Skip to main content
Disabilities


                  Adapted from
          Who Am I in the Lives of Children
           Feeney, Christensen, Moravcik (2001)
               Prepared by Dr. Carla Piper
IDEA -Individuals with Disabilities Act
Categories defined as:

   Mental Retardation       Autism
   Hearing Impairment       Traumatic Brain Injury
   Speech or Language       Other Health
   Impairment               Impairments
   Visual Impairment        Specific Learning
   Severe Emotional         Disability
   Disturbance              Developmental Delay
   Orthopedic Impairments
                                     IDEA 2004
IDEA - Individuals with Disabilities Act




            2004 - http://idea.ed.gov/
Limitations in Four Functioning Areas
 Mobility
 Communication
 Information Acquisition
 Information Processing
 Or limitations in more than one functioning area

Understanding may help you recognize signs
  or symptoms and be better able to support
          children with disabilities.
Orthopedic Impairments
Children who are mildly or moderately physically impaired may have
  some or all of the following characteristics:
  Stumble and bump into things often
  Have difficulty with large muscle activities such as crawling, climbing
  stairs, or riding a tricycle
  Have difficulty with activities involving eye-hand coordination, such
  as stringing beads, building a tower of blocks, cutting, or drawing
  (also a sign of visual impairment)
  Have speech problems due to inability to control breathing and
  muscles needed in articulation.
  Have difficulty chewing or swallowing
  Show a lack of stamina and display overall weakness.
Orthopedic Adaptations
For children with problems involving skeleton, joints, and
  muscles
  Encourage child to participate as fully as possible
  Rearrange and adjust furniture to make things more
  accessible
  Allow children to play as typically as possible with other
  children
  Let children discover abilities and limitations by trying the
  activities themselves
Visual Impairments
Children with vision problems may have some or all of the following
  characteristics:
  Rub their eyes excessively, squint, or frown
  Shut or cover their eyes or tilt or thrust their head forward
  Hold objects close to their eyes and show difficulty with tasks
  requiring close use of eyes
  Stumble over objects
  Be unable to identify distant things
  Be irritable or blink frequently when doing close work
  Have inflammation or other eye problems such as swelling or sties.
Visual Adaptations
 Child may have partial sight that is correctable with glasses
 Many can see light and dark, broad shapes but not details
 Provide good overall lighting and avoid glare or deep
 contrasts between dark and light
 Keep room traffic patterns simple and uncluttered
 Let children help in changing furniture
 Provide detailed verbal descriptions to accompany your
 actions.
 Keep the child close to you in group activities
 Provide child with larger toys with textures and sounds
Hearing Impairments
Children with hearing problems may have some or all of the following
  characteristics:
  Have trouble paying attention, especially in group activities
  Not answer when called
  Get confused about directions or not understand them at all
  Give the wrong answer to questions.
  Say “what?” or look confused by questions, statements, or directions
  Have undeveloped speech, substitute sounds, omit sounds, or have
  poor voice quality
  Avoid people: Prefer to play alone
  Get tired early in the day
  Turn one side of the head towards sounds, indicating a hearing loss
  in one ear.
Hearing Adaptations
 Problem may be in perceiving the volume or clarity of sounds
    Damage to outer or middle ear – conductive loss
    Damage to inner ear or nerves that carry sound to the brain – Sensori-neural
    loss
 Place yourself facing the light source at child’s eye level to establish
 eye contact
 Sit in circle so all faces are visible
 Use simple sentences and rephrase sentences when child doesn’t
 understand rather than simply repeating same sentence
 Address child by name
 Use visual cues to aid understanding
 Encourage dramatic play and puppets
Speech and Language Impairments
Children with speech-language problems may have some or
  all of the following characteristics:
  Not talk by age two.
  Not speak in two- or three-word sentences by age three
  Be very difficult to understand after age three (still relying
  mostly on vowel sounds and omitting the beginnings and
  endings of words).
  Use poor sentence structure after age five, such as “Me
  school go”
  Stutter after age five
Speech and Language Impairments
 Have poor voice quality
 Have difficulty hearing speech sounds
 Have difficulty understanding what is said
 Appear shy and embarrassed when speaking
 Have trouble compared with other children:
   following directions
   describing things
   using correct parts of speech
   putting words into sentences
Speech and Language
Adaptations
May be associated with other conditions –
 hearing, cleft palate, autism, cerebral
 palsy, attention deficit disorder, emotional
 problems, or learning disability
 Auditory processing problems
     Unable to tell the difference between speech sounds
     (auditory discrimination)
     Trouble isolating important sounds from noise
     May have trouble remembering what they hear or
Speech and Language Adaptations
 Be careful not to rush, interrupt, or
 pressure child
 Model correct language
 Build on language activities
  Incorporate songs, rhymes, and chants
 into daily routines
 Listen closely to decipher
 communication
 Encourage talking among children and
 use them to help
Mental Retardation
Children with mild to moderate cognitive deficits may have some or all
  of the following characteristics:
  Be unable to follow directions that contain more than one or two
  steps
  Have a short attention span for their age
  Not be able to choose an activity independently
  Have a tendency to imitate rather than create
  Have poor eye-hand coordination
  Be slow to learn simple games or classroom routines
  Be slow in learning language
Mental Retardation Adaptation
 Mildly retarded children may have difficulties in self-
 help skills, motor development, social skills, and
 language development
 Relate to child as you would a slightly younger child
 Give directions one at a time
 Simplify and guide daily routines
 Allow more time to make transitions
Mental Retardation Adaptation
 Use shorter sentences and simplified
 vocabulary
 Use a multi-sensory approach to
 teaching
 Provide many opportunities for
 practicing new skills
 Encourage independence with self-help
 skills
 Give many examples of a concept to
 reinforce learning
Learning Disabilities
Children with learning disabilities may have some
  or all of the following characteristics:
  Engage in constant motions and purposeless
  activity
  Have poor perceptual motor skills
  Have a low tolerance for frustration
  Be distractible, have a short attention span
  Have poor coordination, both large and small
  muscle
  Have poor auditory and visual memory
  Have a variety of language deficits
Learning Disabilities
 Focus on child’s strengths
 Provide children with descriptive praise when they are successful
 Give directions one at a time and allow adequate time for child to
 comply
 Verify child’s understanding of a request
 Practice tasks over and over
 Teach with concrete materials
 Use several sensory modalities
 Control the amount of stimulation by simplifying a task
 Keep transitions short
 Plan all procedures and organize materials
 Large groups may be over-stimulating
 Focus on task at hand and use attention-getting words – “Watch me”
Attention Deficit Hyperactivity Disorder
Children with attention deficit disorders may
  have some or all of the following
  characteristics:
  Be impulsive, acting quickly without thinking
  about the consequences
  Have a short attention span
     Unable to concentrate on one task or activity
     long enough to complete it
     May switch from activity to activity without
     seeming to gain satisfaction
Attention Deficit Hyperactivity Disorder
  Have difficulty organizing and completing work
  and lack direction
  Be distractible,
     Have trouble paying attention to the task at hand
     Unable to redirect attention to original task once
     distracted
  Be constantly in motion and fidget and squirm
  when seated
  Have trouble following through on instructions
  and directions (not due to noncompliance or lack
  of understanding)
Attention Deficit Hyperactivity
        Disorder Adaptations
Be careful not to assume that every active child
has ADD or ADHD
Some teachers have had unrealistic expectations
for children’s behavior and doctors have over-
prescribed medicines
Provide a clear structure for a child with ADHD
Simplify physical environment and reduce visual
stimulation
Define child’s work or play area
ADHD Adaptations
  Position yourself nearby for assistance
  and encouragement
  Make picture charts showing sequence of
  daily routines
  Warn children of changes in schedule
  State your expectations for behavior
  clearly
  Acknowledge constructive and
  appropriate conduct
Students with Serious
         Emotional Disturbance

