Is Inclusive Education Right for Children with Disabilities?

This week, we’re honored to feature an article by Edward Fenske, MAT, EdS, the former executive director of the Princeton Child Development Institute, who shares his critique on the U.S. Departments of Health and Human Services and Education’s joint statement on inclusive education for all children with disabilities. Ed’s extensive experience in delivering intervention to children with autism, support services to their families, and training and supervision to professional staff spans 39 years. His published works address home programming, language development, and early intervention.

Is Inclusive Education Right for My Child with Disabilities?
by Edward Fenske, MAT, EdS
Princeton Child Development Institute

On September 14, 2015 the U.S. Department of Health and Human Services and the U.S. Department of Education issued a joint policy statement recommending inclusive education for all children with disabilities begin during early childhood and continue into schools, places of employment, and the broader community. The policy includes numerous assertions about the educational benefits and legal foundation of inclusion and a lengthy list of supporting evidence. This paper examines some of these assertions, the supporting evidence, and comments on the departments’ recommendation.

 

Assertion: Children with disabilities, including those with the most significant disabilities and the highest needs, can make significant developmental and learning progress in inclusive settings.

Supporting Evidence: Green, Terry, & Gallagher (2014). This study compared the acquisition of literacy skills by 77 pre-school students with disabilities in inclusive classrooms with 77 non-disabled classmates. Skill acquisition was assessed using pre/post intervention scores on the Peabody Picture Vocabulary Test, Third Edition (Dunn & Dunn, 1997) and the Phonological Awareness Literacy Screening Prekindergarten (Invernizzi, Sullivan, Meier, & Swank, 2004). The results found that children with disabilities made significant gains that mirrored the progress of their typical classmates, although the achievement gap between the two groups remained. Participants had a variety of diagnoses (e.g., developmental delays, autism, pervasive developmental disorder-not otherwise specified, speech and language impairments, cognitive impairments, and Down syndrome). There were several requirements for participation in this study that would appear to severely limit conclusions. Participants with disabilities were functioning at social, cognitive, behavioral and linguistic levels to the extent that their Individual Education Program (IEP) teams recommended participation in language and literacy instruction in the general education classroom with typical peers-an indication that these skills were considered prerequisite to meaningful inclusion.

A further restriction for participation was that only data from children who were able to complete the tasks according to standardized administrative format were included in the study. It is therefore unclear whether all students with disabilities in these inclusive preschool classes made significant developmental and learning progress. The authors suggest that had the lower achieving students received explicit, small group or individual instruction, the achievement gap between typically developing students and children with disabilities may have been narrowed. We can therefore conclude that regular instruction provided in the inclusive preschool classes in this study was not sufficient for all students with disabilities. Furthermore, because the results were not separated by disability, it is not possible to determine whether there was a significant difference in learning across disabilities.

Assertion: Some studies have shown that children with disabilities who were in inclusive settings experienced greater cognitive and communication development than children with disabilities who were in separate settings, with this being particularly apparent among children with more significant disabilities.

Supporting Evidence: Rafferty, Piscitelli, & Boettcher (2003). This study described the progress in acquiring language skills and social competency of 96 preschoolers with disabilities attending a community-based program. Sixty-eight participants received instruction in inclusive classes and 28 attended segregated special education classes. Progress was assessed using pretest and posttest scores from the Preschool Language Scale-3 (Zimmerman, Steiner, & Pond, 1992) and the Social Skills Rating System (SSRS)–Teacher Version (Gresham & Elliott, 1990). Level of disability (i.e., “severely disabled” or “not severe”) was determined by scores on the Wechsler Preschool and Primary Scale of Intelligence (WPPSI-R), but the authors did not provide any information about the participants’ specific clinical diagnoses. Posttest scores were comparable for “not severe” students in both class types. Children with “severe” disabilities in inclusive classes had higher posttest scores in language development and social skills than their peers in segregated classes, but had higher rates of problem behavior. The extent to which problem behavior interfered with learning for both typical children and those with disabilities was not addressed. Problem behavior, such as tantrums, aggression, stereotypy, self-injury, property destruction and defiance; is displayed by some children with disabilities. These behaviors have very different implications for preschool-aged children than for older children. In this writer’s experience, severe problem behavior is extremely resistant to change when not successfully treated during preschool years and may ultimately result in more restrictive academic, vocational and residential placement during adolescence and adulthood. The significance of any academic gains by children with disabilities in inclusive settings should be carefully weighed against the long-term implications of unchecked maladaptive behavior.

