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Individualized Supports Planning in
        Special Education:
   Applications to Students with
       Intellectual Disability
             A webinar
           Karrie Shogren, PhD
           University of Illinois at Urbana-Champaign
           Marti Snell, PhD
           University of Virginia
           Paula Fallon, M.Ed.
           Albemarle County Public Schools
           Charlottesville, Virginia

           September 27, 2010
Agenda
• Welcome
• Introduction to support needs
  – Cases: Dave and Carla
  – Social thinking and interactions: Potential
    strengths and challenges
• Process for assessing, planning, &
  monitoring supports
• Application of process to case individuals
• Questions and answers
                                                  2
Dave




       3
Dave, Age 20
• Dave is a physically strong and outgoing young
  man. A good job as a grocery bagger near his
  home came available and he agreed to try it.
• Dave was hired at Whole Foods, a store that
  emphasizes friendly personal service.
• Dave is a very friendly man and sometimes
  found it difficult to recognize the rules for being
  friendly in different settings.
   – For instance, he loved to play with young cousins and
     rough-house and pick them up. Several times he was
     too playful with the children of customers. This led to
     concerns about his ability to remain employed in that
     setting.
                                                           4
Carla, Age 16




                5
Carla, Age 16
• Carla loves high school. She walks
  through the halls high-fiving everyone she
  passes and calling them by name.
  Everybody knows Carla.
• Beyond greeting, her interactions are
  immature and repetitive. Typical peers
  tend to find her annoying and make an
  effort to distance themselves during social
  gatherings such as lunch or pep rallies.
                                                6
Characteristics that May be Potential
      Strengths in Social Interactions

•   Honest
•   Forthright
•   Responsible
•   Friendly
•   Caring




                                            7
Characteristics that may Contribute to
Challenges in Social Judgment & Interactions
• Denial of disability or a
  necessity for “passing”
• Desire to please others
• Gullibility
• Naïveté or suggestibility

  Linked to underlying
  cognitive challenges of
  having limited
  intelligence                             8
Intellectual Disability:
                            Definition, Classification,
                            and Systems of Supports

                                      11th Edition
                                  Schalock et al. (2010)



www.aaidd.org/intellectualdisabilitybook
Supports Model
                                         Improved
  Mismatch of
                    Individualized        personal
competency and
                      Supports           outcomes
   demands

                     Thoughtful       May include
People with ID
                     planning &       increased
experience a
                     application of   independence,
mismatch
                     individualized   better personal
between their
                     supports         relationships,
personal
                                      enhanced
competency and
                                      opportunities to
environmental
                                      contribute to
demands
                                      society
                                                   10
Component 2:
   Component 1:
                            Determine
Identify desired life
                          the Intensity of
experiences & goals
                          Support Needs


         Component 3: Develop the
         Individualized Support Plan



       Component 4: Monitor Progress



           Component 5: Evaluation
                                             11
The Support Needs Profile




Supports Intensity Scale     www.aaidd.org
  (Thompson et al., 2004)   www.siswebsite.org
                                                 12
Student Involvement in Planning




                                  13
Component 3: Developing the
   Individualized Support Plan for Dave
Support    Support type     Specific support
need
Aware-     Instructional/   Using the Red-Yellow-
ness of    review           Green scale
social
bound-     Student-         Self monitoring using
aries on   directed         color reminder cards
the job    materials
           Peers &          Video modeling by
           environment      exemplary peers
                                                    14
‐Picking up or         ‐Upset               ‐Suspended or 
 hugging customer’s     ‐Call my boss        fired
 kid.                   ‐Frightened          ‐Clock out and go 
                        ‐Use angry voice     home

Talking about          Uncomfortable       Boss gets upset
personal things
                       Walk away           Talk in office
like phone #,
girlfriends            Frown               Requests new
                                           bagger
                       Look down
                                           Bad evaluation

‐Bagging               ‐Comfortable        ‐Boss will notice my 
‐Smile at customers    ‐Happy with my      good work
‐Bagging talk          good service        ‐More hours          15
                       ‐Smile              ‐I feel good
Bagging Talk
    Note: Use for pre-work review or as a guide for role play at school


