CHAPTER ONE INTRODUCTION Background to the Study Individuals with intellectual disabilities have potentials that can be developed in order to make them independent and useful in society. However, these potentials can only be developed through proper school systems that apply appropriate placement procedures in the various educational institutions. In the developed world school systems that affect placement for individuals with intellectual disability for instance are well advanced in Scandinavia, the United States of America, Canada, the United Kingdom, and Australia (Mansell, Knapp, Beadle-Brown & Beecham, 2007). In these countries, the important factors that are considered in making actual placement decisions for an individual student include: (a) the match between the curriculum and the student’s needs and abilities; (b) the student’s behaviour and its effect on other students and on the individual’s own learning; (c) the training, skills and attitudes of the staff in each possible placement; (d) the need/availability of specialized equipment; (e) the evidence of each program’s effectiveness; and (f) future plans and probabilities for the individual’s work and living arrangements. In short, there are no easy or simple answers to the educational placements for individuals with intellectual disability. Thus, there is no one answer, no one universally appropriate placement for all individuals with intellectual disability. Appropriate placements depend on the needs and abilities of the individual. School placement for children with intellectual disabilities therefore involves decisions on admitting and placing such children into a programme of study. Placement processes involve assessment to find out whether the child is eligible for placement in special school or an inclusive setting. In addition to the processes, factors such as significant 1 developmental delays; achievement deficits, behavioural problems, poverty, and the disability definition (Coutinho, Oswald & Best, 2002) are considered as influential in placing a child with special needs in an appropriate educational setting. The assessment of children with disabilities and in particular, those with intellectual disability provides data for diagnosis and support needs that informs their educational plan. The need therefore to employ appropriate assessment processes and efficient placement procedures are important in the quest of meeting the needs of individuals with disability in general, and those with intellectual disability in particular. Statement of the Problem In Dzorwulu Special School, students with intellectual disabilities are placed in a residential facility. However, some placement decisions made for student by the school’s placement team appears to be inappropriate. This makes it difficult for teachers to manage such wrongly placed children in their classes. It is also uncertain how the placement team evaluates children before their placement in the various classes. The researcher’s belief is that, the consequence of inappropriate placement processes could jeopardise skill acquisition of students which will make them independent members of society. This situation has prompted the researcher to find out how children with intellectual disabilities are placed in the school. Purpose of the Study The purpose of this study was to identify factors that influence placement decisions, and also to examine the procedures used to place children with intellectual disabilities in Dzorwulu Special School. 2 Objective of the Study The objectives of the study were to: 1. Identify the factors that influence placement decisions for children with intellectual disability in Dzorwulu Special School. 2. Describe the placement procedures used in placing children with intellectual disability in Dzorwulu Special School. Research Questions The following questions were raised to guide the study: 1. What factors influence placement decisions of children with intellectual disability in Dzorwulu Special School? 2. Which professional are involve in making placement decisions in the school? 3. What procedures are used for placing children with intellectual disability in Dzorwulu Special School? Significance of the Study The study examined factors that influence placement decisions, and the procedures for placing children with intellectual disability in Dzorwulu Special School in Accra, Ghana. The findings would serve as a guide for effective placement of children in special schools and particularly Dzorwulu Special School, by outlining the procedures used in placing children with intellectual disability. Furthermore, the outcome of the study would be beneficial to children with intellectual disabilities and ensure that proper assessment and placement decisions are made when admitting individuals with intellectual disabilities to special schools. Finally, the study would serve as reference materials for future research 3 by students who would like to do further work relating to placement of children with intellectual disability in special and inclusive schools in the country. Delimitation Even though there are six main public special schools for individuals with intellectual disability in Ghana, the study covered only one. By the nature of study and the research design adopted, it was not possible to investigate all the public special schools for individuals with intellectual disability in Ghana. Limitations The present study used the case study research design with interview as the main method of data collection. Even though the researcher wanted to conduct document analysis to compliment data obtained from the interview, the documents provided little information. This limitation made the researcher depend only on interviews. Operational Definition of Terms Intellectual disability: Intellectual disability is a term used when a person has certain limitations in mental functioning and in skills such as communicating, taking care of him or herself, and social skills. These limitations will cause a child to learn and develop more slowly than a typical child. Children with intellectual disability may take longer to learn to speak, walk, and take care of their personal needs such as dressing or eating. They are likely to have trouble learning in school. They will learn, but it will take them longer. There may be some things they cannot learn. 4 Assessment: A systematic process of gathering information in order to make legal decision. It is also a process whereby specialists from various fields evaluate a child to determine the degree of impairment or conditions. Placement: Refers to the type of school, regular or special, day or boarding that is prescribed for the child to attend. Professional: Some one who has in-depth knowledge of a field, whose views are important in decision making. For instance, special educators, psychologist, audiologist, social worker and so on. Multi Disciplinary Team: Is a group of specialists such as educators, medical practitioners, and social workers who come together to assess, plan and offer recommendations for educating and managing children with disabilities. Case Conference: A meeting of professionals after assessment to determine collaborative measures to be taken based on the assessment outcome for pupils with special needs. 5 CHAPTER TWO LITERATURE REVIEW Introduction This chapter provides review of related literature. The review of literature has been organised under the following sub-headings: Theoretical framework. Characteristics of children with intellectual disability. Factors influencing placement decisions of individuals with intellectual disability. Residential Schools for Children with Intellectual Disability. Placement procedures of children with intellectual disability. Summary of Literature. Theoretical Framework This study is informed by the medical and social models of disability. It is commonly accepted that there are two contrasting models or views of disability currently present within modern day society. These are described as the Social and Medical Models of Disability (Taylor, 2004). This study identifies the medical and social models of disability, consideration of which will enhance the full realisation of the expectations of students with intellectual disability on one hand, and the general educational goals of individuals with disability on the other. 