michigan severity rating scales: solving the puzzle of service delivery time
TRANSCRIPT
Michigan Severity Rating Scales:Michigan Severity Rating Scales:Solving the Puzzle of Service Delivery TimeSolving the Puzzle of Service Delivery Time
Michigan Severity Rating ScalesTools Supported by Data
Michigan Severity Rating ScalesTools Supported by Data
Orientation and Mobility Severity Rating Scale (O&MSRS)
Orientation and Mobility Severity Rating Scale for Students with Additional Needs (O&MSRS+)
Vision Services Severity Rating Scale (VSSRS)
Vision Services Severity Rating Scale for Students with Additional Needs (VSSRS+)
Orientation and Mobility Severity Rating Scale (O&MSRS)
Orientation and Mobility Severity Rating Scale for Students with Additional Needs (O&MSRS+)
Vision Services Severity Rating Scale (VSSRS)
Vision Services Severity Rating Scale for Students with Additional Needs (VSSRS+)
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Michigan Severity Rating ScalesHistory and Development
Michigan Severity Rating ScalesHistory and Development
Adapted from the Montgomery County, Pennsylvania model beginning in 1995
Published and disseminated by the Michigan Department of Education – Special Education Services in 1996
Adapted from the Montgomery County, Pennsylvania model beginning in 1995
Published and disseminated by the Michigan Department of Education – Special Education Services in 1996
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First versions – 1996 and supported by the Michigan Department of Education – Special Education Services
Michigan Department of Education-Low Incidence Outreach (MDE-LIO) created and sponsored committees beginning in 2007 to revise the three existing scales and develop the O&MSRS+
First versions – 1996 and supported by the Michigan Department of Education – Special Education Services
Michigan Department of Education-Low Incidence Outreach (MDE-LIO) created and sponsored committees beginning in 2007 to revise the three existing scales and develop the O&MSRS+
Michigan Severity Rating ScalesHistory and Development
Michigan Severity Rating ScalesHistory and Development
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Web search indicated the Scales were being used and referenced in documents in several other states
Referred to in O&M university preparation programs
Internationally recognized
Web search indicated the Scales were being used and referenced in documents in several other states
Referred to in O&M university preparation programs
Internationally recognized
Michigan Severity Rating ScalesHistory and Development
Michigan Severity Rating ScalesHistory and Development
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Michigan Severity Rating ScalesMichigan Severity Rating Scales
What they are:
• Data collection tools
• A guide based on best practices
• Guideline for IEP team service discussion
What they are:
• Data collection tools
• A guide based on best practices
• Guideline for IEP team service discussion
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Michigan Severity Rating ScalesMichigan Severity Rating Scales
What they are not:
• Not an assessment
• Not a severity of disability but a severity of student’s need for services
• Not a pre-determiner of service
• Not the only data source
What they are not:
• Not an assessment
• Not a severity of disability but a severity of student’s need for services
• Not a pre-determiner of service
• Not the only data source
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Michigan Severity Rating ScalesThe Surveys
Michigan Severity Rating ScalesThe Surveys
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2011 – MDE-LIO partnered with the Department of Blindness and Low Vision Studies – WMU
Dr. Robert Wall-Emerson & Dr. Dawn Anderson oversaw the development of the surveys
Surveys administered by MDE-LIO and sent to listserves in early 2012
2011 – MDE-LIO partnered with the Department of Blindness and Low Vision Studies – WMU
Dr. Robert Wall-Emerson & Dr. Dawn Anderson oversaw the development of the surveys
Surveys administered by MDE-LIO and sent to listserves in early 2012
Number of respondents in the national surveyNumber of respondents in the national survey
O&MSRS / O&MSRS+ O&MSRS / O&MSRS+
125 complete or partial125 complete or partial
VSSRS / VSSRS+VSSRS / VSSRS+
103 complete or partial 103 complete or partial
Number of respondents in the national surveyNumber of respondents in the national survey
O&MSRS / O&MSRS+ O&MSRS / O&MSRS+
125 complete or partial125 complete or partial
VSSRS / VSSRS+VSSRS / VSSRS+
103 complete or partial 103 complete or partial
Michigan Severity Rating ScalesThe Surveys
Michigan Severity Rating ScalesThe Surveys
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Survey questions included:
• O&M, TCVI or Dual service provider• Previous experience with the scales• When the Scale is completed & with whom• Are the Scales used for caseload analysis and
how important of a role do they play?