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Autism Awareness Month: Free Owl Opposites Flashcard Activity

Encourage your students’ cognitive, language and word recognition skills with this free Owl Opposites Flashcards Printable from 1+1+1=1!

owl 1The entire set features an adorable pair of owl friends who demonstrate the following sixteen different opposites:

  • Short/tall
  • Hot/cold
  • Slow/fast
  • White/blackowl 2
  • Big/small
  • Clean/dirty
  • More/less
  • Dry/wet
  • Same/different
  • Light/heavy
  • Low/high
  • Hard/soft
  • Short/long
  • Front/back
  • Empty/full
  • Weak/strong

Laminate or print on cardstock for longer use and attach on a metal ring to keep the cards all together.

To print out your free Owls Opposites Flashcards, click here. We hope you and your students have a hoot with this printable!

Facilitating Social Groups for Students with Autism

In honor of Autism Awareness Month, we’re pleased to highlight an NYC-based agency called East Side Social this week! Alicia Allgood is a BCBA and co-founder of East Side Social. With her co-founder Kimia Tehrani, BCBA, they organize social groups and also provide a wealth of additional services for both parents and practitioners in the field of autism. Alicia was kind enough to provide some very comprehensive answers to our BCBA consultant Sam Blanco’s questions about facilitating social groups for learners with autism. You can learn more about East Side Social here.


Autism Awareness Highlights: Interview with Alicia Allgood, MSEd, BCBA
Co-founder of East Side Social, New York, NY

Facilitating Social Groups for Students with AutismSam: What prompted you to begin East Side Social?

Alicia: I co-facilitated social groups in San Diego in the early 2000’s with an amazing group, Comprehensive Autism Services and Education. They provided a number of other services, but the social group was the directing psychologists’ pet project, and you could really tell for the quality. It was wonderful to see these quirky, amazing kids that were struggling socially come into this group and make friends. They engaged with one another in significant ways that impacted their sense of well-being and confidence, all the while learning how to be more and more socially appropriate. I was inspired. When I met Kimia in New York, she and I found we worked very well together. I mentioned my interest in starting such a group in New York, and Kimia held me to it. We both saw a need for these services here, but there really wasn’t much being offered at the time, and that which was being offered didn’t have a behavior analytic approach. In our mind, this suggested they weren’t objectively verifying the effect of their programs, nor were they necessarily using evidence-based practiced to teach the skills these kids needed to learn. We saw a need, we were inspired, and so made the necessary movements to begin East Side Social.

Sam: What is the primary challenge to organizing social skills groups? How have you addressed it?

Alicia: We were both private practitioners prior to starting this social group. Starting a business is a whole other beast in its own right, and being a good technician doesn’t necessarily mean you’re prepared to grow that skill into an actual business. We were caught a bit by surprise by all that would be necessary on the back end. From marketing to balancing the budget and handling insurance billing, we were not prepared to take all of that on while maintaining our private clients and actually preparing for and leading the social group. Realizing our deficits along the way, we’ve hired consultants and people to support the back end, and that is what has really made this possible. We couldn’t do what we do without the support of a small group of really wonderful people. It’s also been extremely challenging to find a way to collect data on target behavior during our groups. We’re suddenly extremely sympathetic to classroom teachers who are asked to collect data on their students. We have tried data collection systems into our token economies. We’ve also used time sampling data, and once when feeling highly ambitious and having approval of all parents, we video-taped all groups and spent hours upon hours watching and re-watching these videos, tracking target group behavior and individual learner behavior. This is a continuous work in progress that we feel dedicated to on account of our commitment to ethical behavior analytic practice. It’s also a bit fun to solve this puzzle. Continue reading

