Beyond Lunch Bunch: Meeting the Social and Learning-toLearn Needs of Students with High Functioning Autism through Innovative Programming and Specialized Services Brandie Rosen, Program Specialist Las Virgenes Unified School District Wes Parsons, Esq. Fagen Friedman Fulfrost, LLP 1 Today’s Agenda What Is “FAPE” and What is the Role of the Assessor? Eligibility for Special Education Under the IDEA The Legal Standards Qualifying Disabilities: Focus on Autism The Need for “Special Education and Related Services” IEP Development and Connecting the Dots… The “New” California Regulations and Assessing for Autism Issues to Consider When Assessing for Eligibility Under Autism Identifying “Needs” of the High-Functioning Population Goal Development Program and Services Defending Your Program 2 I. What is a FAPE and What is the Role of the Assessor? 3 WHAT IS “FAPE”? ETC… TWO PRONGS: Procedural FAPE Has the school district complied with the procedures set forth in the IDEA? Substantive FAPE Is the IEP reasonably calculated to enable the student to receive an educational benefit? 4 Procedural FAPE Over 800 possible procedural requirements: • • Meeting Timelines Predetermination • • Failing to Share Information With Parents • • • (“We only do quarterly progress reports!”) Failing to Make a Clear and Specific Offer Failing to Make an Individualized Offer • • (“We don’t need Parent’s input!”) (“We don’t do that here!”) Failing to Have All Required Members at the IEP Team Meeting 5 Procedural FAPE Not every procedural misstep results in a denial of FAPE Procedural violations result in a denial of FAPE only where the procedural inadequacy: Impeded the child's right to a FAPE; Significantly impeded the parent's opportunity to participate in the decision-making process regarding the provision of a FAPE to the parent's child; or Caused a deprivation of educational benefit 6 Substantive FAPE Services offered to the student Services provided to the student The IEP is the vehicle we use to deliver a substantive FAPE 7 Substantive FAPE: The Rowley Test An IEP Provides a Substantive FAPE if it is: 1. 2. 3. 4. Designed to meet unique needs; Reasonably calculated to provide educational benefit; Services comport with IEP; Student is educated in the least restrictive environment 8 The Rachel H. Balancing Test Four factors: 1. Academic benefit 2. Non-academic benefit 3. Effect on teacher/students 4. Cost Sacramento City USD v. Rachel H. (9th Cir.1994) 9 Substantive FAPE: Building an Appropriate IEP IEP development is a linear process “Connect the Dots” from one step to the next Child find Assessment The IEP Team Meeting Determining Eligibility Areas of need Goals Accommodations/modifications Placement & Services 10 Substantive FAPE: Child Find IDEA requires that… A district must: Actively locate; Identify; and assess all students within their boundaries who may require special education services… 11 Substantive FAPE: The IEP Process Assessment Offer of Placement and Services Draft Appropriate Goals Determine Eligibility Determine Present Levels and Areas of Need 12 Autism – Redefined! 13 Definition of Eligible Student To be eligible under IDEA and California law, student must: 1. 2. Meet the definition of at least one of 13 identified disabilities; and Require special education and related services as a result of such disability (34 C.F.R. §300.8; Ed. Code, §56026) 14 The 13 Eligibility Categories 1. 2. 3. 4. 5. 6. 7. Autism Deaf-Blindness Deafness Emotional Disturbance Hearing Impairment Intellectual Disability Multiple Disabilities 8. Orthopedic Impairment 9. Other Health Impairment 10. Specific Learning Disability 11. Speech or Language Impairment 12. Traumatic Brain Injury 13. Visual Impairment, including blindness (34 C.F.R. §300.8; Cal. Code Regs., tit. 5, §3030) 15 Eligibility: Focus on Autism State and Federal Law defines each of the 13 disabilities Autism: California law changed on July 1, 2014 to align with Federal Regulations: OLD Definition If a student exhibits any combination of the following autistic-like behaviors, s/he shall qualify as an individual with exceptional needs: (1) An inability to use oral language for appropriate communication. (2) A history of extreme withdrawal or relating to people inappropriately and continued impairment in social interaction from infancy through early childhood. (3) An obsession to maintain sameness. (4) Extreme preoccupation with objects and/or inappropriate use of objects. (5) Extreme resistance to controls. (6) Displays peculiar motoric mannerisms and motility patterns. (7) Self-stimulating, ritualistic behavior. Assessors also look for unusual responses to sensory experiences. Definition (1) Autism means a developmental disability significantly affecting verbal and nonverbal communication and social interaction, generally evident before age three, and adversely affecting a child's educational performance. Other characteristics often associated with autism are engagement in repetitive activities and stereotyped movements, resistance to environmental change or change in daily routines, and unusual responses to sensory experiences. (A) Autism does not apply if a child's educational performance is adversely affected primarily because the child has an emotional disturbance, as defined in subdivision (b)(4) of this section. (B) A child who manifests the characteristics of autism after age three could be identified as having autism if the criteria in subdivision (b)(1) of this section are satisfied. (34 C.F.R. §300.8; Cal. Code Regs., tit. 5, §3030) 16 Eligibility: Focus on Autism Has this definition changed how we identify a student under “autistic-like behaviors” versus “autism”? Must a student demonstrate a verbal, non-verbal and social impairment to be a “student with autism”? Are we still looking for autistic-like behaviors when we assess? What about “characteristics often associated with autism”? engagement in repetitive activities and stereotyped movements, resistance to environmental change or change in daily routines, and unusual responses to sensory experiences Are these really just the same thing as the list of autistic-like behaviors we had under the previous definition? 