National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 National Disability Authority paper to Oireachtas Committee on Education and Skills The provision of special needs education in Ireland The National Disability Authority (NDA) is the independent statutory advisory body to the Government on disability policy and practice. The NDA works closely with, and is represented on the Board of the National Council for Special Education. The National Council for Special Education in addition to its operational role in assigning resources to schools, has also carried out extensive research which will be very useful in guiding further improvements in inclusive education, and on which the NDA has drawn in its own advice. This short paper summarises recent policy advice, and work in progress, by the NDA, on the topics of preschool education for children with special needs inclusive schools special needs assistants Pre-school education Include children in mainstream pre-schools, and target supports at capacity to include the child The NDA is currently looking at best practice and research findings in pre-school education for children with disabilities. While this work is not yet complete, the emerging evidence is that mainstream pre-school education is the favoured route in other countries, and the policy emphasis is on supporting mainstream pre-schools to cater for children with disabilities and special education needs. More recently, the direction has been to move away from models where one adult is responsible for supporting one child with a disability to models where additional resources are targeted at including the child in the group with his or her peers other than by one-to-one support. The research literature on pre-school inclusion, which is largely based on US studies, shows that children with disabilities do at least as well developmentally in good quality inclusive preschools as in segregated settings and make more gains in terms of social and behavioural outcomes, and that children without disabilities do no worse developmentally in inclusive settings and score higher on tests relating to acceptance of people with disabilities. Studies looking at the cost effectiveness of inclusive versus segregated pre-schools, while lacking robustness, do suggest that inclusive pre-schools are more cost effective. 1 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Inclusive schools Include children with disabilities in mainstream schools and classes and consider reverse inclusion in special classes The NDA advises that the international evidence base strongly supports the policy objective of inclusive education. The weight of the research evidence supports the view that on average children with disabilities and special education needs do better in mainstream settings than in segregated settings, and that children from across the spectrum of disabilities have been successfully included in mainstream settings. However, the NDA also acknowledges that the evidence base shows that due to a range of factors - disability-related factors, individual and family related factors, school related factors and supports provided - not all children with disabilities and special education needs do better in mainstream settings. The available evidence base does not support children being in segregated classrooms for almost the entire school week. The evidence, though limited, suggests that children should be in mainstream classrooms (not just mainstream schools) with appropriate supports for as much of the school day or week as they will benefit from. The NDA observes that specialist education does not necessarily have to mean segregated education. Reverse inclusion or reverse mainstreaming (bringing children without special needs into centres which previously catered for children with special education needs only) has been used extensively as a mechanism to deliver inclusive pre-school education in the US. It has also been used by at least one special school in Ireland. Given demographic and fiscal pressures, it may be worth further investigating whether some special schools could become well resourced specialist but inclusive schools. Also, some mainstream schools have, over time, become centres of excellence in inclusion in response to interested parents, teachers, principals or boards of managements. There are opportunities therefore to develop (or recognise) new models of specialist but not segregated schools on the continuum of special education support. Special Needs Assistant Scheme Give SNAs a wider and more flexible role There was a very rapid expansion of the SNA scheme in the decade 1998 to 2008. The NDA advises that the current significant state funding for Special Needs Assistants should be retained but should be deployed in a flexible way to support children with disabilities to attain their potential, in the context of the Education for Persons with Special Educational Needs (EPSEN) Act 2004. The formal job description for SNAs has remained unchanged for a third of a century, although successive published research studies and preliminary findings of NDAsponsored research currently underway have shown that in practice the role has developed beyond that formally set out. The NDA advises that continued appropriateness of this prescribed role for SNAs needs to be reconsidered given the changed policy landscape over this period, and in particular in the context of the 2 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 National Disability Strategy, of the Education for Persons with Special Education Needs (EPSEN) Act and of the Disability Act 2005. The NDA advises that the job description for special needs assistants should be a modern flexible one which enables them to deliver assistance to support the development and learning of the child with disabilities in the context of the modern classroom. Internationally, roles similar to the SNA role in Ireland have evolved over time from a care support role to an education support role. Such changes have led to the need for programmes to upskill SNAs. The NDA advises that special needs assistants should have appropriate ongoing training to enable them to satisfactorily meet the job roles they are assigned. Entry level qualifications and training routes for the role of SNA would need to change in this context too. The NDA also advises that teacher training should recognise that some teachers may never teach in a classroom where they are the only adult. Joint working and joint planning between teachers and SNAs to cater for the needs of all the children in a classroom is likely to be required in very many classrooms. It is not clear that teacher training in Ireland has adapted to this new reality of joint working and staff management. The outcomes achieved by the SNA scheme should be monitored and benchmarked against national and international standards. Preparation for life The NDA advises of the importance of linking education at school level to further education and training (including vocational training) and adequate planning at school stage for transitions to the next stages of life. 3 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Background Papers Paper 1 - Best Practice in the Provision of Inclusive Preschool Services Introduction This background paper has two objectives: To summarise research literature on early childhood pre-school inclusion, which is mainly based on US studies To summarise the recommendations from relevant Irish literature - a mixture of policy documents, literature reviews and reports on good practice based on stakeholder consultation The next step proposed is to gather more detailed administration and, if possible, basic funding and resources information, on a number of countries identified as having good practice in the area of including young children with additional support needs in early childhood education and care settings. A framework for how this information is to be collected is presented in appendix 1. What are the main findings of the academic literature on pre-school inclusion? There is consensus in the academic literature that high quality pre-school programmes have lasting positive effects for children and society, particularly for children from low socio-economic backgrounds1 and for those at risk of developing learning or behavioural difficulties at school.2 There is a general consensus in the literature on early intervention for children with disabilities and special education needs indicating that while outcomes from early intervention vary, that early, intense interventions significantly effect children's development.3 This paper does not attempt to synthesise the literature on the aforementioned topics. The focus of this brief review is the available literature is on the inclusion of children with disabilities and / or special education needs in mainstream early education and care settings. 1 Barnett, W. S. (2008). Preschool education and its lasting effects: Research and policy implications. Boulder and Tempe: Education and the Public Interest Centre & Education Policy Research Unit. http://epicpolicy.org/publication/preschooleducation 2 Melhuish, E., Quinn, L., Hanna, K., Sylva, K., Sammons, P., Siraj-Blatchford, I., & Taggart, B. (2006) Effective Pre-school Provision in Northern Ireland (EPPNI) Summary Report 3 Guralnick, M. J. (1998). The effectiveness of early intervention for vulnerable children: A developmental perspective. American Journal on Mental Retardation, 102, 319–345. 4 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Inclusive early education is increasingly government policy Inclusive early education is the policy ambition of most but not all developed countries. Recent surveys of early education models across developed countries show that generally there is a policy ambition to ensure that pre-school children (3 - 5) are included in settings with their typically developing peers.4 However, for many countries where pre-school inclusion is the policy aim, specialist pre-schools services for preschool children still exist and there is limited data on the extent to which children with disabilities are included in mainstream pre-school settings. The US is the main exception to this as preschool inclusion has been government policy for thirty years and it has a well developed body of research and two longitudinal survey programmes on young children with disabilities and special education needs. One US study found that between 1985 and 1990 the number of pre-school services in its study which had at least one student with a disability had almost doubled,5 another found that 5% of preschools in its study were inclusive settings prior to 1990 while 78% of the same settings were inclusive ten years later6. 2007 data from the US Department of Education indicates that the majority of states continue to make progress in developing inclusive pre-school programmes and that 36 of the 59 states and territories were serving more than 50% of pre-schoolers in receipt of disability supports in mainstream settings.7 It should be noted that in the US this sharp increase is driven by legislation. Under Part B of the Individuals with Disabilities Education Act (IDEA) support must be provided in the least restrictive environment8. Table 1 below provides a picture of where US preschool children received additional supports. 4 OECD (2006) Starting Strong II: Early Childhood Education and Care. EECD: Paris Wolery, M., Holcombe-Ligon, A., Brookfiel, J., Huffman, K. Schroeder, C., Martin , C. G., Venn, M. L., Werts, M.G., Fleming, L., A. (1993) The extent and nature of pre-school mainstreaming: A survey of early educators. Journal of Special Education, 27, 222 - 234 6 Lieber, J., Hanson, M.J., Beckman, P.J., ODOM, S.L., Sandall, S.R., Schwartz I.S., Horn, E, & Wolery, R. (2000) Key influences on the initiation and implementation of inclusive preschool Programs. Exceptional Children 67 (1) 83 - 98 7 Buysse, V. & Hollingsworth, H.L., (2009) Program Quality and Early Childhood Inclusion: Recommendations for Professional Development. Topics in Early Childhood Special Education 29 (2) 119 - 1128 8 Part C and Part B of the IDEA Act refer respectively to birth to 3 years services and 3 to 5 years. services 5 5 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Table 1 - Mean hours per week that young children who received preschool special education services spent in various educational settings, by age cohort and school year: School years 2003-04 and 2004-05 Setting Regular education classroom Special education setting Therapy setting Non-special education setting outside the classroom for remedial or special assistance Home instruction 2003- 04 2004 - 05 8.2 8.0 0.8 0.2 15.0 6.2 8.0 0.2 0.2 0.2 Source: US Department of Education, 2008, Report from the Pre-Elementary Education Longitudinal Study (PEELS) Evidence of outcomes for children with disabilities in early education settings Arguably the most important question regarding the evidence base for pre-school children in mainstream settings is whether outcomes for children with disabilities are better or worse in inclusive versus segregated, specialised settings. The major reviews of the empirical literature comparing children with disabilities across the two setting types conclude that children do at least as well in inclusive settings in terms of development outcomes and do better in term of social and behavioural outcomes in inclusive settings9. Table 2 below, which is adapted from Buysse and Bailey (1993), who systematically reviewed the findings from the comparative literature in the field up to the early 1990s, bears this out. The findings in the more recent literature have largely up held these findings. 9 Buysse, B., & Bailey, D.B. (1993), Behavioural and development outcomes in young children with disabilities in integrated and segregated settings: a review of comparative studies. Journal of Special Education 26, 434 - 461; Lamorey, S., & Bricker, D. D (1993) Integrated programs: effects on children and their parents In Peck, C., Odom, S. & Bricker D Integrating young children with disabilities into community-based programs; from research to implementation. Baltimore: Brookes; Odom, S. L., & Diamond, K. E. (1998). Inclusion of young children with special needs in early childhood education: The research base. Early Childhood Research Quarterly.13(1), 3-25. 