10 Things Autism Awareness SHOULD Be About

We’re so thrilled to be kicking off Autism Awareness Month with a special guest article from the Executive Director of the Association for Science in Autism Treatment (ASAT) David Celiberti, PhD, BCBA-D, who shares with us 10 things autism awareness should be about. David has also provided a wealth of information and resources for parents and professionals to utilize in finding the best treatments out there, seeking out reliable research and asking good questions, helping individuals with ASD find a place in the workforce, and much more. To learn more about ASAT, please visit their website at www.asatonline.org. You can also sign up for ASAT’s free newsletter, Science in Autism Treatment, and like them on Facebook!

10 Things Autism Awareness SHOULD Be About

10 Things Autism Awareness SHOULD Be About
by David Celiberti, PhD, BCBA-D

April is Autism Awareness Month. The blue puzzle pieces will appear on thousands of Facebook pages and billboards, and the media will give greater attention to, and information about autism. Further awareness is a wonderful thing, as detection and diagnosis are necessary first steps to accessing help in the form of treatment, information, and support. With well over 400 treatments from which to choose, parents of children with autism need guidance, tools, and accurate information to make the best possible choices for their children: choices that will undoubtedly have a profound impact on both their current quality of life and their children’s future.

Clearly, autism spectrum disorder (ASD) is no longer the rare diagnosis that it once was. With the incidence of one in 68 children, and one in 42 boys, our own families, neighbors, and co-workers are all touched by autism. In fact, the sheer numbers have heightened awareness of autism in and of themselves. This awareness is essential: it promotes early detection, and with early detection, we hope for a relatively clearer course toward effective treatment and better outcomes. Sadly, however, the early detection of autism alone does not always mean a seamless path to intervention. Furthermore, families whose children are diagnosed with autism are still not able to expeditiously access the most effective science-based treatments available. Instead, families often have to sort through over 400 pseudo-scientific treatments until they arrive at the most effective and research-proven intervention in addressing the complex disorder of autism. We must do better!

“Autism Awareness” should be about more than just detection and diagnosis. It has always been ASAT’s hope that the conversation around autism awareness would be broadened to focus upon the obstacles that separate individuals with autism from effective, science-based intervention and distract their families, caregivers, and teachers from accurate information about effective autism intervention. Below are 10 ideas about what Autism Awareness should be about, along with ways that the Association for Science in Autism Treatment (ASAT) can assist families and providers in navigating the complex maze of autism treatment options.

ASAT_Point1

Autism treatment is a multi-million dollar industry. For the majority of the 400+ available interventions, science is overlooked in favor of pseudoscience, and they are marketed with heart-wrenching testimonials, anecdotes and video montages, and often bolstered with poorly crafted and misleading surveys. Many boast inaccurate and even outrageous claims that are touted as evidence of effectiveness. Aggressive marketing of these so-called “therapies” and “cures” is absolutely overwhelming and it drowns out accurate information for parents who are desperate to help their children.

For most other medical conditions, a provider who disregards a proven intervention in favor of using a “fringe” treatment could be sued for malpractice! Such safeguards do not widely exist for autism treatment. We do no favors for children with autism, their families, and those charged with providing effective services when we not only ignore quackery, but allow it to proliferate by failing to counter baseless claims. Families deserve better. Individuals with autism deserve better. Visit our website to learn more about the scientific support behind various autism treatments, the relevance of peer-reviewed research, the pitfalls of testimonials, as well as many other articles related to becoming a more savvy consumer. Please also see our review of Sabrina Freeman’s book, A Complete Guide to Autism Treatments.