17 Here’s What the California Dept. of Education Had to Say: Some commenters objected to the change, saying that school psychologists can only assess for “autistic-like behaviors” and not “autism.” The CDE responded: “There is no eligibility category for a student’s being ‘autistic like,’ only for being autistic.” “Autistic-like” is an adjective used to modify behavior. This is being replaced by “characteristics of autism.” Psychologists who can assess only for “autistic-like behaviors” will also be able to assess for “characteristics often associated with autism.” Take Away: Just as there isn’t a category for “ED-like” or “OHIlike,” the new regulations recognize that the eligibility category is “autism” not “autistic-like.” But you are still not diagnosing a student with autism, you are determining whether the student meets the educational definition of autism. Final Statement of Reasons: SUMMARY AND RESPONSE TO COMMENTS 18 RECEIVED DURING THE INITIAL NOTICE PERIOD OF MAY 25, 2013 THROUGH JULY 8, 2013. Eligibility: Focus on Autism So, assessors are still looking at behavior and assessing whether a child exhibits “characteristics often associated with autism” (or autistic-like behaviors). But, to be eligible as a student with autism under the IDEA, a student will need to do more than just exhibit these behaviors. Let’s break down the educational definition of autism. (34 C.F.R. §300.8; Cal. Code Regs., tit. 5, §3030) 19 Eligibility: Focus on Autism Autism means a developmental disability significantly affecting verbal and nonverbal communication and social interaction… adversely affecting a child’s educational performance. Does it need to be all three? OAH cases so far indicate, that yes, it does. We will go through some of those cases today. 20 Eligibility: Focus on Autism Generally evident before age three… (but) … a child who manifests the characteristics of autism after age three could be identified as having autism if the other criteria are satisfied. Why is this important? Should the team consider it? Yes! It wouldn’t be included if it shouldn’t be considered. If behaviors are just starting to manifest in the 8th grade, then it could be due to autism, but it could be due to other factors too. This could be telling you, as an assessor, to take the time to look critically at other factors. For example, are there environmental issues impacting peer relationships or are there ED or OHI issues to consider? 21 Eligibility: Focus on Autism Other characteristics often associated with autism are engagement in repetitive activities and stereotyped movements, resistance to environmental change or change in daily routines, and unusual responses to sensory experiences. What about these “Other Characteristics”? If we have these other characteristics, but we do not have impaired verbal and nonverbal communication or social interaction, then does that rule out autism? Consider a student with, for example, ODD or ED… could they engage in all of these “other characteristics” and have impaired social interaction (but have intact verbal and non verbal communication)? 22 Eligibility: Focus on Autism A student does not qualify as a child with autism if his educational performance is adversely affected primarily because the child has an emotional disturbance. Think critically about what is driving behaviors – if anxiety is causing behaviors, is the anxiety secondary to the autism (or perhaps, is the anxiety resulting from the student’s poor peer relations which are the result of the student’s autism?) Remember… a student can have a secondary eligibility of ED (with a primary of AUT). For example, a student may be autistic, and also have depression (leading to a secondary eligibility of ED). Now let’s look at a post-July 2014 case about verbal and nonverbal communication, social interaction and the new regulations. 23 Eligibility: Focus on Autism Parents v. Hacienda La Puente Unified School District At the time of the hearing, Student was nine-years-old and not eligible for special education under the IDEA. First grade teacher reported that he was happy, got along with peers, was not hyperactive, not sensitive to sound or loud noises, and was very bright academically. He read and wrote very well. Sometimes he did not complete assignments, but this was usually related to more challenging work. He sometimes talked out of turn, but this behavior was typical for his age. At six-years-old, Student had a private evaluation. Evaluator did not observe Student in the school setting and gave a diagnosis of “Asperger’s Disorder.” 24 Eligibility: Focus on Autism Parents v. Hacienda La Puente Unified School District Further private assessments confirmed Student to be very bright and advanced academically. Second grade teacher testified that Student had difficulties making friendships, did not participate in group projects and could not stay on task. Though she did not report it, teacher testified that Student had poor communication skills. During the same time, District school psychologist observed Student and saw him attending and interacting with peers. ALJ found the psychologist to be more credible than the teacher. Academic assessor’s observations were consistent with the school psychologist. 