6 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Table 2 - Integration Outcomes Along a Continuum of Studies with Strong and Weak Designs Studies from strong to weak Esposito & Koorland (1989) Field, Roseman, DeStefano & Koewler (1981) Hecimovic, Fox, Shores & Stain (1985) Martin, Brady & Williams (1991) Stain (1984) Beckman & Kohl (1984) Guralnick (1981) Jenkins, Speltz & Odom (1985) Jenkins, Odom & Speltz (1989) Vandell, Anderson, Erhardt & Wilson (1982) Beckman & Kohl (1987) Fenrick, Pearson & Pepelnjak (1984) Cole, Mills, Dale & Jenkins (1991) Soderhan & Whiren (1985) Guralnick and Groom (1988) Garden-Smith & Fowler (1983) Fewell & Oelwein (1990) Novak, Olley & Kearney (1980) Rulw, Stowitschek, Innocenti, Steifel, Killoran, Swezey & Boswell (1987) Federlein, Lessen-Firestone & Elliot (1982) Cooke, Ruskus, Apolloni & Peck (1981) Harris Handleman, Kristoff, Bass & Gordon (1990) Developmental Outcomes No difference No difference Social Behaviour outcomes Positive Positive Positive Positive Positive Positive Other behavioural outcomes No difference Positive Positive Positive Mixed Mixed No difference Positive Mixed Positive No difference Positive Positive Positive Mixed No difference Positive No difference Positive No difference Mixed No difference Source: Adapted from Buysse and Bailey (1993) 7 Positive No difference National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 The US literature is in general agreement that mildly disabled children can be included in inclusive programmes quite easily, while children with moderate to severe disabilities will require more "active programming"10 - i.e. additional supports and more individualised instruction. This has led some of the leading researchers to caution against too much focus on setting type at the expense of considering how interventions and programmes meet the needs of individual children.11 The above findings need to be interpreted in an Irish context with some caution. Inclusive pre-schools used in the US comparative literature tend to be exemplar settings in terms of overall quality, e.g. model facilities attached to universities. Also, children attending state funded pre-schools, who are assessed as having a disability or special education need under Part B on the IDEA Act, have the right to supports required to enable them to participate in state funded pre-school programmes. As local education authorities are the lead agency for administering supports to enable pre-schoolers (3 5) to participate in education, service delivery structures have tended to develop from existing school-age special education support systems. The role of overall setting quality and support provision will be discussed in more detail below. However, it is possible to conclude that several decades of US research shows that outcomes for children with disabilities in good quality inclusive pre-school settings, which have access to appropriate supports, are at least as good as for their peers attending specialist settings. What conditions and supports are necessary for successful inclusive pre-school programmes? Quality of early education There is a large body of research literature on the importance of individual factors that contribute to the quality in early education and care settings. To summarise, there is generally agreement that what constitutes quality is lower children to adult ratios, the education level of staff, class sizes and salaries of staff,12,13. One key study, which is very 10 Buysse, B., & Bailey, D.B. (1993), Behavioural and development outcomes in young children with disabilities in integrated and segregated settings: a review of comparative studies. Journal of Special Education 26, 434 - 461 11 Bricker, D. (1995). The challenge of inclusion. Journal of Early Intervention, (19) 179-194. 12 Cost, Quality, and Outcomes Study Team. (1995). Cost, quality, and child outcomes in child care centers: Key findings and recommendations. Young Children, 50, 40-44; Vandell, D., L., & Wolfe., B (2000); Child Care Quality: Does It Matter and Does It Need to be Improved? http://aspe.hhs.gov/hsp/ccquality00/ccqual.htm; Barnett, W. S. (2008). Preschool education and its lasting effects: Research and policy implications. Boulder and Tempe: Education and the Public Interest Centre & Education Policy Research Unit. http://epicpolicy.org/publication/preschooleducation; Barnett, S.W & Ackerman, D.J., (2006) Costs, Benefits, and Long-Term Effects of Early Care and Education Programs: Recommendations and Cautions for Community Developers Community Development: Journal of the Community Development Society. 37 (2) 8 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 frequently cited in the research literature found that there is great variation in preschool quality across and within states but that they were medium to poor on average.14 Parent and stakeholder perceptions of inadequate overall programme quality have been identified as a major barrier to the development of inclusive programmes.15 Programmes scoring poorly on standardised quality measures are seen as likely to be inappropriate settings to attempt to include children at risk of poor educational and social outcomes,16 including children with disabilities and special education needs.17 That said, some of the limited research comparing quality in segregated and inclusive early childhood education and care settings using the same instrument shows that the average quality ratings are in fact broadly similar ("moderately good") in both setting types,18 while other research has found that overall programme quality is moderately better in inclusive settings.19 The majority of the research on the impact of quality early education and care on outcomes looks at group quality and group outcomes or group experience. However, there is limited research on the effect of global classroom quality, (i.e. the quality of the education offered to all children), on the experience of individual children with disabilities. This research shows that global classroom quality is the greatest single predictor of the quality experience of an individual child with a disability but that presence in a high quality class itself does not ensure a good quality experience for an individual child.20 13 There are a number of quality rating scales which have been widely deployed across the US. Infant/Toddler Environment Rating Scale (Harms, Cryer, & Clifford, 1990); Preschool Assessment of the Classroom Environment Scale-Revised (Raab & Dunst, 1997); Early Childhood Environment Rating ScaleRevised (Harms, Clifford, & Cryer, 1998); Practices in Early Elementary Classrooms (Hemmeter, Maxwell, Ault, & Schuster, 1997). 14 Peisner-Feinberg, E., Burchinal, M. (1997). Concurrent relations between child care quality and child outcomes: The study of cost, quality, and outcomes in child care centers. Merrill-Palmer Quarterly, 43 , 451-477. 15 Buysse, V., Wesley, P., W., Keyes, L (1998) Implementing Early Childhood Inclusion Barrier and Support Factors. Early Childhood Research Quarterly 13 (1) 16 Burchinal, M.R., & Cryer, D. (2003) Diversity, child care quality, and development outcomes. Early Childhood Research Quarterly, 18, 401 - 426 ; Loeb, Fuller, Kagen & Carroll, 2004 Peisner-Feinberg & Burchinal 1997 17 Bricker, D,. (2001) The Natural Environment: A Useful Construct? Infants and Young Children 13 (4) 18 La Paro, K. M., Sexton, D., & Snyder, P. (1998) Program quality characteristics in segregated and inclusive early childhood settings. Early Childhood Research Quarterly. 13 (1) 19 Knoche, L., Peterson, C. A., Edwards, C. P., & Jeon, H. J. (2006). Child care for children with and without disabilities: The provider, observer and parent perspectives. Early Childhood Research Quarterly, (21) 93-109 20 Clawson, C., & Luze, G., (2008) Individual Experiences of Children With and Without Disabilities in Early Childhood Settings. Topic in Early Childhood Special Education 28 (3) 9 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Other research, which looked at the association of various factors with inclusive preschool practices, found that disability specific training of centre managers and teachers had a greater association with inclusion than any of the individual elements associated with overall quality.21 The above findings notwithstanding, some researchers have raised questions about whether global quality standards and measures are subtle enough to measure good quality inclusion.22 In this regard, it should be noted that 5 of the 14 US states that have fully mandated a state-wide early education and care Quality Rating and Improvement System23 have included standards which specifically address the needs of children with disabilities in their suite of standards.24 Also, in both the US and Canada instruments have been developed to specifically measure the quality of inclusion in early education and care settings.25 Conditions and supports required in addition to overall quality There is agreement in the inclusive pre-school literature that overall programme quality is absolutely necessary for successful inclusion but that it is not sufficient.26 A much cited study by Lieber et al highlighted the elements which they found to be most important to developing inclusive programmes at the service level.27 Support from key personnel Buy in from regional administrators or centre managers was found to be key to initiating inclusive practices. Shared vision All stakeholders involved in delivering an early education services having a clear understanding of how inclusion would be facilitated. State and national policies Part B has been implemented differently in different states with some states ensuring that all children with disabilities are educated with their typically developing peers. Training and external support Training in inclusive early education and exposure of programme staff to successful inclusion programmes 21 Essa, E. L. Bennett, P.R., Burnham, M.M. Martin, Sally, S.S. Bingham, A., Allred., K (2008) Do Variables Associated with Quality Child care Programs Predict the Inclusion of Children with Disabilities; Topics in Early Childhood Special Education 28 (3) 22 Gallagher, P. A. & Lambert, R. G. (2006) Classroom quality, concentration of children with special needs, and child outcomes in head start. Exceptional Children 73 (1) 23 This should not be confused with minimum licensing and health and safety standards. 24 Buysse, V. & Hollingsworth, H. L. (2009). Program quality and early childhood inclusion. Recommendations for professional development. Topics in Early Childood Special Education 29 (2) 25 The Quality of Inclusive Experiences Measure (QuIEM; Wolery, Brashers, Pauca, & Grant, 2000); Irwin, S.H. (2005) SpeciaLink Child Care Inclusion Practices Profiles and Principles Scale. The National centre for Child Care Inclusion. http://www.specialinkcanada.org/home_en.html 26 Note that Essa et al show that a variety of settings include children 27 Lieber, J., Hanson, M.J., Beckman, P.J., ODOM, S.L., Sandall, S.R., Schwartz I.S., Horn, E, & Wolery, R. (2000) Key influences on the initiation and implementation of inclusive preschool Programs. Exceptional Children 67 (1) 83 - 98 10 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Organisational structure At a service level this involves agreeing a structure where early childcare special education teachers (often peripatetic posts in the US) communicate early education service staff and with parents At a regional level, interagency agreements between early education services and agencies providing special education or therapy inputs The National Early Childhood Technical Assistance Centre28 has identified the conditions necessary for inclusion at the classroom level to allow staff to individualise instruction to meet the needs of children with disabilities and special education needs. These conditions include the following: Teachers need to have training about teaching individualised goals in ongoing activities and about children with disabilities. Teachers needs frequent assistance from specialists and experts, which involves the specialist observing the class, providing suggestions, showing the teacher how to use interventions, and giving feedback. Teachers needs regular time to talk with specialists and plan activities and interventions. The child-to-staff ratio must be low, either by reducing the number of children or adding in-class adult assistance. Teachers need to use individualised intervention strategies for the children with disabilities and monitor the child's progress frequently and adjust the strategies as needed. The class should have adequate space, equipment, and materials and be accessible to the child with disabilities. Parental participation should be encouraged and welcomed Is there detailed information in the research literature on ideal staff to child ratios in inclusive settings? There is data on the maximum child to staff ratios required by states for licensing mainstream pre-school settings. For example: 23 states require a child:staff ratio of 10:1 for 3-year-olds. An additional 9 states require 9:1 or lower 28 NECTAC is the national early childhood technical assistance centre supported by the U.S. Department of Education's Office of Special Education Programs (OSEP) under the provisions of the Individuals with Disabilities Education Act (IDEA). NECTAC serves Part C-Infant and Toddlers with Disabilities Programs and Part B-Section 619 Preschool Programs for Children with Disabilities in all 50 states and 10 jurisdictions to improve service systems and outcomes for children and families. NECTAC and its predecessor have thirty-nine years of technical assistance excellence in early childhood services. 11 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 17 states require a child:staff ratio for four-year-olds of 10:1 15 states require a child:staff ratio for five-year-olds of 15:1. An additional 7 states require ratios of 10:1 or lower29 However, there is not an ideal ratio for inclusive settings identified in the research literature in the sense of an identified ratio being demonstrated to be ideal for all children with disabilities. In fact the legislative framework which has underpinned the push towards inclusive early education and care is very much framed in terms of individualised supported solutions being decided on by a multidisciplinary team on a case-by-case basis. The nature of supports provided also varies from state to state and can also vary from one Local Education Agency to the next. The above comments not withstanding, much of the literature on the child development and social outcomes accounted for by early childhood care and education - particularly for those at risk of poor educational and social outcomes - is based on a number longitudinal studies of targeted early education programmes which had an overall child to staff ratio of 1:6.30 In one comparative study by Holahan and Costenbader, there was a child to staff ratio in segregated settings of 1:4 and 1:5 in inclusive settings31. In Buysee and Bailey, 9 of the 22 studies reviewed reported on staff ratios, 6 were similar across both setting types (mean 1:4.6) though others had differences as great as 1:3 versus 1:20.32 Buysse, Skinner and Grant studied 19 inclusive programmes found a mean child to staff ratio of 1:6 and a range of 1:4 to 1:9.33 A study by Le Paro, Sexton & Synder34 of 29 segregated settings and 29 inclusive settings in one metropolitan area found a child to staff ratio of 1:2 and 1:8 respectively. This study found that there was no major difference in quality between the two settings types despite the differences in child to adult ratios but noted that this finding, which is at odds with much of the earlier research, may represent a convergence in practices across setting types. 29 National Child Care Information Center. Child Care Center Licensing Regulations: Child:Staff Ratios and Maximum Group Size Requirements in 2007. http://nccic.acf.hhs.gov/pubs/cclicensingreq/ratios.html 30 Barnett, W. S. (2008). Preschool education and its lasting effects: Research and policy implications. Boulder and Tempe: Education and the Public Interest Centre & Education Policy Research Unit. http://epicpolicy.org/publication/preschooleducation 31 Holahan, A., & Costenbader, V. (2000) Comparison of Developmental Gains for Preschool Children with Disabilities in Inclusive and Self-Contained Classrooms; Topics in Early Childhood Special Education October. 20 (4) 32 Buysse, B., & Bailey, D.B. (1993), Behavioural and development outcomes in young children with disabilities in integrated and segregated settings: a review of comparative studies. Journal of Special Education 26, 434 - 461 33 Buysse, V., & Skinner, D., & Grant, S. (2001). Toward a definition of quality inclusive child care: Perspectives of parents and practitioners. Journal of Early Intervention, 24 (2) 34 La Paro, K. M., Sexton, D., & Snyder, P. (1998) Program quality characteristics in segregated and inclusive early childhood settings. Early Childhood Research Quarterly. 