Orientation and Mobility Evaluation Student: SAM DOB: 1/5/2000 Age at Observation: 14 years 7 months Consultant: Claire Hakin, COMS School: All American Middle School Grade Level: 6 Date of Consultation: May 29-31, 2013 LEA: Central NC County Purpose of Evaluation: Sam is a 6th grade student enrolled at All American Middle School. Sam’s Orientation and Mobility evaluation was requested by the educational team as a part of his triennial revaluation. He is anticipated to transition to All American Middle School in the fall of 2013. Means of Assessment: Review of records including Sam’s most recent O&M evaluation (Corbett, 5/24/10) Functional Vision Assessment (5/24/10) Learning Media Assessment (5/24/10) Medical Eye Report, (Buckley, Duke Pediatric Ophthalmology,6/27/12) Psycho-Educational Evaluation (Gardner, 9/14/10) Interviews with Sam, classroom teachers, VI teacher, and Sam’s mother. Competence in O&M Outcomes Guide, (Michigan) and Framework for Independent Travel, (Ontario,BC) Observations Student History: Sam’s visual condition is listed as optic nerve hypoplasia OU and nystagmus. Sam demonstrates mild peripheral field loss on his right side. Sam is a braille reader and uses the long cane to aid in his travel. Sam has received O&M direct instruction throughout his school career. Interviews Teachers: Sam’s primary academic classroom teacher reports Sam moves independently within the classroom to his desk and to a table where he works with peers on group projects. Sam uses his cane during travel in the school and during mobility lessons in the community. She noted concerns with organization and keeping assignments and materials accessible. Sam’s VI teacher reported challenges with organization, slow reading rates and his reluctance to ask for help. MOM: Sam’s mother expressed concerns about his transition to a new school and learning his way around the school, especially due to increased daily classroom changes. She reports he knows where everything is at home. Sam lives with his mother and father he is an only child. Sam attends church with his parents however; he does not go to the church youth group. Sam has a cousin his age that he sees at holiday gatherings. Mom would like for Sam to attend a four year college. Student: Sam expressed a desire to have more friends and he stated there was a girl in his class that was his best friend. He wants to be able to go to the mall and to meet and “hang out “ with friends, however, his parents have not allowed him to go by himself. Sam likes to listen to music on his mp3 player and he has a book port to listen to audio books. EXCEPTIONAL CHILDREN DIVISION Mary N. Watson, Director | [email protected] 6356 Mail Service Center, Raleigh, North Carolina 27699-6356 | (919) 807-3969 | Fax (919) 807-3243 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER Central NC Co Schools June 5, 2013 Page 2 of 3 Sam has a cell phone with a “blackberry” type keyboard. Sam has a computer at home. OBSERVATIONS Sam was observed over the course of several school days walking throughout the school building, and in classrooms. Lighting in the interior halls and classrooms is provided by traditional overhead fluorescent fixtures. Sam was also evaluated in his residential neighborhood and at a local strip shopping center traveling within two stores. Orientation refers to the thinking part of moving from place to place. It is the process of using knowledge and sensory information to understand one’s location in the environment and how to move to a desired location. Orientation goals for students begin with body awareness, sensory development, identifying and using landmarks, auditory discrimination, and the use of cardinal directions applied to large environments. Orientation Skills During the more formal parts of this assessment Sam demonstrated the following: Correct responses to positional and directional requests including: knowledge of left from right, between, next to, under/over, near/far, in front of/behind, center corner, side. Sam correctly navigated routes in sequence throughout the school building Sam was unaware of alternate routes (there are two additional) from his classroom to the gym. Sam lost his orientation when asked to travel a new route from the classroom to the art room (he normally goes from the cafeteria to Art) Sam incorrectly identified perpendicular and parallel, 3 out of 4 times Sam continues to have challenges when verbally describing a simple 3 step route that he is familiar to him, he often omits a turn Sam can name and identify landmarks for orientation in his school building Sam knows the most common place for customer service counters in retail stores is near the front entrance. Sam has limited understanding of grocery stores and common food, grocery sub-groups indicating a limited experiential base Sam has not been introduced to the compass or simple tactile travel maps Mobility refers to the physical part of travel, with the culminating goal for the student to demonstrate safe, efficient and independent travel in familiar and unfamiliar environments. Mobility specific objectives for students may include body protection techniques, and proper sighted/human guide techniques, telescope use for distance print access, neighborhood and community safe street crossing skills and techniques. Mobility Skills Sam was observed demonstrating the following at school and in the community Central NC Co Schools June 5, 2013 Page 3 of 3 Sam walks at a slow pace during hall travel with and without the log cane He can become easily distracted when people speak to him during hall travel at school losing his orientation Sam visually sighted door knobs at one foot Sam used his cane in a diagonal position during hall travel He uses a modified constant contact technique during outside travel and needed verbal reminders to use sweep his cane in an arc (two point touch) in front of his body as he walked Sam knows his daily schedule by route memory and practice Sam incorrectly identified the parallel street during neighborhood travel 2 out of 4 times He demonstrated correct use of the 8X monocular to “read “ a street sign from the opposite corner where he was standing however; he could only identify the letters at 10 feet (mid street) distance Sam identified the direction of car travel in relation to his body correctly during residential travel SUMMARY AND RECOMMENDATIONS According to the O&M outcomes guide Sam demonstrates a 60% competence level in all areas for students entering 6th grade. The domains of highest competence are basic cane skills and knowledge residential neighborhoods. Areas of least competence are: verbally describing the layout of his home and description of familiar routes (perceptual cognitive processes) map reading and understanding, time/distance planning, and compass use. The anticipated transition from elementary school to middle school will present new challenges for Sam and greater demands for independent safe travel skills. Sam would benefit from continued consistent direct O&M instruction to meet his unique needs as a student with a severe visual impairment. Create your best O&M PLAAFP ever! Are there O&M skills that Sam needs in order to be able to access the math curriculum? How can you help the IEP team support good O&M skills during the school day?
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