6 The Medical Model of Disability (Taylor, 2004): Confined to wheelchair Is home-bound Can’t use hands Can’t climb stairs Is seek Can’t walk DISABILITY Need help Can’t talk Can’t see or hear Has a bitter attitude Need a doctor Need institutional care Need a cure The medical model of disability is often referred to as an individualistic, personal tragedy model informed by medicine and medical science (Taylor, 2004). This author added that, the medical model of disability dominated in western societies throughout the 20th century. This model locates virtually all aspects of disability within a clinical/medical framework by solely focusing on the individual’s body. It especially concentrates attention on what is different about or ‘wrong’ with the body of the disabled person, and the way that their body functions. In this way, the person’s disability is permanently linked with assumptions about illness and ill-health; such assumptions may well be false. There are also assumptions which are often made about the responsibility of the medical professionals to provide either a cure or to continually try to treat the person and to ‘normalise’ them through medical services (for instance, by repeated surgeries intended to ‘correct’ distorted limbs so they appear more ‘normal’, regardless of the effect on their function). By providing such medical support, doctors are seen as helping to integrate disabled people into ‘able-bodied’ society, so that they can live a ‘normal’ life. The medical approach to disability is useful if it is used to support the actual medical needs of 7 disabled people and to improve their ability to function as independently as possible. However, the primary criticism from the disabled people’s movement is that society gives the medical profession considerable power over their lives, often extending into areas which are far outside the medical arena. The medical model identifies disability as individual physiological or cognitive impairment which medicine can cure, treat or rehabilitate the disabled (Finkelstein, 2004). Finkelstein (2004) further indicated that, the medical model seeks professional approaches, services and policy processes that aimed at returning individuals with disability to some form of normalcy in order to compete with their non-disabled peers. With the medical model of disability, it is crucial to state that physical, sensory and intellectual disabilities are usually defined in terms of specific comparison with the “normal” humans (Anleu, 1999). This author added that, medical intervention and technology, which may have little therapeutic effect can aid conformity with everyday social activities and enhance social interaction among disabled individuals, and perhaps their non-disabled counterparts. Considering the medical model in this study has to do with perceived medical conditions that students with intellectual disability present per their medical assessment reports and used by the authorities in a residential school setting. It is worth noting that, it is important for students to regularly undergo medical reviews and treatment. This will enable such individuals to be medically conditioned to function effectively wherever they find themselves. Here, the disabled person is seen as being ill or having a condition (referred to as the disability) and is in need of some form of treatment. In this model, or view, of disability the illness or condition is said to be seen first and the person second. 8 The emphasis here is on a culture of dependency backed up by views of disability brought about in part by a history of segregation in our society. The method of bringing about change for the disabled person is seen to lie within the medical and associated professions. Increasing numbers of people now regard the Medical Model as one that creates a negative approach and tends to offer a somewhat limiting and outdated view of disability. However the mainstream of our society still tends to take this view. Much of present day law, as it affects disabled people, is still based on the Medical Model. The Social Model of Disability: According to Oliver (1996) the Social Model of Disability does not deny the problem of disability but locates it squarely within society. It is not individual limitations, of whatever kind, which are the cause of the problem but society's failure to provide appropriate services and adequately ensure the needs of disabled people are fully taken into account in its social organisation. This model concentrates on the person as a valued member of a very diverse society. It suggests that the disabled person is a unique individual who has the right to the same opportunities in housing, education, transport and facilities as anyone else. It recognises that a person’s impairment does not make them less of a human being. In this model the “disability” is seen as the common oppression brought about by the nondisabled world. This suggests that a person can be disabled by society and this is why those who subscribe to the Social Model use the expression “disabled people”. It is fair to say that much of the oppression is not deliberate but comes about because the nondisabled world has been taught consistently over a period of time that disabled people are different and somehow not normal. Any segregated provision, such as in the work place, in education or leisure, while very likely being offered at the highest level could prolong 9 the movement to the often expressed goal of a more inclusive society. It could also maintain and even add to the negative reactions some of us have towards disabled people. The solution according to this model is to bring about attitudinal, environmental and organisational changes within present day society. The 'Social Model' has undoubtedly been the dominant paradigm in researching and understanding disability in recent years - "redefining disability in terms of a disabling environment, repositioning disabled people as citizens with rights, and reconfiguring the responsibilities for creating, sustaining and overcoming disability". According to Vasey (1992), although the Social Model has many manifestations at its heart is a political message about human rights, demonstrating that: “everyone - even someone who has no movement, no sensory function and who is going to die tomorrow - has the right to a certain standard of living and to be treated with respect" (p. 44). Evolving from the recognition that disabled people’s rights and status in society had been marginalized, the Social Model redefines perceptions of disabled people by reframing disabilities as outcomes of interaction - as a grouped entity (Barnes, Mercer and Shakespeare, 1999). It considers disability as intrinsically connected to people and their life choices. To contemplate disability is to consider disabled people not their condition as the primary concern. The social model also centred on the relationship between individuals with particular physical and mental capacities and their social environment (Marks, 1997). It recognizes that environments limit access and opportunities for work, education and social participation, and that, prejudice, discrimination, and stigma are not inherent part of the 10 environment (Smart, 2001). In this vein, majority of individuals with disability are restricted with regard to access, participation and adequate provision to quality education. The social model is also reflective of human rights and equality. The established appraisal of the social model is that, it was not the individuals themselves that were disabled by their physical or mental impairments as purported by medical conceptualisation, but organisation of society as designed by non-disabled individuals that were more significantly disabling (Brynner, 2000; Fraser, Moltzen, Ryba, Neilson & Mitchell, 2000). According to Brynner (2000), within the social model, the core of the problem is not with the individual but with the oppressive aspects of social, political and economic environments in which the disabled individuals live. Oliver (1990) identified the central tenet of the social model of disability as a group solving process, enhanced by collective approaches. Oliver further suggested that organisational and administrative processes need to facilitate this process. This is because, the fundamental barrier of individuals with disability is to be able to achieve their educational goals and also interactive in the society. Nevertheless, ‘Social Model’ approaches generally argue that the disabled are excluded by unnecessary societal barriers: a wheelchair user is disabled when a building does not have ramp access; a deaf person is disabled if a service provider does not provide a minicommunication for them to access that service. In this view, the ‘problem’ is not the disabled person, but the lack of appropriate goods and services. This approach is most often stated as seeing the category of disability as a social construct, explained with reference to medical and political agendas and emphasising the historical development of institutionalised discriminatory practices (Finkelstein 1991). Pinning this study in the social model is to score the point that, residential placement of students with intellectual 11 disability will enhance social interaction among the students regardless of their age, disability type, gender, severity or otherwise. Characteristics of Children with Intellectual Disability Individuals with intellectual disability possess varied abilities and diverse skills as their counterparts without disability. As an entity, typical or noticeable qualities also vary according to the degree or severity of the individual’s condition. According to Shankar and Collyer, (2002), individuals with intellectual disability can be grouped into various categories. These include: The children with sensory disability, with other impairments, and Children with intellectual disability, with impaired learning processes. All these categories, according to Shankar and Collyer, (2002) do not have the same educational needs. Also, significant characteristics of children with intellectual disability focus on certain key areas such as