Applying a Transdisciplinary Team Approach to the Systematic Instruction of Pivotal Milestones

Applying a Transdisciplinary Team Approach to the Systematic Instruction of Pivotal Milestones Bruce, S., Vargas, C., Davidson, S., Sullivan, M., &Sikarova, R., Boston College

Pivotal Milestones Associated with Symbolic Expression & Representational ThoughtImitationJoint AttentionDiscrimination-CategorizationObject PermanenceMeans-EndSelf-Recognition

Study PhasesPhase I: Literature Review on 6pivotal milestones, systematic instruction, & transdisciplinary teaming

Phase II: Analysis of Commercial Assessment Tools appropriate for children with severe/multiple disabilities& Development of Informal Structured Assessments on each milestone

Phase III: Assessment of 15 children with severe/multiple disabilities (including 6 with visual impairment & 2 who are deafblind) using 2 commercial assessments & 1 informal structured assessment on each selected milestone

Lesson Plans developed by team consensus (teachers & related service professionals)

Phase IV: Instruction 5X weekly per child on each milestoneData collected each time lesson was taught by teacher and 2 related service professionals (SLP, OT, PT)

Video evidence for baseline + every 4 weeks per child & milestone instructed

Commercial Assessments AnalyzedIdentified Each Item that Measured Each of the 6 MilestonesDevelopmental Assessment for Individuals with Severe Disabilities (DASH 2)Developmental Activities Screening Inventory (DASI-II)INSITECaller-Azusa-Scale GOregon Project for Visually Impaired & Blind Preschool Children

Carolina Curriculum for Infants/Toddlers with Special NeedsAssessment, Evaluation, and Programming for Infants and Children (AEPS)Early Learning Accomplishments Profile (ELAP)Vulpe (revised)Hawaii Early Learning Profile (HELP)

Participant Results Shared TodayNicholas: Means-End

Jamie: Object Permanence

Winston: Discrimination (of objects & different actions on objects)

Leah: Joint Attention & Discrimination(of different actions on objects)

Jack: Means-End

*does not include video analysis

Prompt/Performance LevelsH/H: hand over handH/H-C: hand over hand, continuous (T=teacher initiated, S = student initiated)H/H-F: hand over hand, frequentH/H-I: hand over hand, intermittent (PO = point, PU = push, PO&PU= point & push)P = physical promptMO = moving object promptM = model G = gesture promptV = verbal promptI = independentN = no responseR = refusal

Nicholas

Age at baseline film: 4 years, 11 months

Disability Characteristics: Microcephaly, global developmental delays, failure to thrive, possible autism, (normal vision & hearing, ambulatory)

Assessment Results: Moves around an obstacle, pushes other objects away to get to desired object, inverts containers to get object out (e.g. he exhibits some means-end behaviors)

Lesson: Means-end: #1: Push red man to expel car; Lesson #2: Pick up, place and push red man

Chart1

071280

227800

JuneJuneJuneJune

JulyJulyJulyJuly

H/H-C

M

V

I

Month

Percentage

Nicholas: Means-End Push "Red Man"

Sheet1

N's DATA

GRAPH #1: Push "Red Man"

Prompt LevelAprilMayJuneJulyOctoberNovemberDecember

H/H-C022

P

M7178

G

V280

I00

R/N

GRAPH #2: Behavior #1: Pick up "Red Man" and Place on Top of Garage


H/H-C456.35037.518.50

P031.350014.80

M00003.70

G2518.8003.733

V3037.50000

I00037.55267

R/N6.3257.4

Graph #3: Behavior #2:Push "Red Man"

Prompt LevelMayJuneJulyOctoberNovemberDecember

H/H-C00017130

P6.426.68306.633

M

G1673.30000

V77.4008.3200

I000504067

R/N172519.6

Graph #4: Behavior #3: Open Red Garage door (No Graph)