Survey questions included:
• O&M, TCVI or Dual service provider• Previous experience with the scales• When the Scale is completed & with whom• Are the Scales used for caseload analysis and
how important of a role do they play?
Michigan Severity Rating ScalesThe Surveys
Michigan Severity Rating ScalesThe Surveys
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Respondents read scenarios and Respondents read scenarios and answered questions based on student answered questions based on student profilesprofiles
•How well are areas of concern covered?How well are areas of concern covered?•How well do contributing factors address adding How well do contributing factors address adding or subtracting from service time?or subtracting from service time?•How well do service times match instructional How well do service times match instructional needs?needs?•What are the reasons if recommended service What are the reasons if recommended service time can’t happen?time can’t happen?
Respondents read scenarios and Respondents read scenarios and answered questions based on student answered questions based on student profilesprofiles
•How well are areas of concern covered?How well are areas of concern covered?•How well do contributing factors address adding How well do contributing factors address adding or subtracting from service time?or subtracting from service time?•How well do service times match instructional How well do service times match instructional needs?needs?•What are the reasons if recommended service What are the reasons if recommended service time can’t happen?time can’t happen?
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Michigan Severity Rating ScalesThe Surveys
Michigan Severity Rating ScalesThe Surveys
Michigan Severity Rating ScalesThe Surveys
Michigan Severity Rating ScalesThe Surveys
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Reliability (precision)Reliability (precision)Respondents overwhelmingly identified the Respondents overwhelmingly identified the scales as measuring the significant factors to be scales as measuring the significant factors to be considered in determining service time for O&M considered in determining service time for O&M and Vision Servicesand Vision Services
Validity (accuracy)Validity (accuracy)O&MSRS above 90%O&MSRS above 90%
O&MSRS+ 84%O&MSRS+ 84%
VSSRS 87%VSSRS 87%
VSSRS+ 79%VSSRS+ 79%
Reliability (precision)Reliability (precision)Respondents overwhelmingly identified the Respondents overwhelmingly identified the scales as measuring the significant factors to be scales as measuring the significant factors to be considered in determining service time for O&M considered in determining service time for O&M and Vision Servicesand Vision Services
Validity (accuracy)Validity (accuracy)O&MSRS above 90%O&MSRS above 90%
O&MSRS+ 84%O&MSRS+ 84%
VSSRS 87%VSSRS 87%
VSSRS+ 79%VSSRS+ 79%
Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Fill out the student information on the Fill out the student information on the Severity of Need ProfileSeverity of Need Profile
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
The numbers attached to each severity of The numbers attached to each severity of need are considered part of a continuum.need are considered part of a continuum.
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Each of the Severity of Each of the Severity of Need categories is Need categories is structured in terms of structured in terms of impact on independent impact on independent travel skills as it relates travel skills as it relates to the student's age to the student's age appropriate needsappropriate needs
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to the student's distance vision Refers to the student's distance vision and/or peripheral vision as reported and/or peripheral vision as reported
by an eye care specialistby an eye care specialist
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to the student's ability to use vision Refers to the student's ability to use vision for all travel tasksfor all travel tasks
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to the student’s need for use Refers to the student’s need for use and skill level of a white cane or and skill level of a white cane or
alternative mobility devicealternative mobility device
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to possible situations when a discrepancy Refers to possible situations when a discrepancy exists between the student’s actual functioning in exists between the student’s actual functioning in
travel skills and the projected level of independence travel skills and the projected level of independence based on the O&M Specialist’s professional judgmentbased on the O&M Specialist’s professional judgment
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to the student’s ability to travel safely and Refers to the student’s ability to travel safely and proficiently in a familiar environment (i.e., school, proficiently in a familiar environment (i.e., school, neighborhood) based on current literature of age neighborhood) based on current literature of age
appropriate travel levels and expectationsappropriate travel levels and expectations
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to the student’s conceptual understanding Refers to the student’s conceptual understanding and how O&M progress is affectedand how O&M progress is affected
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to the type of environment Refers to the type of environment in which instruction is required in which instruction is required
(i.e., business district, new school, neighborhood)(i.e., business district, new school, neighborhood)
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to whether the student has the opportunity to Refers to whether the student has the opportunity to use O&M skills in the community, at home, etc. use O&M skills in the community, at home, etc.
