Texas School for the Blind and Visually Impaired Outreach Programs www.tsbvi.edu | 512-454-8631| 1100 W. 45th St. | Austin, Texas 78756 Active Learning Study Group November 26, 2012 8:30-9:30 AM Presented by Texas School for the Blind & Visually Impaired Outreach Programs Developed by Kate Hurst, Statewide Staff Development Coordinator Outreach Programs Staff Social/Emotional Perception Demonstrates “autistic-like” behaviors or appears especially developmentally threatened Have difficulty responding to contact Observed that child occasionally functions better than usual – involved in activities at a higher level than his daily behavior indicates or discloses that level of intelligence must be higher than daily behavior indicates Focus on Intellectual Development Assess intelligence and use as starting point for teaching Problem: Child could be trained to do things but stopped once adult left --- not self-initiating For which purposes do human beings use their intelligence? ….for what I want to do Based on compatibility of mind and emotions Problem: distance between emotional and intellectual levels Gap too wide Make it difficult for child to be motivated to initiate activities Make it difficult for child to dare to do what others expect him to do Focus on Emotional Development Give lots of physical contact Problem Children became very affectionate and sought physical contact constantly Contacted adults like 6 month old babies Never initiated activities with toys or materials Looked at Typical Development Ages should not be taken too literally Important to have some knowledge about sequence of establishing contact Blind, mentally retarded or especially developmentally threatened usually unable to talk, verbal ways of contacting are not available Human beings are very young when they begin to use objects to express emotional relationships with other people Key to Assessing Emotional Level Different stages of the emotional development are demonstrated through child’s way of contacting Way developmentally threatened child contacts difficult to interpret or translate because it is different, especially if blind Active Learning Study Group 11.16.12 – Kate Hurst Notes 1 Process Interview parents using questions based on Chapter 5 o Does child clutch clothes/hair o Does child bite o Does child maintain contact for only few seconds Make a guess at emotional level Gather 60-70 objects for play at different levels (familiar and unfamiliar) Process First day use Offering technique Following day “being together” If you do not know child begin at relatively high level (building and pouring / putting objects in specific places) Talk very little and observe if child shows any kind of interest, makes a gesture (at 1 ½ yr. development or higher) If no reaction go to 1-1 ½ yr (put objects in containers, build/turn towers, pouring marbles on plates) If no reaction go to 8-12 months If not reaction go to 4-8 months ETC. Lilli says Assessing the child’s level of emotional development provides me with a basis for deciding which activities would be appropriate for the child to initiate. Lilli says “I do not expose the especially developmentally threatened child to demands.” “We expose normal children younger than 2 years of age to few, if any, demands. And, without our help, we do not expect the chld to comply with the few demands we make.” Lilli says “Too many experiences of inability to fulfill demands disturb the normal balance between successes and failures and can easily lead to withdrawal whenever the child interprets something as demanding. …It is as if they are afraid that showing their ability may result in exposure to demands to do something they know that they are unable to do or unsure of. They would rather not succeed at all than risk failure. For these children, demands mean failure.” p. 43, Chapter 7 of Are You Blind? Active Learning Study Group 11.16.12 – Kate Hurst Notes 2 Question for Patty Looking at the Functional Scheme assessment areas for Social and Emotional Perception…… 1. How do you use this related to figuring out the educational treatment to use (Five Phases of Educational Treatment) that Lilli discusses? 