academic, motivation, intellectual, physical or motor, social, and speech and language (Avoke, 2005). According to this author, categories of children with intellectual disability normally experience significant deficits in academic areas such as reading, mathematics or arithmetic areas of their learning. Those with the mild disability are better at decoding words than comprehending their meaning. These primary characteristics of children with intellectual disability that affects their learning are intellectual deficit that translates to a difference in the rate at which they acquire and use knowledge. Intellectual characteristic cut across all the categories of such children. But the limited intellectual capacity also depends upon the degree of the individual’s condition (Braddock, 2001). In communication, children with intellectual disability exhibit both language and speech problems. Generally, these individuals have impoverished language; while some do not 12 have speech at all, others use only one-word for communication, still others use twowords for communication, phrases or simple sentences while others can engage in complex conversation (Bradley, 2001). One distinctive feature about these individuals is articulation problems. In this respect, they sometimes omit phonemes, substitute others or distort them. Individuals with intellectual disability also manifest serious difficulty in writing skills. Majority have co-ordination problems and as such cannot hold pens or pencils firmly to make the symbol. Others may not have the coordination problem, but may lack the ability to form words and sentences intelligently. All individuals with intellectual disability manifest memory problems. That is, they have difficulty in recalling past learning experiences and events (Crockett, & Kauffman, 1999). Citing Bos and Vaughan (1991), Champan (2002) suggested that poor memory problems, manifested by individuals with intellectual disability, may actually be due to sensory problems or the fact that these children have poor rehearsal techniques. It is however, noted that when learning experiences are appropriately delivered to individuals with intellectual disability they do not show any significant difference in long term memory as their non-disabled peers (Conners, 2003). Another difficulty manifested by children with intellectual disability, as suggested by Sharp and Pitasky, (2002) is attention problems. Although many non-disabled children manifest attention problems, children with intellectual disability manifest more severe attention problems. Such problems manifest in three areas; focus, span and selectivity. That is, fixing attention on the most relevant stimulus, staying on it for a while and cutting off irrelevant and other competing stimuli, selecting the most relevant stimulus to focus on. Individuals with intellectual disability are easily distracted. They have difficulty allocating their attention properly. 13 Factors Influencing Placement Decisions of Individuals with Intellectual Disability. Placement decisions are usually made after identifying the strengths and weaknesses of pupils with intellectual disabilities. Mooney and Fitzpatrck, (2003) noted that the placement of children in residential setting is largely determined by the availability of places at the time the placement is required. The age of the child was also reported to be an important consideration. These authors also added that, behavioural problems also influence the type of placement provided for children. If a child was assessed as a risk to him/herself or others, residential care would be considered the most suitable, irrespective of the age of the child. Smith (1998) also posits that even though placement decisions identify a student as being different, if it turns out that the needs of the student cannot be met, or if that environment impedes learning, then that placement is not appropriate. It is the belief of many people including some professionals in special education that individuals with intellectual disability cannot learn to do very much and as a result, teachers do not try very hard to teach them. Historically, children with intellectual disability have been placed using samples of assessment and psychological reports (Avoke, 2005). The indication is that, a number of formal tests were used as a basis for making placement decisions into the schools. The tests used included Raven’s Colour Progressive Matrices, Seguin Boards, Chronoscope reactions and other test that yielded I.Q scores. Children were then categorized into groups based on their performances on these tests. There was also evidence of the use of informal strategies and approaches that relied on case history and social skills of the individuals. 14 Champan (2002) mentioned that, the type of behaviours measured by intelligence tests for instance, include discriminating skills (finding a stimulus that goes with another) motor skills (building block towers and tracing path through a memory) and abstract reasoning. Oppong, (2003) citing Hammil and Larsen (1987) mentioned that the use of intelligence test scores as the main basis for classifying children with intellectual disability is questionable. This is due to the controversy over intelligence test measures and the extent to which a child’s background experiences influence his or her performances. Elliot (2000) however is of the view that, assessment and placement decisions which must involve general assessment and placement decisions that incorporate general intellectual ability on a number sub-scale such as the memory, vocabulary, numeric verbal reasoning and spatial ability. The situation in those countries has since moved on, but traditional assessment procedure has been indicated as still rooted in the placement of children with intellectual disability into residential schools. Residential Schools for Children with Intellectual Disability Mooney and Fitzpatrck, (2003) viewed the placement of children in residential settings as a last resort. Some of the reasons given for this view included: the presence or likely threat of violence from other residents; exposing already vulnerable children to further abuse; the presence of offenders or other disruptive children; the older age profile of children in the residential setting; distance from schools and the difficulty in maintaining parental contact, and; residential accommodation generally operating at overcapacity. According to Mooney and Fitzpatrck, (2003), residential schools are institutionalized and lack flexibility. Other types of residential special education schools for extremely behaviourally challenged children are available, but not as widely as those for other categories of children. Children, who require constant, one‐to‐one specialized behavioural 15 monitoring and intervention such as self‐injurious behaviour, provide a challenge that most parents and traditional special education settings find difficult to meet. However, a child with such problems is only able to have their needs met in a residential school setting, often far from their home and families (Bond, 2004). Placement Procedures of Children with Intellectual Disability The issue of placement is a decision that both parents and professionals make jointly about the education of a child with special needs. The overall objective of this placement decision is to improve the educational opportunities of the child in order to enhance his or her progress through school (Meleen, 1992). As in the United States, upon completion of assessment, the Individualized Education Plan meeting and approval for placement, representatives of the school and parents are responsible for developing a final placement plan. Assessment of Individuals with Special Needs for Placement The word assessment may mean different things to different professionals, and it also involves different detailed procedures. In the United Kingdom, for example, the 1981 Educational Act specifies a clear formal procedure for the assessment of children, which includes tests of ability and attainment, as well as assessment of the child’s attitude towards school, home, learning, friends and the pupils difficulties (Gersch, 1992). According to Palmer, Fuller, Arora and Nelson, (2001), before a decision on placement of a student is made, several skills must be considered in order to help determine placement in a least restrictive environment. Depending on the disability, and the possible placements, some students should be able to accept and respect authority, to follow directions, and accept assignments without disagreement. Some placements require that students demonstrate appropriate management of turn in class, the ability to raise their 16 hand to gain recognition of the teacher, and have minimal time spent in time-out. In other settings, students are expected to come to class prepared and with appropriate materials. Still, other situations call for the student to be able to demonstrate the ability to organize their needed material and have the ability to work independently or with others, as instructed (Palmer, Fuller, Arora, & Nelson, 2001). Successful assessments require the input of more than one individual, because one person alone cannot determine eligibility and the need for