MayJuneJulyOctoberNovemberDecember

H/H-C

P

M

G

V

I

R/N

Sheet2

Sheet2

071280

227800

JuneJuneJuneJune

JulyJulyJulyJuly

H/H-C

M

V

I

Month

Percentage


Sheet3

AprilAprilAprilAprilAprilAprilApril

450025300May

6.331.3018.837.506.3

50500000July

37.5000037.525

18.514.83.73.70527.4

00033067December

H/H-C

P

M

G

V

I

R/N

Month

Percentage

Nicholas: Means-End Behavior#1: Pick up "Red Man"

06.41677.40May

026.673.300June

08300017

17008.35025

136.60204019.6

0330067December

H/H-C

P

G

V

I

R/N

Month

Percentage

Nicholas: Means-End Behavior #2: Place and Push "Red Man"

Chart2


450025300May

6.331.3018.837.506.3

50500000July

37.5000037.525

18.514.83.73.70527.4

00033067December

H/H-C

P

M

G

V

I

R/N

Month

Percentage


Sheet1

N's DATA



H/H-C022

P

M7178

G

V280

I00

R/N



H/H-C456.35037.518.50

P031.350014.80

M00003.70

G2518.8003.733

V3037.50000

I00037.55267

R/N6.3257.4



H/H-C00017130

P6.426.68306.633

M

G1673.30000

V77.4008.3200

I000504067

R/N172519.6



H/H-C

P

M

G

V

I

R/N

Sheet2

Sheet2

071280

227800

JuneJuneJuneJune

JulyJulyJulyJuly

H/H-C

M

V

I

Month

Percentage


Sheet3


450025300May

6.331.3018.837.506.3

50500000July

37.5000037.525

18.514.83.73.70527.4

00033067December

H/H-C

P

M

G

V

I

R/N

Month

Percentage


06.41677.40May

026.673.300June

08300017

17008.35025

136.60204019.6

0330067December

H/H-C

P

G

V

I

R/N

Month

Percentage


Chart3

06.41677.40May

026.673.300June

08300017

17008.35025

136.60204019.6

0330067December

H/H-C

P

G

V

I

R/N

Month

Percentage


Sheet1

N's DATA



H/H-C022

P

M7178

G

V280

I00

R/N



H/H-C456.35037.518.50

P031.350014.80

M00003.70

G2518.8003.733

V3037.50000

I00037.55267

R/N6.3257.4



H/H-C00017130

P6.426.68306.633

M

G1673.30000

V77.4008.3200

I000504067

R/N172519.6



H/H-C

P

M

G

V

I

R/N

Sheet2

Sheet2

071280

227800

JuneJuneJuneJune

JulyJulyJulyJuly

H/H-C

M

V

I

Month

Percentage


Sheet3


450025300May

6.331.3018.837.506.3

50500000July

37.5000037.525

18.514.83.73.70527.4

00033067December

H/H-C

P

M

G

V

I

R/N

Month

Percentage


06.41677.40May

026.673.300June

08300017

17008.35025

136.60204019.6

0330067December

H/H-C

P

G

V

I

R/N

Month

Percentage


Nicholas

Key Findings:

Lesson #1: Push red man (after adult places): Achieved with modeling in the first month.Lesson #2, Behavior #1: Pick up red man: Started at 0% independence, achieved 69%.independenceBehavior #2, Place & push red man:Started at 0% independence, achieved 69%independence

JamieAge at baseline: 5 years, 8 months

Disability Characteristics: Multiple congenital anomalies, microcephaly, developmental delays,visual impairment (20/90), frequent ear infections (6+ this year), urinary tract infections (3+ this year), non-ambulatory

Assessment Results: Can find a partially hidden object IF she sees it hidden

Lesson: Object permanence: Lesson #1: Using differentcovers; Lesson #2: Solving A-B error