outside of O&M instructional timeoutside of O&M instructional time
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Total the right hand column to obtain a “Severity of Need Score” at the bottom
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Severity of Need SummarySeverity of Need Summary
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
If appropriate, fill If appropriate, fill out the Contributing out the Contributing Factors to Service Factors to Service Delivery on the Delivery on the Student Student Performance Performance Summary by adding Summary by adding or subtracting .5 or subtracting .5 pointspoints
Severity of Need SummarySeverity of Need Summary
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Severity of Need SummarySeverity of Need Summary
Locate the range Locate the range which contains the which contains the Final Severity of Final Severity of Need Score to Need Score to determine the determine the frequency of servicefrequency of service
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
Completion of the O&MSRSCompletion of the O&MSRS
Sam is an 8Sam is an 8thth grade student in general education classes. He grade student in general education classes. He has a diagnosis of ocular albinism and a recent low vision has a diagnosis of ocular albinism and a recent low vision examination indicated a visual acuity of 20/200 OU. He has examination indicated a visual acuity of 20/200 OU. He has excellent orientation to his community and can describe routes excellent orientation to his community and can describe routes from his house to many destinations including the names of from his house to many destinations including the names of streets in his description. He has experience using public streets in his description. He has experience using public transportation with family and friends. He rarely has access to a transportation with family and friends. He rarely has access to a computer except during directed class time and has little computer except during directed class time and has little experience using internet mapping sites for route planning or to experience using internet mapping sites for route planning or to preview unfamiliar destinations.preview unfamiliar destinations.
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Orientation & Mobility Severity Rating Scale
Orientation & Mobility Severity Rating Scale
DiscussionDiscussion
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Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
Severity of Need CategoriesSeverity of Need Categories
The Level of Vision (Medical)The Level of Vision (Medical)is identical to the O&MSRSis identical to the O&MSRS
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Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
Severity of Need CategoriesSeverity of Need Categories
Refers to the student's ability to use vision for all travel tasks (i.e. movement within the classroom,
school building and community) as reported by the Orientation & Mobility Instructor
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Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
Severity of Need CategoriesSeverity of Need Categories
Refers to the student's need for use and skill level of a white cane
or alternative mobility device
Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
Severity of Need CategoriesSeverity of Need Categories
Refers to the ability of the student to communicate Refers to the ability of the student to communicate with the O&M Specialist and benefit from instruction. with the O&M Specialist and benefit from instruction.
Students with little ability to communicate with Students with little ability to communicate with the O&M Specialist may not benefit from a the O&M Specialist may not benefit from a
high level of direct O&M servicehigh level of direct O&M service
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Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
Severity of Need CategoriesSeverity of Need Categories
Refers to the impact of the additional needs on the Refers to the impact of the additional needs on the instructional process. Students whose additional instructional process. Students whose additional
needs prevent progress in travel skills may not needs prevent progress in travel skills may not benefit from a high level of direct O&M servicebenefit from a high level of direct O&M service
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Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
Severity of Need CategoriesSeverity of Need Categories
Refers to the supervision needed to maintain the Refers to the supervision needed to maintain the safety of the student during travelsafety of the student during travel
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Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
Severity of Need CategoriesSeverity of Need Categories
Refers to the impact that the student’s level of Refers to the impact that the student’s level of concept development has on progress in travel skillsconcept development has on progress in travel skills
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Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
Severity of Need CategoriesSeverity of Need Categories
Refers to the amount of time needed toRefers to the amount of time needed to manage the manage the student’s behavior so that learning can take placestudent’s behavior so that learning can take place
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Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
Severity of Need ScoreSeverity of Need Score
As with the O&MSRS, As with the O&MSRS,
total the right hand column to obtain a total the right hand column to obtain a
““Severity of Need Score” at the bottomSeverity of Need Score” at the bottom
Severity of Need SummarySeverity of Need Summary
Fill out the student information Fill out the student information
on the second pageon the second page
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Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
Severity of Need SummarySeverity of Need Summary
If appropriate, fill If appropriate, fill out the Contributing out the Contributing Factors to Service Factors to Service Delivery on the Delivery on the Student Student Performance Performance Summary by adding Summary by adding or subtracting .5 or subtracting .5 pointspoints
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Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
Locate the range Locate the range which contains the which contains the Final Severity of Final Severity of Need Score to Need Score to determine the determine the frequency of servicefrequency of service
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Severity of Need SummarySeverity of Need Summary
Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
Completion of the O&MSRS+Completion of the O&MSRS+
Rochelle is a severely multiply impaired student in a center Rochelle is a severely multiply impaired student in a center based program. Her visual acuity is estimated at 20/100 in both based program. Her visual acuity is estimated at 20/100 in both eyes. There is no suspected field loss. She is able to use a eyes. There is no suspected field loss. She is able to use a power chair for independent mobility, however, she frequently power chair for independent mobility, however, she frequently refuses to operate the joystick and waits for staff to drive her to refuses to operate the joystick and waits for staff to drive her to her destination. When motivated, she is able to negotiate her destination. When motivated, she is able to negotiate around furniture and through doors, but at a very slow speed. around furniture and through doors, but at a very slow speed. She has little expressive language other than some inconsistent She has little expressive language other than some inconsistent ability to point to symbols on a communication board to indicate ability to point to symbols on a communication board to indicate basic wants and needs. She is dependent on others for basic wants and needs. She is dependent on others for transfers and all activities of daily living.transfers and all activities of daily living.