services. Qualified personnel are responsible for determining the nature and extent of a child's handicapping condition once that child has been referred to special education. Apart from the initial assessment, these personnel also periodically review (at least every three years) the progress of, and reevaluate each child that receives special education services (Garrick Duhaney, & Salend, 2000). These periodic reviews are designed with the individual student in mind and should take into account performance, behaviour, and immediate needs at the time of reassessment. According to Iacovou (2001) all assessments should be conducted by multi-disciplinary teams that consist of qualified personnel with different backgrounds, including specialists from areas of any suspected handicapping conditions. Assessment procedures that require the use of specialized instruments or equipment should be performed only by persons trained and qualified to use those instruments. Following completion of the assessment procedures, the assessment team submits a written report. This report entails several different pieces of information to indicate: (1) whether the child has a specific learning disability; (2) the basis for making the 17 determination; (3) the relevant behaviour noted during the observation of the child; (4) the relationship of that behaviour to the child's academic functioning; (5) the educationally relevant medical findings, if any; (6) whether there is a severe discrepancy between achievement and ability that is not correctable without special education and related services; and (7) the determination of the team concerning the effects of environmental, cultural, or economic disadvantages (Matlock, Fielder, & Walsh, 2001 ). The written report of the assessment team also includes information pertaining to specific needs of the individual. Needs concerning transportation, counselling (if needed) for the student and/or family, and scheduling or classroom modifications are addressed in the report. Throughout the evaluation process, assessment personnel are responsible for informing parents of results for any procedure that required parental permission. In addition, the placement team provides the parents with ample opportunity to take part in the meeting to determine eligibility' for special education and related services (Cooper & Rascon, 1994). When there are major inconsistencies between previous assessment results provided by the parents and the results of the current assessment, the assessment team shall determine the necessity of a third-party evaluation of the student. In the view of Meleen (1992), eligibility can only be determined after concluding that a child does have a disability and that, the disability may be partially or fully responsible for his or her ineffective progress in regular education. Both of these conclusions point to the fact that the child has an educational need to be placed in special education. According to Meleen (1992), eligibility for special education and related services is determined by a committee that reviews the findings of the assessment team. It is the obligation of this committee to guarantee that no single assessor or determining factor decides eligibility for services and 18 that parents and school personnel have a general "picture" of how the child performs in the school environment. The process of determining eligibility is similar to that of assessing the student, because it requires observation of the student's performance, review of records, and collaboration with experts in the field of the student's disability (Meleen, 1992). By analyzing the student's progress in regular education versus his or her knowledge, skills, and social/emotional development, the committee is able to establish whether a student’s disability warrants special education services. The decision making process, according to Gonzalez, Aheam and Osher, (1994) require members of the committee to recognize that "effective progress" refers to a range or specific baseline of achievement. When a child has been determined eligible to receive services, the student and the types of services required may only be described in terms of his or her instructional needs, not the handicapping condition, label, or criterion (Gonzalez et al., 1994). Placement Processes for Individuals with Intellectual Disability According to Meleen (1992), the planning committee is challenged with the task of developing allied educational programs and services that address the goals and objectives of each student. For this to succeed, the committee must consider academic achievement goals, social and physical developmental goals, and the classroom management needs of the student. After placement of a student into a special education program, supportive services may be offered. Meleen (1992) further suggested that, supportive services address the following needs of student: adaptive physical education, special transportation, 19 optimal participation, audio-visual needs, special medical, psychiatric and other services, and specific management techniques for the student (p. 3). Students are generally placed in one of the following programmes: (1) regular classrooms; (2) resource room; and (3) separate or self-contained (special) classroom (Menlove, Hudson, & Suter, 2001). Resource rooms are specialized supplemental instructional programs designed for students that require services outside of the regular or special classroom. Instruction in this setting may be given in small groups or on a one-on-one basis and must constitute at least 21%, but not exceed 50%, of the school day (Davis, 1994). Davis further states that, special programs are designed for students whose educational needs cannot be met, even with related services or resource room programs. These programs include students that require special education services for more than 60% of the school day outside of the normal classroom activities. It is important to realize however that, the objectives of the regular classroom apply to the special classroom. Only the method of presentation of these services differs (O'Neil, 1988). Section 504 of the Rehabilitation Act of 1973 pertains to students that have mental or physical impairment that presents limitations for a major life activity. These activities may include such things as walking, seeing, hearing, speaking, and learning. These students are entitled to special education services that meet their particular needs (Meleen, 1992). Depending upon these needs, schools have several options that they may use independently or that they may combine to develop the best options for the identified 20 student. The student may have curriculum modifications including specialized instruction, adaptive equipment and/or assistive technology. Students may have personal aides to assist in any way, even with health-related accommodations. Furthermore, Meleen (1992) suggested that students who are physically impaired may need extra-curricular activity, accommodations or even transportation to and from school. Other students still may need more services than can best be provided in separate schools, residential facilities, or home/bound hospital environments. Separate schools are specialized facilities that provide services to students with disabilities for more than 50% of the school day. Public or private residential faculties can provide similar services for the same amount of time and can be at the pubic expense. Donovan and Cross, (2002) pointed out that in countries such as the United States of America, it is mandatory that after reviewing all relevant diagnostic evaluation and assessment results, the placement team makes placement recommendation. Parents or guardians are informed on the placement options, type of instruction and support services that are recommended for their children. Individualized Education Program (IEP) In the United States of America, the Individuals with Disabilities Education Act (IDEA) and its earlier regulations provide little information about people who makes the placement decision, except that a student's parents must be involved in the process (Waterman, 1994). According to the IDEA "each local educational agency or state educational agency shall ensure that the parents of each child with a disability are members of any group that makes decisions on educational placement of their child” 21 (Waterman, 1994). However, when the IDEA was amended in 1997, the Committee on Labour and Human Resources made it clear that the IEP team should make the placement decision. Davis (1994) explained that, following assessment and determination of eligibility, an Individualized Education Program (IEP) committee meets to develop the placement, decide on placement alternatives for the student, and ensures a least restrictive educational environment. The members of this team should include an administrator or other specialist familiar with the program, the student's teacher, and one or more of the student's parents or their representative (Cooper & Rascon, 1994). The purpose of the IEP meeting is to develop specific goals and objectives on the basis of information provided by the assessment teams and to develop the IEP document which attends to these goals and objectives and