As adults, voters, consumers, providers, and parents, choice underlies all of our decisions. Decision-making power comes with tremendous responsibility. There is a myriad of stakeholders whose decisions have profound implications for children and adults with autism – not just parents, but siblings, teachers, treatment providers, administrators, program coordinators, and taxpayers.

  • Scientists need to take responsibility in making their findings about an intervention’s effectiveness clear, unambiguous, and unexaggerated. Efforts should be taken to promote replication.
  • Administrators and program leaders need to take responsibility in identifying internal and external training opportunities that further their staff’s competence with evidence-based practice. Additionally, they should make sure their staff receives the support needed to sustain these efforts and to continually engage in data-based decision making when both selecting and monitoring interventions. They must be savvy and selective in their selections of trainings for their staff and not fall prey to gimmicks, splashy sales pitches or fads.
  • Providers need to select procedures that are based on published research, adhere to their discipline’s ethical guidelines about evidence-based practices, and maintain a commitment to ensuring that parents have truly been given the opportunity to provide informed consent. For example, if there is no scientific evidence to support an intervention that one is using, then it is an ethical obligation of the professional to inform parents of this lack of evidence. Please see Principle #1 and #2 of the Ethical Code for Occupational Therapists, Section 2.04 of the Ethical Principles of Psychologists and Code of Conduct, and Section 2 of the Guidelines for Responsible Conduct for Behavior Analysts.
  • Parents must continue to exercise caution in sorting through autism treatment options to make the best possible choice for their children, particularly since many providers do not make the path to effective treatment clear and simple.

There are far too many individuals with autism who do not have access to effective treatment, are receiving ineffective treatment, or are subjected to treatments that are, in fact, dangerous. Every minute of ineffective intervention is one less minute spent accessing effective intervention. Every dollar spent on an intervention that does not work depletes resources available for interventions that do work. For questions to ask to make sure that the individual with autism in your life is receiving science-based treatment, please see our article on questions to ask marketers and read more about the following three phases of inquiry about particular interventions and their associated questions and considerations in The Road Less Traveled: Charting a Clear Course for Autism Treatment:

  • Phase I: Exploring the viability and appropriateness of a particular treatment approach.
  • Phase II: Assessing the appropriateness of an intervention under the supervision of a specific service provider for a specific individual with autism.
  • Phase III: Monitoring the implementation of the treatment and evaluating effectiveness.

ASAT_Point3

As we know, not all information on the Internet is reliable and accurate. You have probably heard the term, caveat emptor (“Let the buyer beware”). Consumers must also practice caveat lector (“Let the reader beware”).

Often Internet information is deemed equivalent in relevance, importance, and validity to research published in peer-reviewed scientific journals, but it is not. Testimonials and uncontrolled studies from so-called researchers can lead parents astray and be a tremendous source of distraction. Parents of newly-diagnosed children may be particularly vulnerable. Know the red flags to avoid and learn how to evaluate research by visiting our website. Our library of articles highlights scientific concepts and methods as they relate to potential autism interventions, with the goal of providing families, educators and clinicians with the information they need in order to be savvy consumers of marketed treatment products and therapies.

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Pick of the Week: ABA Curriculum for the Common Core Books for Kindergarten & 1st Grade

Use the principles of Applied Behavior Analysis in this groundbreaking curriculum to teach the Common Core state standards in special education classrooms. Available in Kindergarten and First Grade, the ABA Curriculum for the Common Core drills down into each standard and breaks it into teachable steps. This week, SAVE 15% on the ABA Curriculum for the Common Core books for Kindergarten and First Grade. Use promo code KINDERFIRST when you check-out online or over the phone: (800) 853-1057.

Programs are presented in a format that supports data collection and ease of use. Clear teaching instructions detail the Teaching ProcedureDiscriminative Stimulus, and the Materials needed for each lesson or activity. Each standard also list several targets that demonstrate the steps and goalposts needed for mastery.