2. I know that Lilli has said that periodically you will have to return to Phase 1 for almost any child, but as a rule of thumb, is there some correlation between the Social / Emotional Perception assessment data and the 5 phases? Patty’s Reply Lilli answer would vary a little from mine. Lilli does use the emotional perception section of the Functional Scheme to help assess the emotional level of a child. I tend to use multiple sections of the functional scheme to assess the emotional level of a child. o emotional perception, social perception, and perception through play sections. o everything needs to be looked at as an overall picture of a child. For example I have one child with the following summary in the functional scheme: o Gross motor (about 18-24 month level) o Fine motor (6-9 months) o Mouth movements (24-30 months) o Auditory perception (9-12 months) o Babbles o Haptic-Tactile perception (6-9 months) splinter skills up to 24 months) o Olfactory perception (18-24 months) o Spatial Perception (12-15 months) o Object Perception (6-9 months) splinter skills up to 15 months o Language Perception – babbles (3-6 months) o Social Perception (3-6 months) o Emotional Perception (0-3 months) o Perception through Play (9-12 months) o Toileting – 12-15 months o Undressing (9-12 months) o Personal Hygiene (15-18 months) o Eating Skills (24-30 months) Has skills that reach as high as 24-30 months, Emotionally at a 0-3 or 3-6 month level doesn’t interact with others. When you sit near her, she stands up and moves away. Interactions with others are to bite, scratch or pinch – but she can hug and sit on your lap. Really represents who she is. How she plays with toys - mouthing them, a very low way to interact with objects. So if I use the five phases of educational treatment o Start by using offering and might at some point get to imitation – but playing at the level of a 3-6 month old. o Use a lot of items that react to mouthing, or that would react to a simple touch. Active Learning Study Group 11.16.12 – Kate Hurst Notes 3 Overall assessment tells you the tools you can use, but the emotional level tells you the skills need to be integrated more. 5 Phases The five phases of treatment is a tool you use to get a child to explore the world more. With a child like I described, I would rarely get to stage 3. I would not expect to get to stage 4 or 5. She doesn’t interact with others right now – I would not expect her to “share the work” or have “consequences” yet. She needs to learn to “interact” and that can only come after imitating (which she does not do.) The Functional Scheme Available from LilliWorks.com Price? Active Learning Study Group 11.16.12 – Kate Hurst Notes 4 Subject: Question on Active Learning – Excerpt Email to Patty Orbzut at Penrickton Hello, Patty! I know you are headed to Texas soon; wish I was going to be able to go to that training. But in the meantime I have a question. Looking at the Functional Scheme assessment areas for Social and Emotional Perception…… How do you use this related to figuring out the educational treatment to use (Five Phases of Educational Treatment) that Lilli discusses? I know that Lilli has said that periodically you will have to return to Phase 1 for almost any child, but as a rule of thumb, is there some correlation between the Social / Emotional Perception assessment data and the 5 phases? This is me trying to get at the gap between emotional development and other development. Kate Hurst Hi Kate, I think if you asked Lilli, her answer would vary a little from mine. Lilli does use the emotional perception section of the Functional Scheme to help assess the emotional level of a child. I tend to use multiple sections of the functional scheme to assess the emotional level of a child. I tend to use the emotional perception, social perception, and perception through play sections. But everything needs to be looked at as an overall picture of a child. For example I have one child with the following summary in the functional scheme: Gross motor – she likes to swing, bounce, walks on tip toes around the room, climbs (about 18-24 month level) Fine motor – mouths everything she comes in contact with (6-9 months) Mouth movements – eats regular food, doesn’t like to use utensils (24-30 months) Auditory perception – is aware of sounds, goes to sounds she likes, but doesn’t respond to sounds during play (9-12 months) Babbles Haptic-Tactile perception – uses lips and the tongue for tactile searches, touches food using fingers, (6-9 months) splinter skills up to 24 months) Olfactory perception – can identify foods by smells (18-24 months) Spatial Perception – walks or crawls to explore the room where she is present (12-15 months) Object Perception – mouth objects, searches for certain objects in a box (6-9 months) splinter skills up to 15 months Active Learning Study Group 11.16.12 – Kate Hurst Notes 5 Language Perception – babbles (3-6 months) Social Perception – enjoys having an adult play with her on occasion (3-6 months) Emotional Perception – contacts adults by clutching, pinching, pulling hair, biting (0-3 months) Perception through Play - moves objects from hand to hand (9-12 months) Toileting – 12-15 months Undressing - likes to undress – capable of dressing (9-12 months) Personal Hygiene – plays in water, drinks from washcloth (15-18 months) Eating Skills – eats regular food, needs encouragement to set things down (24-30 months) As you can see, she