Tend to be more
aggressive, unhappy, anxious, or withdrawn
Unusual behaviors – rocking, self-
mutilation, running with arms flapping, extreme
fearfulness, withdrawal or loss of self control
Document your observations
Consults with a mental health professional
Abused or Neglected Children
Children who have been abused or neglected may have some or all
  of the following characteristics:
  Be overly compliant and passive or show extreme avoidance of
  confrontation with children and adults
  Be extremely demanding, aggressive, and filled with rage
  Be prematurely competent; for example, they may prepare
  meals, take the bus alone, or care for younger siblings when it is
  neither developmentally nor culturally appropriate to do so
  Be extremely dependent
  Be developmentally delayed or regressed with infantile behavior
Gifted Children
Children who are gifted may have some or all of the
  following characteristics:
  Exhibit intense curiosity
    ask many questions
    conduct investigations into how things work
  Develop passionate interest in a particular topic
  (or topics)
  Have advanced reasoning ability or demonstrate
  the capacity for abstract thinking and the use of
  symbol systems at an early age
  Be highly independent in thought and behavior
Gifted Children Continued
 Be unusually perceptive and aware of
 people and things in their environment
 Have extraordinary memories
 Show great persistence in self-chosen tasks
 Motivated to pursue an interest and
 accomplish a goal at a self-determined high
 standard
 Have advanced language ability with an
 unusually large and sophisticated
 vocabulary
 the ability to use and appreciate verbal
 humor
Gifted Children Adaptations
 Make observations and discuss with family
 Provide opportunities for child to pursue interests
 Provide open-ended learning materials for self-directed
 involvement
 Find out what child really wants to know and find materials
 to support his/her interest
 Find materials designed for older children
 May need less structure than most children
 Allow for large blocks of time for exploration
 Allow child to concentrate and work in depth
 Be available as a resource