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“AUTISM”

            Autism is defined by the Autism Society Of America (ASA) as: "Autism is a
            complex developmental disability that typically appears during the first three
            years of life and is the result of a neurological disorder that affects the normal
            functioning of the brain, impacting development in the areas of social interaction
            and communication skills. Both children and adults with autism typically show
            difficulties in verbal and non-verbal communication, social interactions, and
            leisure or play activities.

CAUSES

            Although autism is the result of a neurologic abnormality, the cause of these problems
            with the nervous system is unknown in most cases. Research findings indicate a strong
            genetic component. Most likely, environmental, immunologic, and metabolic factors also
            influence the development of the disorder
            Emotional trauma: Some believed that emotional trauma at an early age, especially bad
            parenting, was to blame. This theory has been rejected.
            Vaccines: Although the mercury preservative used in some vaccines is known to be
            neurotoxic, the most recent research on this subject does not suggest a specific link
            between vaccines and autism.
            Environmental factors and exposures may interact with genetic factors to cause an
            increased risk of autism in some families

SYMPTOMS

     Difficulty with verbal communication, including problems using and understanding
     language
     Inability to participate in a conversation, even when the child has the ability to speak
     Difficulty with non-verbal communication, such as gestures and facial expressions
     Difficulty with social interaction, including relating to people and to his or her
     surroundings
     Inability to make friends and preferring to play alone
Unusual ways of playing with toys and other objects, such as only lining them up a
      certain way
      Lack of imagination
      Difficulty adjusting to changes in routine or familiar surroundings, or an unreasonable
      insistence on following routines in detail
      Repetitive body movements, or patterns of behavior, such as hand flapping, spinning, and
      head banging
      Preoccupation with unusual objects or parts of objects

CHARACTERISTICS (PHISICAL, MENTAL, EMOTIONAL AND SOCIAL)

(PHISICAL)

      Myoclonal jerks, sudden muscle                      Abnormal gait and posture
      movements                                           Toe walking
                                                          Clumsiness
      Choreiform, jerky and involuntary                   Difficulty with sitting, lying,
      movements                                           crawling and/or walking
      Poor eye-hand coordination                          Difficulty chewing and/or
      Limb apraxia, when it is difficult to               swallowing
      make certain movements with an                      Unusual sweating
      arm or leg                                          Abnormal reaction to sensory stimuli
      Problems with intentional                           Rashes, dermatitis, eczema and/or
      movements                                           itching



(EMOTIONAL)

      Sensitivity or lack of sensitivity to               Unusually high or low pain
      sounds, textures (touch), tastes,                   tolerance.
      smells or light.                                    Intolerance to certain food textures,
      Difficulty with loud or sudden                      colours or the way they are presented
      sounds.
on the plate (one food can’t touch                  Desires comfort items (blankets,
      another).                                           teddy, rock, string).
      Inappropriate touching of self in                   Laughs, cries or throws a tantrum for
      public situations.                                  no apparent reason.
(SOCIAL)


      Very little or no eye contact.                      Difficulty understanding jokes,
      Resistance to being held or touched.                figures of speech or sarcasm.
      Tends to get too close when speaking                Difficulty reading facial expressions
      to someone (lack of personal space).                and body language.
      Responds to social interactions, but                Difficulty understanding the rules of
      does not initiate them.                             conversation.
      Does not generally share                            Difficulty understanding group
      observations or experiences with                    interactions.
      others.



CLASSIFICATION/TYPES WITH EXPLANATION:

      Autistic Disorder is commonly called “classic autism.” It is a neurological and
      developmental disorder that is typically seen during the first three years of life.
      Individuals diagnosed with this disorder normally manifest developmental delays
      in communication, social and behaviour skills.
      They often display characteristics that set them apart from others such as the
      difficulty in engaging in social relationships and an obsession with behaviour
      patterns.

TEACHING STRATEGIES AND TECHNIQUES

      Applied Behavior Analysis (ABA): The ABA teacher observes the behavior of a person
      with autism and then provides instructions on any necessary missing skills. The teachers
teach by providing a concise instruction and reward a correct response. The reward
     system encourages the positive behavior.
     TEACCH: TEACCH is a structured teaching method that provides an organized school
     environment with a strict schedule, visual teaching methods and short, clear instructions.
     TEACCH programs can easily be personalized.
     Sensory Integration Therapy: Therapists use sensory integration therapy to help
     children with autism who have repetitive behavior or sensory issues. The therapy can
     help some children develop language skills, especially with tomatis vocal exercises.
     Developmental, Individual Difference Floortime (DIR):Greenspan's DIR Floortime
     uses play to teach autistic children emotional engagement, how to connect ideas and
     focus attention as well as problem solving and self-expression.


MENTAL RETARDATION

     DEFINITION OF MENTAL RETARDATION
     Mental retardation (MR) is a generalized disorder appearing before adulthood,
     characterized by significantly impaired cognitive functioning and deficits in two or more
     adaptive behaviors. It has historically been defined as an Intelligence Quotient score
     under 70.

CAUSES

     Infections (present at birth or                      Metabolic
     occurring after birth)                               Toxic
     Chromosomal abnormalities                            Trauma (before and after birth)
     Environmental                                        Unexplained (this largest category is
     Genetic abnormalities and inherited                  for unexplained occurrences of
     metabolic disorders                                  mental retardation)

SYMPTOMS

     Continued infant-like behavior                       Failure to meet the markers of
     Decreased learning ability                           intellectual development
Inability to meet educational                         Lack of curiosity
      demands at school



CHARACTERISTICS of Mental Retardation

      Mental retardation can be classified into three categories: physical, intellectual and
      behavioral. Children with this problem have a slower rate of physical development,
      however, do not have any specific physical attributes that differentiate them from the
      rest of the population. They may exhibit conditions like hyponocity, abnormalities of the
      orofacial parts and unsteady gait. In terms of behavioral characteristics of mental
      retardation, these children exhibit characteristics such as limited self-control,
      aggressiveness or self-injury. In fact, some people with severe mental retardation
      characteristics are even found to exhibit obsessive compulsive disorder.

Classification of Mental retardation

      Mild mental retardation-have an of IQ score ranges from 50-70
      Moderate mental retardation- have IQ scores ranging from 35-55
      Severe mental retardation-have IQ scores of 20-40
      Profound mental retardation-have IQ score under 20-25

Teaching Strategies For Mental Retardation

      For mild to severe mentally disabled children use behavioral objectives. Behavior
      objectives must be stated very specifically and in observable and measurable
      terms, you need to think about how the behavior will be measured only then you
      can come up with solutions.
      Writing effective behavior an objective requires a great deal of practice, be
      prepared to reflect on your objectives and learn from them.



CEREBRAL PALSY

      Cerebral palsy (CP) is the term used for a group of nonprogressive disorders of
      movement and posture caused by abnormal development of, or damage to, motor control
centers of the brain. CP is caused by events before, during, or after birth. The
         abnormalities of muscle control that define CP are often accompanied by other
         neurological and physical abnormalities.
CAUSES:

Pregnancy Risk Factors
• Maternal diabetes or hyperthyroidism                      • Poor maternal nutrition
• Maternal high blood pressure                              • Maternal seizures or mental retardation


Delivery Risk Factors
• Premature delivery (less than 37 weeks gestation)
• Prolonged rupture of the amniotic membranes for more than 24 hours leading to fetal infection
• Severely depressed (slow) fetal heart rate during labor, indicating fetal distress
• Abnormal presentation such as breech, face, or transverse lie, which makes for a difficult delivery


Neonatal Risk Factors
• Premature birth – the earlier in gestation a baby is delivered, the more likely she is to have brain
damage
• Asphyxia – insufficient oxygen to the brain due to breathing problems or poor blood flow in the brain.
• Meningitis – infection over the surface of the brain
• Seizures caused by abnormal electrical activity of the brain
• Interventricular hemorrhage (I. V. H.) – bleeding into the interior spaces of the brain or into the brain
tissue
• Periventricular encephalomalacia (P.V.L.) – damage to the brain tissue located around the ventricles
(fluid spaces) due to the lack of oxygen or problems with blood flow

SYMPTOMS:

         Smaller muscles in affected arms or                         Dental problems
         legs.                                                       Accidents
         Abnormal sensations and perceptions                         Infections and long-term illnesses.
         Skin irritation
Types of cerebral palsy are as follows:
      Spastic (pyramidal): Increased muscle tone is the defining characteristic of this type.
      Dyskinetic (extrapyramidal): This includes types that affect coordination of movements.
      There are two subtypes.
      Athetoid: The person has uncontrolled movements that are slow and writhing.
      Ataxic: This type affects balance and coordination.
      Mixed: This is a mixture of different types of cerebral palsy. A common combination is
      spastic and athetoid.

Teaching Strategies and Technique
Communication Assistance

      Many students with cerebral palsy have difficulty being understood when they speak.
      Accommodations should be made to assist the student in expressing herself verbally.
      The accommodations can include sign language, communication boards or verbal
      recognition software on a computer. The most important thing is for the teacher to be
      patient when communicating with a child who has cerebral palsy.

DOWN SYNDROME

      Down syndrome: A common birth defect that is usually due to an extra chromosome 21
      (trisomy 21). Down syndrome causes mental retardation, a characteristic facial
      appearance, and multiple malformations. Down syndrome was also once called
      mongolism, a term now considered out of date, as the disorder has no relationship to
      Mongolian or Asian heritage. It can occur in any racial or ethnic group.

Causes:

      Down syndrome is caused by the abnormal cell division, most commonly at the level
      of the oocyte, before or at conception. Less commonly, abnormal cell division can affect
      spermtozoon at conception. The factors that cause cells to divide abnormally are not
      known.
      The genes are grouped in the form of chromosomes. Normally, a child inherits 46
      chromosomes,23 from each parent. After the abnormal cell division, from Downsyndrom
      results an additional genetic material, usually an extra chromosome. Down syndrome is
      classified according to the specific way in which the extra genetic material is produced.

