Susan Langendonk Susan Bradley Dawn Anderson Robert Wall Emerson 2 Michigan Severity Rating Scales History and Development • Adapted from the Montgomery County, Pennsylvania model beginning in 1995 • Published and disseminated by the Michigan Department of Education – Special Education Services 3 • Orientation and Mobility Severity Rating Scale (OMSRS) • Orientation and Mobility Severity Rating Scale for students with Additional Needs (OMSRS+) 4 • MDE-LIO Orientation and Mobility Task Force formed in November 2007 • Revising Michigan Orientation and Mobility Severity Rating Scale-Task Force’s first project 5 • Web search indicated OMSRS was being used and referenced in documents in several other states • Referred to in O&M university preparation programs • MDE-LIO Task Force did an on-line survey in March 2008 6 • Field Tested in Michigan • Article in AER Journal Research and Practice in Visual Impairment and Blindness Winter 2009 • Updated OMSRS and added OMSRS+ to MDE-LIO and TSBVI websites November 2008 7 Internationally recognized • Texas School for the Blind and Visually Impaired (TSBVI) • Colorado Department of Education Guidelines for Caseload Formula • Massachusetts Assoc. of Educators of VI Students • Calgary, Alberta, Canada • Scholarly references 8 What they are: • A data collection tool • A guide based on best practices • Guideline for IEP team service discussion 9 What they are not: • Not an assessment • Not a severity of disability but a severity of student’s need for services • Not a pre-determiner of service • Not the only data source 10 11 7% 39% TCVI O&M Dual 54% 12 18% 33% 23% 26% O&MSRS O&MSRS+ VSSRS VSSRS+ 13 When Do They Complete a Scale? Prior to IEP 8% 17% 25% Re-eval Change in vision 21% 29% Change in program Other 14 Factors Considered When Updating (n=53): Change in vision/motor skill 25 To verify service time 18 Change in program/staff/campus 14 Annual caseload analysis, IEP 14 Tri-annual assessment 6 Assess current level, initial assessment 5 When asked for 5 Student needs 4 Establish eligibility 4 Student not progressing 2 Depends on situation 15 With Whom They Complete the Scale 6% 18% Alone With Parents With Team 76% 16 Do External Factors Make a Difference? 47% 53% Yes No 17 What Are Those Factors (n=35)? Academic level, age 18 Parental involvement 12 Paraprofessional, classroom support 6 Medical fragility, additional disabilities 6 Goals & objectives, expectations 6 Appropriate travel skills, independent 5 Classroom placement, accommodations 4 Involvement of other therapists 3 New environments 2 Service delivery model 18 Is It Used for Caseload Analysis? 29% 34% Yes No Sometimes 37% 19 How Important is it in Caseload Analysis? 60 50 40 30 20 10 0 Sole factor Several equal factors Most important factor Not important 20 Scenarios Several students were described for both the O&MSRS and the O&MSRS+. Visual status, academic setting and other characteristics that are crucial to determining the severity of need for services were outlined. Respondents were asked to fill out the Scales, then answer questions. 21 O&MSRS: How Well Are Areas Of Concern Covered? 80 70 60 50 40 30 20 10 0 75 17 8 Very well Somewhat Neutral 0 0 Not very well Not at all 22 O&MSRS: How Well do Contributing Factors Address +/- of Service? 70 65 60 50 40 30 25 20 10 6 4 Neutral Not very well 0 Very well Somewhat 0 Not at all 23 O&MSRS: Comparison of Frequency of Service Time on Survey to Own Caseload 70 60 61 50 40 29 30 20 10 6 4 Neutral Not very close 0 Very close Somewhat close 0 Not close at all 24 O&MSRS: How Well do Service Times Match Instructional Needs? 