Creating Sensory Smart Classrooms – Merging Sensory Processing and Universal Design Presented at: NJOTA 39th Annual Conference “Shift Happens: Implications for OT Practice” Sunday October 27, 2013 Andrea Carr Tyszka, MS, OTR/L, SIPT Salus University, Occupational Therapy Department, College of Education & Rehabilitation Karen Amariti MS, OTR/L - Colleen Carroll MS, OTR/L – Cynthia Abbott-Gaffney, MA, OTR/L, CBIT Haddonfield School District Background Information Incidence: Sensory Processing Disorder (SPD): 5-13% of the typically developing Kindergarten aged population (Ahn, Miller, Milberger & McIntosh, 2004). Attention Deficit/Hyperactivity Disorder (ADHD): 8% in children and youth (ADHD, 2011). Autism Spectrum Disorders (ASD): In 2008, 1 in 88 children, 23% increase over 2006 data; 78% increase over 2002 data. (Centers for Disease Control [CDC], 2012). SPD: a taxonomy that encompasses sensory modulation disorder, sensory-based motor disorder and sensory discrimination disorder. This taxonomy was developed for the inclusion in several diagnostic manuals. It is rooted in the historical work of Ayres, but also includes other contemporary models of sensory processing (Lane, Roley & Champagne, 2014). ADHD: defined as “ a specific developmental disorder of both children and adults that is comprised of deficits in sustained attention, impulse control, and the ability to regulate activity level to fit situational demands” (Hanschu, 1997, p.6). ASD: “Autism spectrum disorders (ASDs) are a group of developmental disabilities characterized by impairments in social interaction and communication and by restricted, repetitive, and stereotyped patterns of behavior” (CDC, para. 1). UD Principles of Learning: Principle 1: Equitable use Principle 2: Flexibility in use Principle 3: Simple and intuitive Principle 4: Perceptible information Principle 5: Tolerance for error Principle 6: Low physical effort Principle 7: Size and space for approach and use Principle 8: A community of learners Principle 9: Instructional climate Application to Practice Facilitating occupational performance for children with SPD, ADHD, ASD can be accomplished in a non-stigmatizing and inclusive manner by helping teachers to create learning environments that are more sensory friendly for all students, regardless of diagnosis. We can accomplish this by incorporating principles of universal design for learning, classroom wide environmental changes, & sensory based learning strategies. Classroom Wide Environmental Changes (Hanschu, 1997): Modify Time Modify Space Modify Activity Modify Interactions Curriculum Based Activity Idea: Pumpkin smash roll – paper pumpkins are spaced out along the floor children must adjust the direction they are rolling in order to “smash” the pumpkins (vestibular) can also incorporate academic goals e.g. upper and lower case letter discrimination. Movement Based Learning Idea: Divide the class into two groups. Give each student an index card. Half the students get review questions on their card, the other half get corresponding review answers on their card. Students travel around the room finding the appropriate question/answer match. All matched students share aloud their review questions and answers with the group. Specific Program Ordering Information Brain Gym Ordering Info: Hands On: How to Use Brain Gym in the Classroom by Isabel Cohn & Marcelle Goldsmith http://www.braingym.com Drive Thru Menu Ordering Info: For information on products and conferences by Tere Bowen-Irish, OTR/L http://allthepossibilitiesinc.com How Does Your Engine Run Ordering Info: The Alert Program published by TherapyWorks, Inc. Take 5: Staying Alert at Home and at School by Mary Sue Williams and Sherry Shellenberger http://www.alertprogram.com/index.php Kinesthetic Classroom Ordering Info: The Kinesthetic Classroom by Traci Lengel and Mike Kuczala http://info2.thertc.net/blog-0/bid/316209/The-RTC-Difference-Movement-in-theClassroom PowerPoint & Handout References ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents Subcommittee on Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management Pediatrics 2011: 128; 1007; originally published online October 16, 2011; DO: 10.1542/peds.20112654 Ahn, R., Miller, L., Milberger, S., McIntosh, D. (2004). Prevalence of parents’ perceptions of sensory processing disorders among kindergarten children. American Journal of Occupational Therapy, 58(3), 287-293. American Occupational Therapy Association. (2008). Occupational therapy practice framework: Domain and process (2nd ed.). American Journal of Occupational Therapy, 62, 625-683. Bowen-Irish, T. (2011). Practical strategies for occupational therapists to collaborate and integrate intervention as integral school team member: Resource handbook. Bellevue: Bureau of Education and Research. Centers for Disease Control and Prevention (CDC). (2012, March, 30). Prevalence of autism spectrum disorders – Autism and Developmental Disabilities Monitoring Network, 14 sites, Unites States, 2008. Morbidity and Mortality Weekly Reports (MMWR) Surveillance Summary, 61(3), 1-19. Retrieved from http: //www.ncbi.nlm.nih.gov/pubmed/22456193 Cohen; I. & Goldsmith, M. (2003) Hands on: How to use brain gym in the classroom. Ventura: Edu-Kinesthetics, Inc. Hannaford, C. (1995). Smart moves: Why learning is not all in your head. Arlington: Great Ocean Publishers. Hanschu, B. (1997). Autism and attention deficit disorder/hyperactivity: A sensory perspective. Phoenix: Developmental Concepts. Lane, S., Roley, S., & Champagne, T. (2014). Sensory Integration and Processing. In B. Schell, G. Gillen, & M. Scaffa (Eds.). Willard & Spackman's Occupational Therapy 12th ed. (816-868). Philadelphia: Lippincott Williams & Wilkins. Lengel, T. & Kuczala, M. (2010). The kinesthetic classroom: Teaching and learning through movement. Thousand Oaks: Corwin. NC State University Disability Services Office Universal Design. Retrieved September 14, 2013, from http://dso.dasa.ncsu.edu/universal-design Williams, M. S. & Shellenberger, S. (1996). How does your engine run: A leader’s guide to The Alert Program for self-regulation. Albuquerque: TherapyWorks, Inc.