASD

October 2010

27

IDEA Partnership

Student Case Study

Questions for Group Discussion:

Is there “reason to suspect” the presence of a

disability?

If yes, what specific areas of student need should be

further explored through screening and/or evaluation

for eligibility?

October 2010

28

IDEA Partnership

Eligible for IDEA Services

Develop IEP

Determine strengths and present levels of performance

Goals/objectives/services/supports

Behavior plans

Monitor progress

Ensure future evaluation

Provide procedural safeguards

October 2010

29

IDEA Partnership

Ineligible for IDEA Services

Identify strengths

Identify accommodations that can be incorporated

into general education

Determine resources/recommendations/universal

design

Consider 504 Plan

Monitor student to determine need for additional

assessment/evaluation

October 2010

30

IDEA Partnership

A Valuable Resource

Texas Autism Resource Guide for Teaching TARGET)

http://www.txautism.net/manual.html

Written for educational professionals and families

Available at no cost

Provides information on evaluation for identification

and programming

Provides information on assessment measures

cont

October 2010

31

IDEA Partnership

In the elementary setting we most

likely will use assessments for:

Initial assessment for diagnosis or initial eligibility

into special education

Re-evaluation for eligibility determination

Re-evaluation for additional information to assist in

making programming decisions

Monitor progress

Let’s take a break

Assessment Process- Ten tips

according to Grossman and Aspy

Plan and Prepare

Communicate and Inform

Work as a team

Keep and open mind

Schedule time to process

Think recommendations

Allow for fun and flexibility

Reinforce

Observe across settings

Be responsive

Let’s Practice

ISBE Domain Sheet

Academic Achievement

Functional Performance

Cognitive Functioning

Communication Status

Health

Hearing/vision

Motor- Fine/Gross

Social Emotional

Tell Us About Academic Achievement

Academic Achievement

Independence?

Application of skill?

How compare to same age peers?

Some Tools…

Teacher reports

Student grades/work samples/classroom tests

CBMs/Benchmarking

Rubrics

Data from instruction

Tell Us About Functional Performance:

Functional Performance-this has nothing

to do with academic knowledge

For students with ASD…you would reference the

Autism IEP considerations page.

Independence

Self-help skills applicable to school

Daily living skills applicable to school

Sensory regulation

Ability to handle change and/or transitions

Repetitive actions/thoughts &/or stereotypic behaviors

Functional Performance cont……

Behavior

Independence in using support systems

individual schedules

task organizers

communication supports

transition supports

Student’s awareness of how their actions affects others or awareness of their disability

Some Tools…

Student interview

Parent interview

Behavioral Observations

BASC2- Broad measure of a variety of behaviors

Achenbach measures (CBCL-Childhood Behavior Checklist; TRF-Teacher Report Form)-Broad measures of a variety of behaviors

Functional Analysis (Tools: MAS-Motivation Assessment Scale, FACTS)

Down and Dirty Cheat Sheet (on wiki)

More Tools…

SFA

TTAPP

VB-MAPP

ABLLS-R

Autism/Asperger’s checklists (GARS2, GADS, CARS, ASDS, ADOS)

Sensory Profiles

General Education Classroom Behavior Skills Evaluation (Wiley & Sons, Inc)

Tell Us About Cognitive Functioning:

Cognitive Functioning

File Review

How does student learn best- 1:1, small group,

whole group/classroom

Rate of learning

Attention/Concentration

Memory

Problem Solving

Verbal skills

Some Tools…

Nonverbal measures of intelligence

PEP-3

Wechsler scales (for HFA, Asperger's)

Stanford-Binet Intelligence Scale

Time on task data collection

Tell Us About Communication

Functioning:

Communication -”NOT JUST

SPEECH/LANGUAGE”

Communicative intents

What?, How?, To Who?, Where?, When?

Social Communication/Perspective Taking Skills

Echolalia

Pragmatics

Social Problem Solving

Some Tools…

Standardized assessments

Language Samples

Language Comprehension Inventory (Teaching Children

with Autism, Quill)

Checklist of Communicative Functions and Means (Weatherby & Prizant)

Socioemotional Dimensions in Communication Assessment (Prizant & Myers)

Social Communication checklist or rating scales

Michelle Garcia Winner assessment protocol

Tell Us About Health Information:

Health

File Review

Update medical- consents for doctor

conversations

Diets/medications

Co-morbidity questions

Can be many changes in this area

during puberty

Tell Us About Hearing/Vision

Information:

Hearing/Vision

Update…

Is the student receiving any vision/hearing

therapy?

Tell Us About Motor Skills:

Motor-Fine & Gross

How do motor skills impact educational

performance?

Motor imitation

Motor sequencing

Motor initiation

Tell Us About Social Emotional

Functioning:

Social Emotional

Coping/calming strategies

Self-awareness &/or ability to discuss disability

and how it impacts self

Motivation

Family Factors

Social Emotional con’t:

Co-morbidity

ADD/ADHD

Anxiety Disorders

Generalized Anxiety Disorder

Social Anxiety Disorder

Obsessive Compulsive Disorder

Mood Disorder

Depression

Bi-Polar

Some Tools…

Profile of Social Difficulty (Super Skills, Judith Coucovanis)

Autism Social Skills Profile (Building Social Relationships, Scott Bellini)

Social Skills Checklist (Do, Watch, Listen, Say, Kathleen Quill)

Chapter 5 from Incorporating Social Skills in the Classroom (Rebecca Moyes)

Progress Tracking Form (Relationship Development Intervention with Young Children, Steven E. Gutstein & Rachelle K. Sheely)

More Tools:

MASC-Multi-dimensional Anxiety Scale for Children

SCARED-Screening for Childhood Anxiety & Related Disorders

CDI-Childhood Depression Inventory

Social Interaction Checklist (James Emmett)

Take a Look

Reflect…

Resources

www.ideapartnership.org (power points and

presenters guides)

www.txautism.net/manual.html

www.autisminternetmodules.org (OCALI)

www.autismcenter.org (Life Journey Through Autism:

A Parent’s Guide to Assessment, by OAR)

Resources…

University of Washington Autism Center (go to Resources for videos)

Evidence Based Practice and Autism in the Schools Educator Manual (on wiki)

Guidelines for Speech-Language Pathologists in Diagnosis, Assessment, and Treatment of Autism Spectrum Disorders Across the Life Span (ASHA- on wiki)

Interdisciplinary Assessment of Young children With Autism Spectrum Disorder (ASHA- on wiki)

Autism Spectrum Disorders in the Schools, Assessment, Diagnosis, & Intervention… (Gail Richard- on wiki)