80 70 60 50 40 30 20 10 0 67 17 Very well Somewhat 10 Neutral 6 Not very well 0 Not at all 25 O&MSRS: If Service Can't Happen Too many students 34% 38% Mandated service time Unexpected variables Don't agree with results 9% 17% 2% Other 26 O&MSRS: Overall Usefulness & Validity 2% 0% 2% 0% Very useful 6% Somewhat useful 16% Neutral Not very useful 74% Not useful at all Useful only Scenario 1 27 OMSRS Suggestions for Change: Severity of Need Profile No changes; get more people to use it 9 Reword portions; correct spacing 2 Confusion on how to score Profound in level of vision 2 Split OMSRS to OM SRS 1 Specific number for each category 1 Distinguish between direct and indirect time 1 Service times vary by need 1 28 OMSRS Suggestions for Change: Contributing Factors No changes 9 Student opportunities & experiences 3 Time traveled to teach isn’t adequately accounted for 2 Split OMSRS to OM SRS 1 Specific number for each category 1 Distinguish between direct and indirect time 1 Service times vary by need 1 Consider only adding to score 1 29 OMSRS Suggestions for Change: Recommendations for Services Develop reasonable caseload size 2 Add section where discrepancy between SRS rec.& actual rec. can be explained 2 Frequency & time recs. should use same units 1 Link lesson length to lesson content area 1 Add option for 2-4 times / month 1 Make language more approachable 1 30 OMSRS Suggestions for Change: Positive Impacts on Services Showed the IEP team the rationale for services 12 Justified a new hire / prevented layoff 8 Explained job to supervisor Helps with consistency 4 Gives parents timeline reference 1 Actually validated a decrease in staff need 1 Gives parents a means of “proving” need for O&M services 1 Caused dissention among professionals, parents & administrators 1 4 31 O&MSRS+: How Well Are Areas Of Concern Covered? 80 70 60 50 40 30 20 10 0 70 22.5 Very well Somewhat 5 2.5 0 Neutral Not very well Not at all 32 O&MSRS+: How Well do Contributing Factors Address +/- of Service? 70 60 59 50 40 30 26 20 10 10 5 0 Very well Somewhat Neutral Not very well 0 Not at all 33 O&MSRS+: Comparison of Frequency of Service on Survey to Own Caseload 60 50 40 49 36 30 20 13 10 2 0 Not very close Not close at all 0 Very close Somewhat close Neutral 34 Scenarios: Usefulness of O&MSRS+ for service time 0% 3% 0% 0% Very useful 5% Somewhat useful Neutral 33% Not very useful 59% Not useful at all Useful only Scenario 1 O&MSRS+: If Service Can't Happen Too many students 28% 44% 8% 15% Mandated service time Unexpected variables Don't agree with results Other 5% 35 36 O&MSRS+: Overall Usefulness & Validity 0% 2% 0% 0% 3% Very useful 5% Somewhat useful Neutral 32% Not very useful 58% Not useful at all Useful only Scenario 1 37 OMSRS+ Suggestions for Change: Severity of Need Profile None Wording can be misleading Add section for recommendations other than from the SRS Add a CVI component Disagree about level of supervision for safe travel – discriminates against severe disabilities 6 38 OMSRS+ Suggestions for Change: Contributing Factors None Teamwork in deciding times in all areas Student experiences and opportunities Add option to list medications that might impact instruction 5 39 OMSRS+ Suggestions for Change: Recommendations for Services None Compliance with instruction seems to inflate service time 6 40 OMSRS+: Positive Impact on Services Showed IEP team rationale for service 6 Helps with consistency 2 Justify new hire, prevent layoffs 2 Showed need for services for multi handicapped child Reliability (precision) • Respondents overwhelmingly identified the scales as measuring the significant factors to be considered in O&M Validity • O&M SRS above 90% accuracy • O&M SRS+ showed 84% accuracy 41 42 • Service information from the Michigan Severity Rating Scales • Additional hours per week needed for support • Hours per week for travel 43 • bradleys1@michigan.gov • langendonks@michigan.gov • dawn.l.anderson@wmich.edu • Rob.wall@wmich.edu 44 • MDE-LIO – Michigan Severity Rating Scales: • http://tinyurl.com/44yq947 • Caseload Analysis Resources: • http://tinyurl.com/453fy8j • http://tinyurl.com/43ebsrx 45 John C. Austin President Casandra E. Ulbrich Vice President Nancy Danhof Secretary Marianne Yared McGuire Treasurer Richard Zeile NASBE Delegate Kathleen N. Straus Daniel Varner Eileen Lappin Weiser Rick Snyder, Governor Michael P. Flanagan Superintendent of Public Instruction