the methods of attaining them (Otos, Kilcrease, & Brazeau, 1992). In another instance, Otos, Kilcrease and Brazeau, (1992) also indicated that the specific purpose of the IEP document is to serve as a method of communication between school personnel and parents. An IEP provides opportunity for mutual agreement between school personnel and parents concerning the child. The IEP may also be used as an evaluation device for charting progress and as a management tool to guarantee that educational needs are being met. The collaboration of committee members without presence of parents constitutes a violation of parents' rights (Cooper & Rascon, 1994). The written reports on goals and objectives then are submitted to the case manager for organization and final document preparation. At the IEP meeting, parents have the right to question all objectives, proposed modifications, and make additions or deletions. In addition, parents 22 may supply their own goals and objectives for their child to be considered during the meeting. The hand-written formal IEP document is provided to the parents at the meeting. The IEP document is considered a contract between the school and parents or as a lesson plan, and provides a specific list of goals for each individual student. According to Waterman (1994), an IEP document should contain the following elements: information on present levels of performance, statement of goals and objectives, activities to be provided to student, time constraints of the program, criteria and evaluation procedures, vocational needs of the student, information on assistive technology, and Transition services to be provided (p. 5). There are many suggested ways of conducting the lEP meetings in a professional and friendly manner (Otos et al., 1992). Some basic suggestions for and IEP meeting are to introduce those in attendance, to explain the purpose of meeting, and to invite all in attendance to openly interact so that the best plan may be created. Be sure that parents are aware of their rights. Often times these must be explained rather than just handing them a booklet and hoping that they understand. A typed agenda is accepted by both the parents and others at the meeting, it can be used as an outline of the procedure for the meeting that will help keep everyone focused and aware of what needs to be accomplished. The person who addressed the student explains the process and summarizes the student’s progress since the last IEP meeting. In their view, these authors think that, everyone who 23 attends an IEP meeting should be allowed to provide their perspectives on the overall desired outcomes for an individual student. As stated previously, a complete re-assessment should be performed every three years. It is important that the parents be notified of every procedure to occur during evaluation and review. Parents have the right to due process in all matters concerning the child and are entitled to mediation conferences and fair hearings (Langdon &, Parker, 1982). According to Gorn (1999), the emphasis on the IEP team’s role in placement is new to most countries. When making the placement decisions, the IEP team must draw upon information from a variety of sources (for instance, aptitude and achievement tests or assessment reports, teacher recommendations, physical condition, social or cultural background, adaptive behaviour among others). Moreover, the team should ensure that all information is documented and considered. As indicated by Gorn (1999), the IDEA regulations stipulate that, no one factor should dominate the placement decision; rather, all factors should receive equal consideration. Clearly, the IDEA requires that placement decisions be made in a thoughtful and deliberative manner. All the evidence gathered during the evaluation process must be carefully considered prior to determining placement. Moreover, the student's individual educational needs and preferences drive the decision making process. Although, a student's educational needs are primary factors to consider when making placement decisions, an IEP team may also consider the potential harmful effects of student's placement on his or her peers. That is, the team may consider the effect the presence of a student with disabilities in a general education classroom would have on the education of other students in that classroom. A student who disrupts the education of others due to behaviour problems or because of needing constant teacher 24 attention may not be appropriately placed in a general education classroom. When weighing this factor, however, IEP teams must first consider the use of supplementary aids and services to accommodate students. Just as Huefner (2002) indicated, one would agree that placement should be done taking into account certain factors as mentioned earlier, authorities such as the U.S. Department of Education has also issued policy directions suggesting that those factors should not be the sole determining criteria used in placement decisions. This policy direction as given by the U.S. Department of Education indicated that it was not appropriate for IEP teams to make placement decisions based on the following factors: (a) category of disability, (b) severity of disability, (c) availability of educational or related services, (d) availability of space, or (e) administrative convenience. This means that these factors are not legitimate reasons for choosing a particular placement. For example, placing a student with emotional and behavioural disorders in a classroom for students with emotional and behavioural disorders just because of his or her disability label, without first considering the student's individual needs, would be illegal. Similarly, placing a student in a resource room because a school does not have a self-contained placement, even though the student's individual needs indicate that he or she needs a self-contained placement, would not be permissible. By this policy, it is also illegal for a school to place all students with disabilities in general education classrooms, a so-called full inclusion policy, if that setting is not appropriate for a student's individual needs. As Bateman and Linden (1998) aptly stated: “there is not now and has never been a requirement in the IDEA that all children with disabilities be included or mainstreamed in the regular class” (p. 13). 25 Personnel Involved in Placement Decision Making The personnel that form the team of professionals from the various fields who participate in comprehension student evaluations and make decisions about special education eligibility and placement are: special education teacher, school psychologist, school counsellor, school nurse, parents and any other professional deemed necessary. Gersch (1992) explained that to complete comprehensive statements on the assessed, reports are sought from a variety of professionals including educational psychologist, social workers, speech therapist, head teachers, and other specialist teacher. Also, Elliot (2000) noted that skilled assessment by educational psychologist, for instance, offers the promise of a more detailed understanding of the learner’s strength and weaknesses that can serve as the basis for subsequent intervention. It is also important to note that all the services a child needs cannot be met by one person alone, but rather a broad array of personnel from different disciplines that ensures the efficient use of the resources available (Star & Lacey, 1996). It is therefore necessary to involve various professionals to perform the following roles: School nurse: Initial vision and hearing screens, checks medical records, refers health problems to other medical professionals. Special education teacher: Consultant to regular classroom teacher during pre-referral process; administers educational tests, observers in other classrooms, helps with screening and recommends services. School psychologist: Administer individual intelligence tests, observes student in classroom, administers projective instruments and personality inventions: may be under supervision of a doctoral level psychologist. 