Paula R. Ulloa
ED 4443G
Assistive Technology
Dr. J. Cyrus
AT Evaluation Case Study 1
June 30, 2008
Assistive Technology (AT) Evaluation Report
Student: Sarah Case Study
Grade: 3rd
SY: 2007-2008
The following report indicates current functioning gathered from previous reports, and current academic, personal (including self-help), and social needs as indicated by parent(s) and general education teacher. The assistive technology report is determined based on an individual’s needs. Hence, this report is not exhaustive as more information is required for further AT assessment needs for the student. All recommendations in this report are made to provide Sara education in the Least Restrictive Environment (LRE). This is a preliminary suggestive report based on current information provided.
Student information & current functioning:
1) Sara has Down Syndrome
2) Sara is eight years old
3) Sara is in third grade
4) Her social skills are comparable to her typical peers
5) She attend Special Education classes part of the day and is in general education classes for the part of the day
6) Her Speech and Language skills are at a 5 years old level; Kindergarten equivalent
7) Oral reading (expressive reading) is affected by her speech difficulties
8) Fine motor coordination problems which may OR may not affect her cursive writing
9) Reads at a second grade level
10) Has "reasonably good comprehension:"
11) Addition with carry over (at least double digit?)
12) Subtraction with borrowing (at least double digits?)
13) Parents would like Sara in general education class
14) Parents believe Sara's writing and speaking problems are keeping her from her best work
15) Current third grade (general education?) teacher "suggests" Sara cannot keep up with her classmates
16) Current third grade teacher recommends a self-contained classroom to be 'with peers who work at her pace'
Student needs:Ø Speech & Language services (Specific needs are not clear, AT specialist will work with Speech Therapist to determine effective AT devices for Sara)
Ø Occupational Therapy (OT) (fine motor) (Specific needs are not clear, if there are OT services, AT specialist will work with OT to determine effective AT devices for Sara)
Ø Environment: Classroom, social, and possible lunch/snack setting. Sara’s social level is comparable to her peers at this time hence no current needs are indicated in a social setting. However, speech occurs in all environments and augmentative communication devices may benefit Sara. Continuous observation of peer-relations & social skills is recommended as Sara gets older and peer interests vary.
Parent Concerns:Ø Would like Sara in general education class
Ø Sara’s writing & speaking problems keep her from her best work
AT Device recommendations & outcomes:Potential AT devices for Speech & Language: Sara’s expressive reading skills are affected by her speech impediment, yet seems to be socially comparable to that of her typical peers. This indicates that Sara is able to speak well enough to socially interact with peers without the need of an AT device at this time. The following recommendation may be used primarily for expressive reading lessons in and out of the classroom, but limited to a secondary output device for social interaction. Further information regarding when, where, and in what situation to use the AT device may be ascertained from the Speech Therapist.
Ø Picture/word to voice output to be used as an augmentative device. Current devices available in our district include:
o Go talk
o Go talk 2000
o Might Mo
o Photo talk 2008
o Numerous computer programs addressing language comprehension and speech
Potential AT devices for OT therapy:
Fine motor coordination is indicated as a need by Sara’s general education teacher. This affects Sara’s cursive writing and may affect her holding and manipulating utensils in other environments (snack & lunch time). The following are AT device recommendation to assist Sara with her fine motor skills. Further information on how often to use the devices, where, and in what situations may be ascertained from the Occupational Therapist.
Ø Light-tech weighted pen
Ø Wax strings to assist with size & movement of writing instrument (inconspicuous)
Ø Universal Design door handles
Ø Universal Designs for sink handles
Ø Computerized cursive writing program
Auxiliary AT devices:
Ø Computer (CPU, monitor, mouse, keyboard)
Ø Large keys keyboard
Ø Computer programs (games & academics): would help fine motor skills, social interaction, and act as an academic supplement. (CompuThera, Words Around Me, or Earobics)
Ø Programs would be apropos to elementary students and would be very easy to learn and use
Ø Teachers may check out educational computer programs from the AT office in the Division of Special Education
Ø Teacher must designate a desk for the computer
Ø The desk should be near an electrical outlet and any wire access to the internet
Pilot Period:Ø Sara’s use of all devices will be monitored during the first week by general and special education teacher, speech and occupational therapists, and AT specialist
Ø The team will meet at the end of the week to determine how well Sara is functioning with the devices and whether alternative devices are needed.
Ø Parents will be part of this meeting.
AT direct or consultative services:The following consultative services are recommended:
Ø Provide computer hook-up in classroom
Ø Install all computer programs
Ø Train teachers, therapists, and parents (opt) in computer programs
Ø Train teachers, therapists, and parents (opt) in Speech and Language augmentative device
Ø Provide disability & AT sensitivity training to school peers
Ø Monitor use of AT devices & change-up if necessary
Ø Consult teachers and therapists monthly to determine continued effectiveness of AT devices
Ø Consult teachers and therapists monthly to determine upgrading computer programs
Ø Other consultative services may be determined
Direct services are not recommended at this time.
Intended educational outcomes of AT device interventions:Sara’s use of the speech and language augmentative device is intended to promote & improve her speech and language skills. It is important to note that it is not a substitute for Sara’s speaking, rather allow her to clarify what she has said. Additionally, the speech therapist may want to consider allowing Sara to attempt clearly repeating what is said in the AT device. This device should be used primarily in the academic classroom as Sara’s speech is not an impediment to socialization with peers. If there are no physiological deficiencies in Sara’s speech functioning, this device is intended to be temporary and increase clarity in Sara’s speech.