25 Eligibility: Focus on Autism Parents v. Hacienda La Puente Unified School District Throughout the remainder of second grade, district staff implemented general education interventions and other staff members observed Student to be happy, to like school and to play with others and reciprocally communicate, and use appropriate language with classmates and language. He did not exhibit autistic-like behaviors. In third grade, he was engaged in class, did not disturb others, followed directions, did not react to loud noises, would daydream like others (but not inappropriately so), was occasionally shy, but engaged with his peers, and made direct eye contact and relished oral presentations. 26 Eligibility: Focus on Autism Parents v. Hacienda La Puente Unified School District District SLP observed over nine different days in class and on the playground. Student was fully engaged and regularly initiated short conversational exchanges with classmates, told jokes during his oral presentation, and engaged in chats about a number of topics including books, frozen treats and bunnies. He lined up well and transitioned well. SLP documented this all in her report. SLP also administered standardized tests (CASL, CELF) to test expressive and receptive language skills and the pragmatics profile, and utilized additional instruments – the test of Pragmatic Language – 2. She also interviewed Student. ALJ described SLP report as “meticulous and comprehensive.” 27 Eligibility: Focus on Autism Parents v. Hacienda La Puente Unified School District In determining eligibility, the ALJ used the new standard, and set it forth as follows: Autism means a developmental disability significantly affecting verbal and nonverbal communication and social interaction… The italics on the “and” indicates that, in order to be eligible under autism, a student would need have a developmental disability that significantly affects all three areas, not just one area. Therefore, if there is a question or concern about communication, the speech and language assessment is a vital part of an autism eligibility determination. In this case, the ALJ held for the District, and again, praised the speech and language report for its thoroughness. 28 OAH Case No. 2014120050 Eligibility: Focus on Autism Parents v. Hacienda La Puente Unified School District This case showed the importance of observations – across settings, by all assessors, and during different times of day. What do we do if a child isn’t attending school? For example, if a parent has taken the child out of school and is in the home setting? Or if a child is unilaterally placed? Assessing peer interaction is vital – how can we observe that? How can we make sure we get to observe the student? What about interviews? 29 OAH Case No. 2014120050 Assessing for Autism/Autism-Like Needs Multidisciplinary Team Psychologist, Behaviorist, Speech Pathologist, Special Education Teacher, Occupational Therapist, General Education Teacher Any Combination of the Above Three key areas: Communication Social Behavior 30 Assessing for Autism/Autism-Like Needs Communication Standardized pragmatic) Beware (expressive, receptive and the high-scoring “trap”! Non-standardized Observation (multiple observers, settings and situations) Teacher interview – scratch the surface! Parent/private interview and input Language sample 31 Assessing for Autism/Autism-Like Needs Social – encompasses more than “communication” Standardized – beware the high-scoring “trap”! Non-standardized Observation – during structured and non-structured, preferred and non-preferred peers and activities, adult versus peer interaction Teacher interview – scratch the surface! Parent/private interview and input 32 Assessing for Autism/Autism-Like Needs Behavior – requires a critical eye for the high-functioning student Standardized – rating scales as appropriate from teacher(s), staff, parents/private, and student With and without support? Non-standardized Observation – structured/non-structured, with/without support, preferred/non-preferred peers and activities, over extended time-frame Teacher/staff interview Parent/private interview and input 33 Remember… Assessment process is: Collection of information Variety of sources and multidisciplinary – expect overlap Compilation of that information Analysis of that information Address commonalities and differences in findings Develop your thesis/story of the child Conclusions based on that analysis Eligibility, strengths, academic and functional levels, needs Documented into IEP 34 Assessment: Child Find Orange Unified School District v. C.K. Parents informed district that they believed that their 6year old son displayed some symptoms consistent with autism. For example, he was not toilet trained, he did not make eye contact, and he had a vocabulary of zero to three words. District speech and language pathologist found during the preschool assessment that Student needed frequent prompts and displayed poor attending skills. Student was made eligible at initial IEP under “speech and language impairment” but district did not assess for behavioral disorders. District offered two 90 minute group speech and language sessions per week. 35 Assessment: Child Find Orange Unified School District v. C.K. Student did not make progress in speech therapy. Three months following the initial IEP, the District changed Student’s eligibility to autism after Student scored in the “Severely Autistic Range” on the Childhood Autism Rating Scale. District then offered placement in an SDC. Parents alleged a denial of FAPE for many reasons, including a failure to timely assess to determine eligibility under the category of “autistic-like behaviors.” The District claimed that it was not required to initially assess for autism because Parents indicated that their primary concern related to Student’s expressive language. 