   Symptoms:
Poor muscle tone, loose ligaments                     Celiac disease
        Small hands and feet                                  Eye problems, such as cataracts
        Congenital heart disease                              Thyroid dysfunctions
        Hearing problems


Characteristics

        Eyes that have an upward slant, oblique               Single, deep creases across the center
        fissures, epicanthic skin folds on the                of the palm
        inner corner, and white spots on the iris             Protruding tongue
        Low muscle tone                                       Large space between large and second
        Small stature and short neck                          toe
        Flat nasal bridge                                     A single flexion furrow of the fifth finger



Teaching Strategies


        Children with Down syndrome have
        particular strengths and weaknesses
        associated with their learning
        development :
        They are visual learners.
        They understand a lot more than they
        can say.
        They are able to follow classroom rules
        and routines.
        They need help to remember
        instructions shorter phrases or visual
        clues.
        They have the same feelings as any
        other child.




“LEARNING DISSABILITY”

        Learning disabilities are problems that affect the brain's ability to receive process,
        analyze, or store information. These problems can make it difficult for a student to learn
        as quickly as someone who isn't affected by learning disabilities.
Causes of Learning Disabilities

      The damage usually manifest in one of the following ways:
      1. Fewer numbers of brain cells in important areas of the brain
      2. Smaller size of brain cells
      3. Brain cells that moved into the wrong part of the brain (dysplasia)
      4. Lower than normal blood flow to specific areas of the brain
      5. Brain cells that metabolize glucose (the brain's primary fuel) at lower than normal
      levels

Symptoms of Learning Disabilities

      Short attention span                                Eye-hand coordination problems;
      Poor memory                                         poorly coordinated
      Difficulty following directions                     Difficulties with sequencing
      Inability to discriminate                           Disorganization and other sensory
      between/among letters, numerals,                    difficulties
      or sounds
      Poor reading and/or writing ability



Characteristics of Learning Disabilities

      Has difficulty comparing things or                  Comments are often off track
      classifying and sorting items                       Difficulty thinking in a logical or
      according to a specific criteria                    sequential manner
      Time concepts present difficulty,                   Difficulty with number concepts
      before, after, tomorrow, last week                  Often requires a great deal of
      etc.                                                clarification and one to one support
      often doesn't get jokes or ideas in
      humorous situations                              Classification of Learning Disability
      Creativity and imagination is usually
      limited                                             Auditory Processing Disorders:
      Often slow to respond                               Aphasia:
      Difficult time prediciting what may
      happen next, or answering
      comprehension type questions


      Dysgraphia:                                         Visual Processing Disorder:
       Dyspraxia:                                         Dyscalculia
      Disorder: Short and Long Term
      Memory Problems:
Teaching strategies and techniques of learning disability

      Most instruction at home or in school can be adapted to accommodate the needs of
      students with learning disabilities such as Dyslexia or other learning problems. These
      strategies, and others on this site, can be used to modify instruction in most subject
      areas to improve students' comprehension of tasks and the quality of their work.
      Set the stage for learning by telling children why the material is important, what the
      learning goals are, and what the expectations are for quality performance.
      Use specific language. Instead of saying, "do quality work," state the specific
      expectations. For example, in a writing assignment, a teacher might grade based on
      correct punctuation, spelling, and inclusion of specific points. If your child does not
      understand what his teachers expect of him, contact the teacher and ask for details you
      need to help your child. Suggest the teacher may want to begin posting that information
      on a school web site so others can use it as well.
      Teachers should develop a scoring guide, share it with students, and provide models of
      examples of each level of performance.

“GIFTED”

      Gifted children are those considered by educational systems to have significantly higher
      than normal levels of one or more forms of intelligence.

Characteristics common in gifted children

      Express curiosity about many things                   Have good memories

      Ask thoughtful questions                              Exhibit unusual talent in art, music, or
                                                            creative dramatics
      Have extensive vocabularies and use
      complex sentence structure                            Exhibit especially original imaginations

      Are able to express themselves well                   Use previously learned things in new
                                                            contexts
      Solve problems in unique ways
                                                            Are unusually able to order things in
logical sequence                                      Have sustained attention spans and are
                                                             willing to persist on challenging tasks
       Discuss and elaborate on ideas
                                                             Are very observant
       Are fast learners
                                                             Show talent in making up stories and
       Desire to work independently and take                 telling them
       initiative
                                                             Are interested in reading.
       Exhibit wit and humor




Classification/ Types of Gifted Children

Successful Gifted Child Personality Type- These children are usually successful academically,
and identified as gifted at school. They are high achievers and perfectionists who seek for other
people‟s approval. The problem, however, is that with time they often get bored and devote
minimum effort to achieving. At home these gifted children need independence and freedom of
choice, as well as time for personal interests, and risk taking experiences.

Challenging Gifted Child Personality Type- This personality type includes very creative, but often
frustrated or bored, gifted children. They question the systems around them and are often
rebellious because their abilities are unrecognized.

Underground Gifted Children Personality Type- Many of such children are never identified as
gifted since they are usually quiet and insecure. They often hide their talents, resist challenges,
and drop out of gifted school programs because of their shyness.

Dropout Gifted Child Personality Type-These gifted children are angry and depressed because
the school system does not recognize their abilities, and does not address their special
educational needs.

Double-labelled Gifted Child Personality Type- This type of gifted child is often unrecognized
because these children have a physical, emotional or learning disability.
Autonomous Gifted Child Personality Type- These are self-confident and independent children
that are successful academically, motivated, goal-oriented, and responsible. Each subtype of
giftedness can be strongly pronounced in one personality.

Teaching Strategies and Techniques

Tip #1: Familiarize yourself with the Characteristics of Intellectually Gifted Students
Not all gifted students in your classroom will be identified and even those who are may not
always appear to be gifted. As such, it is important that you don't allow yourself to be
distracted by false stereotypes. Gifted students come from all ethnic groups, they are both boys
and girls, they live in both rural and urban areas and they aren't always straight A students.
Students who are intellectually gifted demonstrate many characteristics, including: a precocious
ability to think abstractly, an extreme need for constant mental stimulation; an ability to learn
and process complex information very rapidly; and a need to explore subjects in depth.
Students who demonstrate these characteristics learn differently

Tip #2: Let Go of "Normal"
In order to be an effective teacher, whether it's your first year or your 30th, the best thing you
can do for yourself is to let go of the idea of "normal." I can't encourage you enough to offer all
students the opportunity to grow from where they are, not from where your teacher training
courses say they should be. You will not harm a student by offering him/her opportunities to
complete work that is more advanced. Research consistently shows that curriculum based on
development and ability is far more effective than curriculum based on age.

Tip #3: Conduct Informal Assessments
Meeting the needs of gifted students does not need to be an all consuming task. One of the
easiest ways to better understand how to provide challenging material is to conduct informal
whole class assessments on a regular basis. For example, before beginning any unit, administer
the end of the unit test. Students who score above 80% should not be forced to "relearn"
information they already know. Rather, these students should be given parallel opportunities
that are challenging. I generally offered these students the option to complete an independent
project on the topic or to substitute another experience that would meet the objectives of the
assignment, i.e. taking a college/distance course.
Tip #4: Re-Familiarize Yourself with Piaget & Bloom
There are many developmental theorists and it is likely that you encountered many of them
during your teacher preparation course work. When it comes to teaching gifted children, I
recommend taking a few moments to review the work of Jean Piaget and Benjamin Bloom. Jean
Piaget offers a helpful description of developmental stages as they relate to learning. Gifted
students are often in his "formal operations" stage when their peers are still in his "pre-
operational" or "concrete operations" stages. When a child is developmentally advanced he/she
has different learning abilities and needs. This is where Bloom's Taxonomy can be a particularly
useful. Students in the "formal operations" developmental stage need learning experiences at
the upper end of Bloom's Taxonomy. Essentially all assignments should offer the student the
opportunity to utilize higher level thinking skills like analysis, synthesis and evaluation, as
defined by Bloom. I recommend using the Internet to learn more about these two important
theorists. A couple of websites that may be of interest include:

Piaget's Stage Theory of Development
Bloom's Taxonomy

Tip #5: Involve Parents as Resource Locators
Parents of gifted children are often active advocates for their children. If you are not prepared
for this, it can be a bit unnerving. The good news is that, at least in my experience, what they
want most is to be heard and to encounter someone who is willing to think differently.
Generally, I found that if I offered to collaborate with them, rather than resist them, we were
able to work together to see that their child's needs were met. For example, if they wanted
their child to have more challenging experiences in math, I would then enlist their help in
finding better curriculum options. I generally conducted an informal assessment to help them
determine the best place to start and then encouraged them to explore other options that could
be adapted to the classroom. Most parents understood when I explained that I didn't have the
luxury of creating a customized curriculum for every student, but that I would be willing to
make accommodations if they would do the research. Flexibility and a willingness to think
differently helped me create many win-win situations.

Tip #6: Learn About Distance Learning Opportunities
The choices available to teachers and parents in this area have exploded in the past several
years. Distance learning opportunities have dramatically increased options for meeting the
needs of gifted students. Programs such as EPGY math and the Johns Hopkins Writing Tutorials
as well as online high school and college courses, including online AP classes, are a great way
to substitute more challenging curriculum for students who demonstrate proficiency with grade
level material. Of course, these classes generally aren't free, but they are an option. And, in my
experience, they are an option that many parents are willing to fund. Search the free
online Davidson Gifted Database to find resources recommended by students, parents and
teachers.

Tip #7: Explore Acceleration ~ It's Free and It Works!
Another option is to allow students to attend classes with other students who are at the same
developmental level, rather than with their age peers. If a 9 year old can demonstrate that he is
ready to learn algebra, why should he be forced to take fourth-grade math just because he is 9
years old? Same goes for language arts, or science, or social studies or any other area of the
curriculum. Many well-meaning teachers worry that a student will run out of things to learn if
they are given access to curriculum designated for older students. Whenever I hear this
question I can't help but ask -- can a person ever truly run out of things to learn? Indeed, if we
let Susie, a third grader, learn fifth grade math this year, then fifth grade math isn't going to be
appropriate for Susie when she gets to fifth grade

Tip #8: Learning from the Experiences of Others
many well-meaning teachers innocently commit the following blunders when they encounter
gifted students. Don-t feel bad if you have committed them. I know I have and I wish someone
would have pointed them out to me before I had to learn about them the hard way.