What professionals have said…

“This highly organized and comprehensive curriculum is a must for all special education teachers working to implement the Common Core standards in the classroom. Every teacher and student need is anticipated and planned for. With this curriculum as a resource, the Common Core standards are no longer an obstacle, but instead an accessible program of study for all students.” — Linda McSorley, Special Education Teacher

ABA Curriculum for the Common Core is bound to be the type of reference book every special educator will be reaching for. With its comprehensive, accessible, and task-analyzed programs, ABA strategies, and data collection sheets, Sam Blanco has created a compilation dream for all educators working with children who have special needs.” — Val Demiri, PhD, BCBA-D, Adjunct Professor, Endicott College

“Different Roads to Learning and Sam Blanco have developed the first of its kind: a user-friendly manual and kit of appropriate curriculum with materials for special needs students that aligns with the Common Core. The manual includes prepared data sheets and easy-to-read curriculum sheets. …  In addition, the focus of the skills targeted are prerequisites for lifelong skills the student will need throughout their education and beyond. Utilizing the principles of applied behavior analysis, teachers will be able to use motivation and reinforcement techniques to enhance student learning.” — Cheryl Davis, Educational and Behavioral Consultant, MSEd, BCBA

Don’t forget to use our promo code KINDERFIRST to redeem your savings this week only on the ABA Curriculum for the Common Core books!

*Offer expires at 11:59pm EST on February 23, 2016. Promotion does not apply to past purchases. Be sure there are no spaces or dashes in your code KINDERFIRST at checkout! Call our friendly customer service team at (800) 853-1057 with any inquiries.

Request a Product Demo with Different Roads to Learning!

One of our favorite customers asked us to visit a group of special educators and speech and language pathologists at a school district in New Jersey. Natasha and I took the opportunity of a road trip to show some of our favorite products. We were both excited to do a “show-and-tell” demonstration to such a wonderful staff.

We have products that are invaluable BUT you have to see and touch it to understand how it could work to improve your students or the classroom.

Product Demo Collage

We showed our Function Wheels Behavior Kit and our ABA Curriculum for the Common Core books for Kindergarten and 1st Grade, as well as one of our bestsellers the MotivAider, the ALL PICS, and the new POWER-Solving curriculum. We passed our materials around to the teachers, and this engaged them with not only us but one another. The presentation facilitated and opened discussion amongst them as peers. It was a terrific morning.

We’re willing to travel by road two hours outside of the New York metropolitan area. Please let us know if you would like us to do a product demo for a group of your SLPs or autism specialists.

Looking forward,

Julie Azuma
Founder & CEO

“Touch Red” – A Poem by Georgie Herz, ABA Teacher

Here’s a touching – pun intended! – poem given to us by Georgie Herz, an ABA teacher from Special School District in St. Louis, MO, that we thought we’d share with all of you so you can start off your weekend with a smile.

Touch Red
Georgie Herz

Touch red
One card, one choice
Touch red

This is touching red
A prize, cheerios, candy, a car
This is touching red
I’ll guide your hand it’s not far
Touch red

Three times, I’m keeping score
Now with two
Touch red, I pray not blue
This is touching red

Add yellow, three cards, three times
Touch red you score
Pick a prize
Yes there’s more
Touch red

A week or two or three or four
We check again, yea you score
Touch red, there’s more

Cards are gone
See the bears
We start with one
Then it’s two
A prize for each one
You do

Touch red.

 

Pick of the Week: NEW! Function Wheels – A Behavioral Identification and Intervention System

We’re absolutely thrilled to introduce Function Wheels, an easy-to-use system that enables users to identify the function of behavior and immediately intervene. Created and piloted by Keith Amerson, MSEd, Different Roads to Learning is a proud partner in bringing you the first all-inclusive, systematic approach for identifying the functions of problem behaviors and implementing research-based interventions to manage them.

Get your kit today at the introductory price of $149.95 through July 31st! No promo code necessary.

Click to enlarge.