Chart1

1000000March

6.312.50253323

5.71.44.3274714.3

6.302518.83812.5

H/H-C

P

G

V

I

R

Month

Percentage

Jamie: Object Permanence Locating Object with Sound Cue

Sheet1

Jamie

Graph 1Object Permanence: Locating Object with Sound Cue

MarchAprilMayJune

H/H-C1006.35.76.3

P012.51.40

G004.325

V0252718.8

I0334738

R2314.312.5

Graph 2Object Permanence: A-B Error with Intermitent Sound Cue

JulySeptemberOctoberNovemberDecember

H/H-C

P029000

G

V

I10071779071.4

R18.29.828.5

M004.500

Sheet2

Sheet2

1000000March

6.312.50253323

5.71.44.3274714.3

6.302518.83812.5

H/H-C

P

G

V

I

R

Month

Percentage


Sheet3

0100July0

2971September0

07718.24.5

0909.80

071.428.50

P

I

R

M

Month

Percentage

Jamie: Object PermanenceA-B Error with Intermittent Sound Cue

Chart2

0100July0

2971September0

07718.24.5

0909.80

071.428.50

P

I

R

M

Month

Percentage


Sheet1

Jamie

Graph 1Object Permanence: Locating Object with Sound Cue

MarchAprilMayJune

H/H-C1006.35.76.3

P012.51.40

G004.325

V0252718.8

I0334738

R2314.312.5

Graph 2Object Permanence: A-B Error with Intermitent Sound Cue

JulySeptemberOctoberNovemberDecember

H/H-C

P029000

G

V

I10071779071.4

R18.29.828.5

M004.500

Sheet2

Sheet2

1000000March

6.312.50253323

5.71.44.3274714.3

6.302518.83812.5

H/H-C

P

G

V

I

R

Month

Percentage


Sheet3

0100July0

2971September0

07718.24.5

0909.80

071.428.50

P

I

R

M

Month

Percentage


JamieKey Findings:

Lesson #1: Locating object with sound cueAble to perform with independence at 39% of opportunities, additional success with just verbal or gestural cue. Moved to Lesson #2: A-not-B Error after 4 months.

Lesson #2: A-not-B error: Achieved independence 72-100%. May have reached satiation.

Leah

Age at baseline: 7 years, 0 months

Disability Characteristics:Trisomy 18, congenital cardiac disease, bronchial malacia, seizures, 20/190 vision, moderate-severe hearing loss, hypertonia in extremities, hypotonia

Assessment Results: Very attentive to people, but very seldom to objects. Does same action on all objects-batting/forceful tapping.

Lesson: Joint attention with adult and over object, discrimination of different actions on 3 different objects