Things to Say:                         Answering Questions:
• “Good Morning” “Hi”                  • Use a few friendly
• “Paper or plastic?”                    words…
• “Do you want your                         – If the customer says
  potatoes/milk/____ in a                     “Are you ready for
                                              Christmas/Easter/Sum
  bag?”
                                              -mer?”
• “Have a great day” “Bye                   – You can say “ I sure
  now” “Stay dry”                             am” or “Yes ma’m, are
• “Do you want help                           you?”
  taking this to your car?”
                                                                          16
Things that are too personal to talk
          about with customers*
• Are you married?
• Do you have a boyfriend?
• I work again on Thursday, will you come back and see me?
• What is that medicine for?
• I love babies, can I hold yours?
• I am tired.
• I am sick.
• I need to use the bathroom
• I love kids but I am not supposed to hug them/pick them up
  here at work.
• I think your little girl is crying because she wants a candy bar.

    * Write the list to fit the environmental demands and the
                                                                      17
    individual’s personal competency
Resources
The Incredible 5-Point Scale – Assisting
  Students with Autism Spectrum Disorders in
  Understanding Social Interactions and
  Controlling Their Emotional Responses
  (Kari Dunn Buron & Mitzi Curtis)

Preparing for Life - The Complete Guide for
  Transitioning to Adulthood for those with
  Autism/Asperger's Syndrome (Jed Baker)
Social Skills Picture Book for High School and
 Beyond (Jed Baker)
                                                 18
Social Story/ Social Narrative:
             Working at Whole Foods
• I am a grocery bagger at Whole Foods. They hired me
  because I am very good at bagging. I ask “Paper or
  plastic?” if the customer did not bring their own bags. I
  bag carefully so that the food is crushed and the bags
  are not too heavy.

• Whole Foods is a friendly store with good customer
  service. They hired me because I am good at bagging
  and because I am a friendly worker with a good attitude.

• I love meeting new people so bagging is a great job for
  me! I get to meet new people all the time. I always
  greet the customer with a smile and make sure that I bag
  their groceries the way they want. That is good
  customer service.
                                                              19
• Sometimes when people are checking out at the grocery
  store, they might be tired or in a hurry. I can be helpful
  and get their groceries bagged quickly. I don’t need to
  ask the customers questions or tell them about myself to
  be friendly. I can smile and do my job quickly and well. I
  can make their day a little better just by giving good
  customer service.

• Lots of moms and dads come in with their kids. I love
  babies and little kids. I have cousins who are little and I
  love to play with them and help out. At Whole Foods
  there are rules about kids. I can be friendly and say “Hi
  there” or smile but I need to keep working. I am a
  stranger and it might scare the kids or their parents if I
  pick them up or hug them. Little kids need to learn about
  “stranger danger”.

• I know my job and I am part of the customer service
  team at Whole Foods.                                     20
Other possible supports…
                  for Dave
• Video modeling by co-worker…could do a supported
  review with red/yellow/green scale

• Supported review of red/yellow/green scale with job
  coach acting as the bagger in a role play (this can a fun
  activity and can be structured for small group instruction)

• Self-monitoring with periodic reliability “data” provided by
  cashier/supervisor or job coach check-in visit

• Discreetly placed reminder card…co-worker could
  quietly point to card if Dave began to engage in “yellow”
  behaviors
                                                            21
Component 3: Developing the
   Individualized Support Plan for Carla
Support      Support type Specific support
need
Social       Instructional/ Teaching awareness of types of
inter-       review         friendship. Social stories and
                            scripts. Telephone skills.
actions in
                            Increase vocabulary related to
high                        sports assistant role.
school       Student-        Review social story
setting      directed       Use friend definition cards to
             materials      plan social activities

             Peers &        Sibs, family friends, trained
             environment    peers                            22
Different Kinds of Friends