36 Assessment: Child Find Orange Unified School District v. C.K. The court held for the Parent: Parent responded to many questions during the assessment that indicated the presence of autistic-like symptoms. Parents also indicated a concern that their son was autistic. The speech and language pathologist noted that the student was largely non-responsive, had poor attention and motivation, required frequent prompts and avoided eye contact. According to the court, these observations by the speech and language pathologist, along with Parents’ concerns, were enough to meet the “relatively low” threshold of suspicion that the Student might be autistic. Therefore, as of the initial IEP team meeting, the District was on notice that it was legally required to assess Student for autism before any initial placement. Orange Unified School District v. C.K. (C.D. Cal. 2012) Case No, SACV 11-1253, 59 IDELR 74 37 Assessment: Child Find Orange Unified School District v. C.K. What can we take away from this case? The court upheld an award of private placement reimbursement and provision of a one-to-one aide. Although the district may have been able to provide a FAPE – had they assessed – due to the failure, the district had to pay for a private placement. This could be a costly error. Child find requires a district to assess in all areas of suspected disability, not just in areas “requested by parent.” While assessing to answer the initial referral question, you may see behaviors or have concerns which go beyond that initial question. This may become another “area of suspected disability” which then requires assessment. Would the outcome had been different if the district offered the right services, but the “wrong” eligibility? 38 A Word About The DSM-V and Medical Diagnoses A medical diagnosis of autism will not, standing alone, entitle a student to receive special education and related services. A student must still meet the criteria under the IDEA. OAH does not apply the DSM criteria. Be prepared for parents’ questions! Anticipate questions you will receive from parents whose children who are receiving services from private providers. What are the educational standards versus the DSM-V standards? Have a copy of the DSM-V handy so that you can point out the differences. 39 So, the assessment data shows that a student meets the definition of a student with autism. Is the student now eligible under the IDEA for an IEP? 40 Remember, in order to be IDEA eligible, the child must also require special education services as a result of the student's particular disability. When Does a Student “Need” Special Education? 41 The Need for Special Education Assessment results must show that the degree of the impairment is such that the student requires “instruction and services which cannot be provided with modification of the regular school program” in order to ensure the provision of a FAPE. What exactly are these “instruction and services”? 42 The Need for Special Education: What is special education? IDEA defines special education as: “Specially designed instruction” Provided “at no cost” to parents Intended to meet “unique needs” of student (34 C.F.R. §300.39(a)(1)) 43 Need for Special Education: Student v. Monrovia School District 8-year-old Student had above-average and superior cognitive skills, with deficits in social, behavioral, writing and fine-motor skills. He showed unusual responses to sensory input. Various doctors and assessors had determined him to be on the autism spectrum. Others described attentional deficits, hypersensitivity to stimulation, aggressive behavior, impulsivity and hyperactivity. Student did not have an IEP but had a 504 Plan which provided for a “shadow aide” and O/T services. 44 Need for Special Education: Student v. Monrovia School District Accommodations included taking Student to a quiet place to calm down when he showed signs of fidgeting or loss of emotional control; cuing to use anxiety-reducing interventions; cuing to put his arm on the table to stabilize; and, if all else failed, evacuating the classroom in the event of a serious “meltdown.” In Fall 2001 District assessed per request of Parent and found Student not eligible; District and Parent then agreed to have private assessor evaluate Student in late 2001. At IEP team meeting in Feb. 2002, private assessor recommended social skills training, which was a general education intervention. Still no consensus on eligibility. 45 Need for Special Education: Student v. Monrovia School District Beginning in February 2002, Principal was called 10-12 times to assist with Student and parents were called 5 times. Student would throw things at aide and other students (and once, a desk at a teacher), refuse to come out from under his desk for up to one-half-hour. Student was estimated to be on task about ½ the time and District assessments identified attentional issues. Student was observed seeking sensory input, including spinning, “banging in to other students, and walls, in relation to impulsive behavior.” 