26 School counsellor: May serve as an objective observer in pre-referral stage, may provide direct group or individual counselling, may schedule children’s and help with planning of children school schedules. Medical Specialist: The medical specialist represents both practitioners and researchers. Those contributing to field include paediatrics neurology ophthalmology, Otology, psychiatry; pharmacology, endocrinology, and nursing particularly school nursing. By education and practice, medical specialists are causes oriented always searching for the source of health problems (Ocloo, Agbeke, Avoke, Oppong, Hayford, Gadagbui, Boison, & Essel, 2002). Parents: Active members of the special education team; provide input for IEP works with home school academic and behavioural programme. One must always consider parents as vital contributing members of multidisciplinary team. They have known their children for a long period of time. The parents’ input and help can be extremely supportive of enriching the understanding of the child’s problems (Ocloo et al., 2002). Summary of Literature Literature reviewed in this study touched on the characteristics of children with intellectual disability; factors influencing placement decisions of individuals with intellectual disability and placement options available to such children; and placement procedures for placing individuals with intellectual disability. Available literature indicates varied characteristics of individuals with intellectual disability, which includes sensory disabilities with other impairments and those with impaired learning problems. Decisions affecting the placement of individuals with 27 intellectual disability, according to literature have to be made considering factors such as the type of disability presented and also the placement options available. Literature also identifies students’ assessment records and other related documents such as students’ medical records. Placement according to Arora and Nelson, (2001) is to be done considering students’ abilities and expectations. Arora and Nelson further indicated that proper procedures for placing such individuals should be documented. These procedures have to be followed if appropriate placement is to be done. Finally, placing individuals with intellectual disability in an educational setting needs to be done by professionals specially trained to make placement decisions for children with disability. 28 CHAPTER THREE METHODOLOGY Introduction This chapter deals with the research methodology that was used for the study. It describes the research design, population, sample and sampling techniques, research instruments, validity and reliability of instruments, procedures for data collection and data analysis. Research design The case study research design was adopted for the study. According to Ary, Jacobs and Razavieh (2002) case study investigates a single individual or a single discrete social unit such as a family, club, social institution, community, or gaining in-depth. Avoke (2005) citing Robson (2002) also describes a case study as involving an empirical investigation of particular contemporary phenomenon within its real context using multiple sources of evident. Avoke (2005) further explained that a case study involve an in-depth study of instances of phenomenon in its natural context and from the perspective of the participants involved in the phenomenon. Even though case studies are very subjective, they produce more in-depth comprehensive information and good source of hypothesis. The choice of this design, therefore afforded the researcher the opportunity to examine indepth the placement processes of children with intellectual disability in Dzorwulu Special School. Again, the design enabled the researcher to explore factors that inform placement decisions for children with intellectual disability in the school under study. Finally, the design provided a platform for gaining insight into the assessment and placement 29 processes applied in Dzorwulu Special School to establish whether they were appropriate or not. Population The population from which the study sample was drawn included the staff of Dzorwulu Special School, Accra. Sample and sampling technique The sample consists of five (5) participants including the headmistress, the assistant head teacher, the school placement co-ordinator, and two (2) teachers. Purposeful and random sampling techniques were used for selecting the sample. The purposive sampling, according to Creswell (2005), is a non-probability sample which is selected on the basic assumption that, with good judgement one can handpick elements of cases in a population for a study according to one’s interest and need. The headmistress, assistant head teacher and the school placement officer were selected purposively because, they were school personnel who were directly linked to placement. The two teachers were randomly selected as neutral participants. The researcher used these techniques with the view that only those who are directly involved in the placement and teaching of children with intellectual disability in Dzorwulu Special School participated in the study. 30 Research Instrument In this study, two research instruments were used to generate data. These were interviews and document analysis. The choice of these instruments was based on the nature of data required to address the research questions. Interviews Semi-structured interview guide was prepared by the researcher (Appendix E). The guide had two (2) sections. The first section focused on the bio-data of the participants, while the second covered the following areas: Characteristics of students in Dzorwulu Special School. Factors influencing placement decisions of children with intellectual disability in Dzorwulu Special School. Professionals involved in placement decision making in Dzorwulu Special School. Procedures for placing individuals with intellectual disability in Dzorwulu Special School. The interview with each participant lasted between 15-20 minutes. Document Analysis The documents examined included the assessment reports, student’s personal records and the admission reports of some selected students. These records were used because they contain vital information that informed admission and placement decisions of students. Records of the selected students were selected randomly in order to have a fair idea of the placement processes. Data gathered from the documents were used as complementary information to corroborate the interview responses. 31 Validity The validity considerations for this study was to ensure that the instrument used really measured the key issue (placement procedures in Dzorwulu Special School) that it was intended to measure. This was done by the collection of data through the administration of the interview schedule and critical analysis of views expressed by the respondents which ultimately revealed the findings. In order to strengthen validity, attention was paid to the sampling procedures. Attempts were also made to give clear definitions of the key words and concepts in the interview schedule. Reliability After the completion of the interview, typed interview transcripts were given back to the respondents to cross check the ideas presented. The respondents read through to make sure that all the questions were answered before they were collected by the researcher. These procedures enhanced the reliability of the data obtained. Data Collection Procedure Access After the research proposal was approved and the instruments adopted, an introductory letter from the Department of Special Education of the University of Education, Winneba (see Appendix A) was sent to the school in order to solicit their cooperation and assistance. The participants were subsequently informed about the researcher’s intention to conduct such a study. Upon sending the introductory letter, a pre-visit was made to the school to arrange meetings with the participants. The arrangements were made to meet all the respondents within one week. During the pre-visit, all the participants were given letters of informed consent (Appendix C) to sign if they accepted to participate in the 32 study. They were dully informed that their participation was voluntary and were free to abstain or even withdraw if they felt so. The participants were also assured of the confidentiality of the information to be gathered. After data had been collected, an appreciation letter was written and sent to the school and participants to thank them for their cooperation in the study (see Appendix D). Data Analysis Data was analysed descriptively. Data from both interview and the documents were put under themes to reflect the research questions. Some of the interview data were presented verbatim. This allowed the researcher to clearly understand what the interviewee said. Responses for each research question were discussed subsequently with supportive relevant literature. 33 CHAPTER FOUR ANALYSIS AND DISCUSSION OF FINDINGS Introduction This chapter deals with the presentation of analysis and discussion of findings of the study. Some of the views expressed by the respondents (the head teacher, assistant head teacher, school placement co-ordinator, and two teachers) were presented verbatim. Analysis of data In this section, the results are presented and analyzed with brief comments. In the subsequent part of the section, detailed discussion is made to reflect the research questions raised for the study. Research Question 1: What factors influence placement decisions for children with intellectual disability in Dzorwulu Special School? In terms of which factors influence placement decisions in the school, the headmistress indicated that: The type of disability and its severity that a student present is one factor that is considered in taking placement decisions. Students’ educational, assessment and health reports are examined by the placement committee, which helps the team to take informed decision on how and where to place the student. The views of the headmistress suggests that, even though the severity of students’ disability are considered, what in her view directs placement decisions more is the assessment records of the students. The assistant head teacher, on his part said: Even though the school has a residential facility, not all categories of disabilities are admitted. Children who are profoundly retarded for 34 