13 (1) 12 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 The next phase of the work looking at policy in individual jurisdictions will examine further this issue of the staff ratio, and any differences in staff ratios or resources where a child with a disability is in a pre-school class. Is there information in the research literature on how special education or therapy supports are delivered to children with disability or their teacher / carer in inclusive settings? No, not in the sense that there is an identified model of best practice identified in the literature in terms of linking a single teaching strategy to best outcomes. States implement and administer the requirements of interagency cooperation under Part B and C of IDEA differently. There are some studies in the literature which describe some of the working models across a number of US regions, which will be discussed below. Generally, there appears to be an acceptance that much of the intervention for children with disabilities (support and guidance from specialists) can be blended into the activities naturally occurring in the classroom but that some specialised activities may be required. The balance of these two approaches will depend on the particular child concerned.35 As table 3 below shows Pre- Elementary Education Longitudinal Study (PEELS) data does provide some insight into the overall picture how additional interventions are provided to children with disabilities in the US.36 35 Odom, S.L. (2000) Preschool Inclusion: What we know and where we go from here. Topics in Earlyhood Special Education 20 (1); Frea, W., Craig-Unkefer, L., Odom, S.L., & Johnson, D. (1999) Differential Effects of Structured Social Integration and Group Friendship Activities for Promoting Social Interaction With Peers Journal of Early Intervention 1999 22 (3) 36 Markowitz, J., Strohl,J., & Sheri Klein Characteristics of Educational Services and Providers. Markowitz, J., Carlson, E., Frey, W., Riley, J., Shimshak, A., Heinzen, H., Strohl, J., Lee, H., and Klein, S. (2006). Preschoolers’ Characteristics, Services, and Results: Wave 1 Overview Report from the Pre- Elementary Education Longitudinal Study (PEELS) 13 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Table 3 - Percentage of preschoolers and kindergarteners with disabilities ages 3–5 whose IEP goals and objectives were addressed in regular classes using various service delivery models: School year 2003–04 Total Not applicable – the child is not in a regular education classroom. Not applicable – this child’s IEP goals are not addressed in the regular education classroom; they are addressed elsewhere. The special education teacher or aide works individually with the child on special tasks. The regular education teacher or aide works individually with the child on special tasks. Related services personnel work individually with the child on special tasks. Related services personnel work with the child in group activities. The goals and objectives are embedded in common classroom activities. 5.0 14.4 10.5 9.8 12.4 39.3 8.5 Source: Markowitz, J., Strohl,J., & Sheri Klein Characteristics of Educational Services and Providers. Markowitz, J., Carlson, E., Frey, W., Riley, J., Shimshak, A., Heinzen, H., Strohl, J., Lee, H., and Klein, S. (2006). Preschoolers’ Characteristics, Services, and Results: Wave 1 Overview Report from the PreElementary Education Longitudinal Study (PEELS) How are additional supports organised at a system level A study by Odom et al reviewed 16 programmes, representing an approximate national diversity pattern in terms of geography, socio-economic indicators, culture etc, etc, across four states.37 This study categorised and described the diversity of inclusive service models - as shown in table 4 below - but did not measure the relationship between the different models and different group outcomes. 37 Odom, S. L., Horn, E. M., Marquart, J., Hanson, M. J., Wolfberg, P., Beckman, P. J., Lieber J., Li, S., Schwartz, I., Janko, S., Sandall, S. (1999). On the forms of inclusion: Organizational context and individualized service models. Journal of Early Intervention, 22 (3), 185-199. 14 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Table 4 - Models of individualised services in inclusive preschool settings Models of Individualised Services Peripatetic TeachingDirect Service Model Peripatetic TeachingCollaborative/ Consultative Model Team Teaching Model Early Childhood Teacher Model Early Childhood Special Education Integrative/Inclusion Activities Services are provided on a regular basis in early childhood education settings by special education teachers and related service personnel. Peripatetic special education teachers or other related service personnel visit the settings rather than being housed there permanently. Educational or therapy goals for individual children are not systematically embedded in the curriculum activities or classroom routines by these specialists. Special education teachers and related services personnel work with the early childhood teacher to systematically embed individualized educational goals for children in curriculum activities and classroom routines. An early childhood teacher and a special education teacher both occupy teacher roles in the same classroom. They may collaborate in planning, jointly implement educational activities, and share classroom space. Related services are provided in the setting. An early childhood teacher assumes the primary responsibility for planning, implementing, and monitoring classroom activities for children with and without disabilities in his or her classroom with little contact with other special education or related services personnel. An early childhood special education teacher assumes primary responsibility for planning, implementing, and monitoring classroom activities with little contact or collaboration with an early childhood education teacher. Children without disabilities are brought into the classroom. Children with disabilities and children without disabilities spend a majority of the day in separate classes but participate in joint activities for a portion of the day, then return to their respective classrooms. The majority of special education and related services are provided in the separate classroom Source: Adapted from Odom, S.,L et al (1999) On Forms of Inclusion: Organizational Context and Individualised Service Models. Journal of Early Intervention 22 (3) Are therapies delivered in or out of class rooms? Individual studies show that therapeutic supports in inclusive early education and care settings are delivered along a continuum of approaches ranging from segregated (out-ofclass) to integrated (in-class) and there is no conclusive evidence outcomes for either approach but there is a professional ethical preference for in-class delivery among many practitioners.38 Parents and professionals see regular communication between classroom teachers and therapists as crucial to effective inclusive experience.39 In this regard it has been shown that when therapies are delivered in-class they lead to four times as much 38 McWilliam, R.A. (1996) Rethinking pull-out services in early intervention: a professional resource. Brookes: Baltimore 39 Scott, S., McWilliam, R. A., & Mayhew, L. (1999). Integrating therapies into the classroom. Young Exceptional Children 2 (3) 15 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 communication between therapist and mainstream early educators as they do as when therapy is delivered out-of-class.40 A much cited study of inclusion of children with significant disabilities showed that majority of therapy supports were delivered in-class.41 Moreover therapists who delivered out-of-class sessions only did so because time constraints or the intensity of the therapy required it. Therapists who opted for out-of-class interventions provided instructions or demonstrations for regular classroom teacher for strategies for curriculum and daily routines.42 However, this study was based on a very small sample size. Is there information the research literature on challenges of interagency and interdisciplinary cooperation? The main focus of the literature on interagency cooperation tends to focus on when the child is making a transition from one system to another. For example, the transition from early intervention service to publicly funded pre-school services administered by Local Education Agencies. The IDEA legislation mandates that the lead agency for Part C (early intervention services) collaborate and plan for children opting to transfer to Part B preschool services (where the local education authority is the lead agency). Nevertheless PEELS data and other sources suggest that these transitions have not been without difficulties. 30% of children who had received early intervention services had a gap between the end of Part C services and the beginning of preschool services. The average gap in services was 4.6 months.43 The above comments notwithstanding, PEELS data shows the efforts which teachers or programmes made to assist children with disabilities move across programmes. These activities are covered in table 5 below. 40 Cross, A. F., Traub, E. K., Hutter-Pishgahi, L., & Shelton, G. (2004). Elements of successful inclusion for children with significant disabilities. Topics in Early Childhood Special Education 24 (3) 41 ibid 42 ibid 43 Carlson, E & Shimshak, A. (2006) Transitions from Early Intervention to Preschool and Preschool to Elementary School in Markowitz, J., Carlson, E., Frey, W., Riley, J., Shimshak, A., Heinzen, H., Strohl, J., Lee, H., and Klein, S. (2006). Preschoolers’ Characteristics, Services, and Results: Wave 1 Overview Report from the Pre- Elementary Education Longitudinal Study (PEELS); Fowler, S. A., Donegan, M., Lueke, B., Hadden, S., & Phillips, B. (2001). Community collaboration in writing interagency agreements on the age 3 transition: An evaluation of the content and process. Exceptional Children 67 (1) 16 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Table 5 - Percentage of preschoolers and kindergarteners with disabilities ages 3–5 whose teachers or programs used various strategies to help students transition into new schools, programs, or classrooms, by age cohort: School year 2003–04 Activities undertaken % 70.0 69.7 80.7 77.1 90.8 81.7 32.3 32.2 45.9 78.4 67.0 2.8 Received children’s previous records Sending programs provided information about children Provided parents with written information Called the children’s parents Parents/guardians encouraged to meet new staff Children’s families visited the classroom or school Visited children’s home Visited children’s previous settings Met with staff of sending programs Participated in children’s IEP development Developed child-specific preparatory strategies Other Source: Adapted from PEELS Transitions from Early Intervention to Preschool and Preschool to Elementary School Elaine Carlson and Amy Shimshak In terms of interdisciplinary cooperation the main focus of the research is on the ability of the various professionals to cooperate with each other in the classroom. As mentioned above collaborative teamwork is seen as one of the most important elements of successful pre-school inclusion.44 One much-cited study showed that inclusive preschool failures (settings that re-segregated after being inclusive for a period) were more likely to be a result of conflict relating to a adult roles than outcomes for children with and without disabilities.45 By their nature, inclusive pre-schools require significant levels of cooperation between mainstream early education and care professionals. One study which sought to examine factors which would mitigate against these conflicts identified two issues which would contribute to enhancing cooperation. Firstly, settings where programme philosophy and design was developed jointly by various professionals tended to be more successful. Secondly, training for all professionals needed to be changed to reflect the reality of the 44 Hunt, P., G. Soto, J. Maier, N. Liboiron, and S. Bae. (2004) Collaborative Teaming to Support Preschoolers With Severe Disabilities Who Are Placed in General Education Early Childhood Programs. Topics in Early Childhood Special Education 24 (3); Guralnick, M., J. (Ed). (2001)Early Childhood inclusion: Focus on Change. Baltimore: Brookes; Odom, S.L. (ed). (2002) Widening the Circle: Including Children with Disabilities in Preschool Programmes. Teachers College Press: New York 45 Peck, C., Furman, G. & Helmstetter, E. (1993). Integrated early childhood programs: Research on the implementation of change in organizational contexts. In Peck, C., Odom, S., & Bricker, D. (Eds.), Integrating young children with disabilities into community programs: Ecological perspectives on research and implementation. Baltimore: Brookes. 17 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 modern inclusive classroom. In inclusive pre-school classes adults are likely to be coteaching for most or part of the day, though training rarely addresses this adult to adult relationship. Special education personnel who are often working in a peripatetic or consulting role in inclusive pre-schools are more likely to be coaching or instructing other adults how to embed learning strategies than working with individual children directly. As mentioned above, therapists tend not to engage in out-of-class sessions and so are likely to have to work with the child with a disability within the context of a group of typically developing peers. The various professional training routes have not adequately responded to this new reality multi-professional collaboration.46 Is there research literature on issues relating to including children with specific disabilities in inclusive settings? As stated above the ability of early education teachers - with the assistance of special education or therapy inputs - to embed developmentally appropriate learning opportunities for the child with a disability into the daily routine of the classroom is key successful inclusion. There is body of research covering the strategies for pre-school inclusion for children with different disability types.47 This paper has not reviewed that literature. Is there information in the research literature on teacher education? PEELS provides comprehensive data on the education levels (shown in table 6 below) of these delivering pre-school services to children with disabilities. However, this data is not broken down by inclusive versus segregated settings. The breakdown of qualification by discipline raises question about how representative these figures are of mainstream inclusive preschool settings. 46 Lieber, J., Beckman, P. J. , Hanson, M. J., Janko, S., Marquart, J. M., Horn, E and Odom, S. L.(1997) 'The Impact of Changing Roles on Relationships between Professionals in Inclusive Programs for Young Children', Early Education & Development, 8(1) 47 Antia, S. D., Kreimeyer, K. H., & Eldredge, N. (1993). Promoting social interaction between young children with hearing impairments and their peers. Exceptional Children, 60, 262-275; D’Allura, T. (2002). Enhancing the social interaction skills of preschoolers with visual impairments. Journal of Visual Impairment and Blindness, 96, 576-584; DeKlyen, M., & Odom, S. L. (1989). Activity structure and social interactions with peers in developmentally integrated play groups. Journal of Early Intervention, 13, 342-352; Lefebvre, D., & Strain, P. S. (1989). Effects of a group contingency on the frequency of social interactions among autistic and nonhandicapped preschool children: Making LRE efficacious. Journal of Early Intervention, 13, 329-341; McEvoy, M. A., Nordquist, V. M., Twardosz, S., Heckaman, K., Wehby, J. H., & Denny, R. K. (1988). Promoting autistic children’s peer interaction in an integrated early childhood setting using affection activities. Journal of Applied Behavior Analysis, 21, 193-200; Schwartz, I. S., Carta, J. J., & Grant, S. (1996). Examining use of recommended language intervention practices in early childhood special education classrooms. Topics in Early Childhood Special Education, 16(2); Stahmer, A. C., & Ingersoll, B. (2004). Inclusive programming for toddlers with autistic spectrum disorders: Outcomes from the Children’s Toddler School. Journal of Positive Behavior Interventions, 6(2). 