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DiscussionDiscussion
Orientation & Mobility Severity Rating Scale +Orientation & Mobility Severity Rating Scale +
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
Each of the eight categories ach of the eight categories listed on the VSSRS, listed on the VSSRS, Severity of Need Profile is Severity of Need Profile is structured in terms of the structured in terms of the impact on vision functioning impact on vision functioning as it relates to the student's as it relates to the student's educational programeducational program
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Level of Vision (Medical) is identical Level of Vision (Medical) is identical to the O&M Scalesto the O&M Scales
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
Severity of Need Categories
Refers to the student’s level of functional near vision as determined by the TCVI or TVI (Appendix A)
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to the student's primary mode of learning (i.e., Refers to the student's primary mode of learning (i.e., braille, print, print modifications, braille, print, print modifications,
auditory, or combination)auditory, or combination)
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to the student's need for and use of low vision Refers to the student's need for and use of low vision devices and technology to facilitate maximum devices and technology to facilitate maximum
participation in the general education curriculumparticipation in the general education curriculum
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to the estimated time needed by the TCVI or Refers to the estimated time needed by the TCVI or TVI to modify materials necessary for the student's TVI to modify materials necessary for the student's
participation in their educational programparticipation in their educational program
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to instruction in skills such as auditory and Refers to instruction in skills such as auditory and tactile efficiency, awareness of body in space, social tactile efficiency, awareness of body in space, social
skills, activities of daily living, etc.skills, activities of daily living, etc.
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
Severity of Need CategoriesSeverity of Need Categories
Refers to the amount of time needed for Refers to the amount of time needed for communication with school personnel, parents, communication with school personnel, parents,
medical personnel, technology support personnel medical personnel, technology support personnel and agencies concerning the student’s and agencies concerning the student’s
educational program. educational program.
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
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Severity of Need ScoreSeverity of Need Score
As with the O&M Scales, As with the O&M Scales,
total the right hand column to obtain a total the right hand column to obtain a
““Severity of Need Score” at the bottomSeverity of Need Score” at the bottom
Severity of Need SummarySeverity of Need Summary
Fill out the student information Fill out the student information
on the second pageon the second page
Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
Severity of Need SummarySeverity of Need Summary
Contributing factors are Contributing factors are different so as to different so as to address the additional address the additional needs of students needs of students receiving Vision receiving Vision Services. Add or Services. Add or subtract .5 points. subtract .5 points. Direct Curriculum Direct Curriculum Instruction may receive Instruction may receive more pointsmore points
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
Locate the range Locate the range which contains the which contains the Final Severity of Final Severity of Need Score to Need Score to determine the determine the frequency of servicefrequency of service
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Severity of Need SummarySeverity of Need Summary
Completion of the VSSRSCompletion of the VSSRS
Ashley is an 11 year girl with a history of retinopathy of Ashley is an 11 year girl with a history of retinopathy of prematurity according to an ophthalmology report. She has no prematurity according to an ophthalmology report. She has no light perception. light perception. Ashley has received TCVI services since enrolled in Early Intervention Ashley has received TCVI services since enrolled in Early Intervention Home Based Service. She is transitioning to Middle School and is Home Based Service. She is transitioning to Middle School and is enrolled in general education classes for much of her day. She will enrolled in general education classes for much of her day. She will have access to a generic special education resource room for pull out have access to a generic special education resource room for pull out services.services. Ashley is a fluent Braille reader and reads often for pleasure. She Ashley is a fluent Braille reader and reads often for pleasure. She struggles with math and has not mastered basic math concepts. The struggles with math and has not mastered basic math concepts. The TCVI will provide significant follow-up to Ashley’s general education TCVI will provide significant follow-up to Ashley’s general education math class. math class.
Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
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Completion of the VSSRS cont.Completion of the VSSRS cont.
She is demonstrating an aptitude for using the braillenote and She is demonstrating an aptitude for using the braillenote and continues to improve in use of it. Use of the computer is continues to improve in use of it. Use of the computer is challenging for her and she knows approximately half of the challenging for her and she knows approximately half of the alphabet keys. She can type 8 words a minute with 60% alphabet keys. She can type 8 words a minute with 60% accuracy. She is being introduced to JAWS.accuracy. She is being introduced to JAWS.
A certified braillist is housed at the elementary school and A certified braillist is housed at the elementary school and materials for middle school which are given ahead of time can materials for middle school which are given ahead of time can be prepared by this person. It is anticipated that some regular be prepared by this person. It is anticipated that some regular material preparation / adaption will be required of the TCVI material preparation / adaption will be required of the TCVI during middle school. A paraprofessional will be available for during middle school. A paraprofessional will be available for Ashley in Middle School and will be assigned to provide Ashley in Middle School and will be assigned to provide assistance in classes such as Science and Physical Education assistance in classes such as Science and Physical Education and others to be determined. and others to be determined.
Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
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Vision ServicesSeverity Rating Scale
Vision ServicesSeverity Rating Scale
DiscussionDiscussion
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Vision ServicesSeverity Rating Scale+
Vision ServicesSeverity Rating Scale+
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Vision ServicesSeverity Rating Scale+
Vision ServicesSeverity Rating Scale+
Severity of Need CategoriesSeverity of Need Categories
Category 1 refers to the student's level of distance Category 1 refers to the student's level of distance vision as reported by an eye care / low vision vision as reported by an eye care / low vision
specialist and category 2 refers to the student's specialist and category 2 refers to the student's ability to apply visual skills to the educational settingability to apply visual skills to the educational setting
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Vision ServicesSeverity Rating Scale+
Vision ServicesSeverity Rating Scale+
Severity of Need CategoriesSeverity of Need Categories
Refers to the impact of these delays Refers to the impact of these delays on the student’s ability to benefit from on the student’s ability to benefit from
services from the TCVI / TVIservices from the TCVI / TVI
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Vision ServicesSeverity Rating Scale+
Vision ServicesSeverity Rating Scale+
Severity of Need CategoriesSeverity of Need Categories
Refers to the ability of the student to respond to Refers to the ability of the student to respond to stimulation and/or instructionstimulation and/or instruction
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Vision ServicesSeverity Rating Scale+
Vision ServicesSeverity Rating Scale+
Severity of Need CategoriesSeverity of Need Categories
Refers to the level of independence Refers to the level of independence in skills of daily livingin skills of daily living
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Vision ServicesSeverity Rating Scale+
Vision ServicesSeverity Rating Scale+
Severity of Need CategoriesSeverity of Need Categories
Refers to the estimated time needed by the Refers to the estimated time needed by the TCVI or TVI to modify materials TCVI or TVI to modify materials
necessary for the student's participation necessary for the student's participation in their educational programin their educational program
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Vision ServicesSeverity Rating Scale+
Vision ServicesSeverity Rating Scale+
Severity of Need CategoriesSeverity of Need Categories
Refers to the amount of time needed for Refers to the amount of time needed for communication with school personnel, parents, communication with school personnel, parents,
medical personnel, technology support personnel medical personnel, technology support personnel and agencies concerning the and agencies concerning the student’s educational programstudent’s educational program
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Vision ServicesSeverity Rating Scale+
Vision ServicesSeverity Rating Scale+
Contributing factors are Contributing factors are different so as to different so as to address the additional address the additional needs of these needs of these students. Add or students. Add or subtract .5 points. Age subtract .5 points. Age of student and of student and Direction Curriculum Direction Curriculum Instruction may receive Instruction may receive more points.more points.