has skills that reach as high as 24-30 months, but when you look at her social and emotional level – it really represents who she is. Emotionally she is down at a 0-3 or 3-6 month level. She doesn’t interact with others. When you sit near her, she stands up and moves away. Her interactions with others are to bite, scratch or pinch – but she can hug and sit on your lap. If you look at how she plays with toys – it is mouthing them. This is also a very low way to interact with objects. So if I use the five phases of educational treatment – I start by using offering and might at some point get to imitation – but I am playing at the level of a 3-6 month old. I would use a lot of items that react to mouthing, or that would react to a simple touch. The overall assessment tells you the tools you can use, but the emotional level tells you the skills need to be integrated more. The five phases of treatment is a tool you use to get a child to explore the world more. With a child like I described, I would rarely get to stage 3. I would not expect to get to stage 4 or 5. She doesn’t interact with others right now – I would not expect her to “share the work” or have “consequences” yet. She needs to learn to “interact” and that can only come after imitating (which she does not do.) It’s a complicated topic to try to answer by email. I hope this helps. I would like to join you one day on the webinar. Please let me know how I can join in. I am not a tech person – so I would need to get Kurt our director involved to figure out how to join in. Thanks! Patty Obrzut, M.S., O.T.R., Assistant Director Penrickton Center for Blind Children 26530 Eureka Road, Taylor, MI 48180 (734) 946-7500 patty@penrickton.com www.penrickton.com Active Learning Study Group 11.16.12 – Kate Hurst Notes 6 Emotional Perception Social Perception Perception thru Play/Activity 0-3 Months Responds or contacts by clutching adult’s finger, clothes, hair Smiles, kicks, and waves arms when seeing or hearing familiar people Sucks hands Contacts or responds to contact by nodding, sucking, grunting Withdraws when he wants an entertainment to stop Exercises to fixate Can be calmed by being taken in the arms and cuddled Enjoys looking at a mobile Replies to language by listening intensively Plays with fingers Looks at fingers Pushes objects hanging over his head and hands Moves his legs, especially when naked Pushes feet against objects that give resistance Uses Little Room to have the opportunity to decide when and for how long he wants to be active Active Learning Study Group 11.16.12 – Kate Hurst Notes 7 Emotional Perception Social Perception Perception thru Play/Activity 3-6 Months Can call parents by crying, also when nothing wrong Enjoys having adult play with him, e.g. peek-a-boo Interlaces fingers Contacts or responds to contact by babbling Cries when the adult is out of sight Bends and stretches fingers. Watches the result. Shows anxiety to unfamiliar rooms, persons or toys Watches his hands while turning them around Looks from hand to hand Experiments with hand and finger movements Experiments with head movements while in prone Scratches on all surfaces within reach Pushes objects placed within his reach Reaches for objects Grasps/releases objects hanging over head/hands Uses right hand to pick up object lying to left of head Uses left hand to pick up object lying to right of head Uses cycling movements over the stomach Grasps own feet Sucks objects Uses the mouth to investigate the surface of objects Performs movement of shaking a rattle with all objects Bangs on objects and surfaces with clenched hand Establishes a memory by repeating all actions Uses Little Room for opportunities repeating actions Kicks rhythmically in certain pattern Repeats same activity after a pause 1-2 seconds Active Learning Study Group 11.16.12 – Kate Hurst Notes 8 Emotional Perception Social Perception Perception thru Play/Activity 6-9 Months Contacts or responds to contact by pressing himself against the adult Tries to catch the adult’s attention Experiments with various ways of grasping Touches the adult’s face Contacts adults Moves objects from hand to hand Puts a finger in the adult’s eyes and mouth Stretches hands towards the adult to be picked up Rubs object against the gums Likes to be moved from the arms of one familiar person to another Bangs on objects with flat hand Imitates the adult’s movements, e.g., reaches hand towards the switch just after the adult has switched on the light Rolls around on the floor Seeing mom and dad after their return causes great joy Grasps and releases objects while sitting Compares various banging activities Exercises to sit up and lie down Crawls to the objects rolled outside of his reach Shows joy when recognizing familiar voices Exercises babbling Uses Little Room to promote