Sara’s fine motor skills may or may not be affecting her cursive writing skills. Cursive writing is difficult for students with a severe learning disability or mild to moderate metal retardation. Nonetheless, a weighted pencil and wax string may assist Sara in keeping with cursive writing size limits and flow. The IEP team should determine whether cursive writing is an integral part of Sara’s curriculum if she is able to handwrite successfully. Additionally, a fine motor skills deficit will affect all areas of Sara’s life. Areas in which to consider using the AT weights for instruments include breakfast, lunch and snack for utensils. Also, observation of utilizing door and sink handles to determine effectiveness and upgrades is highly recommended. The Universal Designs for the handles is intended to imbed Sara’s needs into the typical environment without specifically indicating the need for Sara. Also, the weighted instruments and writing wax strings are intended to be temporary and used in conjunction with OT therapy.
The computer and computerized academic & social learning is a comprehensive system to address all needs indicated by the general education teacher and parents. Speech and language programs will address the academic and speech & language needs and the keyboard and mouse manipulation is intended to increase Sara’s fine motor coordination. As Sara maneuvers through the internet and academic programs her reading skills should gain more fluency which in turn should positively affect her cursive writing. As Sara continues to improve in keyboarding skills the large key keyboard may be switched-up to the typical keyboard. As students in general enjoy the use of computers, this AT device may be used to explore alternatives to social interaction with typical peers. The computer use is also intended to introduce Sara to computer knowledge necessary to the youth of today. This computer program, although temporary, is intended to assist Sara in all areas of designated needs as well as integrate much needed technology for individuals with disabilities.
As stated previously, further information on the outcomes may be ascertained from the therapists.
Factors to Consider: Sara’s recommended AT devices range from light-tech to high tech and are all currently available in the AT office of the Division of Special Education. Should parents or teachers require or request further computer hardware or software ordering and budget requirements may prolong the receipt of the AT device. All AT devices have AT specialist consultation services that include training in installation, use, maintenance, and troubleshooting. If the site is unable to use the AT device for any reason the appropriate personnel should contact the AT office immediately. All programs and AT devices are ordered and reviewed with the intention of being user-friendly to children of disabilities and acceptance of typical peers in a social setting, with ability. It is important to remember, all AT devices are intended to assist individuals with disabilities temporarily or permanently so they may receive education in the Least Restrictive Environment (LRE).
At any time the educational staff deems it necessary to add, upgrade, change, or review any type of AT device for students with special needs, contact with the AT office is recommended. Additionally, at any time parents of students with special needs request training in the AT device their child is using, the AT office must be contacted so we may accommodate the request. We strongly encourage parents to be aware of all the interventions their child is receiving.
Summary & Conclusion:At her current functioning as reported by educational staff, Sara may benefit from the use of AT devices in her educational setting. The recommended AT devices are limited in that more specific information is needed from the general and special education teacher, therapists, and parents. Further evaluations or classroom assessments are recommended in the areas of reading comprehension, expressive & receptive language, current socialization level (is it in fact aligned with her typical peers?), services she is addressing in the special education class, specific fine motor functioning, and potential reasons for deficits in cursive writing (fine motor vs. cognition). All these issues impact the AT assessment and intervention. For example, if Sara’s cursive writing issue stems from cognition, then a different AT device will be recommended. For now, we must presume the cursive writing issue stems from a fine motor issue.
Additionally, Sara’s general education teacher (GET) has not specified Sara’s specific need in ‘keeping up with her classmates.’ There are several issues here. First, in comparing Sara to her typical peers we are denying her disability, thus providing a disservice which may affect her education. If the GET can specify Sara’s needs, without comparison to typical peer, the IEP team can attempt to address those needs so Sara may continue to receive education in the LRE, which, in this case, is currently the general education classroom. If Sara is unable to receive meaningful education in the general education classroom with supports, then specific time in the special education classroom should be considered. Sara’s social and basic academic (reading & math) skills are not far from her typical peers, hence, she should not be in a self-contained classroom. GET specifies “at her pace” which indicates Sara may simply need more time or modified work to complete assignments. Again, teacher should be more specific in this area. Also, in-house consultation on modification and accommodations from the Principal Teacher, a grade level chair, or special education teacher should be made available to the GET.
An important part of the AT assessment includes the parent request. Parents would like Sara to remain in the general education classroom. The time period is not clear, so we must presume it is for the same time period she is currently in the general education room, which is ‘part’ of the day. Parents may not be aware that they just requested that Sara be afforded all resources to enable her to receive meaningful education in the general education classroom. As LRE is a specific right to students with special needs per IDEIA 2004, the district must ensure all supportive resources have been explored to assist Sara in the general education classroom. The evaluations – or lack of in this case – directly impact the type of AT needs Sara may be expected to receive. This is very serious and a second meeting to determine further appropriate supports should be held after all evaluations or classroom assessments have been conducted. This second meeting should not hold up the current AT recommendations, yet will hold up the placement of Sara in a self-contained class. Placement should not be considered until all AT supports and teacher interventions (including supports determined after the second meeting) have been in place and determined successful or not as well as documented by general education teacher and therapists. Parents concerns regarding Sara’s writing and speaking problems should be specified so they may be discussed and addressed by the educational team. Training in Down Syndrome including speech & language and Occupational needs of children with Down Syndrome should be made available through the Technical Assistant office of the Division of Special Education. Additionally, current local supports (government agencies, community & parent support groups) and information via internet should be made available to parents.
Finally, Sara’s transition needs must be addressed. This includes her receiving education staff for the next school year, natural supports in the community & home, and determined progress with the use of all the AT devices. If there are natural environments in which Sara can generalize her skills these should be considered by parent and the AT specialist. For example, if Sara becomes proficient in the use of the computer, parents may take her to the local library so she may search for books via the computerized catalog system.
Overall, despite the lack of information, Sara’s educational, personal, and social AT needs will be addressed to ensure she is receiving meaningful education in the LRE.