Tip #9: Utilize Outside Resources
There is a lot of information in this article, and it is likely you're feeling a bit overwhelmed! Here
is the best news so far...you are not alone and you don't have to come up with all of the
answers by yourself. There are several national organizations devoted entirely to assisting
gifted young people and the professionals who serve them. The three most notable
organizations are the National Association for Gifted Children, Belin - Blank Center for Gifted
Education and Talent Development and the Davidson Institute for Talent Development. As a
first step, I recommend joining the Davidson Institute's free Educator's Guild. Members have
access to private electronic mailing lists and bulletin boards to exchange ideas, locate resources
and discuss issues with educators all over the country.
“HEARING IMPAIRMENT”

      Hearing impairment is a generic term including both deaf and hard of hearing which
      refers to persons with any type or degree of hearing loss that causes difficulty working
      in a traditional way. It can affect the whole range or only part of the auditory spectrum
      which, for speech perception, the important region is between 250 and 4,000 Hz. The
      term deaf is used to describe people with profound hearing loss such that they cannot
      benefit from amplification, while hard of hearing is used for those with mild to severe
      hearing loss but who can benefit from amplification.

Causes / Symptoms of Hearing Impaired

   1. Prenatal causes                                      Viral diseases
      Toxic conditions                                     Congenital malformation
   2. Perinatal causes
      Traumatic experience during                          Heavy sedation
      delivery                                             Blockage of the infants
      Anoxia or lack of oxygen due to                      respiratory passage
      prolonged labor
   3. Postnatal causes
      Diseases ailments condition
      -meningitis
      -external otitis (inflammation of the outer ear)
      -otitis media (often characterized by running/discharging ears the infection
      of middle ear)
      -impacted or hardened earwax (cerumen) which may lead to infection

   4. Other causes

      Heredity                                             Malnutrition
      Prematurity



Characteristics of Hearing Impaired
Hearing impairment is a common but serious problem affecting children of all ages. According
to the Palo Alto Medical Foundation, roughly 2 percent of children suffer from some degree of
hearing loss. Without prompt and effective treatment, hearing loss can cause a child to suffer
from significant speech delays, social problems and educational challenges. Hearing impairment
and deafness generally manifest with specific symptoms and characteristics. Although
symptoms vary among children, certain traits and behaviors are characteristically indicative of
hearing difficulties.

Speech Delays- Delays in the development of speech and language are classic symptoms of
hearing loss and deafness in children. The Palo Alto Medical Foundation notes that many
children are first diagnosed with hearing impairment in infancy or as toddlers. Children who do
not say single words by age 1 or two-word phrases by age 2 might suffer from hearing loss. A
toddler with normal hearing can typically name familiar objects, follow simple commands, and
recognize the names of family members by 15 to 24 months of age. Children with poor hearing
might be unable to communicate because they cannot understand or imitate spoken language.
When diagnosed and addressed early, children with early childhood speech delays generally
catch up to their peers.

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Communication Difficulties- Children with mild to moderate hearing impairment may develop
speech and language at roughly the same time as their peers. However, they might still
struggle to communicate and speak normally. According to the Palo Alto Medical Foundation,
children who are preschool-aged and older might manifest language-related symptoms of
hearing loss such as responding inappropriately to questions or experiencing difficulty
articulating themselves. The child might also have a peculiar voice, intonation, pattern of
speech or challenges with pronunciation.

Selective Hearing- Although it is relatively normal for children to "tune out" some statements or
commands from adults in authority, many children who seem to ignore their parents are unable
to hear them. The American Academy of Pediatrics reports that children with hearing loss might
be able to hear certain sounds and pitches. Hearing-impaired children are often unable to hear
their names when called, and their behavior can be mistakenly labeled as inattention or
behavioral misconduct. A hearing test or developmental evaluation can help to determine the
cause or nature of a child's selective hearing.

Behavioral Characteristics- Deaf and hearing-impaired children can develop a variety of
behavioral symptoms. Many children will turn up TVs or radios to an inappropriate volume in an
attempt to compensate for their sensory challenges. Children struggling with deafness may also
closely watch their peers to emulate behavior and body language -- a symptom known as
echopraxia. The American Academy of Pediatrics notes that hearing-impaired children might
appear dizzy or disoriented because the nerves in the ears also control balance. Academic
problems and irritability are also common symptoms of hearing loss in children.

Differential Diagnosis- Some children who appear to have the characteristics of hearing loss
might suffer from unrelated disorders. Behavioral and emotional disturbances can cause speech
delays and social difficulties, which might be mistaken for challenges with hearing or sensory
processing. Autism also manifests with many symptoms similar to hearing loss, including
selective hearing, language delays and abnormal speech patterns, according to MayoClinic.com.
Only a professional evaluation can correctly identify the cause of these symptoms and
characteristics.


Classification / Types of Hearing Impaired

There are different types of hearing loss, depending on which part of the hearing pathway is
affected. A specialist will always try to localize where in the hearing pathway the problem lays,
so as to be able to classify the hearing loss as belonging to one of the following groups. This is
most important in determining the appropriate treatment.

They are:

       Conductive hearing loss                               Functional hearing loss
       Sensorineural hearing loss                            Mixed hearing loss
       Central hearing loss



Teaching Strategies
Encourage students with hearing impairment to seat themselves toward the front
     of the lecture theatre where they will have an unobstructed line of vision.
     There is a range of inclusiveteachingstrategies that can assist all students to
     learn but there are some specific strategies that are useful in teaching a group
     which includes students with hearing impairment.
     Repeat clearly any questions asked by students in the lecture or class before
     giving a response.
     Provide written materials to supplement all lectures, tutorials and laboratory
     sessions. Announcements made regarding class times, activities, field work,
     industry visits etc should be given in writing as well as verbally.
     Any videos or films used should, where possible, be captioned. When this is not
     possible, you will need to consider alternative ways for students with hearing
     impairment to access the information.
     Students with hearing impairment, especially those with an associated speech
     disorder, may prefer to have another student present their tutorial papers.

BEHAVIOR DISORDER

     Behavior Disorders or BD are conditions that are more than just disruptive behavior.
     They are related to mental health problems that lead to disruptive behavior, emotional
     and social problems. Attention Deficit Disorder (ADD) is an example of a behavior
     disorder. Children with behavior disorders typically need a variety of professional
     interventions including medication, psychological treatment, rehabilitation, or possibly
     other treatments.
     Causes and Symptoms of Behavior Disorder
     All children have occasional behavioral issues. Problems that last more than six
     months and are more severe than those of peers may indicate that a behavioral
     disorder is present. These problems can develop into chronic patterns of
     aggression, hostility, defiance and disruption. The specific cause of behavioral
     disorders is not known, but a number of factors may contribute to their
     development. Genetics may play a role, as behavioral disorders are more
common in children who have a family history of mental illness or substance
      abuse. Environment factors, such as unstable home life, child abuse, lack of
      supervision, and inconsistent discipline, all seem to increase the risk of children
      developing behavioral disorders.




Characteristics

      Disrupts classroom activities                    Intimidates and bullies other
      Impulsive                                        students
      Inattentive, distractible                        Regularly absent from school
      Preoccupied                                      consistently blames others for
      Does not follow or appear to care                their dishonesty
      about classroom rules                            Low self esteem
      Poor concentration                               Difficulty working in groups
      Resistance to change and                         Demonstrate self-injurious
      transitions in routines                          behavior
      Often speaks out with irrelevant                 Cannot apply social rules related
      information or without regard to                 to others personal space and
      turn taking rules                                belongings
      Demonstrates aggressive
      behavior
   Teaching Strategies and Techniques

      Educational Recommendations teaching strategies for these students should be
      based on changing the behavior itself. The system is often centered on
      discouraging the unwanted behavior and rewarding/encouraging the desired
      behavior.
      Specifically identify the behavior which needs to be changed.
      Create a baseline of the observed behavior.
Closely examine the information in the baseline and evaluate what has been
     observed and documented
     Develop short and long term goals for the student. In the plan create a reward
     system to be used. Such as: give student a check mark for every 15 minutes
     behavior is appropriate. When the student receives 8 checks they may have 10
     minutes of computer time.
     Reevaluate the plan for effectiveness. Has the behavior reduced occurrence in a
     variety of settings?
     Make modifications in the behavior plan to reinforce the desired outcome.



“VISUAL IMPAIRMENT”

     Visual impairment (or vision impairment) is vision loss (of a person) to such a degree
     as to qualify as an additional support need through a significant limitation of visual
     capability resulting from either disease, trauma, or congenital or degenerative conditions
     that cannot be corrected by conventional means, such as refractive correction,
     medication, or surgery.

  Symptoms
    Symptoms and signs of ABI VI                           Photophobia (problems with bright
    depend on the kind of vision                           light)
    impairment the person has, but may                     Problems seeing an object that is
    include:                                               obvious to other people
    Blurry or hazy vision                                  Partial loss of the visual field (half of
    Double vision                                          the visual field in each eye or a
    Knocking or bumping into things                        quarter of the visual field in each
    Problems with balance or depth                         eye)
    perception                                             Loss of central vision.
  Common causes

     Some of the many causes of ABI VI can include:
     Stroke or „brain attack‟, where part of the brain is damaged by a haemorrhage or
     blockage in a blood vessel of the brain
     Traumatic brain injury – for example, following a car accident or fall
     Infection, such as meningitis or cytomegalovirus
Lack of oxygen, such as near-drowning or a heart attack, which can interrupt the flow of
       blood to the brain
       Disease, such as a brain tumour or multiple sclerosis.
       A range of vision impairments
       Some of the different kinds of vision impairment caused by brain injury include:
       Visual field defects – such as homonymous hemianopia, when one half of the visual field
       in each eye is missing.
       Double vision (diplopia) this is where a single object is seen as two and cannot be
       merged together.