18 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Table 6 - Percentage of preschoolers with disabilities whose teachers completed various educational degrees by level and qualification: School year 2003–04 Qualification level High school diploma or GED Associate degree Bachelor’s degree Graduate degree Qualification discipline Special education Early childhood special education Elementary/secondary education Early childhood education Speech or language pathology Child development Other % 2.9 4.9 37.6 54.6 % 35.8 31.3 30.7 28.1 17.1 7.3 16.1 Source: Adapted from PEELS Transitions from Early Intervention to Preschool and Preschool to Elementary School Elaine Carlson and Amy Shimshak Other studies - which are admittedly based on far smaller sample sizes - in the research literature do provide a picture of educational qualifications in mainstream inclusive preschool settings. For example, a survey by Knoche et al (2007) had a sample size of 2,02248 across four states compared training and experience status of providers in inclusive and non-inclusive settings. Table 7 provides an overview of experience, salaries and training across both setting types. The finding that specific child development training is greater in inclusive settings is statistically significant at p<.01. 48 2496 providers were drawn randomly from an initial pool of 39,473 licensed and subsidy receiving providers. 19 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Table 7 - Description of providers by inclusion status % of providers who reported 5 or more years experience Annual income of at least $20, 000 CDA^ Specific child development training First aid training in last 2 years CPR training in last 2 years BA degree of higher Teacher certificate Inclusion status Non-inclusive % (n 1,294) 43.7 13.7 Inclusive % (n 728) 44.4 20.6 Odds ratio 1.20 1.77 95% confidence interval (0.65, 2.22) (0.81, 3.88) 9.8 58.5 18.9 73.9 1.01 2.84** (0.45, 2.24) (1.30, 6.18) 80.3 89.1 1.40 (0.56, 3.47) 77.7 12.5 8.3 89.7 19.9 17.7 1.33 1.10 1.43 (0.53, 3.33) (0.51, 2.33) (0.61, 3.34) ^ CDA (Child Development Credential) is a competency-based, nationally-recognized credential awarded by the Council for Professional Recognition in Washington, DC. ** p<.01 Source: Knoche et al (2007) As mentioned above, Essa et al found that centre directors and teachers having disability-specific coursework was the most robust predictor of inclusion when compared to other factors associated with quality including having an early childhood education qualification.49 Is there evidence in the research literature that children with disabilities are at a risk of isolation or rejection in inclusive preschools? Yes. One of the most replicated findings in the research literature is that children with disabilities engage in social interaction less than typically developing peers in inclusive early education and care settings.50 Children with disabilities are also at a greater risk of peer rejection than typically developing peers.51 More recent research suggests that 49 Essa, E. L. Bennett, P.R., Burnham, M.M. Martin, Sally, S.S. Bingham, A., Allred., K (2008) Do Variables Associated with Quality Child care Programs Predict the Inclusion of Children with Disabilities; Topics in Early Childhood Special Education 28 (3) 50 Guralnick, M.J. (1980) Social Interaction among preschool handicapped children. Exceptional Children 46 248 - 253; Guralnick, M.J. O' Connor, R.T. , Hammond, M.A., Gottman, J.M., & Kinnish, K. (1996) Immediate effects of mainstreamed settings on the social interactions and social integration of preschool children American Journal on Mental Retardation 100, 359 - 377; Kopp, C.B., Barker, B. L., & Brown, K.W. (1992) Social skills and their correlates: Preschoolers with development delays. American Journal on Mental Retardation. 96 357 - 367 51 Odom, S. L., Brown, W. H., Schwartz, I. S., Zercher, C., & Sandall, S. R. (2002). Classroom ecology and child participation. In S. L. Odom (Ed.), Widening the circle: Including children with disabilities in preschool programs (pp. 25–45). Teachers College Press: New York 20 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 these findings may only apply to children with more severe disabilities.52 However, these findings should not be confused with the finding that children with disabilities make more progress on social and behaviour development in integrated pre-school settings, which as discussed above, is a finding on which there is a high level of consensus on in the literature. However, the research also suggests that adult/ teacher strategies in the classroom can mitigate against such an outcome. For example, research shows that a number of strategies can increase the social interactions by children with disabilities in inclusive settings, such as: focusing on groups of children with and without disabilities rather than an individual child with a disability53 creating peer buddy systems54 using mixed age groupings55 using a mix of environmental arrangements, peer-mediated instruction, incidental teaching of social skills, friendship activities, social integration activities, and explicit teaching of social skills56 Is there any evidence in the research literature of positive outcomes for non-disabled children from inclusive pre-school settings? There is no evidence that typically developing children in inclusive classrooms have lower outcomes than their peers in non-inclusive settings. In addition a number of studies have shown that children without a disability participating in inclusive preschools scored higher in tests on positive attitudes towards people with disabilities and social acceptance of people with disabilities57 52 Clawson, C., & Luze, G. (2008) Individual experiences of children with and without disabilities in early childhood settings - Topics for Early Childhood Special Education 28 (3) 53 Hundert, J., Mahoney, B. and Hopkins, B., (1993) The relationship between the peer interaction of children with disabilities in integrated preschools and research and classroom teacher behaviours. Topics in Early Childhood Special Education. 13 (328 - 343) 54 English, K., Goldstein, H., Shafer, K. y Kaczmarck, L. (1997). Promoting Interactions among Preschoolers with and without Disabilities: Effects of a Buddy Skills-Training Program. Exceptional Children, 63 (2) 55 Roberts, J.E. Burchinal, M.R. and Bailey, D.B. (1994) Communication among preschoolers with and without disabilities in same and mixed aged classes. American Journal of Mental Retardation 99 (231 - 249) 56 Lau, C., Higgins, K., Gelfer, J., Hong, E., & Miller, S. (2005) The Effects of Teacher Facilitation on the Social Interactions of Young Children During Computer Activities. Topics in Early Childhood Special Education 25 (4) 57 Diamond, K. E., Hestenes, L. L., Carpenter, E. & Innes, F. K. (1997) Relationships between enrolment in an inclusive classroom and preschool children’s ideas about people with disabilities, Topics in Early Childhood Education, 17, 520–536; Favazza, P.C. & Odom, S.L. (1997) promoting Positive Attitudes of Kindergarten-Age Children toward people with disabilities. Exceptional Children 63 405 - 418 21 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Is there robust information in the research literature on the costs of inclusive pre-schools? There are a few studies of costs which compare costs of placements for children with disabilities in inclusive settings to segregated settings but there does not appear to be any studies comparing the costs of disabled and non-disabled children in inclusive settings.58 A brief summation of the available literature is that inclusive preschool places are cheaper, but not significantly so, overall than segregated placements (and the costs are also borne by different actors depending on placement type).59 The figures in Odom et al (2001) were $ 3,312 or $ 5.99 per instructional hour per child in inclusive settings and $3,928 or $6.28 per instructional hour per child in segregated settings. Odom and Buysee (2006) looked at costs, quality and outcomes for inclusive settings.60 They looked at the costs for children with mild, moderate and severe disabilities. Unsurprisingly they found that costs varied by between mild severity of disability on the one hand, and moderate and severe severity, on the other (as table 8 below shows). They also found that costs varied by setting type between blended and other settings but that quality ratings were marginally higher, but not statistically significantly so, in the most expensive setting type. The most expensive programme type (Blended) was associated with inclusive classroom teachers having state-recognised teacher qualifications. The cheapest programme type (Head Start) were characterised by peripatetic special education teachers providing required inputs. As the standard deviation from the mean costs is large it would advisable to treat the average figures with caution. 58 Odom, S.L., Hanson, M. J., Lieber, J., Marquart, J., Sandall, S., Wolery., R., Horn., E., Schwartz, I., Beckman, P., Hikido, C., & Chambers, J. (2001) The Costs of Preschool Inclusion. Topics in Early Childhood Special Education 21 (1); Odom, S. L. & Buysse, V Early Childhood Inclusion: Cost Quality and Outcomes; http://www.nectac.org/~docs/calls/2006/preschoollre/cqo02-08-06.doc ; Odom, S. L., Parrish, T., & Hikido, C. (2001). The costs of inclusion and noninclusive special education preschool programs. Journal of Special Education Leadership, 14, 33-41 59 Odom, S.L., Hanson, M. J., Lieber, J., Marquart, J., Sandall, S., Wolery., R., Horn., E., Schwartz, I., Beckman, P., Hikido, C., & Chambers, J. (2001) The Costs of Preschool Inclusion. Topics in Early Childhood Special Education 21 (1); 60 Odom and Buysee (2006) op cit 22 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Table 8 - Mean annual cost of inclusive pre-school place by severity of disability Degree of disability as measured by the ABILITIES index Mild Moderate Severe Mean cost per child Standard deviation $3,883 $8,717 $8,413 $2,711 $5,003 $6,085 Source: Odom and Buysse (2006) Table 9 - Cost of annual preschool inclusion by programme type Programme type Blended Community based Head Start Public School Mean core cost $10,541 $3,954 $3,123 $4,144 Standard deviation $5,633 $2,042 $1,520 $2,223 Source: Odom and Buysse (2006) Summary of findings from research literature Preschool inclusion is increasingly a policy aim in advanced countries Legislation mandating supports for children take place in Least Restrictive Environments has very significantly increased the number of inclusive preschool settings Children with disabilities do at least as well developmentally in good quality inclusive preschools as in segregated settings and make more gains in terms of social and behavioural outcomes Children without disabilities do no worse developmentally in inclusive settings and score higher on tests relating to acceptance of people with disabilities Children with more severe disabilities will need more "active programming" in either setting High overall programme quality is important factor in including children with disabilities Disability related education and training for preschool manager and teachers is important to successful inclusion Preschool inclusion requires therapy and special education inputs to be available to early education and care settings. Ideally these are delivered in-class and early education and care staff advised and supported to carry on intervention between specialist visits 23 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 The inter-agency and interdisciplinary cooperation required to make preschool inclusion successful is challenging for professionals but collaborative planning, interagency agreements and training which recognises the requirement of adult-to-adult cooperation in the classroom to in deliver inclusive preschool programmes can mitigate this Children with disabilities, and more severely disabled children in particular, have less social interactions in the inclusive classroom than their typically developing peers and are at greater risk of peer rejection than their typically developing peers. Various strategies have been shown to mitigate this problem. The information on costs is limited but it suggests that the costs in inclusive preschool settings vary be severity of disability and by programme structure. It also shows that the costs of an inclusive pre-school place may be less than a similar place in a segregated setting. Issues for inclusive pre-school education highlighted in the Irish policy and practice literature One of the objectives of this background paper is to very briefly summarise the Irish policy and practice literature. The primary source for identifying relevant Irish publications was the CECDE publication Audit of Research on Early Childhood Care and Education in Ireland 1990-2006.61 Details of the publications covered in table 10 are contained in appendix 2. This literature is limited and of a mixed nature. There are some statutory documents, there are literature and evidence reviews by a statutory body (Centre for Early Childhood Development & Education). There are also a number of reports, for the most part based on consultation with relevant stakeholders, that seek to identify good practice and which provide an insight from those working on the frontline in an Irish context. Table 10 below summarises this material. As the table 10 demonstrates, there is a degree of consensus around the principal elements of what needs to happen to support Irish pre-schools to be more inclusive. There is an acknowledged need for training, for improved structures for inputs from specialist personnel, for coordination of service provision, for a more child and familycentred approached to support delivery and for improved service quality. 