fine motor activities Experiments with changing the shape of material that can be changed Experiments with making sounds with the mouth Jumps up and down while being held on lap of an adult Active Learning Study Group 11.16.12 – Kate Hurst Notes 9 Emotional Perception Social Perception Perception thru Play/Activity 9-12 Months Contacts or responds to contact by pointing to the adult using a toy, as if showing Tries to get the adult to play with him Uses an object to bang on surfaces and other objects Wants to share his interests with the adult Can become anxious if the trusted provider is not present Repeatedly turns small objects around Refuses contact with persons he does not feel attached to Comprehends several of the mother’s facial expressions Experiments with placing objects on certain spots Puts his arms around the adults to whom he feels attached Comprehends several of the ways in which the mother uses her voice Plays hiding-games with objects Wants to drink from the adult’s cup Separates things that are easy to separate Experiments with vocal sounds Pulls himself into standing position by means of furniture Pushes objects forwards and backwards Breaks down towers built by adults Puts toys into a toy box Becomes aware of quantity by separating objects tied together Repeatedly overturns big, light objects Uses Little Room to understand position of objects Uses a Position Board to learn relations between objects Plays consciously “not now but now”, e.g. pushing over towers Handles large objects, boxes, buckets or similar things Plays sound-games with teeth Plays hand-to-foot games Empties boxes with toys Places one+ things right next to him while throwing other objects Active Learning Study Group 11.16.12 – Kate Hurst Notes 10 Emotional Perception Social Perception Perception thru Play/Activity 12-15 Months Establishes brief contact with the adult to confirm that their relationship exists independently of other activities Shows interest in other learners Repeatedly overturns big, heavy objects Draws forwards and backwards Wants to feed the adult Imitates the adult’s activity Discovers the concept of quantity: few/many Laughs and babbles in interaction with the adult Waves to say good-bye Experiments with putting 2-3 objects in one hand Shows that he considers himself as the center of the family Wants to share his experiences with the adult Puts objects into containers Plays pouring games Enjoys adult-learner games such as clapping of hands and playing with lips Compares banging games Understands that familiar people are the same irrespective of their state of mind Experiments with new ways of performing familiar activities Covers a small object with a bigger one Crawls up and down on a sofa or big chair Walks sideways along a sofa or coffee table Walks repeatedly up/down staircase with 1-3 steps Takes down towers piece by piece Plays with water Active Learning Study Group 11.16.12 – Kate Hurst Notes 11 Emotional Perception Social Perception Perception thru Play/Activity 15-18 Months Invites the adult to participate in give-and-take games Moves close to another learner, observes intensively Makes circular movements when drawing Repeats separating the same toy many times Enjoys participating in games such as ride a rockinghorse, and see-saw Becomes worried when another learner cries Tests activities that are allowed and disallowed Approaches an adult with a welcoming attitude Tries to put things together, wants help if unsuccessful Crawls under furniture Crawls over low obstacles Demonstrates a strong attachment to one or a few objects Exercises walking, wants to walk almost throughout the day Often has a need for physical contact, wants to be carried and to sit on lap Plays give-and-take with the adults Builds dens indoors Uses the Little Room for playing den games Draws online on each piece of paper Looks at pictures in picture books Active Learning Study Group 11.16.12 – Kate Hurst Notes 12 Emotional Perception Social Perception Perception thru Play/Activity 18-24 Months Suggests that the adult may borrow his most precious toy Observes other learner’s play intensely Can react intensely to changes in the daily routine Reacts spontaneously to own name Plays with drawers Throws a tantrum when his will is crossed Helps the adult with tidying up of the toys Plays with containers and lids Presents strong feelings of ownership: “my mother”, “my toy”, “my seat” Protests if his activity is disrupted Pushes heavy objects, e.g. chairs Plays language games with the adult: rhymes and jingles Demonstrates his own will in the presence of the adult Places oblong blocks upright Separates Lego blocks Pulls heavy objects, e.g. toy cart Moves toys from one room to another one Tries to run Jumps on soft mats Falls on purpose, gets up without support Exercises