Treatment

ABI VI cannot be corrected with glasses or contact lenses, as the cause lies within the person‟s
brain rather than their eyes.
Treatment involves managing the symptoms and depends on the type of vision impairment and
its cause. Options may include:
Treating the underlying brain injury. If the brain can recover from its injury, the person‟s vision
may also improve.
Wearing an eye patch – this can relieve double vision.
Options for managing poor visual clarity include using large print, writing with a thick black pen
on a white background to heighten contrast, increasing magnification and ensuring adequate
and appropriate lighting.
A person with a visual field defect can learn to use their eyes and/or head in a scanning
fashion, which means moving the eyes and head back and forth to make sure they look for
objects in their blind spot.
Special programs, such as the Acquired Brain Injury Mobility Service provided by Guide Dogs
Victoria, are available to people with ABI VI.


Acquired Brain Injury Mobility Service

The aim of the Acquired Brain Injury Mobility Service is to help the person with ABI VI achieve
independence. The rehabilitation program includes:
Individually tailored programs
Information on the vision impairment
Suggestions on how to make the most of the remaining visual field – for example, learning the
„scanning‟ technique
Advice on managing the vision impairment, including strategies to negotiate obstacles in a room
and to safely cross the road
Training to develop the use of the other senses – for example, touch and hearing
Training, firstly in secure indoor areas and progressing in stages to crowded and hard-to-
negotiate areas such as shopping centres
The program is available free of charge to both the client and their carers.
Accommodation is available in the residential training centre, known as Arnold Cook House, if
necessary.



PHYSICALLY HANDICAPPED

       A physical disability is any impairment which limits the physical function of one or more
       limbs or fine or gross motor ability. Other physical disabilities include impairments
       which limit other facet

Causes of physical disabilities

     Prenatal causes:disabilities that are acquired before birth

       -Geneticincompatibilities between the parents.

     Perinatal causes: disabilities that are acquired during birth
       -Perinatal causes
       - bornprematurely

     Postnatal causes: disabilities gained after birth
       -Accidents                                           - Other illnesses
       - infection

Types of physical disabilities

     Mobility impairment
     Visual impairment
     Hearing impairment
Teaching Strategies and Techniques

    Physical therapy and occupational therapy are two services that are sometimes
    provided to students with physical disabilities in the public school system. Physical
    therapy focuses on gross motor skills that involve the larger muscles in the body. A
    disabled child can improve strength, movement, endurance and muscle tone
    through exercises that are performed with a therapist's help. School physical
    therapy treatment assists a student in traveling throughout the school
    environment; participating in classroom activities; maintaining and altering
    positions in the classroom; as well as managing stairs, restrooms and the
    cafeteria. Physical therapy is also recommended for improving wheelchair mobility.
    A special needs student often meets with the physical therapist once or twice per
    week, depending on the child‟s individual needs. However, in some instances, the
    physical therapist‟s role is to consult with the student‟s teachers regarding impact
    of mobility and functional movement on the child's participation in school activities
    then make appropriate recommendations.
    Occupational therapy plays a role in helping students engage in activities of daily
    living, such as educational activities, work, play, leisure and social participation. In
    the school setting, activities of daily living include academic and non-academic
    activities such as social skills, math, reading, writing, PE and recess participation,
    and self-help skills. When students need assistance with self-help skills such as
    washing hands, managing clothes for toileting, and tying shoes, a referral for
    occupational therapy is usually made. Students with physical disabilities also
    qualify for occupational therapy services when they have delays with fine motor
    skills such as cutting with scissors, typing and handwriting. The occupational
    therapist sometimes works directly with students once or twice per week, and
    sometimes the therapist‟s role is to consult with the teachers and parents and
    make recommendations.
“ADHD”

       Health experts say that ADHD (attention deficit hyperactivity disorder) is the most
       common behavioral disorder that starts during childhood. However, it does not only
       affect children - people of all ages can suffer from ADHD. Psychiatrists say ADHD is a
       neurobehavioral developmental disorder.




Signs or symptoms of ADHD

       Inattention
       Has difficulty concentrating
       Has unrelated thoughts
       Has problems focusing and sustaining attention
       Appears to not be listening
       Performance depends on task
       May have better attention to enjoyed activities
       Has difficulty planning, organizing, and completing tasks on time
       Has problems learning new things
       Demonstrates poor self-regulation of behavior, that is, he or she has difficulty
       monitoring and modifying behavior to fit different situations and settings
       Hyperactivity

“MULTIPLE HANDICCAPED”

       Definition: Multiple disabilities is a disability category under IDEA. As you might expect,
       children with multiple disabilities have two or more disabling conditions that affect
       learning or other important life functions. To qualify for special education services under
       this category, both of the student's disorders must be so significant that her educational
       needs could not be met in programs that are designed to address one of the disabilities
       alone.

Characteristics

People with severe or multiple disabilities may exhibit a wide range of characteristics,
depending on the combination and severity of disabilities, and the person‟s age. There
are, however, some traits they may share, including:
Psychological

      May Feel ostracized
      Tendency to Withdraw from society
      Students with multiple disabilities may become fearful, angry, and upset in the
      face of forced or unexpected changes.
      May execute self-injurous behavior

   Behavioral

      May display an immature behavior inconsistent with chronological age
      May exhibit an impulsive behavior and low frustration level
      May have difficulty forming interpersonal relationships
      May have limited self-care skills and independent community living skills
      Physical/health
      Challenges
      Families
      A variety of medical problems may accompany severe disabilities. Examples
      include seizures, sensory loss, hydrocephalus,and scoliosis. Time is needed to
      ensure their safety at home in times of condition like seizures.
      May have slow clerical speed.
      May tend to forget skills through disuse
      May have trouble generalizing skills from one situation to another
      May lack high level thinking and comprehension skills
      May have poor problem-solving skills
      Ability to engage in abstract thinking is limited
      May be poor test taker due to limiting factors of the disabilities
      May have difficulty locating the direction of sound
      May have speech that is characterized by substitution, omissions
      May have difficulty learning about objects and object relationships
      May lack maturity in establishing career goals
May face problems in socializing with peers

Based on the above symptoms listed in its Diagnostic and Statistical Manual, the
American Psychiatric Association has identified three subtypes of ADHD:

   1. ADHD, Combined Type: Both inattention and hyperactivity-impulsivity
   symptoms
   2.ADHD, Predominantly Inattentive Type: Inattention, but not enough (at least 6
   out of 9) hyperactivity-impulsivity symptoms
   3. ADHD, Predominantly Hyperactive-Impulsive Type: Hyperactivity-impulsivity,
   but not enough (at least 6 out of 9) inattention symptoms

ADHD Diagnosis Based on Brain Scans

   Daniel Amen, MD, a child, adolescent, and adult psychiatrist who serves as
   medical director of the Amen Clinics in California, Washington, and Virginia, has
   used a combination of symptoms and brain scans to come up with his own types
   of ADHD.
   Amen considers these to be the hallmark symptoms of ADHD:
   Short attention span
   Distractibility
   Disorganization
   Procrastination
   Poor internal supervision

Based on these symptoms, and the use of brain scans to measure blood flow
(SPECT), to highlight activity in the parts of the brain related to attention, short-
term memory, and forethought, Amen described these six types of ADHD:

   Type 1 -- Classic ADHD. Symptoms of ADHD, plus hyperactivity and impulsivity;
   responds well to stimulant medications
   Type 2 -- Inattentive ADHD. Features of ADHD, but instead of hyperactivity,
   there is low energy; responds well to stimulant medications
Type 3 -- Overfocused ADHD. Symptoms of ADHD and negative thoughts and
  behaviors, such as opposition and arguing; tends to respond better to
  anantidepressant (such as Prozac) combined with a stimulant
  Type 4 -- Temporal Lobe ADHD. The hallmark features of ADHD, plus irritability,
  aggressiveness, and memory and learning problems; responds better to
  antiseizure medications (like Neurontin) than to stimulants
  Type 5 -- Limbic ADHD. Combines ADHD with depression and low energy and
  decreased motivation; responds better to stimulating antidepressants than to
  stimulants
  Type 6 -- The Ring of Fire. Cross between ADHD and bipolar disorder;
  characterized by moodiness, aggressiveness, and anger; Anticonvulsants or
  newer antipsychotic medications tend to work better than stimulants

Accommodations/strategies

  A multi-disciplinary team consisting of the student‟s parents, educational
  specialists, and medical specialists in the areas in which the individual
  demonstrates problems should work together to plan and coordinate necessary
  services.
  Involvement of the appropriate professionals (Eg. occupational therapists,
  speech/language therapist etc.)
  The arrangement of places school and homes must be easily accessible.
  Have a buddy system that ensures their needs are heard and that they get aid
  when needed.
  Give Simple and Specific and Systematic instructions to what you exactly want
  the person to do.
  Use visual aids when communicating with the child.
  Engage the child regularly in oral language activity.
NOTES
http://www.prevention-news.com/1997/causes.htm
http://health.nytimes.com/health/guides/disease/mental-
retardation/overview.html
http://www.buzzle.com/articles/mental-retardation-characteristics.html
http://www.scribd.com/doc/53078772/Classification-and-Types-of-Mental-
Retardation
http://en.wikipedia.org/wiki/Autism
http://en.wikipedia.org/wiki/Causes_of_autism
http://www.autism-resources.com/autismfaq-char.html
http://www.child-autism-parent-cafe.com/characteristics-for-autism.html
http://www.special-learning.com/article/autism_classification
http://www.ehow.com/way_5372352_autism-teaching-strategies.html
http://www.searo.who.int/en/Section1174/Section1199/Section1567/Section1825
_8084.htm
http://kidshealth.org/parent/medical/brain/cerebral_palsy.html
http://kidshealth.org/parent/medical/brain/cerebral_palsy.html
http://www.medicinenet.com/cerebral_palsy/page3.htm
http://www.emedicinehealth.com/cerebral_palsy/article_em.htm
http://www.healblog.net/down-syndrome-causes-symptoms-treatment
http://downsyndrome.about.com/od/downsyndromebasics/a/symptomsess_ro.ht
m
http://www.buzzle.com/articles/characteristics-of-down-syndrome.html
http://dsawa.asn.au/children/education/teaching-strategies.html
http://learningdisabilities.about.com/od/whatisld/a/whatissld.htm
http://thelearningcenter.net/what_causes_learning_disabilities
http://specialed.about.com/cs/learningdisabled/a/ldconceptual.htm
http://www.understandingspecialeducation.com/types-of-learning-
disabilities.html
http://giftedkids.about.com/od/gifted101/a/definitions.htm
http://www.brainy-child.com/article/gifted-child.shtml
http://en.wikipedia.org/wiki/Deafness
http://www.livestrong.com/article/509643-characteristics-of-hearing-impairment-
and-deafness-in-children/
http://ehealthmd.com/content/different-types-hearing-loss
http://www.adcet.edu.au/View.aspx?id=3956
http://www.gallaudet.edu/clerc_center/information_and_resources/info_to_go/e
ducate_children_(3_to_21)/students_with_disabilities/emotionalbehavioral_disord
ers.
http://www.vaxa.com/types-of-behavior-disorders.cfm
Read more: Characteristics of Physically Handicapped Children |
eHow.com http://www.ehow.com/list_7717535_characteristics-physically-
handicapped-children.html#ixzz28iPdD7Bu
http://en.wikipedia.org/wiki/Physical_disability
http://www.brighthubeducation.com/special-ed-physical-disabilities/29178-
services-available-for-students-with-physical-disabilities-in-public-school
http://www.asha.org/public/speech/disorders/ADHD/
http://www.webmd.com/add-adhd/guide/types-of-adhd
http://www.gallaudet.edu/clerc_center/information_and_resources/info_to_go/e
ducate_children_(3_to_21)/students_with_disabilities/emotionalbehavioral_disord
ers.html
http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Vision_impairme
nt_neurological