46 Need for Special Education: Student v. Monrovia School District The ALJ held for the Student: The evidence established that, as a result of Student’s disabilities, he missed school, caused danger to himself and others and had difficulty with written expression. The 504 Plan was “no longer sufficient to meet Student’s needs” and the Student required “special education to address social, behavioral, and written expression needs.” The ALJ noted that the private assessor was competent to offer an opinion regarding eligibility and recommendations, but that, his opinion was “made without the benefit of more contemporary information regarding Student’s behavior at school, which had arguably gotten worse." 47 38 IDELR 84 Need for Special Education: Student v. Monrovia School District What We Can Take Away From This Case: Needs of students with autism can change from year to year or even month to month. General education accommodations may be sufficient today, but they may not be tomorrow. It is important to monitor the effectiveness of accommodations carefully and review multiple sources. Be especially careful to monitor where a student has a medical diagnosis of autism! (Stanislaus Union School Dist. v. Student (OAH 2013) Case No. 2013050308) Stale evaluations aren’t defensible. The independent evaluator wasn’t credible because so much of the Student’s behavior had occurred after the evaluation. If a student’s behavior begins to change dramatically, consider whether there has been a change in circumstances and further evaluation is necessary. 48 The “Need” for Special Education: Just Related Services NOT JUST ACADEMIC If student meets definition of one or more disabilities identified at 34 C.F.R. § 300.8, but only needs related services and not special education: Student is not eligible under IDEA. Except if related service that student requires is considered “special education” under state standards (e.g., speech and language therapy). 49 Time to Connect the Dots! Present Levels Goals Accommodations Placement and Services 50 Needs/Deficit Areas Identify needs – baselines (common “themes” we see in this population) Noncompliant Social Initiation Social Maintenance Rigidity/Inflexibility Control Attention Seeking Provocativeness Body Space Issues Learning to Learn Skills Executive Functioning Limited Interests 51 Needs/Deficit Areas Who are these kids? No single “box” – but we can see “profiles” emerge Noncompliant, social initiation and rigid Provocative, controlling and attention seeking Learning to learn, inattentive, executive functioning Just starting points and every child is different! 52 Topic Hog Likes to talk about what they like to talk about Knows a lot about a few things (often not age appropriate) Uses others as a sounding board- not true social interest Lack of reciprocity Changes the topic mid conversation Often likes to talk to adults 53 The Wallflower Quiet Often peripheral of social groups Not involved in games/activities Prefers solitary activities and uncomfortable with group activities May be overlooked Not a traditional “behavior” problem Deficit/nonfunctional versus shy/functional 54 The Mover This is the student that can’t sit or stand still Always bumping into others and getting into their space. Makes too much noise when others are quiet Often touches other kids in ways that bother them Has difficulty “hanging” Often touches materials on others desk Tends to take things a bit too far – and left holding the bag 55 The Hail to the Chief-er Always wants things to go his/her way. Has a hard time (behavior) when someone else makes the rules Struggles with group work Struggles with taking another's opinion that is different than theirs Often feels that they are right and others are wrong Often expends a great deal of energy trying to keep control of things 56 The Enforcer In everyone’s business Very aware of what others should be doingnot much self-awareness Rule follower (for others) Often inflexible Makes natural social flow difficult Gives others corrective feedback Often makes excuses for their own behavior but rarely for others 57 The Babysitter Often likes to be with younger kids Struggles with same age peers Will search out other “weaker” kids that they can take care of or tell what to do. Difficulty maintaining legitimate friendships Often see this as kids mature and they can’t “keep up” Often as an escape to challenging social situations 58 Connecting Dots: Goal Development 59 Connecting Dots: Goal Development Meaningful - based on a student’s assessed/identified areas of need Academic, Vocational, Social and Behavioral Goals must be measurable and developed from student’s present levels Designed to meet the child’s needs (not guaranteed!) Help the child be involved in the general education curriculum 60 Connection Dots: Goal Development Break down goals into meaningful parts. Kids with Autism learn differently and goals need to reflect this. Is the goal important and necessary for this student’s success? Break skills down into more discrete learning to avoid “robotic appearance” with holes in learning: NO: “When initiating a conversation with a peer, will say hello and introduce self….” Social Skills versus Skill Specific Goal: NO: “Will display appropriate social skills during…” YES: “In a structured learning environment (e.g. social skills group), Student will initiate a social-interaction with a peer in an ageappropriate manner (e.g. orient to peer, ask question/make comment, join activity)… 61 Connection Dots: Goal Development The Shift to Common Core and Children with Autism The “why” and the “how” Informational Texts More Complex Texts Increased Writing Oral Presentation Collaborative Group-work Application/Word-Problems Conflict Resolution Executive Functioning