61 CECDE (Walsh, T., & and Cassidy, P. (2007) Audit of Research on Early Childhood Care and Education in Ireland 1990-2006 24 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Table 10 - Recommendations for inclusion in the Irish policy and practice literature X X Dublin X Westmeath Roscommon D. Burns (NDA Conference 2007) X X DESSA X X CECDE (2005) CECDE (2004) OECD Country Note National Childcare Strategy White Paper Training Accredited SEN training Disability awareness training for childcare staff Personnel Area-based childcare inclusion facilitators Multi-disciplinary teams should contain Special Ed teachers Special ed teacher main link between childcare staff and multi disciplinary Develop information and support resources for childcare providers / staff Regular education intervention should begin from birth Expand resource teacher service to children 0 - 4 Specialised teacher input for children with SEN Lower staff ratios required for inclusive classes Coordination of service inputs Interagency co-ordinated Link clusters of ECECs to specialist services Key agency responsible for inclusion in childcare NCSE and DoHC ensure that pre-school children have access to multi-disciplinary team including special ed teachers National system of early years services X X X X X X X X X X X X X X X X 25 X X X X X National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Dublin Westmeath Roscommon D. Burns (NDA Conference 2007) DESSA CECDE (2005) CECDE (2004) OECD Country Note National Childcare Strategy White Paper Child and family centred Individualised support Child - / family- centred planning process Support to adapt curriculum on the basis of needs Multidisciplinary development of IEPs Develop information and support for parents Quality assurance Support global quality improvements External assessment of inclusion practices Other system level changes Develop national policy on inclusive childcare Ringfenced budget for inclusion of children with additional needs Free universal access for all 3 year olds with special needs to appropriate services Priority enrolment Development of special classes for disability sub-groups aged 3-4 Improved data systems Other setting level changes Referral and support for those with undiagnosed SEN Greater focus on accessibility of premises and equipment X X X X X X X X X X X X X X X X X X X X X 26 X X National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Framework for the NDA to gather more detailed administration and resources provision information While there is a degree of consensus in the academic literature and to a certain extent in the Irish policy and practice type literature about the type of things that need to happen at the point of frontline service delivery to develop an inclusive pre-school system, there is much less clarity about how this might be achieved from the point of view of policy implementation and administration. For example, the literature would seem to suggest that it should be possible to include children with disabilities in mainstream pre-school services and get at least as good outcomes for marginally lower costs. However, from a policymakers' and administrators' point of view, more detail is needed about how the various administrative systems involved in delivering supports to children in inclusive preschools can, in a coordinated way, release just enough resources to meet the needs of individual children. The academic literature, which is primarily focused on the efficacy of frontline service delivery, is of limited use in this regard. To attempt to answer these questions the NDA proposes to investigate a number of jurisdictions for the principal purpose of identifying their relevant administration structures but also some relevant context information.62 Table 11 in appendix 1 proposes a set of questions aimed at capturing relevant administrative structures. 62 The plan is to cover a US State, an English local authority, Norway, Finland, New Zealand and the Netherlands 27 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Appendix 2 List of Irish Policy Documents cited in table 10 (pages 22 & 23 above) Burns, D, 2007, Continuing the Integration of Preschool Children with a Mild and Moderate Intellectual Disability Into Community Preschools: Support and Resource Requirements. Presentation to the NDA conference 2007 Centre for Early Childhood Development and Education (CECDE), 2005, Early Years Provision for Children from Birth to Six Years with Special Needs in Two Geographical Areas in Ireland Centre for Early Childhood Development and Education (CECDE), 2004, Making Connections - A Review of International Policies, Practices and Research Relating to Quality in Early Childhood Care and Education Department of Education and Science, 1999, Ready to learn. White paper on early childhood education Department of Justice, Equality and Law Reform, 1999, National Childcare Strategy: Report of the Partnership 2000 Expert Working Group on Childcare Dublin City Childcare Focus Group, 2004, Accessible Childcare for All: A study of access to early years services for children and parents with additional needs Dublin North West area. OECD, 2004, Ireland Country Note. Department of Education and Science (2004) OECD Thematic Review of Early Education and Care Policy in Ireland Roscommon County Childcare Committee,2008, A model of best practice for the inclusion of children with special needs and/or disability into mainstream pre-school services (An Evaluation) Westmeath County Children Committee, 2004, including Children with Special Needs in Mainstream Childcare. 28 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Background Paper 2 - Review of the role of Special Education Schools and Classes – NDA response to NCSE questionnaire Review of the role of Special Education Schools and Classes Questions for discussion Given the provisions of the EPSEN Act and in particular the commitment to the inclusive education (Section 2) the following questions arise. 1. Should special schools continue to exist as part of the continuum of provisions for pupils with special education. Firstly, the NDA believes that the evidence base strongly supports the policy objective of inclusive education. The weight of the research evidence, supports the view that on average children with disabilities and special education needs do better in mainstream settings than in segregated settings, and that children from across the spectrum of disabilities have been successfully included in mainstream settings, However, the NDA also acknowledges that the evidence base shows that due to a range of factors disability-related factors, individual and family related factors, school related factors and supports provided - not all children with disabilities and special education needs do better in mainstream settings63. 63 Significant reviews of the literature tend to find mixed though overall positive findings on the effects of inclusion for students with special education needs compared to special settings. Though the literature reviewed in these reviews also points out that there are major gaps in the evidence base around the effects of how inclusive teaching practices is implemented and why and how certain factors mean that inclusion better for some children then other. See for example: Baker. E.T., Wang, M.C. and Walberg, H.J. (1995) The Effects of Inclusion on Learning., Educational Leadership, 52 (4); Lipsky, D. K. & Gartner, A (1996) Inclusion, school restructuring and the remaking of American society, Harvard Education Review, 66 (4); Ruijs, N.M. & Peetsma, T.D. (2009) Effects of inclusion on students without special educational needs reviewed, Educational Research Review, 4. Generally, the research literature points out generally positive effects of inclusion are more likely to hold true for children with less severe disabilities. However, in a review of the available studies on the effects of inclusion on children with severe disabilities Hunt and Goetz found that on balance the evidence suggests that children with severe disabilities can benefit from inclusion. The authors of the review do however acknowledge that the available evidence base is largely based on small scale children and used diverse methods. Hunt, P & Goetz, L (1997) Research on inclusive educational programs and practices, and outcomes for students with severe disabilities, Journal of Special Education 33 (1). In recent years large scale longitudinal data sets, which allow comparisons across instructional setting and / or model types, have become available. The PRIMA cohort studies in the Netherlands and SEELS data form the USD in particular stand out. Studies based on the PRIMA data largely substantiate earlier findings that children do no worse in inclusive settings and overall do better academically. However to date 29 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 It should be borne in mind that the vast majority of the evidence base comparing the benefits of inclusive education compared to segregated education is only a decade and half old. As the research evidence base (international and ideally Irish research too) continues to untangle the individual and school related factors which contribute to a minority of children not doing as well in mainstream settings it should allow Irish policy makers and educators to make supports in inclusive settings more flexible and targeted. Given what the evidence on outcomes for children with special education need and the limitations of that evidence base there are many questions about the efficacy of different models of provisions that we don’t have a strong evidence to answer at present. In answering Question 20 below we provide views on what changes need to take place in mainstream schools to foster better outcomes for children with special education needs. However, understanding how well mainstream schools overall, mainstream teaching practices, additional special education supports in mainstream classes are performing and how they might be improved holds many of the answers to what role special schools should be performing in the coming years. The NDA therefore believes that the answers to many of the questions in this survey cannot be addressed separately from addressing the performance of mainstream schools to deliver good quality inclusive education by way of research and reformed practice. The focus of special education policy overall should therefore be: o That all children are in mainstream classes for the maximum amount of time per school day / week as is beneficial to their education and developmental progress o That improving the ability of mainstream teachers and schools to support children with disabilities and special education needs continues o That special school expertise and resources are used to the greatest extent possible to supporting children with disabilities and special education needs published studies analysing the PRIMA data have focused only on comparisons of children with less severe disabilities. Peetsma, T. et al (2001) Inclusion in Education: Comparing pupils development in special and regular education, Educational Review, 53 (2); Karsten, S. (2001) The Dutch policy of integration put to the test: differences in academic and psychological development in pupils in special and mainstream education, European Journal of Special Education 16 (3). SEELS data also found that students with disabilities overall did better in both the academic and social domains and that outcomes for children in the Cognitive and Severe Disability category had a less strong association with inclusion in mainstream classes and that the relationship was more varied and complex than for other groups of students with special education needs but that it was positive overall nonetheless. Wagner, M & Blackorby, J (2007) What We Have Learned, in Office of Special Education Programs U.S. Department of Education, What Makes a Difference? Influences on outcomes for students with disabilities. 30 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 to partake in inclusive settings to the maximum extent which is beneficial to their education and developmental progress. Until the evidence base is stronger, and consequently supports in mainstream schools are more individualised and flexible, education delivered on site in special schools is likely to be required for some children for all or part of the week or for short, intensive periods of the year. In time, as research demonstrates the efficacy of different forms of supports in mainstream Irish schools, the NDA believes that special schools should be supported to re-orientate their delivery model so that a major part of their core function is to support children to access mainstream schools by delivering outreach services and consultancy services to mainstream schools, supporting networks of mainstream schools, delivering training and providing intensive placements. Ideally, special schools will move to a centre of excellence type or resource centre model over time. However, as the evidence base shows that a minority of children don’t do as well in mainstream settings, any meaningful consideration of the future role special schools needs to equally take into consideration what role mainstream schools can and should play. For now, in addition to directly supporting children with special education needs, the role of special schools should be: o To develop the capacity to provide centre of excellence supports to mainstream schools o To contribute to developing the evidence base around supporting students to access mainstream schools for as much of the school week as they will benefit from by collaborating with and building links with mainstream school and research partners o To support individual students to access mainstream schools for as much of the week as possible by supporting dual enrolments type arrangements and intensive placements o To provide a safety net for those students whose development has not benefited from a placement a mainstream setting (though ideally not for the whole week and with the intention of supporting the student to re-access a mainstream setting) Special schools were set up as part of the primary schools system. As special schools increasingly cater for children of post-primary age it is important that this function is acknowledged and that access to post-primary curriculum is available to those students. This will be discussed in more detail below. The NDA observes that specialist education does not necessarily have to mean segregated education. Reverse inclusion or reverse mainstreaming (bringing children 31 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 without special needs into centres which previously catered for children with special education needs only) has been used extensively as a mechanism to deliver inclusive pre-school education in the US64. It has also been used by at least one special school in Ireland. Given demographic and fiscal pressures, it may be worth further investigating whether some special schools could become well resourced specialist but inclusive schools. As will be taken up below in response to Question 20, some mainstream schools have, over time, become centres of excellence in inclusion not in response to national policy but because of interested parents, teachers, principals or boards of managements. There are opportunities therefore to develop (or recognise) new models of specialist but not segregated schools on the continuum of support. In much of the NDA’s work we deal with adults with disabilities, their families and carers and those who provide support to adults with disabilities. One frequent comment about students who have graduated from special schools is that they can lack certain independent living skills due to the sheltered and segregated nature of special schools. A focus on developing independent living skills should be a focus of special schools, particularly for older students. 2. What should the role of special schools be in the future? The future goal of education policy for students with disabilities should be developing evidenced based support systems to include all children with disabilities in mainstream schools. The NDA acknowledges that progress towards this goal will need to be incremental. Progress towards this goal would increasingly see special schools taking on the role of centres of excellence to support mainstream provision. 