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Exceptional

  • 1. “AUTISM” Autism is defined by the Autism Society Of America (ASA) as: "Autism is a complex developmental disability that typically appears during the first three years of life and is the result of a neurological disorder that affects the normal functioning of the brain, impacting development in the areas of social interaction and communication skills. Both children and adults with autism typically show difficulties in verbal and non-verbal communication, social interactions, and leisure or play activities. CAUSES Although autism is the result of a neurologic abnormality, the cause of these problems with the nervous system is unknown in most cases. Research findings indicate a strong genetic component. Most likely, environmental, immunologic, and metabolic factors also influence the development of the disorder Emotional trauma: Some believed that emotional trauma at an early age, especially bad parenting, was to blame. This theory has been rejected. Vaccines: Although the mercury preservative used in some vaccines is known to be neurotoxic, the most recent research on this subject does not suggest a specific link between vaccines and autism. Environmental factors and exposures may interact with genetic factors to cause an increased risk of autism in some families SYMPTOMS Difficulty with verbal communication, including problems using and understanding language Inability to participate in a conversation, even when the child has the ability to speak Difficulty with non-verbal communication, such as gestures and facial expressions Difficulty with social interaction, including relating to people and to his or her surroundings Inability to make friends and preferring to play alone
  • 2. Unusual ways of playing with toys and other objects, such as only lining them up a certain way Lack of imagination Difficulty adjusting to changes in routine or familiar surroundings, or an unreasonable insistence on following routines in detail Repetitive body movements, or patterns of behavior, such as hand flapping, spinning, and head banging Preoccupation with unusual objects or parts of objects CHARACTERISTICS (PHISICAL, MENTAL, EMOTIONAL AND SOCIAL) (PHISICAL) Myoclonal jerks, sudden muscle Abnormal gait and posture movements Toe walking Clumsiness Choreiform, jerky and involuntary Difficulty with sitting, lying, movements crawling and/or walking Poor eye-hand coordination Difficulty chewing and/or Limb apraxia, when it is difficult to swallowing make certain movements with an Unusual sweating arm or leg Abnormal reaction to sensory stimuli Problems with intentional Rashes, dermatitis, eczema and/or movements itching (EMOTIONAL) Sensitivity or lack of sensitivity to Unusually high or low pain sounds, textures (touch), tastes, tolerance. smells or light. Intolerance to certain food textures, Difficulty with loud or sudden colours or the way they are presented sounds.
  • 3. on the plate (one food can’t touch Desires comfort items (blankets, another). teddy, rock, string). Inappropriate touching of self in Laughs, cries or throws a tantrum for public situations. no apparent reason. (SOCIAL) Very little or no eye contact. Difficulty understanding jokes, Resistance to being held or touched. figures of speech or sarcasm. Tends to get too close when speaking Difficulty reading facial expressions to someone (lack of personal space). and body language. Responds to social interactions, but Difficulty understanding the rules of does not initiate them. conversation. Does not generally share Difficulty understanding group observations or experiences with interactions. others. CLASSIFICATION/TYPES WITH EXPLANATION: Autistic Disorder is commonly called “classic autism.” It is a neurological and developmental disorder that is typically seen during the first three years of life. Individuals diagnosed with this disorder normally manifest developmental delays in communication, social and behaviour skills. They often display characteristics that set them apart from others such as the difficulty in engaging in social relationships and an obsession with behaviour patterns. TEACHING STRATEGIES AND TECHNIQUES Applied Behavior Analysis (ABA): The ABA teacher observes the behavior of a person with autism and then provides instructions on any necessary missing skills. The teachers
  • 4. teach by providing a concise instruction and reward a correct response. The reward system encourages the positive behavior. TEACCH: TEACCH is a structured teaching method that provides an organized school environment with a strict schedule, visual teaching methods and short, clear instructions. TEACCH programs can easily be personalized. Sensory Integration Therapy: Therapists use sensory integration therapy to help children with autism who have repetitive behavior or sensory issues. The therapy can help some children develop language skills, especially with tomatis vocal exercises. Developmental, Individual Difference Floortime (DIR):Greenspan's DIR Floortime uses play to teach autistic children emotional engagement, how to connect ideas and focus attention as well as problem solving and self-expression. MENTAL RETARDATION DEFINITION OF MENTAL RETARDATION Mental retardation (MR) is a generalized disorder appearing before adulthood, characterized by significantly impaired cognitive functioning and deficits in two or more adaptive behaviors. It has historically been defined as an Intelligence Quotient score under 70. CAUSES Infections (present at birth or Metabolic occurring after birth) Toxic Chromosomal abnormalities Trauma (before and after birth) Environmental Unexplained (this largest category is Genetic abnormalities and inherited for unexplained occurrences of metabolic disorders mental retardation) SYMPTOMS Continued infant-like behavior Failure to meet the markers of Decreased learning ability intellectual development
  • 5. Inability to meet educational Lack of curiosity demands at school CHARACTERISTICS of Mental Retardation Mental retardation can be classified into three categories: physical, intellectual and behavioral. Children with this problem have a slower rate of physical development, however, do not have any specific physical attributes that differentiate them from the rest of the population. They may exhibit conditions like hyponocity, abnormalities of the orofacial parts and unsteady gait. In terms of behavioral characteristics of mental retardation, these children exhibit characteristics such as limited self-control, aggressiveness or self-injury. In fact, some people with severe mental retardation characteristics are even found to exhibit obsessive compulsive disorder. Classification of Mental retardation Mild mental retardation-have an of IQ score ranges from 50-70 Moderate mental retardation- have IQ scores ranging from 35-55 Severe mental retardation-have IQ scores of 20-40 Profound mental retardation-have IQ score under 20-25 Teaching Strategies For Mental Retardation For mild to severe mentally disabled children use behavioral objectives. Behavior objectives must be stated very specifically and in observable and measurable terms, you need to think about how the behavior will be measured only then you can come up with solutions. Writing effective behavior an objective requires a great deal of practice, be prepared to reflect on your objectives and learn from them. CEREBRAL PALSY Cerebral palsy (CP) is the term used for a group of nonprogressive disorders of movement and posture caused by abnormal development of, or damage to, motor control
  • 6. centers of the brain. CP is caused by events before, during, or after birth. The abnormalities of muscle control that define CP are often accompanied by other neurological and physical abnormalities. CAUSES: Pregnancy Risk Factors • Maternal diabetes or hyperthyroidism • Poor maternal nutrition • Maternal high blood pressure • Maternal seizures or mental retardation Delivery Risk Factors • Premature delivery (less than 37 weeks gestation) • Prolonged rupture of the amniotic membranes for more than 24 hours leading to fetal infection • Severely depressed (slow) fetal heart rate during labor, indicating fetal distress • Abnormal presentation such as breech, face, or transverse lie, which makes for a difficult delivery Neonatal Risk Factors • Premature birth – the earlier in gestation a baby is delivered, the more likely she is to have brain damage • Asphyxia – insufficient oxygen to the brain due to breathing problems or poor blood flow in the brain. • Meningitis – infection over the surface of the brain • Seizures caused by abnormal electrical activity of the brain • Interventricular hemorrhage (I. V. H.) – bleeding into the interior spaces of the brain or into the brain tissue • Periventricular encephalomalacia (P.V.L.) – damage to the brain tissue located around the ventricles (fluid spaces) due to the lack of oxygen or problems with blood flow SYMPTOMS: Smaller muscles in affected arms or Dental problems legs. Accidents Abnormal sensations and perceptions Infections and long-term illnesses. Skin irritation
  • 7. Types of cerebral palsy are as follows: Spastic (pyramidal): Increased muscle tone is the defining characteristic of this type. Dyskinetic (extrapyramidal): This includes types that affect coordination of movements. There are two subtypes. Athetoid: The person has uncontrolled movements that are slow and writhing. Ataxic: This type affects balance and coordination. Mixed: This is a mixture of different types of cerebral palsy. A common combination is spastic and athetoid. Teaching Strategies and Technique Communication Assistance Many students with cerebral palsy have difficulty being understood when they speak. Accommodations should be made to assist the student in expressing herself verbally. The accommodations can include sign language, communication boards or verbal recognition software on a computer. The most important thing is for the teacher to be patient when communicating with a child who has cerebral palsy. DOWN SYNDROME Down syndrome: A common birth defect that is usually due to an extra chromosome 21 (trisomy 21). Down syndrome causes mental retardation, a characteristic facial appearance, and multiple malformations. Down syndrome was also once called mongolism, a term now considered out of date, as the disorder has no relationship to Mongolian or Asian heritage. It can occur in any racial or ethnic group. Causes: Down syndrome is caused by the abnormal cell division, most commonly at the level of the oocyte, before or at conception. Less commonly, abnormal cell division can affect spermtozoon at conception. The factors that cause cells to divide abnormally are not known. The genes are grouped in the form of chromosomes. Normally, a child inherits 46 chromosomes,23 from each parent. After the abnormal cell division, from Downsyndrom results an additional genetic material, usually an extra chromosome. Down syndrome is classified according to the specific way in which the extra genetic material is produced. Symptoms:
  • 8. Poor muscle tone, loose ligaments Celiac disease Small hands and feet Eye problems, such as cataracts Congenital heart disease Thyroid dysfunctions Hearing problems Characteristics Eyes that have an upward slant, oblique Single, deep creases across the center fissures, epicanthic skin folds on the of the palm inner corner, and white spots on the iris Protruding tongue Low muscle tone Large space between large and second Small stature and short neck toe Flat nasal bridge A single flexion furrow of the fifth finger Teaching Strategies Children with Down syndrome have particular strengths and weaknesses associated with their learning development : They are visual learners. They understand a lot more than they can say. They are able to follow classroom rules and routines. They need help to remember instructions shorter phrases or visual clues. They have the same feelings as any other child. “LEARNING DISSABILITY” Learning disabilities are problems that affect the brain's ability to receive process, analyze, or store information. These problems can make it difficult for a student to learn as quickly as someone who isn't affected by learning disabilities.
