Learning Disabilities Defined

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    Learning Disabilities Defined - Presentation Transcript

    1. Breaking Down LDAC’s definition in an attempt to create a more inclusive learning disability assessment model
      • The Learning Disability of Canada (LDAC) adopted a new definition of Learning Disabilities on January 30, 2002.
      • This definition appears to be relatively accepted across the country and across disciplines
      • The new definition moved us away from a simple ability-achievement model and towards a complex inclusive definition that reflects several unique disorders under a single category (We can’t wait for DSM changes!)
      • Some have grasped on to one portion of this definition and may not be aware of some key remaining verbiage
      • The typical focus is on a deficit/discrepancy model within:
        • Language Processing (VCI)
        • Phonological Processing (WIAT; WJ; CTOPP)
        • Visual Spatial Processing (PRI; VMI)
        • Processing Speed (PSI)
        • Memory & Attention (WMI & CRS-2)
        • Executive Functions (BRIEF)
      • Is this all we need to be measuring? Also, are these the best way to measure these construct for all kids?
      • It is worthwhile to spend some time looking over the complete definition and reading between the lines
        • LDAC Official Definition – 2002
        • “ Learning disabilities refer to a number of disorders that may affect the acquisition , organization , retention , understanding or use of verbal or nonverbal information.”
      • “ number of disorders”
        • Suggests we need to think of LD as a group of disorders that are grouped under a single category, of which an individual may have just a single problem or may have comorbidity.
      • Affecting:
      Encoding Reasoning / Access Productivity
        • “ These disorders affect learning in individuals who otherwise demonstrate at least average abilities essential for thinking and/or reasoning. As such, learning disabilities are distinct from global intellectual deficits .”
        • Some have taken this to mean that you cannot have an LD if you have a FSIQ or all index level scores are below SS 90. Others feel that the use of Average is inclusive of the Low Average range with SS’s of 80+ then being inclusive of LD diagnosis given that other domains are significantly and meaningfully reduced.
        • This would leave SS 70-79 being M.I.D. and SS below 69 suggestive of MR.
        • “ Learning disabilities result from impairments in one or more processes related to perceiving, thinking, remembering, or learning. These include, but are not limited to:
          • Language Processing
          • Phonological Processing
          • Visual Spatial Processing
          • Processing Speed
          • Memory and Attention
          • Executive Functions”
      • “ Learning disabilities range in severity and may interfere with acquisition and use of :
        • Oral Language (listening; speaking; understanding)
        • Reading (decoding; phonetic knowledge; word recognition; comprehension)
        • Written Language (spelling; written expression)
        • Mathematics (computation; problem solving)”
      • Standardized achievement testing cover many but not all of these areas. It certainly does not cover the reasons for decreased performance.
      • “ Learning disabilities may also involve difficulties with organizational skills, social perception, social interaction and perspective taking.”
      • “ Learning disabilities are lifelong. The way in which they are expressed may vary over an individual's lifetime, depending on the interaction between the demands of the environment and the individual's strengths and needs. Learning disabilities are suggested by unexpected academic under-achievement or achievement which is maintained only by unusually high levels of effort and support .”
      • Standardized achievement batteries often look at under-achievement, but do not adequately measure automaticity/fluency of each skill set.
      • “ Learning disabilities are due to genetic and/or neurobiological factors or injury that alters brain functioning in a manner which affects one or more processes related to learning. These disorders are not due primarily to hearing and/or vision problems, socio-economic factors, cultural or linguistic differences, lack of motivation or ineffective teaching, although these factors may further complicate the challenges faced by individuals with learning disabilities. Learning disabilities may co-exist with various conditions including attentional, behavioural and emotional disorders, sensory impairments or other medical conditions.”
      • “ For success, individuals with learning disabilities require early identification and timely specialized assessments and interventions involving home, school, community and workplace settings. The interventions need to be appropriate for each individual's learning disability subtype and, at a minimum, include the provision of:
        • Specific skill instruction
        • Accommodations
        • Compensatory Strategies
        • Self-Advocacy Skills”
      • Applying this information to a DSM type framework
      • How to measure each construct?

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