3. Should special classes continue to exist as part of the continuum of provision for pupils with special educational need? & 4. What should the role of special classes in mainstream schools in the future with particular regard to the principal of inclusive education as described in Section 2 of the Education for Persons with Special Educational Needs (EPSEN) Act (Government of Ireland, 2004)? NCSE research report65 shows that the numbers of students in special classes grew very rapidly the 1970s and 1980s but that changes in special education provision in Ireland in recent years – the introduction of the resource teacher model, and the introduction of 64 Carta, J.J. & Kong, N.Y. (2007) Trends and issues in interventions for preschoolers with development disabilities. In Odom, S. et al Handbook of Development Disabilities 65 Ware, J et al (2009) Research Report on the Role of Special Schools and Classes in Ireland 32 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 GAM - have meant that the proportion of children mild general learning disabilities has decreased in recent years. As Stevens’ research, cited in NCSE research report, shows the level of shared activities between mainstream and special classes is low and has fallen over time. This raises questions around whether or not special classes facilitate inclusion in practice. The research literature in relation to development of students with disabilities doing better on average in mainstream classes by and large refers to comparisons to special schools. However, the US SEELS studies provide data on outcomes based on a number of factors, including how much time is spent in mainstream classes. That data shows that positive outcomes are associated with the percentage of time a student spent in mainstream classrooms. Therefore, there is a clear need for research in an Irish context comparing outcomes for children with special education needs supported in different ways in mainstream schools, including outcomes for those children placed in special classes. The NDA does not believe that there is an evidence base to support children being in segregated classrooms for almost the entire school week. As stated above the evidence, though limited, suggests that children should be in mainstream classrooms with appropriate supports for as much of the school day or week as they will benefit from. At the level of the individual, child placement in a special class should be based on documented evidence that continued inclusion in a mainstream class with appropriate supports had / would lead to the child falling further behind his or her peers. Referral to or placement in a special class should not be automatic for children with any type or degree of disability. Pupils requiring some aspect of the curriculum to be delivered by way of tuition in a special class should be included in the mainstream class for as much of the rest of the school day or week as possible. At the system level research comparing outcomes (academic and social) for children supported appropriately in mainstream classes and those in special classes should play a key role in determining the extent to which special class provision is maintained as part of the continuum of supports. At present the research base to justify the continuation of special classes is very small however that is not to say that research will not prove that special classes do have a role on the continuum of supports for children with special education needs. Educating children up the age of 18 in special classes in mainstream primary schools is not appropriate. Children with disabilities and special education needs should be educated with their peers. 5. Which children should attend special schools and classes? 33 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 As stated above, the research literature concludes that children on average do better in mainstream settings more research is needed to untangle the reasons why a minority of children with special education needs do not do as well in mainstream settings. Therefore the focus of research and practice needs to be on developing the evidence for how all children can be supported to participate in mainstream classes. While the research literature does allow certain generalisations, such as those with less severe disabilities are more likely to benefit from mainstream classes, it by in large does not allow us to predict in the abstract which children will struggle in a mainstream class. 6. Who should have responsibility for making decisions regarding placements of children with special education needs? Clearly parents need to decide what is the best approach to the education of their child. In order to facilitate parents making decisions principals, teachers and other professionals involved in the assessment and referral process need to be committed to adapting supports to suit the individual child. The IEP process as described in the NCSE guidelines provides a good framework to do this. Given that the research supports the view that on average children with special education needs do better in mainstream settings, the focus should be adapting supports to keep children in mainstream classroom for as much of the school week as possible. 7. How long should a child stay in special school/class? As the research shows that on average children with special education needs do better in mainstream settings, but that not all children make more progress in mainstream classes, the length of time that a child should spend outside a mainstream class will depend on a number of family & individual and school factors. This highlights a need for a person centred approach and the need for more research to better understand the needs of children with more complex disabilities. What would be useful in an Irish context is greater clarity around how children are declassified from special education and how their transition into mainstream classes, or to spending more time in mainstream classes, is planned and supported. 8. Should special schools cater for specified categories of special education needs or a broader / full range of special needs and what implications do changes in the spectrum of special needs over time have in this regard? The research literature shows that on average children with special education needs do better in mainstream settings but that a minority of children with special education needs do not do as well in mainstream settings. As a number of number of individual & family and school-related factors result in this minority not doing as well in mainstream settings there is insufficient research evidence to say which in advance what children will not make progress in a mainstream class in advance. Certainly the evidence base for the successful progress of children with less severe disabilities in mainstream classes is stronger than it is for children with greater degrees of support needs. 34 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 As the NCSE research states, the international trend is for special schools to cater for children with more severe disabilities and more complex needs and that there is certainly a perception among stakeholders that this is the case in Ireland. The impact of this is that special schools will need to acquire or develop a more specialised skills set. This will be true regardless of whether the special school model remains the same or develops into a resource centre or centre of excellence model. 9. What issues arise in relation to the transfer of post-primary aged pupils to special schools and how should that be addressed by the system. As stated above all children should be facilitated to access the mainstream curriculum as far as possible. The NCSE research report shows that many special schools offer very limited access to mainstream post-primary curriculum. All post-primary aged children who wish to should be supported to access mainstream curricula. This obviously will have implications for the skills mix required in special schools. It may be that the most effective way for students with special education needs to access mainstream curricula is through collaboration with mainstream providers. 10. Should special classes cater for specified categories of special needs of a broader / full range of special needs? As stated above the research base on the efficacy of special classes is too thin at present to make strong conclusion about what categories of students would benefit from this placement type more then from a placement in an inclusive setting. 11. What is the range and nature of supports required by children within special schools and classes? Child with special education needs and disabilities will require access to mainstream teachers, subject specific teachers at post-primary level, special education expertise and allied health professional inputs. Whether children are in mainstream classes, special schools or special classes, individual planning by way of Part 2 or an IEP should determine what supports an individual child needs and provide a framework for coordinating these supports. 12. How can equitable access to the curriculum and certification options be made available to pupils in special schools and classes? As discussed above the issue of addressing the appropriate access to mainstream curricula for post-primary students should be a priority. As mentioned above the evidence suggests that in addition to placement in mainstream settings, receiving mainstream curriculum instruction is positively related to outcomes for students with disabilities (SEELS data). However, this would require a policy decision on the merits of whether increased access to mainstream curriculum instruction would be achieved by special schools acquiring the skills to offer post primary curricula, or by supporting post- 35 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 primary children to access mainstream schools or a combination of both. If greater levels of inclusion is the long term policy goal, then perhaps providing greater access to mainstream curricula should be achieved though students being supported to access mainstream schools. 13. What linkages are required between the delivery of Health and Education supports? Both the Individual Education Plans under the EPSEN Act 2004 and the Service Statements under Part 2 of the Disability Act 2005 provide a mechanism for the coordination of Health and Education supports. Obviously the deferral of the implementation of the EPSEN Act 2004 and the deferral of the roll out of Part 2 to school aged children means that less school aged children are receiving supports under these frameworks than was anticipated. However, not insignificant numbers of children with Part 2 service statements are now of school age and children have had IEPs developed on a non-statutory basis in many schools. While there is a Cross-Sectoral team of health and educational authorities planning the roll out of EPSEN and Part 2 to school aged children at a national level we know relatively little about how these mechanisms have facilitated cooperation between health and education at the level of the individual child. Other countries that the NDA looked at as part of the six country study of contemporary disability services had a variety of mechanisms to drive cooperation of required by similar mechanisms such as inter-agency agreements, joint regional management meetings, regular joint plan review meetings conducted by frontline staff and examples of where information technology has been used to enhance cooperation of all staff working with a from different organisations. 14. Is there a need to review the structuring and funding of service delivery to children in special schools & 15. What model should be in place for resourcing special schools and classes? There is relatively little research done on what makes up the cost of special school and class provision in Ireland and how the costs of special provision compare to inclusive provision in Ireland. This work has been done elsewhere, notably in the US, and unsurprisingly shows that segregated provision is more expensive than inclusive provision. As these studies don’t control for level of need the cost ratios are of limited use, though the data gathered under the Resource Cost Model framework showing what factors contributed to special education costs may be useful in considering an 36 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 appropriate resource allocation model for special education schools and classes in Ireland66. What may be more useful in considering how fit for purpose the current Irish resource allocation model is, is the work of the Center for Special Education Finance (US) and in particular the Criteria for the Design of a State Special Education Funding Formula. These Criteria are based on the finding that State funding schemes for special education produce different outcomes because they produce different incentives for local districts to pursue mainstreaming. The Criteria provide a framework to reduce incentives for segregated settings to avoid promoting mainstreaming. Therefore, if we see a future role for special schools and classes as supporting children to be in inclusive classes for as much of the school / day or week as they would benefit from, we will need to look at how the funding system can drive that. The work of the Center for Special Education Finance would be instructive in this regard and contact with the Centre might prove to be useful in developing the Policy Advice paper67. 16. What should the professional qualifications of the teaching staff in special schools and classes? Ideally all teaching staff in special schools and classes would have relevant teaching qualifications and additional special education qualifications. Having additional qualifications in special education needs may be even more relevant in the situation where special schools begin to move towards providing more supports to mainstream schools. For example, part of the transition from a special school model to a resource centre model in Norway involved staff being required to upskill and being given a paid time-limited opportunity to do so. Certainly any move from a special school model to a centre of excellence or resource centre model in Ireland would need to consider the skills that would be required to deliver the new model and provide opportunities for existing staff to upskill in order to be part of the new service delivery model. 17. How many special schools should there be and where should they be? The answer to this question is largely dependent on the future model of special schools that Ireland develops in the coming years. Certainly, a resource centre or centre of excellence model may require a smaller number of highly expert centres. The Norwegian transfer to a resource centre model involved keeping only 20 centres moving from being special schools to becoming resource centres. These centres have 66 Moore, M.T., Strang, E.W., Schwartz, M., & Braddock. M. (1988). Patterns in special education services delivery and cost. Washington, DC: Decision Resources Corporation; Chaikind, S., Danielson, L. C. & Brauen, M.L. (1993) What do we know about the costs of special education? A selected review - Journal of Special Education, The Journal of Special Education. 26 (4) 67 Parrish, T (1994) Fiscal Issues in Special Education: Removing Incentives for Restrictive Placements. Center for Special Education Finance. Policy Paper Number 4 37 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 disability specific as well as region specific remits. It would certainly be instructive for the current review to seek to understand the success or not of other jurisdictions which have made the transition to models of service based on a smaller number of centres providing more expert support to mainstream schools. 18. How can special schools act in a co-operative way with mainstream primary and post-primary schools to provide enhanced service to pupils with special educational needs and their parents? In particular is there potential for special schools and mainstream schools to exchange expertise and services in relation to the education of pupils with special education needs? Again the answer to this question is largely dependent on the future model of service provision that Ireland develops in the coming years. Certainly, other jurisdictions have turned their special school system from a primarily centre-based segregated model to primarily a mainstream support model in a relatively short space of time. Making this transition would involve restructuring and upskilling of the special school sector but would also demand restructuring of supports in mainstream schools. In short, there is significant potential for special schools to develop a greater role in supporting the inclusion of children with special needs in mainstream schools. 