  • 9. Causes of Learning Disabilities The damage usually manifest in one of the following ways: 1. Fewer numbers of brain cells in important areas of the brain 2. Smaller size of brain cells 3. Brain cells that moved into the wrong part of the brain (dysplasia) 4. Lower than normal blood flow to specific areas of the brain 5. Brain cells that metabolize glucose (the brain's primary fuel) at lower than normal levels Symptoms of Learning Disabilities Short attention span Eye-hand coordination problems; Poor memory poorly coordinated Difficulty following directions Difficulties with sequencing Inability to discriminate Disorganization and other sensory between/among letters, numerals, difficulties or sounds Poor reading and/or writing ability Characteristics of Learning Disabilities Has difficulty comparing things or Comments are often off track classifying and sorting items Difficulty thinking in a logical or according to a specific criteria sequential manner Time concepts present difficulty, Difficulty with number concepts before, after, tomorrow, last week Often requires a great deal of etc. clarification and one to one support often doesn't get jokes or ideas in humorous situations Classification of Learning Disability Creativity and imagination is usually limited Auditory Processing Disorders: Often slow to respond Aphasia: Difficult time prediciting what may happen next, or answering comprehension type questions Dysgraphia: Visual Processing Disorder: Dyspraxia: Dyscalculia Disorder: Short and Long Term Memory Problems:
  • 10. Teaching strategies and techniques of learning disability Most instruction at home or in school can be adapted to accommodate the needs of students with learning disabilities such as Dyslexia or other learning problems. These strategies, and others on this site, can be used to modify instruction in most subject areas to improve students' comprehension of tasks and the quality of their work. Set the stage for learning by telling children why the material is important, what the learning goals are, and what the expectations are for quality performance. Use specific language. Instead of saying, "do quality work," state the specific expectations. For example, in a writing assignment, a teacher might grade based on correct punctuation, spelling, and inclusion of specific points. If your child does not understand what his teachers expect of him, contact the teacher and ask for details you need to help your child. Suggest the teacher may want to begin posting that information on a school web site so others can use it as well. Teachers should develop a scoring guide, share it with students, and provide models of examples of each level of performance. “GIFTED” Gifted children are those considered by educational systems to have significantly higher than normal levels of one or more forms of intelligence. Characteristics common in gifted children Express curiosity about many things Have good memories Ask thoughtful questions Exhibit unusual talent in art, music, or creative dramatics Have extensive vocabularies and use complex sentence structure Exhibit especially original imaginations Are able to express themselves well Use previously learned things in new contexts Solve problems in unique ways Are unusually able to order things in
  • 11. logical sequence Have sustained attention spans and are willing to persist on challenging tasks Discuss and elaborate on ideas Are very observant Are fast learners Show talent in making up stories and Desire to work independently and take telling them initiative Are interested in reading. Exhibit wit and humor Classification/ Types of Gifted Children Successful Gifted Child Personality Type- These children are usually successful academically, and identified as gifted at school. They are high achievers and perfectionists who seek for other people‟s approval. The problem, however, is that with time they often get bored and devote minimum effort to achieving. At home these gifted children need independence and freedom of choice, as well as time for personal interests, and risk taking experiences. Challenging Gifted Child Personality Type- This personality type includes very creative, but often frustrated or bored, gifted children. They question the systems around them and are often rebellious because their abilities are unrecognized. Underground Gifted Children Personality Type- Many of such children are never identified as gifted since they are usually quiet and insecure. They often hide their talents, resist challenges, and drop out of gifted school programs because of their shyness. Dropout Gifted Child Personality Type-These gifted children are angry and depressed because the school system does not recognize their abilities, and does not address their special educational needs. Double-labelled Gifted Child Personality Type- This type of gifted child is often unrecognized because these children have a physical, emotional or learning disability.
  • 12. Autonomous Gifted Child Personality Type- These are self-confident and independent children that are successful academically, motivated, goal-oriented, and responsible. Each subtype of giftedness can be strongly pronounced in one personality. Teaching Strategies and Techniques Tip #1: Familiarize yourself with the Characteristics of Intellectually Gifted Students Not all gifted students in your classroom will be identified and even those who are may not always appear to be gifted. As such, it is important that you don't allow yourself to be distracted by false stereotypes. Gifted students come from all ethnic groups, they are both boys and girls, they live in both rural and urban areas and they aren't always straight A students. Students who are intellectually gifted demonstrate many characteristics, including: a precocious ability to think abstractly, an extreme need for constant mental stimulation; an ability to learn and process complex information very rapidly; and a need to explore subjects in depth. Students who demonstrate these characteristics learn differently Tip #2: Let Go of "Normal" In order to be an effective teacher, whether it's your first year or your 30th, the best thing you can do for yourself is to let go of the idea of "normal." I can't encourage you enough to offer all students the opportunity to grow from where they are, not from where your teacher training courses say they should be. You will not harm a student by offering him/her opportunities to complete work that is more advanced. Research consistently shows that curriculum based on development and ability is far more effective than curriculum based on age. Tip #3: Conduct Informal Assessments Meeting the needs of gifted students does not need to be an all consuming task. One of the easiest ways to better understand how to provide challenging material is to conduct informal whole class assessments on a regular basis. For example, before beginning any unit, administer the end of the unit test. Students who score above 80% should not be forced to "relearn" information they already know. Rather, these students should be given parallel opportunities that are challenging. I generally offered these students the option to complete an independent project on the topic or to substitute another experience that would meet the objectives of the assignment, i.e. taking a college/distance course.
  • 13. Tip #4: Re-Familiarize Yourself with Piaget & Bloom There are many developmental theorists and it is likely that you encountered many of them during your teacher preparation course work. When it comes to teaching gifted children, I recommend taking a few moments to review the work of Jean Piaget and Benjamin Bloom. Jean Piaget offers a helpful description of developmental stages as they relate to learning. Gifted students are often in his "formal operations" stage when their peers are still in his "pre- operational" or "concrete operations" stages. When a child is developmentally advanced he/she has different learning abilities and needs. This is where Bloom's Taxonomy can be a particularly useful. Students in the "formal operations" developmental stage need learning experiences at the upper end of Bloom's Taxonomy. Essentially all assignments should offer the student the opportunity to utilize higher level thinking skills like analysis, synthesis and evaluation, as defined by Bloom. I recommend using the Internet to learn more about these two important theorists. A couple of websites that may be of interest include: Piaget's Stage Theory of Development Bloom's Taxonomy Tip #5: Involve Parents as Resource Locators Parents of gifted children are often active advocates for their children. If you are not prepared for this, it can be a bit unnerving. The good news is that, at least in my experience, what they want most is to be heard and to encounter someone who is willing to think differently. Generally, I found that if I offered to collaborate with them, rather than resist them, we were able to work together to see that their child's needs were met. For example, if they wanted their child to have more challenging experiences in math, I would then enlist their help in finding better curriculum options. I generally conducted an informal assessment to help them determine the best place to start and then encouraged them to explore other options that could be adapted to the classroom. Most parents understood when I explained that I didn't have the luxury of creating a customized curriculum for every student, but that I would be willing to make accommodations if they would do the research. Flexibility and a willingness to think differently helped me create many win-win situations. Tip #6: Learn About Distance Learning Opportunities The choices available to teachers and parents in this area have exploded in the past several years. Distance learning opportunities have dramatically increased options for meeting the
  • 14. needs of gifted students. Programs such as EPGY math and the Johns Hopkins Writing Tutorials as well as online high school and college courses, including online AP classes, are a great way to substitute more challenging curriculum for students who demonstrate proficiency with grade level material. Of course, these classes generally aren't free, but they are an option. And, in my experience, they are an option that many parents are willing to fund. Search the free online Davidson Gifted Database to find resources recommended by students, parents and teachers. Tip #7: Explore Acceleration ~ It's Free and It Works! Another option is to allow students to attend classes with other students who are at the same developmental level, rather than with their age peers. If a 9 year old can demonstrate that he is ready to learn algebra, why should he be forced to take fourth-grade math just because he is 9 years old? Same goes for language arts, or science, or social studies or any other area of the curriculum. Many well-meaning teachers worry that a student will run out of things to learn if they are given access to curriculum designated for older students. Whenever I hear this question I can't help but ask -- can a person ever truly run out of things to learn? Indeed, if we let Susie, a third grader, learn fifth grade math this year, then fifth grade math isn't going to be appropriate for Susie when she gets to fifth grade Tip #8: Learning from the Experiences of Others many well-meaning teachers innocently commit the following blunders when they encounter gifted students. Don-t feel bad if you have committed them. I know I have and I wish someone would have pointed them out to me before I had to learn about them the hard way. Tip #9: Utilize Outside Resources There is a lot of information in this article, and it is likely you're feeling a bit overwhelmed! Here is the best news so far...you are not alone and you don't have to come up with all of the answers by yourself. There are several national organizations devoted entirely to assisting gifted young people and the professionals who serve them. The three most notable organizations are the National Association for Gifted Children, Belin - Blank Center for Gifted Education and Talent Development and the Davidson Institute for Talent Development. As a first step, I recommend joining the Davidson Institute's free Educator's Guild. Members have access to private electronic mailing lists and bulletin boards to exchange ideas, locate resources and discuss issues with educators all over the country.
