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Answer: Spina Bifida is the most frequently occurring birth defect affecting approximately one out of every 1,000 newborns. Sometime in the first month of pregnancy, the unborn child’s spine fails to develop completely. Surgery to repair the newborn’s back may be performed within 24 hours after birth to minimize the risk of infection and to preserve the existing function in the spinal cord
The causes of Spina Bifida is unknown, however researchers have discovered that folic acid, a common B vitamin, can help reduce the risk of having a child with a neural tube defect like Spina Bifida. Women of childbearing age are recommended to take 0.4mg (400 micrograms) of folic acid every day. This is 100% of the RDA and is found in over-the-counter multi-vitamin supplements as well as in dark leafy green veggies, whole grains and other foods like soy beans, peas, green beans, rice and orange juice. Inclusion of a child affected by Spina Bifida or any special need, is essential to the child’s development. Here are some great ways to help a child with Spina Bifida feel welcome and have a sense of belonging in an inclusive classroom: · Adjust the height of furniture such as tables & easels so that it is wheelchair accessible. · Add support chairs in interest centers so that the child can sit independently and interact and socialize with peers. · Widen pathways in and outside the class, add railings and ramps.
Answer: The Council for Exceptional Children states that inclusion "as a value, supports the right of all children, regardless of their diverse abilities, to participate actively in natural settings within their communities". Inclusion is characterized by a feeling of belonging, not by mere proximity, as in mainstreaming, but in children of all abilities learning, playing, and working together. With successful inclusion, all children are actively involved, physically accessing play and work locations, and have options from which they can choose personally. Inclusion is a process, not a placement.
Answer: Respite Care is short-term relief for the primary caregiver of an individual who has a disability. The purpose of respite care is to provide caregivers with an opportunity to take a break from the intensive demands of their daily caregiving responsibilities to enable them to continue to provide on-going care in the home. The type, amount, and duration of service is predetermined and approved by the county of residence. Respite care services may be provided in the client’s home or in a contracted center-based setting.
Answer: A neuropsychological evaluation is a comprehensive assessment of cognitive and behavioral functions using a set of standardized tests and procedures. Mental functions that are tested include, but are not limited to intelligence; problem solving and conceptualization; planning and organization; attention; memory; learning; language; academic skills; perceptual and motor abilities; emotions, behavior, and personality. A neuropsychological evaluation is done by a psychologist who has specialized training and experience in the field of neuropsychology.
Answer: Neuropsychological evaluations are recommended when impairment in cognitive functioning or behavior is suspected to be brain-based. This type of evaluation is used to rule out conditions such as traumatic brain injury, strokes, developmental learning disabilities, attention deficit disorders, psychiatric or neuropsychiatric disorders, seizure disorders, medical illness, the effects of toxic chemicals or chronic substance abuse, and conditions that cause dementia such as Alzheimer’s Disease. The results of a neurological evaluation can be used to confirm and clarify a diagnosis; provide a profile of strengths and weaknesses to guide planning for educational, vocational, or rehabilitation services; document changes in functioning since prior evaluations; assess the effects of treatment received since prior evaluations; determine what strategies and further treatment may be appropriate; make referrals to other specialists.
Answer: Punishment is a penalty for wrongdoing, imposed on purpose by someone in power who intends it to be unpleasant (Coloroso, 1995). It may come in the form of reprimands (e.g., "no hitting") or mild punishments (e.g., time out) following the form (e.g., hit) of the behavior. Little time or attention may be given to observing behaviors, particularly the events and information surrounding behaviors.
Research has shown that these punishment approaches may be effective temporarily but in the long-term have negative effects on children (Sobsey, 1990). One long-term effect of punishment is that it could cause the child to have a negative relationship with the person who delivers the punisher. A second negative effect of punishment is that it could cause the child to act out the behavior on other children. A third negative effect of punishment is that it can cause the behavior to increase rather than decrease.
As researchers learned the negative effects of punishment, they began studying alternative approaches to behavior guidance. This new research has suggested that practitioners should attend to outcomes of children’s behavior rather than forms of behavior. Thus, form is what behaviors look like and outcomes are what behaviors get. For example, Suzie hits her friend Tom in housekeeping. Tom begins to cry and leaves the housekeeping area. In this example, hitting is the form and Tom crying and leaving housekeeping are the outcomes or "payoff" of the behavior. For more information on guidance strategies, see www.inclusivechildcare.org.
Answer: Red flags are behaviors that should warn you to stop, look, and think.
Answer: It can be very difficult for parents to hear concerns about their child’s development or behavior. Communicate to the parents that you really do care about their child and try to arrange a time to talk with them when children will not be present.
Use a "positive sandwich" approach by sharing with the child’s parents an example of a positive quality you have observed in their child, a positive interaction you have observed or had with their child, or something you really like about their child. Then share with them specific examples of developmental and/or behavioral concerns and how this impacts the child while in your care.
It is important to share specific examples of the strategies that you have tried to help the child be successful in your child care environment. Remember to give them some time to process and respond to the information that you share with them. Follow the sharing of your concerns by again sharing something positive about their child and reiterate that their child’s success is important to you.