instance are not admitted. Placement depends on the students’ assessment reports and relevant documents such as students’ educational history and the medical history. The responses of the other respondents, especially the school placement co-ordinator and the two teachers were similar to those expressed by the headmistress and the assistant head teacher. The school placement co-ordinator and the teachers for instance said: Factor such as students’ educational and health records are consulted. Students’ social, emotional, and physical growth and development which are sometimes captured in the students’ assessment reports are vital in making placement decisions on behalf of students. The teachers further said: We believe parents’ desires and expectations, when feasible are sometimes considered. However, if the placement team think they won’t work, they advise parents to accept whatever option was appropriate for the student. Research Question 2: Which professionals are involve in making placement decisions in the school? This question sought to find out the personnel that were involved in making placement decisions in the school. In this endeavour, responses from all the participants revealed that Dzorwulu Special School indeed has some professionals who meet regularly to make placement decisions. The Headmistress reported that: Those who make all the placement decisions include herself, the professionals involved in placement decision making in Dzorwulu Special School. According to the assistant head teacher and the teachers, professionals that are involved in making placement decisions are not permanent. This is evident in their responses that: Apart from the headmistress, the assistant head teacher and the school placement co-ordinator, other professionals become part of the team depending on the suspected cases that come before the school authorities. 35 These views are similar to those expressed by the headmistress. The main ideas indicate that there were only three permanent team members. The inclusion of other professionals depended on the judgement of the permanent members. Research Question 3: What procedures are used for placing individuals with intellectual disability in Dzorwulu Special School? In respect of Research Question 3, respondents’ views were sought about the procedures for placement of students with intellectual disability in Dzorwulu Special School. The headmistress indicated that: Before students are placed, they are assessed. The assessment Report then guides the placement committee. After examining the assessment reports, the placement committee meets to decide on the students’ placement. The assistant head teacher on his part held that: The placement committee monitor the students’ progress for sometime and suggests other options when necessary. This situation mostly occurs in placing the student wrongfully in a class. In his response, the school placement co-ordinator said: In placing students, the placement committee discusses the students’ assessment reports and finds out which placement options that are available to meet the students’ needs. Again, the views of both teachers were similar to those expressed by headmistress, the assistant head teacher and the school placement co-ordinator. The teachers stated that: The placement committee examines and discusses the students’ educational and medical reports before placing them. The students are monitored to see if they fit their placement settings. These, in the researcher’s opinion reflects best practices that is expected of placement teams or an Individualized Education Programme team that has the responsibility to 36 appropriately place individuals with disability where they best fit in an educational setting. Discussion of Findings In the earlier part of this chapter, results were presented and analyzed to reflect the research questions with only brief comments on them. In this part, the findings are discussed into detail under themes generated from the research questions. From the data it was noted that students in Dzorwulu Special School are mainly intellectually disabled. Some of the students however manifest additional limitations such as inattention and hyperactivity, emotional or immaturity and social relationship problems among others. Placement of Individuals at Dzorwulu Special School The results reveal that with factors such as type and severity of a disability are considered in making placement decisions for the students at Dzorwulu Special School. Again, it was apparent that assessment reports of students greatly influence placement in the school. As the headmistress explained, the type of disability and its severity and students’ educational, assessment and health reports are considered. This is understandable, reviewed literature suggest that all placement decisions must be determined individually for each child taking into account various factors such as assessment and medical reports of students. When such decisions are faulty, the individual is wrongly place (Snyder, 2005; Shankar, & Collyer, 2002) Further, the findings also revealed that factors such as social, emotional, physical growth and development are considered when making placement decisions for students with intellectual disability in Dzorwulu Special School. This is in line with suggestion by Elliot (2000) also suggests that, assessment and placement decisions must incorporate 37 general intellectual ability on the basis of memory, vocabulary, numeric, verbal reasoning and spatial ability. In terms of involvement of professionals, it was revealed that the school has a multidisciplinary placement team that makes placement decisions for students. The team included: the headmistress, the assistant head teacher, a placement co-ordinator, two other teachers, psychologist and other relevant professional needed at any given time. However, apart from the headmistress, the assistant head teacher, and the placement coordinator, the other members are not permanent members of the team. In fact, membership of the team is determined by the nature of the cases that are to be considered. This is in agreement with the view by Mowbray, Megivern and Holter, (2003) who suggested that, individuals and professionals forming a placement team must be identified based on the objectives of such teams. Additionally, the placement team usually meets to make decisions on students’ educational programmes. During such meetings, the team discusses students’ assessment reports. This is in line with Losen and Orfield, (2002) that decisions concerning educational programmes for students with disabilities are a prerogative of a multidisciplinary team, hence, such decisions must involve parents. Also, at Dzorwulu Special School, students are monitored to ensure that the placement options selected for them are appropriate. However, Turnbull, et al., (2010) postulate that in the USA, schools are mandated to use the Individualized Education Programme to decide educational placement, and to review that placement at least annually. It also requires that, educational placements are in the school the student would normally attend, and as close as possible to the student's home, unless other factors determining that was not possible. 38 According to Mowbray, Megivern, and Holter, (2003), procedures for placing individuals with intellectual disability are well grounded when all parties (e.g. the placement team, including parents and the students themselves) feel part of the process. These procedures must be clearly documented and comprehensive. Contrary to the views of Mowbray, et al., (2003), no specific document was found that clearly spelt out guidelines for placement in Dzorwulu Special School. 39 CHAPTER FIVE SUMMARY, CONCLUSION AND RECOMMENDATION Introduction This chapter provides the summary of findings, conclusion, recommendations and implications for further research. Summary This study investigated placement procedures for students with intellectual disability in Dzorwulu Special School. The study also examined the types of disability students’ manifest and factors that influence placement decisions of students in the school. The study adopted the case study research design. Five (5) participants were involved in this study. The purposeful sampling was used in selecting the sample, with a semi-structured interview schedule as the main tool for collecting data for the study. Documents were also analysed to compliment the interview data. The outcomes of the study were as follows: 1. In view of factors that influence placement decisions of students with intellectual disability in Dzorwulu Special School, the results showed that students’ assessment reports; educational and medical history; social, emotional and physical growth and development reports were used to inform placement decisions. 2. In terms of professionals that make placement decisions, it was evident that five or more professionals were normally involved in making decisions. The composition of the team depended upon the cases. On the issue of placement procedures, the results showed that, no specific procedure was documented. The placement team only meets to discuss students’ records and then decide on where and how to place a particular student. 