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Intellectual Disability
refers to individuals who have core deficits in both intellectual and social domains
mental retardation, cognitive impairment, and developmental disability
The term ID replaces other terms such as
-originates before age 18
-limitations in intellectual functioning
and adoptive behavior
characteristics of ID
umbrella term, ID
developmental disability is an ______ ______ that _____ falls under
impairments, participation limitation
disability is an umbrella term that covers _______ and _______ ________
ecological model
what is the new focus in the field of ID?
evaluates and enhances functional skills
improve personal well being
identify appropriate support systems
enhance competence through skill development and environmental modifciation
what does the ecological model do?
microsystem: parents/caregivers
mesosytem: community, workplace
macrosystem: cultural views and practices regarding individuals with ID
what are the three systems of the ecological model?
1. intellectual abilities
2. adaptive behavior
3. participation, interaction, and social roles
4. health
5. context
5 factors that impact an individual within the ecological model
before, during, or after birth?
biomedical
lack of health and prenatal care
poor parenting, poverty
inadequate early intervention
risk factors for ID
idiopathic...but its more than likely genetic
unknown etiology
prenatal
genetics is considered a _____ cause in ID
-more holistic/right brain
-top-down learning
-use everyday interactions, environmental cues, and familiarity
knowledge based learning
-based on incoming data
-bottom up learning
influenced by an individual's processing skills
data based learning
attention
discrimination
organization
transfer
memory
types of individual's processing skills
yes
do we use both knowledge and data based learning?
attention
ability to orient and react to a stimulis
increase wait time so individuals have time to respond
intervention strategy pertaining to attention
discrimination
ability to attend to a specific stimuli in a field among similar stimuli
manipulate the task and teach self-monitoring skills
intervention strategy pertaining to discrimination
organization
ability to systemize incoming info to speed processing and facilitate retrieval
teach chunking and word association to aid in faster and more efficient retrieval
strategy pertaining to organization
teach children with ID simple metacognitive strategies which improve transfer learning
strategy pertaining to transfer
memory
current information retained to carry out everyday tasks
rehearsal, repetition, or chunking of information to aid memory
strategy pertaining to memory
goal directness which is a challenge for children with ID
strategy pertaining to motivation and task mastery
delay
language of young children with an ID is referred to as a
disorder
language of children w/ ID after age 10 is considered a
heterogenous
ID population is....
cognitive ability
language domains vary in relation to
significant phonological deficits
reduced respiratory function
shorter sentences
reduced intelligibility
impaired morphosyntactic skills
ID aspects in individuals with down syndrome
affects males more severely
language ability is consistent with their non-verbal cognitive abilities
develop their expressive abilities at one-third the rate of typically developing children
ID aspects in fragile x syndrome
social
better than expected verbal abilities
delayed verbal skills in early childhood
language abilities match their mental age by adolescence
difficulty introducing new topic
poor topic maintenance
ID aspects in williams syndrome
norm-referenced
too few students with ID are included in the samples of ________ tests
pragmatic
what abilities are often not assessed
-a language sample
-discourse analysis
-a classroom based assessment
-interview
-assessment of reading/writing
criterion referenced tests should always include
challenging behaviors
a functional assessment is used with students who have
the individuals independence in interacting, communicating, expressing information, and receiving information
the communication skill inventory measures...
to evaluate the potential mismatch between an individual's repertoire of skills and the demands of the environments
the supports intensity scale's purpose is...
what support do they need?
what skills do they need to learn?
how can the environment be modified to accomadate the person?