    People I see once          School Friends                  Really Close Friends
                          •People I know by name           •People who play on my team
       In a while         •People I usually see every      •People who call me on the
•The soda delivery man    day                              phone
•The receptionist at my   •People who know my name         •People I get together with on
dentists office                                            the weekend or after school
•Visitors at my school
                          •   Say “Hi _____”               •     Ask about the things you
                          •   Give them a gentle five or         usually talk about tv
• Smile                       first bump                         shows, movies, music,
                          •   Make a comment or a                boyfriend /girlfriends,
• Say “Hi”                    joke... not the same thing         sports etc.
                              everyday.                    •     Tell your news
• Wave                    •   Keep walking unless          •     Talk about plans…at
                              someone calls me over.             school, at home or on the
• Answer                  •   Stay a few minutes and             weekend
  questions with              listen. Answer questions     •     Walk together to lunch, the
                              in a few words.                    break area etc. You can
  a few words             •   Make one or two                    wait if they have to stop.
                              comments on what is          •     Sit together at lunch, pep
• Keep walking                                                   rallies, or break.
                              happening and then keep                                    23
                              going.
School Friends
                    •   Say “Hi _____”
•People I know by   •   Give them a gentle five or
name                    first bump
                    •   Make a comment or a
                        joke... not the same thing
•People I usually       everyday.
see every day       •   Keep walking unless
                        someone calls me over.
                    •   Stay a few minutes and
•People who know
                        listen. Answer questions
my name                 in a few words.
                    •   Make one or two
                        comments on what is
                        happening and then keep
                        going.
                                                     24
Possible Uses for
          Friend Definition Cards
Note: The cards could be mainly picture symbols and
  photos if that was a better format for Carla

• Serve as the basis for a photo sort of familiar people

• Serve as the basis for a role playing game during group
  social skills instruction

• Make and update personalized list for each section

• Modify and laminate for pocket reminders
                                                            25
Take Home Points
• The main purpose of support is to enable the
  individual to achieve desired life experiences
  and goals.
• Supports need to be individualized throughout
  the person’s life.
  – The need for supports does not disappear, but may
    vary in intensity over time
  – It is important to re-assess support need over time
• Supports are the bridge between what is and
  what can be.
                                                          26
Questions and Answers
Contact Information–Panelists
• Karrie Shogren, University of Illinois at
  Urbana-Champaign
  – kshogren@illinois.edu
• Marti Snell, University of Virginia
  – Snell@virginia.edu
• Paula Fallon, Albemarle County Post High
  Program, Albemarle County Public Schools,
  Charlottesville, Virginia
  – pfallon@k12albemarle.org
Contact information–AAIDD
• Questions you did not get to ask? Send an email
  to books@aaidd.org.
• To purchase Intellectual Disability: Definition,
  Classification, and Systems of Supports, visit
  http://bookstore.aaidd.org
• To learn about the book, Intellectual Disability,
  visit www.aaidd.org/intellectualdisabilitybook
• Download slides from this webinar at
  www.aaidd.org/intellectualdisabilitybook. Look
  under “Resources” tab.

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Programas para Alunos com IDD