Answer: When talking to parents about consultation services, it can be less threatening to parents to communicate to them that you would like to have an objective observer spend some time observing in the child care environment to provide you with suggestions, ideas, and strategies to help their child be successful. Share with them written information about the consultation services and assure them they will have an opportunity to talk with the consultant at any time. The consultant will share with them the same information that is shared with you.
Answer: Oppositional Defiant Disorder, as defined by the American Academy of Child and Adolescent Psychiatry, is an ongoing pattern of uncooperative, defiant, and hostile behavior toward authority figures that seriously interferes with the youngster’s day to day functioning. Symptoms of Oppositional Defiant Disorder may include frequent temper tantrums, excessive arguing with adults, active defiance and refusal to comply with adult requests and rules, deliberate attempts to annoy or upset people, blaming others for his or her mistakes or misbehavior, often being touchy or easily annoyed by others, frequent anger and resentment, mean and hateful talking when upset, and seeking revenge. The symptoms are generally seen in multiple settings, but may be more noticeable at home or at school. There is no known cause of Oppositional Defiant Disorder, but biological and environmental factors may play a role.
In order for a child to be diagnosed with Oppositional Defiant Disorder, the pattern of behaviors must persist for at least 6 months, extend beyond the expectations of normal childhood misbehavior, and result in significant social or academic problems. Oppositional Defiant Disorder can coexist with other disorders such as Attention Deficit Hyperactive Disorder (ADHD), learning disabilities, mood disorders such as depression or bipolar disorder, and anxiety disorders.
Treatment plans for children with Oppositional Defiant Disorder may include individual psychotherapy, family psychotherapy, behavioral therapy, social skills training, and parent training programs. Medications may be of assistance if the behaviors coexist with another condition.
Answer: EBD stands for Emotional/ Behavioral Disorder (EBD). The definition most often used, comes from the National Mental Health and Special Education Coalition:
Answer: Challenging behavior can be defined as actions produced by a child that:
Answer: According to Kaiser and Rasminsky (2003), bullying is a special form of aggressive behavior. Olweus describes it as "a person is being bullied when she or he is exposed, repeatedly and over time, to negative actions on the part of one or more other persons". Bullying can take several forms including physical abuse, verbal bullying, relational bullying, as well as direct or indirect bullying. It usually takes place out of the site of grown ups, although it may also occur right in a classroom when a teacher is present. Bullying is a learned behavior and may be unlearned and even prevented. (Kaiser, Raminsky, 2003). Resources on bullying may be found at www.pacer.org.
Answer: Play problems can occur for many possible reasons.
A child may have a lack of skills due to a diagnosed special need.
Lack of positive play experience may also be a factor that contributes to the existence of a play difficulty. A child may have a lack of confidence
in social situations due to past unsuccessful interactions and therefore no
appropriate experiences on which to build new productive play skills.
Play Intervention Strategies:
Use materials and activities to assist the child in play situations.
Direct: Set up the situation for success by directing play activities, games or activities that require adult direction and support. This will give the child immediate reinforcement for positive interaction by giving the child a script to follow verbally and the support of a caring adult. The adult will be available for feedback and redirection when things seem to be falling apart or to point out positive choices and outcomes which will build skills and confidence for the child.
Indirect: Shadowing a child during play is an easy way to monitor the interaction but not take over. This is a wonderful way for a child to gain confidence and experience success in play, feeling more independent but not feeling overwhelmed.
A caregiver is there to assist with communication and next step suggestions if necessary. This can be done through simply whispering suggestions, using physical touch to direct the child, subtly redirecting the play without completely stepping in to the interaction. Once the support is given the caregiver steps back and allows the child to take the lead.
Answer: What is the definition of "child with special needs?"
A. For this project, "special needs" is defined as any additional supports needed for a child to be successful in the early care and education or when cared for in out of school time. The definition is broad to support children in accessing and participating in the early care and education or school age care settings.
"Additional supports" is defined as any adaptation to the typical early care and education program or when caring for children in out of school time. This may include an increase in staff ratios due to the child's developmental or special health needs, and/or the need to provide support and education to the provider to meet the needs of the child within the desired setting. This includes children qualifying for special education and children with significant environmental and/or health factors, which, in the absence of support, create barriers to the child's optimal achievement. Environmental factors may include poverty and children whose parents, due to a condition, disability or age may require support to fulfill parent responsibilities. Examples of such situations include mental health issues, developmental delay, sensory impairment, a history of abuse or neglect, children determined to be at risk of abuse or neglect, chemical dependency, intra-familial violence, homelessness, or children of a minor parent. In addition, children affected by a federal or state declared disaster may be considered under this definition.
In order to qualify for some supports or services, the child may need to meet specific eligibility criteria .
Answer: When children with special needs are included in community early care and education settings, everyone benefits: all children, all families, all professionals, and all communities. Parents and professionals may choose to provide a segregated program for children based upon the child's needs, but children should be given the opportunity to be included whenever possible.
For more information on inclusion, view the CICC Info Module titled Strategies for Successful Inclusion.
Answer: This is very challenging. Please remind professionals to use acronyms carefully and to explain them to you. For an extensive list of common terminology and acronyms, refer to the CICC terminology glossary.
Answer: Person-first" language is the preferred order for talking about anyone, including persons with disability. It pronounces the importance of seeing the person first, with the disability or special needs being a characteristic. For more information on person-first language view the CICC Info Module titled The Language of Disability.