19. How is the term “dual enrolment” understood? Dual enrolment is a form of cooperation mainstream and special schools where a child is registered in both schools and attends both schools some of the time. The evidence base for the efficacy of dual enrolment appears to be quite thin though that is not to say that dual enrolment does not have positive benefits. There are obvious organisational challenges to dual enrolment but any placement of children with significant special education needs in mainstream classes will involve good planning and coordination. Dual placements may be one way in which special schools could support students to attend mainstream classes. Though the practice should be compared and evaluated against other forms of support for inclusion. 20. What are the implications of inclusion for Mainstream Schools? As stated at the outset, the evidence base supports the policy of inclusive education, children from across the spectrum of special educational needs make progress in mainstream classes though as of yet not all students do better in inclusive settings. The research literature also shows that developing a whole school approach, teacher attitude, teacher skills, the support that teachers receive, teachers ability to collaborate with specialists and utilise support staff all a play very significant part in determining how 38 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 successful or not inclusion will be for students with special education needs in mainstream settings68. To take just one example from the list above, though the literature is clear that the way in which in-class support personnel are utilised is an important variable for successful inclusion practice, little is known about actual performed role of SNAs in Irish schools and there is little by way of guidance to optimise these resources (e.g. training and guidance on joint teacher-SNA lesson planning). There is therefore not an inconsiderable amount of work, both in terms of developing an evidence base and changing practice, to maximise the opportunities for inclusion in mainstream Irish classrooms. As mentioned above in response to Question 1 some mainstream schools have become de facto centres of excellence of inclusive practice. It would considerably add to the evidence base if such schools were identified and the factors which helped them become successfully inclusive schools were identified. It may be useful to recognise the role such schools play, as specialist but not segregated, on the continuum of support is more formally recognised. The future role that special schools can and should play on the continuum of supports is linked to how well mainstream schools can deliver on providing appropriate supports to children with special education needs. The limited available evidence suggests that different forms of inclusion produce more or less successful outcomes for children with special education need69. Therefore, evaluating and improving our mainstream schools’ ability to include children with more complex needs is crucial to deciding what role special schools should play. Therefore, it may be more useful to consider of the role of mainstream and special provision as a whole rather than redesigning special provision when mainstream provision may or may not be fit for purpose. 68 Kugelmass, J. W. (2001) Collaboration and compromise in creating and sustaining an inclusive school. International Journal of Inclusive Education, 5 (1); Baker. E.T., Wang, M.C. and Walberg, H.J. (1995) The Effects of Inclusion on Learning., Educational Leadership, 52 (4); Lipsky, D. K. & Gartner, A (1996) Inclusion, school restructuring and the remaking of American society, Harvard Education Review, 66 (4); Scruggs, T.E. & Mastropieri, M. A. (1996) Teacher perceptions of mainstreaming / inclusion 1958 – 1995: a research synthesis, Exception Children 63 (1); Stevens, R.J. & Slavin (1995) The cooperative elementary school: effects on student’s achievement, attitudes and social relations, American Educational Research Journal 32 (2); Zigmond, N., & Baker, J.M. (1996) Full inclusion for students with learning disabilities: too much of a good thing? Theory into Practice 35 (1); Farrell, P (2000) The impact of research on developments in inclusive education. International Journal of Inclusive Education. 4 (2) 69 Markussen, E (2004) Special Education: Does it help? A study of special education in Norwegian upper secondary schools, European Journal of Special Education 19 (1); Wiener, J., & Tardif , C.F. (2004) Social and emotional functioning for children with learning disabilities: does special education placement make a difference? Learning Disabilities Research & Practice 19 (1) 39 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Background Paper 3 - NDA paper to the Department of Education and Science’s Value for Money and Policy Review of the Special Needs Assistant Scheme Background and context The National Disability Authority The National Disability Authority is the independent state advisory agency on disability issues, providing independent expert advice to Government on policy and practice. It is a major strategic priority for the National Disability Authority to support government and public bodies on the implementation of the National Disability Strategy. The National Disability Strategy A central element of this strategy is independent assessment of the health and education needs of people with disabilities, followed by arrangements to deliver appropriate services, within resources. The interlinked arrangements for independent assessments and service delivery to school-age children with disabilities are set out in the Education for Persons with Special Educational Needs (EPSEN) Act, 2004, and Part 2 of the Disability Act 2005, but implementation has been deferred. Summary of NDA recommendations The significant state funding for Special Needs Assistants should be retained and deployed in a flexible way to support children with disabilities to attain their potential, in the context of the commitment to implement the EPSEN Act The job description for special needs assistants should be a modern flexible one which enables them to deliver assistance to support the development and learning of the child with disabilities in the context of the modern classroom The profile of assessed needs of school-age children with disabilities and special education needs should be the starting point for the Value for Money review. The Review should focus on the most appropriate and efficient way that SNAs could work with children and their teachers in meeting that need. The Review should take full account of future requirements for school-aged children under the Part 2 of the Disability Act, 2005 and of the EPSEN Act, 2004. The Review should deliver clear policy and guidance material linking objectives, outcomes and outputs of the SNA Scheme to the profile of assessed needs of school-going children. Outcomes of the SNA scheme should be monitoring and benchmarked against national and international standards 40 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Special needs assistants should have appropriate ongoing training to enable them to satisfactorily meet the job roles they are assigned Context of the Special Needs Assistant Scheme Expansion of Scheme The Special Needs Assistant (SNA) Scheme has grown significantly in recent years. In 1998 there were 299 SNAs. As of December 2008 there were roughly 10,000 SNAs. This major increase is attributed to the announcement in 1998 of an automatic entitlement to resources of children with special education needs. Expenditure The SNA scheme now costs €323.5 million (Primary €267 million; Post Primary €56.5 million). Working hours and the working year are normally linked to the school day and the school year. The annual cost of providing an SNA is about €32,000 a year. Job description The application procedure for SNAs was reformed in 2002 in Circular 07/02 (see Appendix 2 for role profile of SNA as set out in Circular 07/02). This circular also set out for the first time the prescribed role of an SNA. However, the role of the SNA as described in this 2002 Circular is in fact unchanged from the role set out in 1976 for Childcare Assistants (who looked after physical care in special education schools). 70 So effectively the formal job description has remained unchanged for a third of a century, although successive published research studies and preliminary findings of NDAsponsored research71 currently underway have shown that in practice the role has developed beyond that formally set out. The continued appropriateness of this prescribed role for SNAs given the change in the policy landscape over this time needs to be reconsidered, in particular in the context of the National Disability Strategy, of the Education for persons with Special Education Needs (EPSEN) Act and of the Disability Act 2005. Any change of job description would need to be accompanied by appropriate training to ensure that SNAs can satisfactorily fill the roles they are being assigned. Number of SNAs in International Context The rapid expansion of SNAs in Ireland is not out of line with international trends as education systems across the developed world have moved to mainstream education provision for children with special education needs, The ratio of SNAs to total pupils is 1 to 93.1 in Ireland, 1 to 50.4 in England and 1 to 46.1 pupils in Scotland.72 The numbers 70 O’ Neill, A, 2004 ‘Special needs assistants’ Frontline vol. 57 (Spring) Bergin, M. An examination of the role, function, definition and training needs of classroom and special needs assistants in primary and secondary settings in Ireland. Ph D thesis in preparation, NDA research scholarship 72 see Appendix 3 for details of these calculations 71 41 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 employed in SNA-like roles have increased internationally over the past 20 years.73 For example, the number of classroom assistants grew: Scotland - Between 1998 and 2007, from 1,000 to 15,000.74 Finland - Between 1995 and 2003, from 2,000 to 7,000.75 England - Between 1997 and 2006, from 61,000 to 162,900.76 NDA Comments on the Review SNA Scheme Review in the Context of the EPSEN Act The NDA views it as critical that any major changes that take place in the organisation of special education provision prior to the full commencement of the EPSEN Act will positively contribute to special education on commencement of the Act. The NDA is concerned that the Education for Persons with Special Education Needs Act 2004 (EPSEN) is not specifically mentioned in the Terms of Reference of the review group (see Appendix 1). The NDA advises is that the Government’s National Disability Strategy is best advanced by retaining the existing financial resources expended on the Special Needs Assistant scheme for the benefit of children with disabilities in this age group, but deploying this resource in a flexible way through redefining job roles and tasks to address the children’s assessed health and education needs. The NDA advises the starting point of the current review should be that the €323.5 million expenditure currently allocated to the Scheme could be deployed for relevant supports for children with special educational needs at school level. 73 Giangreco, M and Doyle M.B., 2007, “Teacher assistants in inclusive schools” in Florian L. (Ed.), The SAGE handbook of special education http://www.uvm.edu/~mgiangre/Chpt32SAGEGiangrecoDoyle2007.pdf 74 Equal Opportunities Commission Scotland, 2007. Valuable assets: a general formal investigation into the role and status of classroom assistants in Scottish schools http://news.bbc.co.uk/1/shared/bsp/hi/pdfs/30_05_07classassistants.pdf 75 Giangreco, M and Doyle M.B., 2007, “Teacher assistants in inclusive schools” in Florian L. (Ed.), The SAGE handbook of special education http://www.uvm.edu/~mgiangre/Chpt32SAGEGiangrecoDoyle2007.pdf 76 Rose, R, 2008, “The Changing Roles of Teaching Assistants in England and special Needs Assistants in Ireland: A Comparison” Reach Journal of Special Needs in Ireland, Vol. 22 no.1 42 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Given deferral of the original timetable of October 2010 for commencement of the Disability Act provisions in respect of children aged 5 to 18 and of EPSEN, the NDA advises that the existing resources for disability within the school system could be deployed as far as practicable to advance delivery of those elements on a non-statutory basis. For example, an SNA could play an important role in supporting the speech and language therapist or the physiotherapist in assisting the child with different prescribed exercises. The Government announced in the April 2009 Supplementary Budget that funding would be made available to enable every child have a year’s pre-school education. As some children with disabilities may require additional care assistance in order to benefit from that opportunity, the NDA advises that their care needs be factored in to the Review of Special Needs Assistants. While there are some indications that Ireland’s ratio of special needs assistants to pupils is lower than in comparable jurisdictions, in the event that the review were to demonstrate that fewer SNAs would be required, the NDA advises that any such freedup posts and money be retained for the benefit of children with disabilities and used to address the shortfall in therapy and other posts required to advance the simultaneous implementation of the EPSEN Act and Part 2 of the Disability Act for 5 to 18 year olds, and to support participation in pre-school education of children with special education needs. When the independent assessment of health and education needs occasioned by the disability to take place under the Disability Act (Part 2) and the EPSEN Act have been commenced for the 5 to18 age-group, the services to be delivered to individual pupils will be specified in resultant Individual Education Plans and in Service Statements under the Disability Act. Current role has diverged from prescribed one While there is limited research literature on the role played by SNAs in the Irish education system, there is agreement that a gap has emerged between the prescribed and actual role of Special Needs Assistants.77 Preliminary findings of NDA-sponsored 77 O’ Neill, A, 2004 ‘Special needs assistants’ Frontline vol. 57 (Spring); A Logan, A 2004; ‘The role of the special needs assistant’ Frontline vol. 57 (Spring); Lawlor, L and Gregan, A, 2003, ‘The Evolving Role of the Special Needs Assistant: Towards a New Synergy’ REACH Journal of Special Needs Education in Ireland vol. 16 (2); Carrig, M, 2004, ‘Changing Role of the Special Needs Assistant: Perspectives of a Special School Staff’ REACH Journal of Special Needs Education in Ireland vol. 17 (2); O’ Neill, A and Rose, R 2008, ‘The Changing Roles of Teaching Assistants in England and Special Needs Assistants in Ireland’ REACH Journal of Special Needs Education in Ireland vol. 22 (1) 43 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 research on the role of SNAs78, which was based on interviews with approximately 340 SNAs and 30 teachers, are as follows: A significant minority of SNAs (40%) routinely perform a teaching assistant type role in addition to their prescribed care role SNAs are concerned about the gap between their prescribed role and their actual role within schools. SNAs are concerned by the absence of guidance for SNAs in performing even their prescribed care role within schools. For example, guidance around personal care and dealing with challenging behaviour is required Individual teachers acknowledge the changing role that SNAs are performing in schools but are concerned that some SNAs do not possess the skills to adequately perform the teaching assistant role that many SNAs are routinely being asked to perform Many teachers believe that fewer but more highly trained and skilled SNAs could contribute more to supporting special needs students than the current model of provision and expertise. Narrowness of current remit Special Needs Assistants are funded from the education budget to do a care job in support of pupils with special needs, but are expressly precluded from engaging in educational activities such as listening to pupils with their reading or supervising a classroom when the teacher is absent. The terms of reference for their role appear to have been framed with the explicit aim to avoid encroachment on a teacher’s professional activities. As resources are scarce in relation to children with disabilities, it is worth exploring how best SNAs might be deployed to deliver a combination of care duties as required and relevant classroom supports in any down-time from their physical care duties. Information is not readily available on how many pupils require constant hands-on support, how many pupils require constant attendance but intermittent handson support (e.g. assistance with the bathroom) or how many pupils require assistance at specified times only (e.g. getting into and leaving the school or lunchtime), but the evidence shows that significant numbers of SNAs are currently engaged in education support roles in the down-time from their care duties. In terms of the overall support to educating a group of children, including children with special needs, it may be sensible to allow an SNA to work with other children in the classroom (e.g. hearing their reading) if the class teacher needs to catch up on details of a lesson with a special needs child who has had to take an extended break from class time for care reasons. 