Be sure to check out this nifty video below for a more in-depth look at the Function Wheels Kit!

Tip of the Week: Avoid Common Ethical Missteps in the Home Environment as a Behavior Analyst

(Beaumont Health System)

Fortunately, we have the Behavior Analyst Certification Board (BACB) as a resource. You can see the BACB’s Professional and Ethical Compliance Code for Behavior Analysts here. While this code does not take effect until January 2016, it’s important to note that many states have adopted ABA Licensure, which provides for oversight of behavior analysts and implementation of this code, or the specific ethical code that state has adopted.

Keep all identifying information confidential. First, all records should be kept in a locked filing cabinet, (not in a binder inside a tote bag or in the trunk of your car.) Furthermore, while it may be tempting at times, no photos or videos of students should be kept on cellphones or computers, or shared on social media accounts. And while you may have funny stories or great improvements you want to share with friends or loved ones, you should not share, the names, ages, or other identifying information of your students.

Only accept cases for which you have the necessary training and experience. This one can be tricky, especially if you are in a location in which there are few behavior analysts or you’ve been recommended to a parent and they are pushing for you to work with their child. However, it is very important that you follow this guideline. For example, if a child is engaging in self-injurious behavior (SIB) and you’ve never intervened with SIB, you should not take the case. Instead, you should make a referral to a behavior analyst who has the appropriate training and experience. If you are the only behavior analyst available, you should seek out the appropriate training and seek guidance from someone who does have the appropriate experience. This is more possible today with the advent and ease of video-chatting.

Don’t accept gifts or give gifts. As described below, it’s better to express this rule to parents at the beginning of your relationship, rather than when they’re handing you a gift certificate to your favorite coffee shop. While parents want to show appreciation and care for you, gift giving on either end blurs the line between professional relationship and friendship. Which brings us to our next point…

Maintain a professional relationship. This can be challenging when you’re working in the home environment, especially when you’re working in the home daily for one, two, or more years. But it’s important that you relate to the family as a professional with an expertise in behavior analysis. This means that you should not be joining the family for meals, birthday parties, or other events. It also means that information about your private life should not be provided (such as who you’re dating, any personal problems, etc.) and you are not a counselor/therapist for personal problems in the life of the family.

Provide effective treatment. This may seem like a no-brainer, but it can be quite easy to begin using a treatment that was recommended by another professional, only to discover that there is no scientific evidence proving its effectiveness. If you ever have a question about whether or not an autism-treatment is evidence-based, you should take a look at the Association for Science in Autism Treatment. You should also look at the research regarding interventions for specific behaviors in resources such as Journal of Applied Behavior Analysis, The Analysis of Verbal Behavior, or Behavior Analysis in Practice.

Set expectations from the very beginning of your relationship. Some of these missteps can be more difficult if you don’t provide information about what you are allowed or not allowed to do. A simple contract can be given to parents or caregivers at the beginning of the teaching relationship. In their book Ethics for Behavior Analysts: 2nd Expanded Edition, Bailey & Burch provide an excellent sample contract that can be modified for your use. (It’s worth noting that this book is a must-have for any behavior analyst. It contains explanations for each ethical guideline and case studies in an easy-to-read style.) Making it clear that you have professional guidelines to follow from the outset of your relationship is the most effective step you can take towards maintaining an ethical, professional relationship for the duration.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently pursuing her PhD in Applied Behavior Analysis at Endicott College.

Special Education Law and Advocacy Training by Wrightslaw: May 14th, Queens New York

Nationally acclaimed special education attorney and advocate, Pete Wright, will be presenting in New York City on May 14th, 2015 for a one day training course. Wright will speak to special education law, rights & responsibilities, tests & measurements to measure progress & regression, SMART IEPs, and tactics & strategies for effective advocacy. The course is from 9am – 4:30pm at the JFK Hilton in Jamaica Queens with CLE /CEU certificates offered with the professional rate.

For more information and registration details, visit the Kulanu website here.