assessment should answer
-provide intervention from the prelinguistic stage through adulthood
-early/intense intervention is critical
basic principles of Intervention of ID
1.typical lang development patterns
2.lifespan needs
3.modifications in response to strength and weaknesses
what is the 3 pronged approach
ecological
approach intervention from an ______ standpoint
-consider the individual's interest and motivation as well as input from parents/teachers
-develop intervention that will maximize generalization and transfer of communication skills to daily life
how do you approach intervention from an ecological standpoint
-daily routines
-replace the individual's problem behaviors with more socially acceptable communication options
-use behavior modification techniques
principles of functional communication training
examine the what, when, why, where associated with the occurrence of maladaptive
"what's the cause"
use the ABC chart to
-performance based
-designed to emphasize the communicative strength of school age students
-theme based activities
-specific goals for each participant
-use goal attainment scaling to rate the participants
components of the It's Fun Program
ethnic mismatch
a situation in which a student's home culture and the service provider hold conflicting expectations of intervention
hight context
infer meanings, direct
low context
dramatic, more direct
behaviorist
structuring and planning of intervention uses what theory
modeling
how to achieve language facilitation?
self-talk
The adult describes what he is thinking, feeling, or seeing
parallel talk
The adult uses language to describe what the child is thinking,feeling, and doing.
language expansions
The adult repeats the child's verbalization but adds morphemes orwords to make the sentence an acceptable adult sentence.
language extensions
The adult adds additional information related to the child'ssentence.
buildup/breakdown
The adult says a sentence, repeats smaller segments of thesentence, and then finally repeats the entire sentence.
contingency
how closely your communication relates to the child's output
assertive/ responsive communication theme
profiles how well a child can initiate conversational terms and respond to the communication attempts of others
initiates a conversational term
an assertive communicator...
responds to the communication attempts of others
a responsive communicator...
is both assertive and responsive
an effective communicator...
1. consider how to approach a learning task
2. monitors comprehension during reading
3. evaluates progress in an academic task
in the cognitive structures theory, a student uses metacognitive tasks to do 3 things:
hybrid intervention
combines elements of different techniques to address the communication needs comprehensively
focused intervention
targets a particular area of communication or skill development
dose
number of times a target is focused on per session
dose form
type of task or activity that is implemented
length of session
number of sessions per unit of time
total intervention duration
cumulative duration
who did what how many times
how to write an intervention goal
goal attack strategy
the way in which multiple goals are approached or scheduled within an intervention session
vertical
one goal at a time until a child achieves a level of accuracy
horizontal
several goal are repeatedly targeted in every session
cyclical
several goals are targeted for a specific amount of time and the sequence of goals are repeated
baseline data
initial measurements or observations collected before treatment is implemented
generalization probe
assessment to determine if newly acquired skills have reached generalization
qualitative
non-numerical information, focuses on quality
quantitative
numerical information that is collected, objective measurements, statistical data
descriptive vocabulary
words that give details about; illustrating; explaining
baselining
cold approach to find what child knows coming in
probing
criterion levels, structured
documentation of baseline performance and numerically records behavior changes
goal attainment scaling allows...
-turn taking
-initiating interaction
-increase time they stay in interaction
pragmatic focuses
-establishing discourse and morphosyntactic targets
-increasing the detectability of targeted morphosyntactic features
-identifying errors in grammatical absent features
-choosing intermediate language targets
morphology and syntax focuses
-provide repeated models of a word in play context
-prompt child to repeat produced word
-provide feedback on the word accuracy
semantic domain focuses
tiered 2/3
focus on what vocabulary
peer confederate training
Students with typical language are trained to use social strategiesto encourage communication from students with communicationdisorders
sociodramatic script training
The adult uses role-playing to teach students daily discourseroutines
Time delay
The adult uses a non-verbal prompt and waits for the child torespond
Enhanced milieu teaching(EMT)
Uses simple questions and requests for child imitation along withadult language modeling techniques.
Mand-model procedure
The adult uses a verbal prompt in the form of a question
Incidental teaching
The adult manipulates the environment so that the child is morelikely to talk
Conversational RecastTraining (CRT)
The adult restates the child's utterance while maintaining thechild's meaning.
Sentence combining
The adult gives the student two or more simple sentences andrequires the student to combine the simple sentences into a longer,more complex sentence.
Prompts
Instructions or stimuli used to ensure a child responds correctly.
Shaping
A technique used to teach increasingly complex behaviors.
Fading
Used to reduce dependency and generalize a new behavior intoother communication contexts
Conversational assertiveness
The communicator initiates a conversational turn
Conversational responsiveness
The communicator responds to others' communication attempts