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Education and Training in Autism and Developmental Disabilities

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Mel<strong>in</strong>da. Dur<strong>in</strong>g <strong>in</strong>terviews both school<br />

personnel <strong>and</strong> family members stated that<br />

Mel<strong>in</strong>da was the “lowest function<strong>in</strong>g” student<br />

<strong>in</strong> the class. Her records <strong>in</strong>dicated that on<br />

norm-referenced assessments Mel<strong>in</strong>da scored<br />

a2 nd grade 4 th month performance <strong>in</strong> read<strong>in</strong>g,<br />

<strong>and</strong> a 3 rd grade performance <strong>in</strong> math.<br />

Upon review<strong>in</strong>g the norm-referenced scores<br />

of her classmates, it was noted that Mel<strong>in</strong>da’s<br />

scores were not the lowest; rather she had the<br />

third lowest score for read<strong>in</strong>g <strong>and</strong> the fifth<br />

lowest score for math <strong>in</strong> the class of eight<br />

students. Her performance <strong>in</strong> class, however,<br />

gave the impression of a lower capability both<br />

because of her <strong>in</strong>appropriate behaviors <strong>and</strong><br />

the tasks assigned to her. For example,<br />

Mel<strong>in</strong>da consistently refused to do <strong>in</strong>dependent<br />

seatwork (e.g., math worksheets), read<br />

aloud, or summarize read<strong>in</strong>g content.<br />

Records <strong>in</strong>dicated that Mel<strong>in</strong>da’s read<strong>in</strong>g <strong>in</strong>struction<br />

<strong>in</strong>corporated the same materials, at<br />

the same performance level, for 3 consecutive<br />

years. Specifically, her read<strong>in</strong>g <strong>in</strong>struction<br />

would beg<strong>in</strong> at level 50 of Distar, progress to<br />

level 75, <strong>and</strong> then return to level 50 because of<br />

her <strong>in</strong>ability to complete the tasks. Her work<br />

<strong>in</strong> read<strong>in</strong>g, writ<strong>in</strong>g, <strong>and</strong> math <strong>in</strong>corporated<br />

2 nd grade worksheets, <strong>and</strong> her annual goals<br />

<strong>in</strong>cluded read<strong>in</strong>g at the 2 nd grade 5 th month<br />

level, writ<strong>in</strong>g short lists, memoriz<strong>in</strong>g math facts,<br />

complet<strong>in</strong>g simple computations, <strong>and</strong> add<strong>in</strong>g<br />

<strong>and</strong> subtract<strong>in</strong>g amounts of change. When compar<strong>in</strong>g<br />

her current <strong>and</strong> past records a clear pattern<br />

of regression was observed <strong>in</strong> her use of<br />

read<strong>in</strong>g, writ<strong>in</strong>g, <strong>and</strong> math.<br />

In relation to social development there was<br />

a clear difference <strong>in</strong> Mel<strong>in</strong>da’s behaviors <strong>in</strong><br />

self-conta<strong>in</strong>ed versus <strong>in</strong>clusive sett<strong>in</strong>gs. When<br />

participat<strong>in</strong>g <strong>in</strong> activities with<strong>in</strong> sett<strong>in</strong>gs that<br />

<strong>in</strong>cluded schoolmates who did not have disabilities<br />

(e.g., at chorus, dur<strong>in</strong>g assemblies, <strong>in</strong><br />

the hallways) Mel<strong>in</strong>da modeled her schoolmates;<br />

therefore, her behavior was comparable<br />

to her non-disabled peers. In addition, she<br />

demonstrated <strong>in</strong>dependent function<strong>in</strong>g dur<strong>in</strong>g<br />

school-related activities, such as navigat<strong>in</strong>g<br />

the campus to complete tasks. On the other<br />

h<strong>and</strong>, when <strong>in</strong> the self-conta<strong>in</strong>ed classroom,<br />