78 Bergin, Máíre (Ph.D work in progress) An examination of the role, function, definition and training needs of classroom and special needs assistants in primary and secondary settings in Ireland. 44 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 If the role of SNAs were to remain one exclusively focused on care, the rationale for limiting their place of work and working day/year to those of the school system would require re-examination. If the primary purpose of the scheme were to be interpreted as addressing the care needs of children with disabilities rather than supporting these children to participate in education, it should be acknowledged that those care needs extend beyond the school day and the school year. The National Council for Special Education Needs has published details of the categories of assessed need of those for whom an SNA was applied for in 2004 and 2005. For example, in 2005, 36% of SNA applications were for children with emotional and behavioural difficulties.79 However, there is a dearth of published information which analyses SNA provision for students with different categories of assessed need. The job description and training of SNAs, now working within a job description which was designed to deal with the physical care needs of children in special schools, requires revisiting in light of the range of needs that they now find themselves dealing with. Therefore, there is a need not only to develop guidance for teachers, schools and SNAs both around the education support role that SNAs are in fact playing but also for their currently prescribed care role. The NDA would be glad to contribute towards developing guidance in relation to the care role; guidance around the education role would primarily be a matter for the NCSE. As Ireland’s current economic situation is unlikely to sustain the growth in SNA numbers that has been witnessed in recent years, there is a strong case for the current Review focusing on whether or not the SNA Scheme in its current design is meeting children’s assessed need and whether better use could be made of currently available resources, through training and upskilling of SNAs. Future full commencement of EPSEN and Part 2 of the Disability Act is likely to place further scrutiny on the efficacy of the division of care and education support roles performed by SNAs. SNA role in an International Context As well as the increase in numbers of SNA-type roles the following themes are identified in the international literature: 79 Teacher assistants have been specifically identified as a support to assist the participation of students with disabilities in inclusive classrooms Teacher assistants engage in a wide range of roles (for example, clerical tasks, supervision of students, personal care and mobility support, behaviour support, instruction) National Council for Special Education, 2005, Annual Report 2005 45 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 There is ongoing disagreement and confusion about what constitutes appropriate roles of teaching assistants There has been a shift in the roles of teacher assistants from primarily instructional to increasingly instructional functions Teacher assistants tend to receive inadequate orientation, training and supervision non- Teachers have mixed reactions to using teacher assistants; some recognise them as valuable contributors, while others are concerned about having another adult in the classroom80 Ireland, therefore, is not in a unique position by having increased numbers rapidly without developing suitable role profiles, management and planning structures and training infrastructure. Shift from care to education support role – the English experience England provides an example of a country which has witnessed the actual and acknowledged role of teaching assistants (TAs) move from an exclusively care role to include a significant instructional-support role. The education support element of the TAs role in England was acknowledged in 1999 and guidance was published in 2000.81 In 2001, the Code of Practice further defined the role of TAs in the classroom in relation to students with special educational needs.82 In 2003, Raising standards and tackling workload: a national agreement was agreed which set out a framework for changing responsibilities and workloads within classrooms and within schools. England and Wales have published guidance for schools on implementing this policy.83 80 Giangreco, M and Doyle M.B, 2007 “Teacher assistants in inclusive schools” in Florian L. (Ed.), The SAGE handbook of special education http://www.uvm.edu/~mgiangre/Chpt32SAGEGiangrecoDoyle2007.pdf 81 Department of Education and Skills, 2000, Working with Teaching Assistants – A Good practice Guide 82 Bergin, M., 2004, “Comparative Analysis of the Special Needs Assistance Approach: Ireland, England & Sweden”, NDA Conference Paper [Student Journeys: The Special Education Routes] http://www.nda.ie/website/nda/cntmgmtnew.nsf/0/8F45C3FF02655CAE802570F2004774C5/$File/student_ journeys_13.htm 83 The Welsh Assembly Government, 2006, Raising Standards and Tackling Workload: A National Agreement. A Resource Pack for Governors in Wales http://wales.gov.uk/docrepos/40382/4038232/403829/4038293/403829/raising-standards-tackling1.pdf?lang=en; Training and Development Agency for Schools, 2005, Headteachers and the National Agreement – a summary, http://www.tda.gov.uk/upload/resources/pdf/h/headship_pack.pdf 46 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 In 2003 a higher grade role (Higher Level Teaching Assistant) was created which allowed those with a higher qualification to become more involved planning, monitoring, assessment and class management84. Differentiated training structures have been developed with teacher assistant qualifications ranging from certificate to degree on the National Vocational Qualification Awards (NVQ) system. The reform process in England may be too recent to draw strong lessons from. However, the process of developing role profiles, re-examining responsibilities within classrooms and within schools and reforming training opportunities accordingly, may provide a starting point for discussions on how Ireland could reform our SNA Scheme. A recent comparison of the SNA role in Irish schools and Teaching Assistant (TA) role in England shows that both carry out quasi-education roles such as assessments, lesson planning and taking classes although the English Teaching Assistants more often take on a more extensive role. Nevertheless the similarities are interesting, given the differences in their prescribed roles. Some of these comparisons are presented in the table below.85 84 Rose, R., 2008, “The Changing Roles of Teaching Assistants in England and special Needs Assistants in Ireland: A Comparison” in Rose, R Reach Journal of Special Needs in Ireland, Vol. 22 no.1 85 Figures based on Rose, R., 2008, “The Changing Roles of Teaching Assistants in England and special Needs Assistants in Ireland: A Comparison” in Rose, R Reach Journal of Special Needs in Ireland, Vol. 22 no.1 47 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Teaching Assistants Special Needs Assistants England -Ireland “Sometimes” take a whole class 74% 26% Plan lessons alone “every day or often” 28% - - 31% 22% 28% Plan lessons alone “sometimes” Involved in assessment ‘often’ NDA recommendations on information deficits The NDA recognises that a significant information gap exists around the role, function, management and training of SNAs and advises that the following information should be collected to enable an effective and comprehensive review to be conducted: Breakdown and analysis of the nature of assessed need - as identified in professional assessment reports attached to schools’ applications for SNAs - of students who currently receive support from an SNA Whether some or all those children’s assessed needs could be appropriately met using technology (for example by recording lessons, or wider use of computers) and or alternatively-designed school organisational systems Analysis of o support requirements written into those students’ Individual Education Plans (where these are available) o the extent to which students’ need for support is for continuous handson support, for on-call support (e.g. for bathroom breaks), for support at specific times and with specific tasks, e.g. getting off a school bus, help with feeding o the actual role being performed by SNAs o the training and experience the SNAs supporting those students and what training and upskilling they would be require to meet needs as assessed o whether guidance documents on both the care and education support elements of the SNA role provide an adequate framework for SNAs to 48 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 work with students with the range of assessed needs which they are currently working with o whether SNAs working with individuals and / or groups have contributed to the inclusion of children with special education needs and consideration of whether a “whole class” approach to student support might better promote inclusion o schools’ managerial and planning capacity to effectively use SNA resources to support those students’ assessed need The NDA would like to contribute to and support the Review Group in its work in any way deemed appropriate. Appendix 1 Terms of reference of the review The terms of reference for the review are as follows: (1) Identify the objectives of the Special Needs Assistant (SNA) Scheme and the role of an SNA. (2) Examine the relevance and continued validity of these objectives and role as they relate to the objectives of the Department’s Strategy Statement in “providing a range of resources and supports for learners with special needs”. (3) Define the outputs associated with the SNA scheme and examine the duties allocated to and undertaken by SNAs in the context of the objectives of the scheme. (4) Examine the extent to which the objectives of the SNA scheme have been achieved and the effectiveness with which these objectives have been achieved. (5) Identify the level and trend of costs associated with the SNA scheme and comment on the efficiency of the scheme. (6) Evaluate the degree to which the objectives warrant the allocation of public funding on a current and ongoing basis and examine the scope for alternative policy or organisational approaches to achieving these objectives on a more efficient/effective basis and make appropriate recommendations for change, if necessary. (7) Specify potential future performance indicators that might be used to better monitor the performance of the SNA scheme. (8) A VFM review should not, as a general rule, recommend an increased resource allocation for the programme concerned. Where, in exceptional circumstances, it is proposed to recommend such an increase to deliver better overall VFM, the Department’s/Office’s overall Steering Committee (or MAC) should be consulted in advance and should identify possible savings and/or additional income on other lower priority programmes (for the Department/Office 49 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 concerned or another public body) that would be sufficient to meet the additional costs involved: full details of these offsetting measures should be included in the VFM review report. Appendix 2 Role of the Special Needs Assistant as set out in Circular 07/02 Their duties are assigned by the Principal Teacher in accordance with Circular 10/76: "Duties and responsibilities of Principal Teachers" and sanctioned by the Board of Management. Their work should be supervised either by the Principal or by a class teacher. Those duties involve tasks of a non-teaching nature such as: 1. Preparation and tidying up of classroom(s) in which the pupil(s) with special needs is/are being taught. 2. Assisting children to board and alight from school buses. Where necessary travel as escort on school buses may be required. 3. Special assistance as necessary for pupils with particular difficulties e.g. helping physically disabled pupils with typing or writing. 4. Assistance with clothing, feeding, toileting and general hygiene. 5. Assisting on out-of-school visits, walks and similar activities. 6. Assisting the teachers in the supervision of pupils with special needs during assembly, recreational and dispersal periods. 7. Accompanying individuals or small groups who may have to be withdrawn temporarily from the classroom. 8. General assistance to the class teachers, under the direction of the Principal, with duties of a non-teaching nature. (Special Needs Assistants may not act either as substitute or temporary teachers. In no circumstances may they be left in sole charge of a class). 9. Where a Special Needs Assistant has been appointed to assist a school in catering for a specific pupil, duties should be modified to support the particular needs of the pupil concerned. 50 National Disability Authority paper to Oireachtas Committee on Education and Skills Dec 2010 Appendix 3 Ratios for SNA type roles to pupils in Scotland, England and Ireland Scotland (2007) 692,21586 / 15,00087 = 1: 46.1 England (2006) 8,215,69088 / 162,90089 = 1: 50.4 Ireland (2006) 805,23790 / 8,64691 = 1: 93.1 Note on ratios: The SNA / TA / CA figures refer to the numbers of individuals involved and not the number of WTE. Therefore, only a certain amount can be read into these ratios. 86 Scottish Executive, 2009 Results of Pupils in Scotland Census 2008 http://openscotland.gov.uk/Publications/2009/04/01090908/3 87 Valuable assets: a general formal investigation into the role and status of classroom assistants in Scottish schools http://news.bbc.co.uk/1/shared/bsp/hi/pdfs/30_05_07classassistants.pdf 88 Department of Innovation, University and Skills, 2009 ‘Schools and Pupils in England’ http://www.dcsf.gov.uk/rsgateway/DB/SFR/s000682/'Table 12'!A1 89 Rose, R “The Changing Roles of Teaching Assistants in England and special Needs Assistants in Ireland: A Comparison” in Reach Journal of Special Needs in Ireland, Vol. 22 no.1 90 Department of Education and Science (Key Statistics About the department’s Costumers) http://www.education.ie/home/home.jsp?pcategory=17216&ecategory=17241&language=EN 91 Rose, R “The Changing Roles of Teaching Assistants in England and special Needs Assistants in Ireland: A Comparison” in Reach Journal of Special Needs in Ireland, Vol. 22 no.1 51