Chart1

May0100

June0100

July3.696.4

8092

October5.794

November199

December0100

G/V

V

I

Month

Percentage

Leah: Joint Attention Eye Contact with Adult

Sheet1

Leah's Data

Graph #1: Eye Contact with Adult

Prompt LevelMayJuneJulySeptemberOctoberNovemberDecember

H/H-C

H/H-I

P

G/V8

V003.605.710

I10010096.4929499100

R

N

GRAPH #2: Eye Contact with Object


H/H-C

H/H-I

P02.90001.53.8

G014.72400015.4

V011.82714.316.2160

MO5029.4017.901.50

I5041486883.78281

R

N

GRAPH #3: Action on Pop Tube


H/H-C/T67100440158.7518

H/H-C/S330561008591.382

GRAPH #4: Action on Gumball Machine Toy


H/H-C6918.709.550

H/H-I060000

P2312.528.59.53250

M7.661423.8260

G0628.54.750

V018.70000

I03128.552.42650

N5

GRAPH #5: Action on Pop-Up Toy


H/H-C63.664.333.333.3330

H/H-I:PO935.767445775

H/H-I:PU900224.80

H/H-I:PO & PU00004.825

P1800000

M

G

V

I

N

Sheet3

Sheet2

Sheet2

May0100

June0100

July3.696.4

8092

October5.794

November199

December0100

G/V

V

I

Month

Percentage


0005050

2.914.711.829.441

02427048

0014.317.968

0016.2083.7

1.50161.582

3.815.40081

P

G

V

MO

I

Month

Percentage

Leah: Joint AttentionEye Contact with Object

6733

1000

4456

0100

1585

8.7591.3

1882

H/H-C/T

H/H-C/S

Month

Percentage

Leah: DiscriminationAction on Pop Tube

MayMayMayMayMayMayMayMay

690237.6000June

18.7612.56618.731July

0028.51428.5028.5September

9.509.523.84.7052.4October

50322650265

005000050December

H/H-C

H/H-I

P

M

G

V

I

N

Month

Percentage

Leah: DiscriminationAction on Gumball Machine Toy

MayMayMayMayMay

63.699018

64.335.7000

33.367000

33.3442200

33574.84.80

0750250

H/H-C

H/H-I:PO

H/H-I:PU

H/H-I:PO & PU

P

Month

Percentage

Leah: DiscriminationAction on Pop-Up Toy

Chart2

0005050

2.914.711.829.441

02427048

0014.317.968

0016.2083.7

1.50161.582

3.815.40081

P

G

V

MO

I

Month

Percentage


Sheet1

Leah's Data



H/H-C

H/H-I

P

G/V8

V003.605.710

I10010096.4929499100

R

N



H/H-C

H/H-I

P02.90001.53.8

G014.72400015.4

V011.82714.316.2160

MO5029.4017.901.50

I5041486883.78281

R

N



H/H-C/T67100440158.7518

H/H-C/S330561008591.382



H/H-C6918.709.550

H/H-I060000

P2312.528.59.53250

M7.661423.8260

G0628.54.750

V018.70000

I03128.552.42650

N5



H/H-C63.664.333.333.3330

H/H-I:PO935.767445775

H/H-I:PU900224.80

H/H-I:PO & PU00004.825

P1800000

M

G

V

I

N

Sheet3

Sheet2

Sheet2

May0100

June0100

July3.696.4

8092

October5.794

November199

December0100

G/V

V

I

Month

Percentage


0005050

2.914.711.829.441

02427048

0014.317.968

0016.2083.7

1.50161.582

3.815.40081

P

G

V

MO

I

Month

Percentage


6733

1000

4456

0100

1585

8.7591.3

1882

H/H-C/T

H/H-C/S

Month

Percentage



690237.6000June

18.7612.56618.731July

0028.51428.5028.5September

9.509.523.84.7052.4October

50322650265

005000050December

H/H-C

H/H-I

P

M

G

V

I

N

Month

Percentage


MayMayMayMayMay

63.699018

64.335.7000

33.367000

33.3442200

33574.84.80

0750250

H/H-C

H/H-I:PO

H/H-I:PU

H/H-I:PO & PU

P

Month

Percentage


Chart3

6733

1000

4456

0100

1585

8.7591.3

1882

H/H-C/T

H/H-C/S

Month

Percentage


Sheet1

Leah's Data



H/H-C

H/H-I

P

G/V8

V003.605.710

I10010096.4929499100

R

N



H/H-C

H/H-I

P02.90001.53.8

G014.72400015.4

V011.82714.316.2160

MO5029.4017.901.50

I5041486883.78281

R

N



H/H-C/T67100440158.7518

H/H-C/S330561008591.382



H/H-C6918.709.550

H/H-I060000

P2312.528.59.53250

M7.661423.8260

G0628.54.750

V018.70000

I03128.552.42650