Mel<strong>in</strong>da demonstrated more age-<strong>in</strong>appropriate<br />

behaviors than her classmates with disabilities.<br />

She frequently disrupted <strong>in</strong>struction <strong>and</strong><br />

learn<strong>in</strong>g. She would make off-task <strong>and</strong> age<strong>in</strong>appropriate<br />

comments at any moment,<br />

loudly enough for the entire class to hear; she<br />

would <strong>in</strong>terrupt the seatwork of classmates<br />

who were near to her by kick<strong>in</strong>g them under<br />

the table; she would sweep away her class materials<br />

to stop her <strong>in</strong>structional activities. In<br />

addition to these disruptive behaviors <strong>in</strong> the<br />

self-conta<strong>in</strong>ed class, Mel<strong>in</strong>da demonstrated no<br />

<strong>in</strong>terest <strong>in</strong> us<strong>in</strong>g her knowledge, or <strong>in</strong> learn<strong>in</strong>g<br />

new knowledge, when she <strong>in</strong>terpreted a situation<br />

as either academic or evaluative <strong>in</strong> nature.<br />

For <strong>in</strong>stance, whether at school, at home,<br />

or <strong>in</strong> the community, when Mel<strong>in</strong>da was asked<br />

a question or asked to complete an activity<br />

that required read<strong>in</strong>g, writ<strong>in</strong>g, or math, she<br />

responded <strong>in</strong> a defensive <strong>and</strong> street-wise manner<br />

that extricated her from the situation. If<br />

she then was pushed to answer the question or<br />

complete the activity, Mel<strong>in</strong>da would either<br />

tantrum (i.e., yell, gesticulate broadly, walk<br />

away briskly) or “shut down” by be<strong>in</strong>g totally<br />

unresponsive <strong>and</strong> unmovable. She might sit<br />

on the floor or sidewalk for up to 30 m<strong>in</strong>utes,<br />

without speak<strong>in</strong>g or respond<strong>in</strong>g to any verbalizations<br />

from others.<br />

In response to Mel<strong>in</strong>da’s <strong>in</strong>appropriate behaviors<br />

<strong>in</strong> the self-conta<strong>in</strong>ed classroom, <strong>in</strong>clud<strong>in</strong>g<br />

refusals to do work, tantrums, <strong>and</strong><br />

“shutt<strong>in</strong>g down,” her records <strong>in</strong>dicated that<br />

she required a high level of adult supervision.<br />

Although Mel<strong>in</strong>da demonstrated appropriate<br />

behavior when she was with classmates who<br />

did not have disabilities (e.g., chorus, physical<br />

education, lunch) her records <strong>in</strong>dicated that<br />

she was not allowed to participate <strong>in</strong> additional<br />

activities with these classmates until she<br />

consistently demonstrated appropriate social<br />

<strong>and</strong> learn<strong>in</strong>g behaviors <strong>in</strong> the self-conta<strong>in</strong>ed<br />

classroom.<br />

In addition to challeng<strong>in</strong>g behaviors<br />

Mel<strong>in</strong>da had significant difficulty with speech.<br />

Her speech was un<strong>in</strong>telligible to strangers <strong>and</strong><br />

only fully understood by the few people who<br />

spent a great deal of time with her. Constant<br />

requests to have her repeat herself, frequently<br />

without better underst<strong>and</strong><strong>in</strong>g of her speech,<br />

frustrated Mel<strong>in</strong>da <strong>and</strong> resulted <strong>in</strong> her reluctance<br />

to respond verbally <strong>in</strong> most situations.<br />

In response, Mel<strong>in</strong>da developed many cop<strong>in</strong>g<br />

mechanisms for her un<strong>in</strong>telligible speech, <strong>in</strong>clud<strong>in</strong>g<br />

the use of gestures <strong>and</strong> reliance on<br />

friends <strong>and</strong> family members to <strong>in</strong>terpret her<br />

speech for others. She also used a h<strong>and</strong>ful of<br />

high frequency phrases <strong>and</strong> words that helped<br />

Long-term Outcomes / 329

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