Perspective Taking Inferences 62 Connecting Dots: Goal Development Tips/Red Flags Responsible Personnel – embrace overlap! Prompting Meaningful collaboration What are the pitfalls when used in goals? Can the goal/skill area be broken-down and written for a “prerequisite” skill? How can a goal be written to ensure independence? Compound Goals – too many areas addressed Can each skill within goal be measured separately? May result in many “partially met” (i.e. NOT MET) goals 63 Connecting Dots: Goal Development Tips/Red Flags Don’t be Vague “will improve their social skills in 2 out of 3 opportunities…” Can data be collected by someone who does not know the student? No “Prospective” Deficit Goals Guaranteed to fail Current deficits only! TIPS – keep a bank, but individualize Student v. Las Virgenes Unified School District (OAH 2013) 64 Connecting Dots: Goal Development District prevailed in defending its Elementary Social-Communication Program IEP in question had 14 goals ALJ cited verbatim, all 14 goals to show District developed an appropriate IEP Goal Example: “Across the school setting, Student will display knowledge of five different age appropriate topics, and will engage in a five minute conversation about the topic and include five different facts about the topic during the conversation in four out of five trials over a two week period…” 65 Connecting Dots: Goal Development Goals – the Bad, the Good and the Better At school, Student will take turns and play nicely with his peers 90% of the time. In a large-group setting, Student will be able to identify a peer’s feelings (i.e. happy or sad) and will act appropriately with 80% accuracy in 2 out of 4 trials as measured by teacher observations. In a large-group setting, when interacting with peers, Student will be able to identify social perspective (e.g. identify another’s point of view, understand the topic being talked about) and act accordingly based on the social situation (e.g. wait for a break in conversation, stay on topic, match the energy level of the group) in 80% of opportunities over a 4-week period as measured by data collection. 66 Connecting the Dots: Program and Services Districts typically operate RSP/SDC or SAI model Historically, lower-functioning Autism population served in SDC or selfcontained special education classrooms with other students with varied moderate to severe needs. High functioning students didn’t really fit in with severe program or RSP-SAI/SLD population. By default, higher functioning population often placed in general education with 1:1 aide/behavior support: Often via NPA support and/or disjointed, reactive intervention Can result in prompt dependence, student isolation and lack of meaningful growth Artificial appearance of independence and student progress 67 Connecting the Dots: Program and Services What we saw: Preschool – integrated specialized programs – kids generally did well, gap between typical and special education not as pronounced; easier for kids to “blend in” and be overlooked Elementary - hanging in there – but gaps beginning to show Smart only gets them so far – executive functioning issues begin to impact learning Social gaps start to widen Kids start to “blend out” “That’s just who they are!” Social emotional issues may emerge – May look behavioral in nature May stem from frustration, inattention, control and/or inflexibility 68 Connecting the Dots: Program and Services What we saw: Middle School - beginning to fall apart – too little, too late? Peers less forgiving Social and Academic demands skyrocket Added demands of adolescence, not “just who they were” – social emotional issues more pronounced and “emotional” (i.e. depression, anxiety, etc…) High School - complete disaster “I want my NPS/RTC!” Grades plummet, complete social disengagement or isolation, almost look ED Can fall in with the “wrong” crowd and display anti-social behaviors. 69 Connecting the Dots: Program and Services What we did: Buttercup Preschool Developed to build capacity within our own district and reduce requests for private preschool funding; A full-inclusion, ABA-based program that meets the individual needs of special education students and typically developing peers, side-by-side, in a range of classroom options; Collaboration between all staff: Special educators and general education teachers Psychologists, behaviorists, speech and language specialists, occupational therapists, adaptive physical education teachers and trained instructional assistants. All staff receives ongoing specialized training in ABA; Range of placement options: Intensive: taught by special education teacher with 2:1 ratio of adults to students; 50/50 SDC: taught by credentialed special education teacher with 50% special education students and 50% typically developing peers; ECE: taught by an ECE certified teacher with 20% special education students and 80% typically developing peers. 70 Connecting the Dots: Program and Services What we did: Buttercup Preschool Ongoing program development: Preschool program was almost “too good” Students “looked great” in the preschool setting, but deficits appeared upon matriculation into Kindergarten and early elementary. Restructured the 4-year old classes with a stronger focus on independence, executive functioning and learning to learn skills Provided additional training to all staff in identifying and addressing the “more subtle” social and learning to learn skills (goals and services) Transition into Kindergarten facilitated through attendance in elementary social-communication ESY program. 