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Severity of Need SummarySeverity of Need Summary
Vision ServicesSeverity Rating Scale+
Vision ServicesSeverity Rating Scale+
Locate the range Locate the range which contains the which contains the Final Severity of Final Severity of Need Score to Need Score to determine the determine the frequency of servicefrequency of service
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Severity of Need SummarySeverity of Need Summary
Vision ServicesSeverity Rating Scale+
Vision ServicesSeverity Rating Scale+
Completion of the VSSRS+Completion of the VSSRS+
Clark is a 3 year old with a history of trauma during delivery. He Clark is a 3 year old with a history of trauma during delivery. He has an undiagnosed visual impairment and began a school has an undiagnosed visual impairment and began a school program at the beginning of this school year in a program for program at the beginning of this school year in a program for students with severe multiple impairments. He does not have a students with severe multiple impairments. He does not have a blink reflex, but parents feel that he recognizes their faces and blink reflex, but parents feel that he recognizes their faces and he passed a vision screening to the one month developmental he passed a vision screening to the one month developmental level with an early intervention teacher who is not a vision level with an early intervention teacher who is not a vision services specialist. Clark did not receive services from a services specialist. Clark did not receive services from a Teacher of the Visually Impaired prior to enrolling in school. He Teacher of the Visually Impaired prior to enrolling in school. He has extremely low tone and is unable to participate in activities has extremely low tone and is unable to participate in activities of daily living. He fusses when he is not held and is difficult to of daily living. He fusses when he is not held and is difficult to quiet. Clark is in a classroom where several other children quiet. Clark is in a classroom where several other children receive consultation from the TCVI. receive consultation from the TCVI. 11-2-12 69
Vision ServicesSeverity Rating Scale+
Vision ServicesSeverity Rating Scale+
DiscussionDiscussion
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Michigan Severity Rating ScalesSurvey Findings
Michigan Severity Rating ScalesSurvey Findings
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Reliability (precision)Reliability (precision)Respondents overwhelmingly identified the Respondents overwhelmingly identified the scales as measuring the significant factors to be scales as measuring the significant factors to be considered in determining service time for O&M considered in determining service time for O&M and Vision Servicesand Vision Services
Validity (accuracy)Validity (accuracy)O&MSRS above 90%O&MSRS above 90%
O&MSRS+ 84%O&MSRS+ 84%
VSSRS 87%VSSRS 87%
VSSRS+ 79%VSSRS+ 79%
Reliability (precision)Reliability (precision)Respondents overwhelmingly identified the Respondents overwhelmingly identified the scales as measuring the significant factors to be scales as measuring the significant factors to be considered in determining service time for O&M considered in determining service time for O&M and Vision Servicesand Vision Services
Validity (accuracy)Validity (accuracy)O&MSRS above 90%O&MSRS above 90%
O&MSRS+ 84%O&MSRS+ 84%
VSSRS 87%VSSRS 87%
VSSRS+ 79%VSSRS+ 79%
Michigan Severity Rating ScalesCaseload Analysis
Michigan Severity Rating ScalesCaseload Analysis
Service information from the Michigan Severity Service information from the Michigan Severity Rating ScalesRating Scales
Additional hours per week needed for support Additional hours per week needed for support
Hours per week for travelHours per week for travel
Tools for caseload analysisTools for caseload analysis
http://tinyurl.com/453fy8j http://tinyurl.com/453fy8j
http://tinyurl.com/43ebsrxhttp://tinyurl.com/43ebsrx
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Contact InformationContact Information
[email protected]@michigan.gov
[email protected]@michigan.gov
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Michigan State Board of Education
Michigan State Board of Education
John C. AustinPresident
Casandra E. Ulbrich Vice PresidentNancy Danhof
SecretaryMarianne Yared McGuire
Treasurer
John C. AustinPresident
Casandra E. Ulbrich Vice PresidentNancy Danhof
SecretaryMarianne Yared McGuire
Treasurer
Richard ZeileNASBE Delegate
Kathleen N. Straus
Daniel Varner
Eileen Lappin Weiser
Richard ZeileNASBE Delegate
Kathleen N. Straus
Daniel Varner
Eileen Lappin Weiser
Rick Snyder, GovernorRick Snyder, Governor
Michael P. FlanaganMichael P. FlanaganSuperintendent of Public InstructionSuperintendent of Public Instruction
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