in pronouncing words Uses Little Room to promote experimental activities Drops geometrical blocks in the respective holes in a box Plays with simple puzzles Active Learning Study Group 11.16.12 – Kate Hurst Notes 13 Emotional Perception Social Perception Perception thru Play/Activity 24-30 Months Contacts by hiding himself, followed by reappearing with a shocked attitude Steals the toy another learner is playing with Places blocks next to each other in a long row Invites the adult to fight for fun Tries to have his will while playing with another learner Draws several lines on on piece of paper Demonstrates his will in the presence of other children by claiming ownership regarding his toy Presents his abilities to the adult Plays with doors Is ready to await his turn while playing turn-taking with an adult Helps with wiping the table Strings big beads Appreciates help with, e.g. dressing and undressing Undresses many times daily Stamps feet in pools to splash water Experiments with running fast Experiments with jumping down from, e.g. step of stairs Has a strong need for physical contact, wants to hold hands while taking a walk Places big blocks on top of each other Is able to engage in contact with only one adult at a time Puts Lego blocks on a Lego board Experiments with quantity: fills in mugs, plastic bottles and other containers with sand Experiments with pronouncing difficult or long words Uses Little Room for playing den games with another child Walks repeatedly up/down a staircase with many steps Plays a mouth organ Active Learning Study Group 11.16.12 – Kate Hurst Notes 14 Emotional Perception Social Perception Perception thru Play/Activity 30-36 Months Uses the language more often in contacting others Plays parallel to other learners Plays role games like being the dad/mom of baby Has difficulty in accepting criticism Becomes easily annoyed with other learners Snips with scissors in a piece of thing cardboard Has difficulty in choosing between yes/no, coming/going, milk/juice, etc. Is protective and caring towards babies Draws schematic drawings: houses, humans, animals Can be quite rigid. Changes result in a demonstration of anger, passivity or withdrawal Demonstrates politeness: Says, “Thank you.” Experiments with water, sand, clay and painting Uses hammer for hammering nails into piece of wood Asks “what is that?” many times daily Climbs on to climbing apparatus Swings on a swing Plays seesaw with another learner Counts “1,2, many” while handling objects 36-42 Months Contacts by standing next to the adult and leaning against him Interacts with other learners Cuts out pictures using scissors Shows great independence, often thinks he can do more than he is able to Demonstrates shyness in company of strangers (adults) Can become very despaired when he has to receive help from the adult Is able to play with another learner for approximately half an hour Rides a tricycle Direct physical contact is most often replaced by conversation Invites the adult to play rough-and-tumble Jumps on one leg Wants to help the adult with preparing of food or washing of car Builds dens outdoors Has a favorite playmate Counts, “1,2, 4, 6” while handling objects Plays jumping games Takes walks alone (can easily lose way) Experiments with using tools e.g. saw, screwdriver Active Learning Study Group 11.16.12 – Kate Hurst Notes Experiments with high speed Plays with clay 15 Emotional Perception Social Perception Perception thru Play/Activity 42-48 Months Is eager to help an adult Uses the adult as a living dictionary. Asks, “What is that?” Experiments with various ways of building a den Can give away one of his toys to another learner Plays role-plays with other learners Wants to experiment with locking/unlocking doors Is ready to await his turn in a group of learners Helps with laying the table Plays constructively with Lego blocks Strives to be independent of the adult Behaves as the one who is responsible for, e.g. cooking Plays with dolls/model cars Is unwilling to accept adult’s interference in any of his activities Can separate from the parents without crying Digs holes in the garden or sandbox Can use language to express both dissatisfaction and joy Visits the neighbor Leads water through previously dug canals Repeats activities that cause adult to laugh Finds objects when requested Plays ball with an adult Is able to choose between not more than two suggestions Wants to help with dishing up Plays role games together with other learners Wants to participate in preparing the meals Wants to participate in doing the domestic work Clears the table Texas School for the Blind & Visually Impaired Outreach Programs Figure 1 TSBVI logo Figure 2 Dept. of Education (OSEP) IDEAs that Work logo and disclaimer. Active Learning Study Group 11.16.12 – Kate Hurst Notes 16