N5



H/H-C63.664.333.333.3330

H/H-I:PO935.767445775

H/H-I:PU900224.80

H/H-I:PO & PU00004.825

P1800000

M

G

V

I

N

Sheet3

Sheet2

Sheet2

May0100

June0100

July3.696.4

8092

October5.794

November199

December0100

G/V

V

I

Month

Percentage


0005050

2.914.711.829.441

02427048

0014.317.968

0016.2083.7

1.50161.582

3.815.40081

P

G

V

MO

I

Month

Percentage


6733

1000

4456

0100

1585

8.7591.3

1882

H/H-C/T

H/H-C/S

Month

Percentage



690237.6000June

18.7612.56618.731July

0028.51428.5028.5September

9.509.523.84.7052.4October

50322650265

005000050December

H/H-C

H/H-I

P

M

G

V

I

N

Month

Percentage


MayMayMayMayMay

63.699018

64.335.7000

33.367000

33.3442200

33574.84.80

0750250

H/H-C

H/H-I:PO

H/H-I:PU

H/H-I:PO & PU

P

Month

Percentage


Chart4


690237.6000June

18.7612.56618.731July

0028.51428.5028.5September

9.509.523.84.7052.4October

50322650265

005000050December

H/H-C

H/H-I

P

M

G

V

I

N

Month

Percentage


Sheet1

Leah's Data



H/H-C

H/H-I

P

G/V8

V003.605.710

I10010096.4929499100

R

N



H/H-C

H/H-I

P02.90001.53.8

G014.72400015.4

V011.82714.316.2160

MO5029.4017.901.50

I5041486883.78281

R

N



H/H-C/T67100440158.7518

H/H-C/S330561008591.382



H/H-C6918.709.550

H/H-I060000

P2312.528.59.53250

M7.661423.8260

G0628.54.750

V018.70000

I03128.552.42650

N5



H/H-C63.664.333.333.3330

H/H-I:PO935.767445775

H/H-I:PU900224.80

H/H-I:PO & PU00004.825

P1800000

M

G

V

I

N

Sheet3

Sheet2

Sheet2

May0100

June0100

July3.696.4

8092

October5.794

November199

December0100

G/V

V

I

Month

Percentage


0005050

2.914.711.829.441

02427048

0014.317.968

0016.2083.7

1.50161.582

3.815.40081

P

G

V

MO

I

Month

Percentage


6733

1000

4456

0100

1585

8.7591.3

1882

H/H-C/T

H/H-C/S

Month

Percentage



690237.6000June

18.7612.56618.731July

0028.51428.5028.5September

9.509.523.84.7052.4October

50322650265

005000050December

H/H-C

H/H-I

P

M

G

V

I

N

Month

Percentage


MayMayMayMayMay

63.699018

64.335.7000

33.367000

33.3442200

33574.84.80

0750250

H/H-C

H/H-I:PO

H/H-I:PU

H/H-I:PO & PU

P

Month

Percentage


Chart5

MayMayMayMayMay

63.699018

64.335.7000

33.367000

33.3442200

33574.84.80

0750250

H/H-C

H/H-I:PO

H/H-I:PU

H/H-I:PO & PU

P

Month

Percentage


Sheet1

Leah's Data



H/H-C

H/H-I

P

G/V8

V003.605.710

I10010096.4929499100

R

N



H/H-C

H/H-I

P02.90001.53.8

G014.72400015.4

V011.82714.316.2160

MO5029.4017.901.50

I5041486883.78281

R

N



H/H-C/T67100440158.7518

H/H-C/S330561008591.382



H/H-C6918.709.550

H/H-I060000

P2312.528.59.53250

M7.661423.8260

G0628.54.750

V018.70000

I03128.552.42650

N5



H/H-C63.664.333.333.3330

H/H-I:PO935.767445775

H/H-I:PU900224.80

H/H-I:PO & PU00004.825

P1800000

M

G

V

I

N

Sheet3

Sheet2

Sheet2

May0100

June0100

July3.696.4

8092

October5.794

November199

December0100

G/V

V

I

Month

Percentage


0005050

2.914.711.829.441

02427048

0014.317.968

0016.2083.7

1.50161.582

3.815.40081

P

G

V

MO

I

Month

Percentage


6733

1000

4456

0100

1585

8.7591.3

1882

H/H-C/T

H/H-C/S

Month

Percentage



690237.6000June

18.7612.56618.731July

0028.51428.5028.5September

9.509.523.84.7052.4October

50322650265

005000050December

H/H-C

H/H-I

P

M

G

V

I

N

Month

Percentage


MayMayMayMayMay

63.699018

64.335.7000

33.367000

33.3442200

33574.84.80

0750250

H/H-C

H/H-I:PO

H/H-I:PU

H/H-I:PO & PU

P

Month

Percentage


LeahKey Findings:

Behavior #1: Joint Attention - eye contact with adultAchieved 90-100%-maintained existing skill

Behavior #2: Joint attention - visual attention to objectAchieved over 80% independent for 3 months

Behavior #3: Discrimination - action on pop tube-coactiveDecreased need for hand-over-hand/continuous

LeahKey Finding, continued:

Behavior #4: Discrimination - action on gumball machine toyStarted at 0% independence, achieved 50%

Behavior #5: Discrimination - action on pop-up toyReduced need for hand-over-hand/continuous

WinstonAge at Baseline: 8 years, 6 months

Disability Characteristics: Isodicentric 15,mitochondrial disorder, seizures, severe developmental delays, hypotonia (non-ambulatory), vision loss (20/400), hearing loss-inconsistent response to sounds

Assessment Results: Looks toward lighted objects and a few highly reflective surfaces. Immediately opens mouth in feeding (anticipation).

Lesson: Discrimination of objects and actions on actions in a controlled play space

Chart1

12.50

100

434567

210

51500

1033

Look

Touch with Hand

Look & Touch

Object

Percentage

Winston: Discrimination of Objects Measured by Intentional Acts on Objects in a Structured Play Space

Sheet1

Winston Data

GRAPH #1: Discrimination of Objects Measured by Intentional Acts on Objects in a Structured Play Space

CupsBallRed MylarRed PomponGreen PomponSlinky

Look11432511

Touch with Hand2.50451500

Look & Touch00670033

Sheet2

Sheet2

12.50

100

434567

210

51500

1033

Look

Touch with Hand

Look & Touch

Object

Percentage

Winston: Discrimination of Objects Measured by Intentional Acts on Objects in a Structured Play Space

Sheet3

WinstonKey Findings: Most intentional behavior was on (a) red mylar and (b) green pompom

He located these 2 items even when placed l/3 - 1/2way into play space.

Further analysis of video revealed that hedifferentiated green pompom for combination of touch and taste.

JackAge at baseline: 10 years, 11 months

Disability Characteristics: microcephaly, hydrocephalus, global developmental delays, diabetes, seizures, adrenal gland insufficiency, cerebral palsy, mild unilateral hearing loss

Assessment Results: Purposeful reach, will work to access object out of reach or when obstacle is present, doesnt yet request adult assistance

Lesson: Solving means-end problems-push down and push up on remove control car control