  • 15. “HEARING IMPAIRMENT” Hearing impairment is a generic term including both deaf and hard of hearing which refers to persons with any type or degree of hearing loss that causes difficulty working in a traditional way. It can affect the whole range or only part of the auditory spectrum which, for speech perception, the important region is between 250 and 4,000 Hz. The term deaf is used to describe people with profound hearing loss such that they cannot benefit from amplification, while hard of hearing is used for those with mild to severe hearing loss but who can benefit from amplification. Causes / Symptoms of Hearing Impaired 1. Prenatal causes Viral diseases Toxic conditions Congenital malformation 2. Perinatal causes Traumatic experience during Heavy sedation delivery Blockage of the infants Anoxia or lack of oxygen due to respiratory passage prolonged labor 3. Postnatal causes Diseases ailments condition -meningitis -external otitis (inflammation of the outer ear) -otitis media (often characterized by running/discharging ears the infection of middle ear) -impacted or hardened earwax (cerumen) which may lead to infection 4. Other causes Heredity Malnutrition Prematurity Characteristics of Hearing Impaired
  • 16. Hearing impairment is a common but serious problem affecting children of all ages. According to the Palo Alto Medical Foundation, roughly 2 percent of children suffer from some degree of hearing loss. Without prompt and effective treatment, hearing loss can cause a child to suffer from significant speech delays, social problems and educational challenges. Hearing impairment and deafness generally manifest with specific symptoms and characteristics. Although symptoms vary among children, certain traits and behaviors are characteristically indicative of hearing difficulties. Speech Delays- Delays in the development of speech and language are classic symptoms of hearing loss and deafness in children. The Palo Alto Medical Foundation notes that many children are first diagnosed with hearing impairment in infancy or as toddlers. Children who do not say single words by age 1 or two-word phrases by age 2 might suffer from hearing loss. A toddler with normal hearing can typically name familiar objects, follow simple commands, and recognize the names of family members by 15 to 24 months of age. Children with poor hearing might be unable to communicate because they cannot understand or imitate spoken language. When diagnosed and addressed early, children with early childhood speech delays generally catch up to their peers. Brain Training Games Improve memory with scientifically designed brain exercises. www.lumosity.com Communication Difficulties- Children with mild to moderate hearing impairment may develop speech and language at roughly the same time as their peers. However, they might still struggle to communicate and speak normally. According to the Palo Alto Medical Foundation, children who are preschool-aged and older might manifest language-related symptoms of hearing loss such as responding inappropriately to questions or experiencing difficulty articulating themselves. The child might also have a peculiar voice, intonation, pattern of speech or challenges with pronunciation. Selective Hearing- Although it is relatively normal for children to "tune out" some statements or commands from adults in authority, many children who seem to ignore their parents are unable to hear them. The American Academy of Pediatrics reports that children with hearing loss might be able to hear certain sounds and pitches. Hearing-impaired children are often unable to hear their names when called, and their behavior can be mistakenly labeled as inattention or
  • 17. behavioral misconduct. A hearing test or developmental evaluation can help to determine the cause or nature of a child's selective hearing. Behavioral Characteristics- Deaf and hearing-impaired children can develop a variety of behavioral symptoms. Many children will turn up TVs or radios to an inappropriate volume in an attempt to compensate for their sensory challenges. Children struggling with deafness may also closely watch their peers to emulate behavior and body language -- a symptom known as echopraxia. The American Academy of Pediatrics notes that hearing-impaired children might appear dizzy or disoriented because the nerves in the ears also control balance. Academic problems and irritability are also common symptoms of hearing loss in children. Differential Diagnosis- Some children who appear to have the characteristics of hearing loss might suffer from unrelated disorders. Behavioral and emotional disturbances can cause speech delays and social difficulties, which might be mistaken for challenges with hearing or sensory processing. Autism also manifests with many symptoms similar to hearing loss, including selective hearing, language delays and abnormal speech patterns, according to MayoClinic.com. Only a professional evaluation can correctly identify the cause of these symptoms and characteristics. Classification / Types of Hearing Impaired There are different types of hearing loss, depending on which part of the hearing pathway is affected. A specialist will always try to localize where in the hearing pathway the problem lays, so as to be able to classify the hearing loss as belonging to one of the following groups. This is most important in determining the appropriate treatment. They are: Conductive hearing loss Functional hearing loss Sensorineural hearing loss Mixed hearing loss Central hearing loss Teaching Strategies
  • 18. Encourage students with hearing impairment to seat themselves toward the front of the lecture theatre where they will have an unobstructed line of vision. There is a range of inclusiveteachingstrategies that can assist all students to learn but there are some specific strategies that are useful in teaching a group which includes students with hearing impairment. Repeat clearly any questions asked by students in the lecture or class before giving a response. Provide written materials to supplement all lectures, tutorials and laboratory sessions. Announcements made regarding class times, activities, field work, industry visits etc should be given in writing as well as verbally. Any videos or films used should, where possible, be captioned. When this is not possible, you will need to consider alternative ways for students with hearing impairment to access the information. Students with hearing impairment, especially those with an associated speech disorder, may prefer to have another student present their tutorial papers. BEHAVIOR DISORDER Behavior Disorders or BD are conditions that are more than just disruptive behavior. They are related to mental health problems that lead to disruptive behavior, emotional and social problems. Attention Deficit Disorder (ADD) is an example of a behavior disorder. Children with behavior disorders typically need a variety of professional interventions including medication, psychological treatment, rehabilitation, or possibly other treatments. Causes and Symptoms of Behavior Disorder All children have occasional behavioral issues. Problems that last more than six months and are more severe than those of peers may indicate that a behavioral disorder is present. These problems can develop into chronic patterns of aggression, hostility, defiance and disruption. The specific cause of behavioral disorders is not known, but a number of factors may contribute to their development. Genetics may play a role, as behavioral disorders are more
  • 19. common in children who have a family history of mental illness or substance abuse. Environment factors, such as unstable home life, child abuse, lack of supervision, and inconsistent discipline, all seem to increase the risk of children developing behavioral disorders. Characteristics Disrupts classroom activities Intimidates and bullies other Impulsive students Inattentive, distractible Regularly absent from school Preoccupied consistently blames others for Does not follow or appear to care their dishonesty about classroom rules Low self esteem Poor concentration Difficulty working in groups Resistance to change and Demonstrate self-injurious transitions in routines behavior Often speaks out with irrelevant Cannot apply social rules related information or without regard to to others personal space and turn taking rules belongings Demonstrates aggressive behavior Teaching Strategies and Techniques Educational Recommendations teaching strategies for these students should be based on changing the behavior itself. The system is often centered on discouraging the unwanted behavior and rewarding/encouraging the desired behavior. Specifically identify the behavior which needs to be changed. Create a baseline of the observed behavior.
  • 20. Closely examine the information in the baseline and evaluate what has been observed and documented Develop short and long term goals for the student. In the plan create a reward system to be used. Such as: give student a check mark for every 15 minutes behavior is appropriate. When the student receives 8 checks they may have 10 minutes of computer time. Reevaluate the plan for effectiveness. Has the behavior reduced occurrence in a variety of settings? Make modifications in the behavior plan to reinforce the desired outcome. “VISUAL IMPAIRMENT” Visual impairment (or vision impairment) is vision loss (of a person) to such a degree as to qualify as an additional support need through a significant limitation of visual capability resulting from either disease, trauma, or congenital or degenerative conditions that cannot be corrected by conventional means, such as refractive correction, medication, or surgery. Symptoms Symptoms and signs of ABI VI Photophobia (problems with bright depend on the kind of vision light) impairment the person has, but may Problems seeing an object that is include: obvious to other people Blurry or hazy vision Partial loss of the visual field (half of Double vision the visual field in each eye or a Knocking or bumping into things quarter of the visual field in each Problems with balance or depth eye) perception Loss of central vision. Common causes Some of the many causes of ABI VI can include: Stroke or „brain attack‟, where part of the brain is damaged by a haemorrhage or blockage in a blood vessel of the brain Traumatic brain injury – for example, following a car accident or fall Infection, such as meningitis or cytomegalovirus
  • 21. Lack of oxygen, such as near-drowning or a heart attack, which can interrupt the flow of blood to the brain Disease, such as a brain tumour or multiple sclerosis. A range of vision impairments Some of the different kinds of vision impairment caused by brain injury include: Visual field defects – such as homonymous hemianopia, when one half of the visual field in each eye is missing. Double vision (diplopia) this is where a single object is seen as two and cannot be merged together. Treatment ABI VI cannot be corrected with glasses or contact lenses, as the cause lies within the person‟s brain rather than their eyes. Treatment involves managing the symptoms and depends on the type of vision impairment and its cause. Options may include: Treating the underlying brain injury. If the brain can recover from its injury, the person‟s vision may also improve. Wearing an eye patch – this can relieve double vision. Options for managing poor visual clarity include using large print, writing with a thick black pen on a white background to heighten contrast, increasing magnification and ensuring adequate and appropriate lighting. A person with a visual field defect can learn to use their eyes and/or head in a scanning fashion, which means moving the eyes and head back and forth to make sure they look for objects in their blind spot. Special programs, such as the Acquired Brain Injury Mobility Service provided by Guide Dogs Victoria, are available to people with ABI VI. Acquired Brain Injury Mobility Service The aim of the Acquired Brain Injury Mobility Service is to help the person with ABI VI achieve independence. The rehabilitation program includes: Individually tailored programs Information on the vision impairment Suggestions on how to make the most of the remaining visual field – for example, learning the