40 Conclusion Based on the findings of this study, the researcher found that, the only official placement option available in Dzorwulu Special School is a residential facility for individuals with intellectual disability. However, class placements are done considering the abilities of students as reflected in their assessment and other relevant records. Critical analysis of the results suggests that, placement decisions by the placement team were mostly influenced by the results from these records. Finally, the results suggested that, no specific placement procedures were documented. The team meets, discusses students’ records in accordance with the promising practices and takes placement decisions. Recommendation Based on the findings of the study, the researcher recommends that, placement procedures in the school should be properly documented. What the placement team should consider in placing the students should also be clearly stated. The placement teams in special schools for individuals with intellectual disabilities should also be well constituted. Areas for further studies The results of the current study suggested a number of directions for further study. 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Harvard Business Review, Jan-Feb, 139–145. 47 APPENDIX A DEPARTMENT OF SPECIAL EDUCATION UNIVERSITY OF EDUCATION, WINNEBA (UEW) Our Ref: February 10, 2010 The Headmistress Dzorwulu Special School Accra Dear Madam, INTRODUCTORY LETTER Ms. Eyi Mawuko Gadabor a Master’s Student of the University of Education, Department of Special Education, Winneba is undertaking research on ‘Procedures for Placement of Individuals with Intellectual Disability in Dzorwulu Special School in Accra”. She would need your assistance to access data from your school. I would therefore, be grateful if you could provide her with the necessary assistance. Your cooperation in this regard is highly appreciated. Thank you. Yours faithfully, 48 P. O. Box 25, Winneba, C/R Ghana. Tel.: (0432) 22139/22140 Ext 138 headofdept20@yahoo.com APPENDIX B REQUEST FOR PERMISSION TO CONDUCT RESEARCH IN SCHOOL University of Education, Winneba Department of Special Education P. O. Box 25. Winneba. Central Region. 24th February, 2010. ……………………………… ……………………………… ……………………………… Dear Madam, PERMISSION TO CONDUCT RESEARCH IN YOUR SCHOOL I congratulate you for the good work you are doing in your school. I am currently a Master’s degree student at the University of Education, Winneba. As part of my course, I am required to do research. The purpose for the study is to find out the placement options and procedures for placing Individuals with Intellectual Disability in your school. The study will cover only those responsible for placement of Individuals with Intellectual Disability in the school. The participants will be interviewed for at least 20minutes. In order to succeed in this endeavour, the school is kindly requested to appoint a time and place where all teachers can meet the researcher. All information provided for the purpose of this research will be treated with utmost confidentiality. I hope that you will grant me permission to collect data for my study. 49 Yours Truly, …………………… Eyi Mawuko Gadabor APPENDIX C INFORMED WRITTEN CONSENT TO PARTICIPATE IN RESEARCH University of Education, Winneba Department of Special Education Box 25, Winneba 10th March, 2010. Dear Teacher, LETTER OF CONSENT TO PARTICIPATE IN RESEARCH I thank you for the great work that you are doing for your school. I am a student at the University of Education, Winneba pursuing a Master’s degree course in Special Education. I am to conduct research in your school as one of the requirements for the course. The purpose for the study is to find out the placement options and procedures for placing Individuals with Intellectual Disability in Dzorwulu Special School. I am happy to inform you that, you have been selected to participate in this study. All information provided will solely be used for research purposes only and shall be treated with utmost confidentiality. On your part, you are requested to decide voluntarily by signing below if you accept to be a participant in this research. Please do not write your name in this letter. ………………………............. Research Participant ........................................... Researcher 50 (signature only) APPENDIX D LETTER OF APPRECIATION TO SCHOOLS University of Education, Winneba Department of Special Education P. O. Box 25. Winneba. Central Region 4th May, 2010. ……………………………… ……………………………… ……………………………… Dear Madam, LETTER OF APPRECIATION I am writing back in connection with data collection for my research in which your school participated. Data collection may not usually be an easy task for researchers. In my case, it was successful because I got maximum support and cooperation both from you as a school head and from other participants, all of whom willingly participated in the research. I would therefore like to convey my sincerest gratitude to all, especially you for making it possible for me to obtain data for my study. May God bless your struggles in the service of our country. Yours, 51 …………………….. Eyi Mawuko Gadabor APPENDIX E SEMI-STRUCTURED INTERVIEW SCHEDULE FOR RESEARCH PARTICIPANTS Part One Sex Male Female What is your status? How long have you serve in your current status? Part Two What are the procedures for admitting a child to your school? How many individuals are involved in making decisions on placement in the school? What factors influence decision on placement of the child with disability in the school? Mention the professionals who are involved in the placement of children with intellectual disability in the school? 52 APPENDIX F DZORWULU SPECIAL SCHOOL (FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES) SCREENING REPORT FORM P. O. Box 67 Achimota - Accra Tel: 772997 DEMOGRAPHIC DATA NAME:…………………………………….. GENDER:…………………... DATE OF BIRTH:…………………………………………………………… POSITION OF BIRTH:……………………………………………………… PLACE OF BIRTH/HOMETOWN:…………………………………………. EDUCATIONAL BACKGROUND NUMBER OF YEARS AT PRE-SCHOOL:……………………………. NUMBER OF YEARS AT BASIC SCHOOL:…………………………. NAME OF SCHOOL:……………………………………………………. Category: Mild Moderate Severe Profound Mobility: Normal Problem Type of Problem Gross motor Fine motor skills skills 53 Speech & language Fluency Non-fluent Lack Features Minimal Problems to Speech Difficulties Communication: Self-Experience Lack Self Uses Gestures Problem Expression of Gestures Self-help skills No difficulty Difficulty i) Toileting Requires Others Training ii) Eating/Feeding iii) Bathing Aggressive Friendly Tantrums Social 54 Cooperative Uncooperative Others Skills: Both Parents Custody of Only Only Grand Foster Mother Father Parents Parent Child: ACADEMIC SKILLS Ability to read. Ability to write. Ability to count. Lack basic academic skills. Social skills. PROBLEMS AFFECTING: Aggressive Friendly/Sociable Exhibit Cooperative Uncooperative Tantrums PARENTS Father NAME:……………………………………………………………………. AGE:………………………………………………………………………. MARITAL STATUS:……………………………………………………… NO. OF CHILDREN:…………………………………………………….. OCCUPATION:…………………………………………………………… HOMETOWN:……………………………………………………………... RESIDENTIAL ADDRESS:………………………………………………. ……………………………………………………………………………… POSTAL ADDRESS:……………………………………………………… TELEPHONE:……………………………………………………………... E-MAIL:…………………………………………………………………… Mother 55 NAME:……………………………………………………………………. AGE:………………………………………………………………………. MARITAL STATUS:……………………………………………………… NO. OF CHILDREN:…………………………………………………….. OCCUPATION:…………………………………………………………… HOMETOWN:……………………………………………………………... RESIDENTIAL ADDRESS:………………………………………………. ……………………………………………………………………………… POSTAL ADDRESS:……………………………………………………… TELEPHONE:…..…………………………………………………………. CUSTODY OF CHILD With both parents With Grandparents With only mother With Foster parent With only father CASE HISTORY DURATION OF PREGNANCY:………………………………………… Pregnancy – Infections Use of Medication (Prescribed, unprescribed) – alcohol use – paternal smoking MATERNAL AGE:………………………………………………………... PLACE OF BIRTH:………………………………………………………... DESCRIPTION OF BIRTH PROCESS:…………………………………... ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………… POST NATAL HISTORY (COMPLICATIONS IF ANY):………………. ……………………………………………………………………………………… ……………………………………………………………………… TYPE OF MEDICATIONS (IF ANY):……………………………………. RECOMMENDATIONS:………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………… INTERVIEWER/ASSESSOR(S) DATE:…………………………………. SIGNATURE:……………………….. NAME:………………………………… 56 NATIONAL ASSESSMENT AND RESOURCE CENTRE FOR CHILDREN WITH DISABILITIES AND SPECIAL EDUCATIONAL NEEDS (SPECIAL EDUCATION DIVISION) ACHIMOTA INTELLECTUAL DISABILITY ASSESSMENT REPORT Name: Gender: Date of birth: Age: Brief history: Behavioral observations: SELF-HELP/DAILY LIVING SKILLS/INTELLECTUAL GROWTH DEVELOPMENT ACTIVITY YES Toilet trained Cleans up after toilet 57 NO WITH ASSISTANCE SCORE Wets the bed Able to bath Places shoes on correctly Able to remove clothing Able to fasten clothing Uses spoon appropriately Can identify parts of the body Can copy shapes Identities different money denominations Aware of danger Cannot sit still Speech is clear for age Has delayed speech Counts by rote to ten Able to identify numerals Can deliver a message appropriately Summary: 58 Recommendation: NAME OF ASSESSOR: SIGNATURE: DATE: 59