71 Connecting the Dots: Program and Services What we did: Social Skills and ABA District adopted ABA as guiding principle in educating students with Autism District applied an ABA-based model in the development and instruction of social skills. This means – skills are systematically broken down in to teachable parts and taught to generalization before moving on to the next skill. Proactive instruction is individualized for each student’s specific skill deficit as opposed to “a one size fits all” curriculum Social instruction versus social support (moving beyond a traditional “lunch bunch” approach). 72 Connecting the Dots: Program and Services What we did: District’s SAI model “adjusted” at all school sites: Moved beyond “lunch bunch” and “small-group” speech, and implemented systematic teaching of Social and Learning to Learn Skills throughout the school day with strong generalization plans. This is instruction like Language Arts and Math! Developed and implemented systematic District-wide behavioral (ABA) training for all staff (administrators, teachers and aides) collaboratively with Autism Partnership, the District’s consulting nonpublic agency. 73 Connecting the Dots: Program and Services What we did: Developed District’s Behavior Team Provide direct ABA based services to students Provide consultation to staff in the area of behavior Ensure District expertise in meeting students’ needs Ensure District expertise at IEP team meetings. Trained the trainers: 2-day didactic and 4-day hands-on 74 Behavior Capacity Model Director of Special Ed Expert &/or Program Coordinator Behaviorist(s) TOSA / Psych District Level Instructional Specialists Behavior Principal Teachers - Gen. & Sped. Instructional Aides School Site 75 Connecting the Dots: Program and Services What we did: Social-Communication Programs Even with additional training and support at each school site, some students required a greater level of intervention Expanded Social Communication Program (Elementary, Middle School and High School) Specialized Programs “Elective” (Middle and High School) Prosocial versus deficit driven Specialized Aide support Staff training School-wide “buy-in” and training 76 Connecting the Dots: Program and Services What we did: Social-Communication Programs Daily systematic social skills instruction with strong generalizations plans More than lunch bunch More than 30 minutes a week of social skills Small group setting Layers of support (from administration, to speech, to psych, behavior….) School-wide training and support for the general education grade-level teams Systematic instruction throughout the school day Individualized goals addressed across all settings (e.g.: compliance, flexibility, staying on topic) Group goals embedded through the school day Teacher that is highly trained in social/behavioral instruction (i.e. not an “add-on”) Highly trained support-staff to support program(s) throughout the school day Meaningful access to typical peers in a systematic way Parent training to support school-to-home generalization of skills 77 Connecting the Dots: Program and Services What we did: Social-Communication Programs Social and behavioral curriculum – “lesson plans” Systematic plans for targeted skills Developed in writing – and can be used, adapted and tailored to different students based on need Data driven Ex. Expanding Interests (Goal Based) May need 20 skills to be taught/learned Programs work on each of these skills 78 Social and Behavioral Program 79 Social and Behavioral Program Engaging in a Game Objective: To appropriately play a game with peers without interfering, annoying or disruptive behaviors: Playing collaboratively (e.g., not controlling the game, not dictating, playing the way that the group wants to play, compromising with the group) Blending in (e.g., doing what everyone else is doing, no extreme reactions, appropriate voice volume, no repetitive behavior/commenting) Paying Attention (e.g., to the game and taking turns, to peers and the conversation that occurs during the game) Task Analysis: Questions to ask yourself when playing with friends: 1. Am I following the rules that the group wants to play? 2. Am I being repetitive, loud and/or annoying? 3. Am I focused on what my friends are focused on 80 Defending Your Program Student v. LVUSD (OAH 2013) High-functioning Student with Autism/OHI attended District programs preschool through Kindergarten During 1nd grade, Parents alleged escalating behaviors and lack of progress, disputed District’s SAI placement offer and unilaterally placed Student at NPS/Autism Program Student remained at NPS for 2nd and 3rd grade District developed Elementary Social Communication Program during Student’s 2nd grade year and fully implemented during Student’s 3rd grade year District reassessed and IEP convened at the end of Student’s 3rd grade year to develop program for following year District assessments included extensive observations by all assessors 81 Defending Your Program Student v. LVUSD (OAH 2013) IEP team recommended transition to less restrictive setting and offered placement in Social Communication Program for 4th grade year. Offered Social Communication Program included: SAI for social skills, language arts, math, social studies, library, computer and PE General education for science, art music, lunch and recess Aide support 1:2 during general education times OT, SL, direct District behavior services (including social skills), District behavior supervision, NPA behavior supervision and consultation among all service providers Additional behavior services by District and NPA provider offered to assist with transition from NPS to District program included Parents disputed assessments and placement offer and filed for due process. 