  • 22. „scanning‟ technique Advice on managing the vision impairment, including strategies to negotiate obstacles in a room and to safely cross the road Training to develop the use of the other senses – for example, touch and hearing Training, firstly in secure indoor areas and progressing in stages to crowded and hard-to- negotiate areas such as shopping centres The program is available free of charge to both the client and their carers. Accommodation is available in the residential training centre, known as Arnold Cook House, if necessary. PHYSICALLY HANDICAPPED A physical disability is any impairment which limits the physical function of one or more limbs or fine or gross motor ability. Other physical disabilities include impairments which limit other facet Causes of physical disabilities Prenatal causes:disabilities that are acquired before birth -Geneticincompatibilities between the parents. Perinatal causes: disabilities that are acquired during birth -Perinatal causes - bornprematurely Postnatal causes: disabilities gained after birth -Accidents - Other illnesses - infection Types of physical disabilities Mobility impairment Visual impairment Hearing impairment
  • 23. Teaching Strategies and Techniques Physical therapy and occupational therapy are two services that are sometimes provided to students with physical disabilities in the public school system. Physical therapy focuses on gross motor skills that involve the larger muscles in the body. A disabled child can improve strength, movement, endurance and muscle tone through exercises that are performed with a therapist's help. School physical therapy treatment assists a student in traveling throughout the school environment; participating in classroom activities; maintaining and altering positions in the classroom; as well as managing stairs, restrooms and the cafeteria. Physical therapy is also recommended for improving wheelchair mobility. A special needs student often meets with the physical therapist once or twice per week, depending on the child‟s individual needs. However, in some instances, the physical therapist‟s role is to consult with the student‟s teachers regarding impact of mobility and functional movement on the child's participation in school activities then make appropriate recommendations. Occupational therapy plays a role in helping students engage in activities of daily living, such as educational activities, work, play, leisure and social participation. In the school setting, activities of daily living include academic and non-academic activities such as social skills, math, reading, writing, PE and recess participation, and self-help skills. When students need assistance with self-help skills such as washing hands, managing clothes for toileting, and tying shoes, a referral for occupational therapy is usually made. Students with physical disabilities also qualify for occupational therapy services when they have delays with fine motor skills such as cutting with scissors, typing and handwriting. The occupational therapist sometimes works directly with students once or twice per week, and sometimes the therapist‟s role is to consult with the teachers and parents and make recommendations.
  • 24. “ADHD” Health experts say that ADHD (attention deficit hyperactivity disorder) is the most common behavioral disorder that starts during childhood. However, it does not only affect children - people of all ages can suffer from ADHD. Psychiatrists say ADHD is a neurobehavioral developmental disorder. Signs or symptoms of ADHD Inattention Has difficulty concentrating Has unrelated thoughts Has problems focusing and sustaining attention Appears to not be listening Performance depends on task May have better attention to enjoyed activities Has difficulty planning, organizing, and completing tasks on time Has problems learning new things Demonstrates poor self-regulation of behavior, that is, he or she has difficulty monitoring and modifying behavior to fit different situations and settings Hyperactivity “MULTIPLE HANDICCAPED” Definition: Multiple disabilities is a disability category under IDEA. As you might expect, children with multiple disabilities have two or more disabling conditions that affect learning or other important life functions. To qualify for special education services under this category, both of the student's disorders must be so significant that her educational needs could not be met in programs that are designed to address one of the disabilities alone. Characteristics People with severe or multiple disabilities may exhibit a wide range of characteristics, depending on the combination and severity of disabilities, and the person‟s age. There are, however, some traits they may share, including:
  • 25. Psychological May Feel ostracized Tendency to Withdraw from society Students with multiple disabilities may become fearful, angry, and upset in the face of forced or unexpected changes. May execute self-injurous behavior Behavioral May display an immature behavior inconsistent with chronological age May exhibit an impulsive behavior and low frustration level May have difficulty forming interpersonal relationships May have limited self-care skills and independent community living skills Physical/health Challenges Families A variety of medical problems may accompany severe disabilities. Examples include seizures, sensory loss, hydrocephalus,and scoliosis. Time is needed to ensure their safety at home in times of condition like seizures. May have slow clerical speed. May tend to forget skills through disuse May have trouble generalizing skills from one situation to another May lack high level thinking and comprehension skills May have poor problem-solving skills Ability to engage in abstract thinking is limited May be poor test taker due to limiting factors of the disabilities May have difficulty locating the direction of sound May have speech that is characterized by substitution, omissions May have difficulty learning about objects and object relationships May lack maturity in establishing career goals
  • 26. May face problems in socializing with peers Based on the above symptoms listed in its Diagnostic and Statistical Manual, the American Psychiatric Association has identified three subtypes of ADHD: 1. ADHD, Combined Type: Both inattention and hyperactivity-impulsivity symptoms 2.ADHD, Predominantly Inattentive Type: Inattention, but not enough (at least 6 out of 9) hyperactivity-impulsivity symptoms 3. ADHD, Predominantly Hyperactive-Impulsive Type: Hyperactivity-impulsivity, but not enough (at least 6 out of 9) inattention symptoms ADHD Diagnosis Based on Brain Scans Daniel Amen, MD, a child, adolescent, and adult psychiatrist who serves as medical director of the Amen Clinics in California, Washington, and Virginia, has used a combination of symptoms and brain scans to come up with his own types of ADHD. Amen considers these to be the hallmark symptoms of ADHD: Short attention span Distractibility Disorganization Procrastination Poor internal supervision Based on these symptoms, and the use of brain scans to measure blood flow (SPECT), to highlight activity in the parts of the brain related to attention, short- term memory, and forethought, Amen described these six types of ADHD: Type 1 -- Classic ADHD. Symptoms of ADHD, plus hyperactivity and impulsivity; responds well to stimulant medications Type 2 -- Inattentive ADHD. Features of ADHD, but instead of hyperactivity, there is low energy; responds well to stimulant medications
  • 27. Type 3 -- Overfocused ADHD. Symptoms of ADHD and negative thoughts and behaviors, such as opposition and arguing; tends to respond better to anantidepressant (such as Prozac) combined with a stimulant Type 4 -- Temporal Lobe ADHD. The hallmark features of ADHD, plus irritability, aggressiveness, and memory and learning problems; responds better to antiseizure medications (like Neurontin) than to stimulants Type 5 -- Limbic ADHD. Combines ADHD with depression and low energy and decreased motivation; responds better to stimulating antidepressants than to stimulants Type 6 -- The Ring of Fire. Cross between ADHD and bipolar disorder; characterized by moodiness, aggressiveness, and anger; Anticonvulsants or newer antipsychotic medications tend to work better than stimulants Accommodations/strategies A multi-disciplinary team consisting of the student‟s parents, educational specialists, and medical specialists in the areas in which the individual demonstrates problems should work together to plan and coordinate necessary services. Involvement of the appropriate professionals (Eg. occupational therapists, speech/language therapist etc.) The arrangement of places school and homes must be easily accessible. Have a buddy system that ensures their needs are heard and that they get aid when needed. Give Simple and Specific and Systematic instructions to what you exactly want the person to do. Use visual aids when communicating with the child. Engage the child regularly in oral language activity.
  • 28. NOTES http://www.prevention-news.com/1997/causes.htm http://health.nytimes.com/health/guides/disease/mental- retardation/overview.html http://www.buzzle.com/articles/mental-retardation-characteristics.html http://www.scribd.com/doc/53078772/Classification-and-Types-of-Mental- Retardation http://en.wikipedia.org/wiki/Autism http://en.wikipedia.org/wiki/Causes_of_autism http://www.autism-resources.com/autismfaq-char.html http://www.child-autism-parent-cafe.com/characteristics-for-autism.html http://www.special-learning.com/article/autism_classification http://www.ehow.com/way_5372352_autism-teaching-strategies.html http://www.searo.who.int/en/Section1174/Section1199/Section1567/Section1825 _8084.htm http://kidshealth.org/parent/medical/brain/cerebral_palsy.html http://kidshealth.org/parent/medical/brain/cerebral_palsy.html http://www.medicinenet.com/cerebral_palsy/page3.htm http://www.emedicinehealth.com/cerebral_palsy/article_em.htm http://www.healblog.net/down-syndrome-causes-symptoms-treatment http://downsyndrome.about.com/od/downsyndromebasics/a/symptomsess_ro.ht m http://www.buzzle.com/articles/characteristics-of-down-syndrome.html http://dsawa.asn.au/children/education/teaching-strategies.html http://learningdisabilities.about.com/od/whatisld/a/whatissld.htm http://thelearningcenter.net/what_causes_learning_disabilities http://specialed.about.com/cs/learningdisabled/a/ldconceptual.htm http://www.understandingspecialeducation.com/types-of-learning- disabilities.html http://giftedkids.about.com/od/gifted101/a/definitions.htm
  • 29. http://www.brainy-child.com/article/gifted-child.shtml http://en.wikipedia.org/wiki/Deafness http://www.livestrong.com/article/509643-characteristics-of-hearing-impairment- and-deafness-in-children/ http://ehealthmd.com/content/different-types-hearing-loss http://www.adcet.edu.au/View.aspx?id=3956 http://www.gallaudet.edu/clerc_center/information_and_resources/info_to_go/e ducate_children_(3_to_21)/students_with_disabilities/emotionalbehavioral_disord ers. http://www.vaxa.com/types-of-behavior-disorders.cfm Read more: Characteristics of Physically Handicapped Children | eHow.com http://www.ehow.com/list_7717535_characteristics-physically- handicapped-children.html#ixzz28iPdD7Bu http://en.wikipedia.org/wiki/Physical_disability http://www.brighthubeducation.com/special-ed-physical-disabilities/29178- services-available-for-students-with-physical-disabilities-in-public-school http://www.asha.org/public/speech/disorders/ADHD/ http://www.webmd.com/add-adhd/guide/types-of-adhd http://www.gallaudet.edu/clerc_center/information_and_resources/info_to_go/e ducate_children_(3_to_21)/students_with_disabilities/emotionalbehavioral_disord ers.html http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Vision_impairme nt_neurological