1. SPED 537 ECSE Methods: Multiple Disabilities Chapter 3 Deborah Chen, Ph.D. California State University, Northridge February 13-14, 2006

2. Hierarchy of Responses to Sensory Stimuli Awareness/reflexive reactions Attention/alerting responses Discrimination Recognition Comprehension

3. Observations Carefully observe the child’s reactions What do you know about the child’s use of hearing? What do you know about the child’s use of vision? What are the child’s strengths? What are the child’s needs?

4. CHARGE ASSOCIATION - Coloboma - Heart defect - choneal Atresia - growth and/or mental Retardation - growth and mental Retardation - Ear anomalies/hearing loss

5. Sensory Impairments and Additional Disabilities 33% children with hearing loss have another disability 40-90% children with severe disabilities are visually impaired 40-70% preschoolers with visual impairment have another disability

6. Additional Disabilities Developmental delay/mental retardation Physical disability Medical problems Behavior challenges Visual impairment or hearing loss

7. Guiding Questions Typical day and family activities Family’s concerns and priorities? Services? When is child alert and attentive? Favorite toys and activities? Child’s strengths and interests? Child’s primary intervention needs? Child’s diagnoses and prognoses?

8. Child with Visual Impairments Type and severity? Medical concerns and interventions? Corrective lenses? Use of functional vision? Use of compensatory senses? Additional disabilities? Learning needs?

9. Baseline Observation How would you describe this interaction? What is mother doing? How does the child respond? What would you say to the mother? As an early interventionist what would you do? Suggestions for intervention?

10. Intervention Observation # 1 What does the EI do? How does the child respond? What would you do next?

11. Intervention Observation# 2 What does the EI do? How does the child respond? What would you do next?

12. Final Observation How would you describe this interaction? What has changed from the first observation? How does the child respond? What would you say to the mother?

13. Child with Hearing Loss Type and degree of hearing loss? Amplification? Communication? Additional disabilities? Learning needs?

14. Child who is Deaf-Blind Type and degree of visual impairment? Type and degree of hearing loss? Corrective lenses? Amplification? Communication? Additional learning needs?

15. Observation # 1 How would you describe this interaction? What is the mother doing? How does the child respond? What would you say to the mother? Suggestions for next steps?

16. Child who is Premature How premature at birth? Child’s current age? Child’s health and development? Medical needs and their influence? Any restrictions? Medical or other interventions?

17. Child with Seizure Disorder Type of disorder? Behavioral indicators? Medication? Side effects? Who is the child’s physician? Key situations? Triggers? First aid procedures? Restrictions? When is child most alert?

18. Child with Physical Disabilities Type of motor difficulty? Influence on development? Positioning techniques? Handling strategies? Ways to promote vision use? Ways to promote other senses? Ways to promote hand use? Equipment?

19. Child with Autism Symptoms of autism? Interactions with familiar people? Communication? Interaction with toys and objects? Responses to sensory stimuli? Primary difficulties? Recommended interventions

20. Early Start - Part C Services Department of Developmental Services Regional Centers Vendored Infant Programs -Developmental Delay -Autism -Speech & Language Problems -Multiple Disabilities California Department of Education (CDE) Local Educational Agency (LEA) School Districts Infant Programs -Deaf & Hard of Hearing -Visual Impairments -Physical Disabilities -(Solely Low-Incidence)