Chart1

0000100

06.11.5092.3

1.97.63.83.882.6

0.68.5010.580.2

7.6017.384.2

4.431.12.24.457.7

H/H

P

G

V

I

Month

Percentage

Jack: Means-EndReach Toward Remote Control

Sheet1


H/H001.90.67.64.4

P06.17.68.5031.1

G01.53.8012.2

V003.810.57.34.4

I10092.382.680.284.257.7

Push Down


H/H005.81.22.70

P0011.7600

G005.8000

V03.68.88.500

I10096.367.68497.2100

Push Up


H/H10094.18010094.197

P0020000

G

V

I05.8005.80

R3

Sheet2

Sheet2

0000100

06.11.5092.3

1.97.63.83.882.6

0.68.5010.580.2

7.6017.384.2

4.431.12.24.457.7

H/H

P

G

V

I

Month

Percentage


Sheet3

0000100

0003.696.3

5.811.75.88.867.6

1.2608.584

2.700097.2

0000100

H/H

P

G

V

I

Month

Percentage

Jack: Means-EndPush Down

10000May

94.105.8June

80200July

10000October

94.105.8November

97003

H/H

P

I

R

Month

Percentage

Jack: Means-End Push Up

Chart2

0000100

0003.696.3

5.811.75.88.867.6

1.2608.584

2.700097.2

0000100

H/H

P

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V

I

Month

Percentage


Sheet1


H/H001.90.67.64.4

P06.17.68.5031.1

G01.53.8012.2

V003.810.57.34.4

I10092.382.680.284.257.7

Push Down


H/H005.81.22.70

P0011.7600

G005.8000

V03.68.88.500

I10096.367.68497.2100

Push Up


H/H10094.18010094.197

P0020000

G

V

I05.8005.80

R3

Sheet2

Sheet2

0000100

06.11.5092.3

1.97.63.83.882.6

0.68.5010.580.2

7.6017.384.2

4.431.12.24.457.7

H/H

P

G

V

I

Month

Percentage


Sheet3

0000100

0003.696.3

5.811.75.88.867.6

1.2608.584

2.700097.2

0000100

H/H

P

G

V

I

Month

Percentage


10000May

94.105.8June

80200July

10000October

94.105.8November

97003

H/H

P

I

R

Month

Percentage


Chart3

10000May

94.105.8June

80200July

10000October

94.105.8November

97003

H/H

P

I

R

Month

Percentage


Sheet1


H/H001.90.67.64.4

P06.17.68.5031.1

G01.53.8012.2

V003.810.57.34.4

I10092.382.680.284.257.7

Push Down


H/H005.81.22.70

P0011.7600

G005.8000

V03.68.88.500

I10096.367.68497.2100

Push Up


H/H10094.18010094.197

P0020000

G

V

I05.8005.80

R3

Sheet2

Sheet2

0000100

06.11.5092.3

1.97.63.83.882.6

0.68.5010.580.2

7.6017.384.2

4.431.12.24.457.7

H/H

P

G

V

I

Month

Percentage


Sheet3

0000100

0003.696.3

5.811.75.88.867.6

1.2608.584

2.700097.2

0000100

H/H

P

G

V

I

Month

Percentage


10000May

94.105.8June

80200July

10000October

94.105.8November

97003

H/H

P

I

R

Month

Percentage


JackKey Findings: Behavior #1, Reach toward remote control:Independence reduced from 100% to 59%. Was it novelty effect? Did he decrease after learning that behavior #3 was difficult?

Behavior #2, Means-End-Push down on remote control: Started at 100%, regressed to 68% in 3rd month,improved in 4th-6th, resulting in 100% again in 6th month (teacher reports that he typically exhibits ups anddowns in performance)

JackKey findings, continued

Behavior #3, Means-End-Push up on remote control: Still requires hand-over-hand support, but has learned to request by reaching for adult-after trying to push down (see video)

This marks means-end achievement at trial & error level.

*Application: Jack is now enjoying a trial on an electric wheelchair

DisseminationBruce, S. & Zayyad, M. (in press). Assessment and instruction of self-recognition. TEACHING Exceptional Children. In Progress:Bruce, S. & Zayyad, M. (in revision). The development of object permanence in children with severe disabilities.Bruce, S., Campbell, C. & Sullivan, M. Supporting children with severe disabilities to achieve means-end.Bruce & others: Articles on analysis of commercial assessment tools, discrimination-categorization findings, Imitation findings and joint attention (including non-visual JA) findings.

Other Materials at Our DisplayInformal Structured Assessments (also in handouts)Lesson Plans on all 15 childrenVideo sampling of lessons on the 5 featured children (see desktop folders)List of materials used in the lessons with ordering information

Applying a Transdisciplinary Team Approach to the Systematic Instruction of Pivotal Milestones

Documents

Transcript of Applying a Transdisciplinary Team Approach to the Systematic Instruction of Pivotal Milestones