  • 1. Individualized Supports Planning in Special Education: Applications to Students with Intellectual Disability A webinar Karrie Shogren, PhD University of Illinois at Urbana-Champaign Marti Snell, PhD University of Virginia Paula Fallon, M.Ed. Albemarle County Public Schools Charlottesville, Virginia September 27, 2010
  • 2. Agenda • Welcome • Introduction to support needs – Cases: Dave and Carla – Social thinking and interactions: Potential strengths and challenges • Process for assessing, planning, & monitoring supports • Application of process to case individuals • Questions and answers 2
  • 3. Dave 3
  • 4. Dave, Age 20 • Dave is a physically strong and outgoing young man. A good job as a grocery bagger near his home came available and he agreed to try it. • Dave was hired at Whole Foods, a store that emphasizes friendly personal service. • Dave is a very friendly man and sometimes found it difficult to recognize the rules for being friendly in different settings. – For instance, he loved to play with young cousins and rough-house and pick them up. Several times he was too playful with the children of customers. This led to concerns about his ability to remain employed in that setting. 4
  • 6. Carla, Age 16 • Carla loves high school. She walks through the halls high-fiving everyone she passes and calling them by name. Everybody knows Carla. • Beyond greeting, her interactions are immature and repetitive. Typical peers tend to find her annoying and make an effort to distance themselves during social gatherings such as lunch or pep rallies. 6
  • 7. Characteristics that May be Potential Strengths in Social Interactions • Honest • Forthright • Responsible • Friendly • Caring 7
  • 8. Characteristics that may Contribute to Challenges in Social Judgment & Interactions • Denial of disability or a necessity for “passing” • Desire to please others • Gullibility • Naïveté or suggestibility Linked to underlying cognitive challenges of having limited intelligence 8
  • 9. Intellectual Disability: Definition, Classification, and Systems of Supports 11th Edition Schalock et al. (2010) www.aaidd.org/intellectualdisabilitybook
  • 10. Supports Model Improved Mismatch of Individualized personal competency and Supports outcomes demands Thoughtful May include People with ID planning & increased experience a application of independence, mismatch individualized better personal between their supports relationships, personal enhanced competency and opportunities to environmental contribute to demands society 10
  • 11. Component 2: Component 1: Determine Identify desired life the Intensity of experiences & goals Support Needs Component 3: Develop the Individualized Support Plan Component 4: Monitor Progress Component 5: Evaluation 11
  • 12. The Support Needs Profile Supports Intensity Scale www.aaidd.org (Thompson et al., 2004) www.siswebsite.org 12
  • 13. Student Involvement in Planning 13
  • 14. Component 3: Developing the Individualized Support Plan for Dave Support Support type Specific support need Aware- Instructional/ Using the Red-Yellow- ness of review Green scale social bound- Student- Self monitoring using aries on directed color reminder cards the job materials Peers & Video modeling by environment exemplary peers 14
  • 15. ‐Picking up or  ‐Upset ‐Suspended or  hugging customer’s  ‐Call my boss fired kid. ‐Frightened ‐Clock out and go  ‐Use angry voice home Talking about Uncomfortable Boss gets upset personal things Walk away Talk in office like phone #, girlfriends Frown Requests new bagger Look down Bad evaluation ‐Bagging ‐Comfortable ‐Boss will notice my  ‐Smile at customers ‐Happy with my  good work ‐Bagging talk good service ‐More hours 15 ‐Smile ‐I feel good
  • 16. Bagging Talk Note: Use for pre-work review or as a guide for role play at school Things to Say: Answering Questions: • “Good Morning” “Hi” • Use a few friendly • “Paper or plastic?” words… • “Do you want your – If the customer says potatoes/milk/____ in a “Are you ready for Christmas/Easter/Sum bag?” -mer?” • “Have a great day” “Bye – You can say “ I sure now” “Stay dry” am” or “Yes ma’m, are • “Do you want help you?” taking this to your car?” 16
  • 17. Things that are too personal to talk about with customers* • Are you married? • Do you have a boyfriend? • I work again on Thursday, will you come back and see me? • What is that medicine for? • I love babies, can I hold yours? • I am tired. • I am sick. • I need to use the bathroom • I love kids but I am not supposed to hug them/pick them up here at work. • I think your little girl is crying because she wants a candy bar. * Write the list to fit the environmental demands and the 17 individual’s personal competency
  • 18. Resources The Incredible 5-Point Scale – Assisting Students with Autism Spectrum Disorders in Understanding Social Interactions and Controlling Their Emotional Responses (Kari Dunn Buron & Mitzi Curtis) Preparing for Life - The Complete Guide for Transitioning to Adulthood for those with Autism/Asperger's Syndrome (Jed Baker) Social Skills Picture Book for High School and Beyond (Jed Baker) 18