82 Defending Your Program Student v. LVUSD (OAH 2013) ALJ held for the District: District’s multi-disciplinary assessment determined comprehensive and thorough District witnesses found highly credible, “thoughtful, enthusiastic, and established their competencies to tailor the program to Student’s needs.” District’s adoption of ABA-based programming (methodology) developed with consulting agency was reasonable and based on peer-reviewed research Student’s prior “negative” experiences in the District was not predictive of how the current program would be implemented Offered program permitted a “continuum of environments … that could either pull things back if not working or expand if successful.” District prevailed on all issues heard and decided 83 A few words about ESY… Address social and learning-to-learn skills with the regression/recoupment “analysis” For all grade levels “Camp-like” approach – theme based Focus on fun – with systematic instruction embedded for the full school day Emphasis on group-learning, expanding interests, and problem solving An investment that “pays off”. 84 Defending Your Program Student v. LVUSD (OAH 2014) Fully-included 4th grade, high-functioning student with Autism transferred into District (mid-summer transferee) Student’s IEP included NPA behavioral aide District offered and implemented comparable program with Districttrained IA support and District-provided behavioral supervision Subsequent IEP recommended placement in District Social Communication Program (60 minutes per day to directly target social and learning to learn skills), behavior and SL services (direct and consultation) District IA support (“not 1:1”) for general education. Parent disputed District’s placement offer and filed for due process challenging Social Communication Program placement and District provided IA support 85 Defending Your Program Student v. LVUSD (OAH 2014) ALJ held for the District: ALJ found District’s witnesses to be sincere, genuine, persuasive, thoughtful and professional “The Social Communication Program was taught … to third through fifth grade students who were generally at grade level academically but weak in social communication skills. Students of different grades went in and out of the classroom, some for only the direct instruction of a one hour social skills class, and the class usually had 10 to 12 students at any one time. The social skills class incorporated a curriculum that systematically taught both "learning to learn" and social skills. Aides in the Social Communication Program followed social skills students throughout the day, in the general education classrooms and on the playground, to reinforce acquired skills.” “Learning to learn skills are necessary to function in a school environment, and include such skills as how to raise a hand to appropriately gain attention, wait to be called upon, sit appropriately, keep an organized binder, bring books to school, be prepared, pick a partner for group activities, and follow instructions. A student who lacks learning to learn skills can be affected socially.” “The social skills component … focused on social interaction skills in which a student had a deficit and taught them in small, learnable parts. For example, before a student could master frustration tolerance, he needed to first learn how his body felt under stress, to identify what stressed or calmed him, and how and when to apply calming techniques. Conversation skills lessons included not only greetings, but how to join a conversation appropriately, and conversational turn taking (how to be less "robotic," or to avoid monopolizing conversation).” 86 Defending Your Program Student v. LVUSD (OAH 2014) “The social skills curriculum also included engaging in play activities, as play is the primary means by which elementary school children form meaningful peer relationships. Students learned the rules of common games (e.g., the ball bounces twice in handball), common terms of the games (e.g., "rainbow" and "cross-country" in handball), how to be flexible if peers want to change the rules, and how to physically participate (e.g., how to hit the ball and where to aim). In contrast to physical education classes, the social skills class allowed students to learn the rules and physical skills necessary to play a game in a safe environment. Those skills were then generalized to the playground. The Social Communications Program had instructional aides … who worked with the program's students on the playground during lunch and recess.” “District provides ABA training to all instructional aides who work with students on the autism spectrum. ABA is an instructional technique that breaks down skills into measurable, learnable parts that are initially worked on in a small structured environment, and then practiced in increasingly less structured settings. If the skills are learned in a progressive and systematic way, they should transfer to other settings. District's ABA training program was designed by, and is run in collaboration with … an NPA that serves children with autism.” “The training program consists of two days of lecture, and four days of hands-on training with preschool children. District's ABA training is comparable to, if not better than, that provided by most NPA's in the field. District instructional aides are supervised by District's behavior intervention team, who in turn collaborate with [consulting NPA]”. District prevailed on all issues heard and decided. 87 88
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