1. On pages 689 and 690 of Chapter 20 there is a list of several specific learning disabilities. Please select and describe three of these learning disabilities. 2. What will be some personal or professional challenges you anticipate when working with children or adolescents with disabilities? 3. Please list and describe at least one local resource for children or teens with the following disabilities. Include the address and phone number and services provided by these agencies: a. autism b. deafc. blindd. developmentally delayed
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Chapter Objectives
Outline the history of special education in the United States
Explain the categories of disabilities
Discuss the procedures for IDEA and Section 504 in the schools
Describe some counseling strategies for children with special needs
Talk about working with the families of children with disabilities
The Situation
Children with disabilities are different from the norm
Their problem is just as much societys perception as the limitation of the child
Counseling is only partially about the special need
It is more about dealing with societys reaction to it and the effects of those reactions on the child
They are often treated poorly both at school and at home
Categories of Exceptionalities
Autism
Behaviorally-emotionally disabled
Deaf-blindness
Hearing impaired
Mentally disabled
Multiple disabilities
Orthopedic impairment
Other health impairment
Specific learning disability
Speech or language impairment
Traumatic Brain Injury
Visual impairment
Steps for Identification
Child is referred as needing services
The child is evaluated
A group considers the results and determines eligibility
If eligible, an individual educational plan (IEP) is written for the child
The IEP meeting is scheduled
The meeting is held and the IEP plan finalized
Services are provided
Progress measured and reported
IEP reviewed annually
The child is re-evaluated at least every 3 years
Methods of Counseling
Strategies should be incorporated into a positive, accepting counseling relationship
Need to have basic knowledge of the disabling condition as well as the needs and characteristics of the children
Listen to them
Help children see themselves as people who can and do perform and accomplish goals
Some General Questions
Have I helped:
The child develop good relations with classmates
The child learn to solve his own problems
The child to feel better about himself/herself
Parents and teachers interact in ways that help the child
The child with self-concept
The child understand, through my behavior, that he/she is a valuable human being
Emotional Disturbance
“…a condition exhibiting one or more of the following characteristics over a long period of time and to a marked degree that adversely affects a child’s educational performance
(A) An inability to learn that cannot be explained by intellectual, sensory, or health factors. (B) An inability to build or maintain satisfactory interpersonal relationships with peers and teachers. (C) Inappropriate types of behavior or feelings under normal circumstances. (D) A general pervasive mood of unhappiness or depression. (E) A tendency to develop physical symptoms or fears associated with personal or school problems.” [Code of Federal Regulations, Title 34, Section 300.7(c)(4)(i)]
Emotional Disturbances
Children may exhibit
Hyperactivity
Aggression/self-injury
Withdrawal
Immaturity
Learning difficulties
Distorted thinking
Bizarre behavior
Anorexia and bulimia
Mood disorders
Trauma
Chaotic home life
Emotional Disturbance
Counseling
Need love and understanding
Security and stability
Relationship is very important (history of unstable relationships)
Must place consistent limits and hold child accountable
Counseling strategies mirror educational strategies
Be very explicit about appropriate vs. inappropriate behavior
Learning Disability
A group of disorders that make learning more difficult than normal
Causes: genetic, environmental, biological
Basic definition: achievement is less than measured potential
Consequence of definition is that children who are cognitively limited cant have a learning disability
Umbrella terms that cover the following: dyslexia, dyscalculia, dysgraphia, dyspraxia, central and auditory processing disorders, nonverbal learning disorders, visual perceptual/visual motor deficit, language disorders
Recognize and reflect the childs feelings
The disability itself often causes social problems
Requires training in social skills and self image
Learning Disability- Counseling
Brief solution focused therapy
Step 1: Build rapport, define specific problems
Step2: Consider what hasnt worked look at possible solutions
Step 3: Help student decide on specific measurable goal miracle question
Step 4: Help decide on specific task
Step 5: Check back later
Learning Disability- Education
Changes to classroom procedures
Teach child organizational skills
Teach about considering consequences
Teach social skills
Help child overcome sense of failure
Promote positive attitude toward learning
Complete diagnostic evaluation and education plan
ADHD/ADD
Three types
o Predominately inattentive type
o Predominately hyperactive/impulsive type
o Combined type
Symptoms
o Present before age 7
o Persists for more than 6 months
o Present in multiple settings
o Inconsistent with childs developmental level
o Clearly impairs functioning
Treatment
o Multidisciplinary, multi-treatment model
o Medication alone not recommended but common
o Suggestions for counselors
Behavior modification
Cognitive restructuring
Case management
Parent support groups
CHADD (http://www.chadd.org)
Intellectual Disability Disorder
Definition:
Intellectual disability disorder is a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills. This disability originates before age 18.
Note: each case is so unique it is difficult to provide general information
Subtypes:
o Intermittent: needs occasional help
o Limited: Need consistent and sometimes intensive support
o Extensive: Needs regular involvement and long term support
o Pervasive: constant high intensity support services
After diagnosis study four areas
Counseling goals
Provide survival skills
Train parents and educators on how to train the child
Case management: ensure the child is getting the services to which they are entitled
Physical Disability
Disabilities vary widely in extent:
o Diabetes, Cystic Fibrosis, Pregnancy
Often comorbid problems
The child has much negative association with self
Teachers need help on how to accommodate
Need to work with involved agencies
Working with the child
o Teach to appreciate strengths
o Teach self-advocacy
o Arrange for mentors/friends
General Ideas
Behavior modification
Identify, define, and measure behavior
Identify context of behavior
Identify what causes or maintains behavior
Identify interventions to change behavior
Summary of tasks
Recognize the child as a person
Understand the exceptionality
Counsel for self esteem; self acceptance
Coordinate services
Help significant others reach understanding
Assist in development of life, personal, social skills
Encourage recreational skills
Counseling with parents
Work with referral agencies
Counseling with Parents of Exceptional Children
Very little research in this area
Parents suffer range of emotions at not getting the child they wanted
Parents may over protect or under protect
Parents may sacrifice their lives for their child
Parents may need to work through guilt (which is sometimes justified)
Something done while pregnant (FAS)
Punishment for sins
Ashamed
What will neighbors think/say
Counseling tasks
o Help parents with education
o Help through unproductive feelings
o Connect to resources
o Help set realistic expectations
o Help them realize childs uniqueness
o NICHCY (www.nichcy.org)
o Parent support groups
o Maybe family therapy
Summary
Children with special needs can learn, enjoy life, be independent and productive, and fulfill their individual potential just as surely as all other children can.
They have the same rights to respect and growth as other children, and they have the same needs.
Counselors must understand the complexities of different types of disabilities, the provision of special education services, and the many ways counselors may contribute to these childrens lives.
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