  • 19. Social Story/ Social Narrative: Working at Whole Foods • I am a grocery bagger at Whole Foods. They hired me because I am very good at bagging. I ask “Paper or plastic?” if the customer did not bring their own bags. I bag carefully so that the food is crushed and the bags are not too heavy. • Whole Foods is a friendly store with good customer service. They hired me because I am good at bagging and because I am a friendly worker with a good attitude. • I love meeting new people so bagging is a great job for me! I get to meet new people all the time. I always greet the customer with a smile and make sure that I bag their groceries the way they want. That is good customer service. 19
  • 20. • Sometimes when people are checking out at the grocery store, they might be tired or in a hurry. I can be helpful and get their groceries bagged quickly. I don’t need to ask the customers questions or tell them about myself to be friendly. I can smile and do my job quickly and well. I can make their day a little better just by giving good customer service. • Lots of moms and dads come in with their kids. I love babies and little kids. I have cousins who are little and I love to play with them and help out. At Whole Foods there are rules about kids. I can be friendly and say “Hi there” or smile but I need to keep working. I am a stranger and it might scare the kids or their parents if I pick them up or hug them. Little kids need to learn about “stranger danger”. • I know my job and I am part of the customer service team at Whole Foods. 20
  • 21. Other possible supports… for Dave • Video modeling by co-worker…could do a supported review with red/yellow/green scale • Supported review of red/yellow/green scale with job coach acting as the bagger in a role play (this can a fun activity and can be structured for small group instruction) • Self-monitoring with periodic reliability “data” provided by cashier/supervisor or job coach check-in visit • Discreetly placed reminder card…co-worker could quietly point to card if Dave began to engage in “yellow” behaviors 21
  • 22. Component 3: Developing the Individualized Support Plan for Carla Support Support type Specific support need Social Instructional/ Teaching awareness of types of inter- review friendship. Social stories and scripts. Telephone skills. actions in Increase vocabulary related to high sports assistant role. school Student- Review social story setting directed Use friend definition cards to materials plan social activities Peers & Sibs, family friends, trained environment peers 22
  • 23. Different Kinds of Friends People I see once School Friends Really Close Friends •People I know by name •People who play on my team In a while •People I usually see every •People who call me on the •The soda delivery man day phone •The receptionist at my •People who know my name •People I get together with on dentists office the weekend or after school •Visitors at my school • Say “Hi _____” • Ask about the things you • Give them a gentle five or usually talk about tv • Smile first bump shows, movies, music, • Make a comment or a boyfriend /girlfriends, • Say “Hi” joke... not the same thing sports etc. everyday. • Tell your news • Wave • Keep walking unless • Talk about plans…at someone calls me over. school, at home or on the • Answer • Stay a few minutes and weekend questions with listen. Answer questions • Walk together to lunch, the in a few words. break area etc. You can a few words • Make one or two wait if they have to stop. comments on what is • Sit together at lunch, pep • Keep walking rallies, or break. happening and then keep 23 going.
  • 24. School Friends • Say “Hi _____” •People I know by • Give them a gentle five or name first bump • Make a comment or a joke... not the same thing •People I usually everyday. see every day • Keep walking unless someone calls me over. • Stay a few minutes and •People who know listen. Answer questions my name in a few words. • Make one or two comments on what is happening and then keep going. 24
  • 25. Possible Uses for Friend Definition Cards Note: The cards could be mainly picture symbols and photos if that was a better format for Carla • Serve as the basis for a photo sort of familiar people • Serve as the basis for a role playing game during group social skills instruction • Make and update personalized list for each section • Modify and laminate for pocket reminders 25
  • 26. Take Home Points • The main purpose of support is to enable the individual to achieve desired life experiences and goals. • Supports need to be individualized throughout the person’s life. – The need for supports does not disappear, but may vary in intensity over time – It is important to re-assess support need over time • Supports are the bridge between what is and what can be. 26
  • 28. Contact Information–Panelists • Karrie Shogren, University of Illinois at Urbana-Champaign – kshogren@illinois.edu • Marti Snell, University of Virginia – Snell@virginia.edu • Paula Fallon, Albemarle County Post High Program, Albemarle County Public Schools, Charlottesville, Virginia – pfallon@k12albemarle.org
  • 29. Contact information–AAIDD • Questions you did not get to ask? Send an email to books@aaidd.org. • To purchase Intellectual Disability: Definition, Classification, and Systems of Supports, visit http://bookstore.aaidd.org • To learn about the book, Intellectual Disability, visit www.aaidd.org/intellectualdisabilitybook • Download slides from this webinar at www.aaidd.org/intellectualdisabilitybook. Look under “Resources” tab.