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Introduction: A Vision and Philosophy for Working with Children with Multiple Disabilities 1
Children with multiple disabilities 4
General facts 4
Perceptions and myths 4
Population 5
Terminology 6
Definitions 8
Meeting people with multiple disabilities 9
Key points 10
Possible problems 11
Disorders and delays 11
Problems related to medication 13
Eating problems 13
Other problems 15
Implications for multiple-disabled children 16
Common conditions 17
Syndromes 23
Specific problems for parents 24
Diet and behaviour 27
Key points 28
Developing effective communication skills 29
Role of an intervenor or intensive interaction 31
Identifying 'yes' and 'no' 38
Finding the key 39
Selecting a communication mode 39
Communication modes 40
Speech 40
Writing 41
Manual signs 41
Pictures orline drawings 43
Picture and symbol systems 43
Objects of reference 46
Communication Boards 48
Visual or Object Timetables 50
Personal Passports 52
Communication books 53
Tips for engaging in communication 54
Key points 54
Facilitating the use of sensory information and developing a multi-sensory curriculum 55
Function of the brain 55
Visual perceptual difficulties 58
Attention deficit hyperactivity disorder (ADHD) 58
Autistic spectrum disorder (ASD) 59
Asperger's Syndrome (AS) 60
Dyslexia 61
Dysgraphia 62
Dyscalculia 62
Dyspraxia 63
Oral dyspraxia 64
Visual Link Stress Syndrome 64
Prosopagnosia 67
Left-side dominance 67
Role of an Optometrist 68
The sensory system 68
Vision 68
Hearing 73
Smell 75
Taste 76
Touch 76
The vestibular sense 77
The proprioceptive sense 78
Sensory integration disorders 78
Multi-sensory curriculum 86
Key points 90
Assessment 91
Purposes of assessment 92
Types of assessment 92
General propositions 93
Evaluating assessment tools and procedures 93
Current approaches to assessment 94
Observation skills 96
Observation schedules 97
Task analysis 98
The ABC chart 99
Fixed interval sampling 100
Event sampling chart 101
Baselines 103
'P' Scales 103
Key points 104
Access to appropriate environments 105
The school building 105
A classroom environment checklist 108
Sensory gardens 113
Reactive environments 115
Little rooms 116
Resonance boards 117
Multi-sensory rooms 121
Key points 126
Mobility and motor skills 127
Approaches to developing motor skills 128
Motor development 129
Stretching 131
Equipment 132
Sitting 132
Standing 134
Walking 135
Other equipment 136
Manual handling 138
Handling equipment 140
Risk assessment 140
Key points 141
Support frameworks in mainstream education 142
Facilitating inclusive education 142
Support frameworks 146
Assessment 147
Staffing arrangements 148
Planning, Target-Setting and Record-Keeping 149
Resources 155
Partnerships 155
School arrangements 158
Training 160
Evaluation 160
Basic principles of working with multiple disabled children 160
Short-term planning sheet 152
Weekly planning sheet 151
Weekly record support sheet 151
Individual education plan 153
Access strategies to the curriculum in mainstream education 163
Ways to guide good practice 163
Independence and Life Skill Training 169
Guidelines to facilitate subjects in the National Curriculum 171
English 171
Mathematics 174
Science 176
Physical education and sport 177
Music 178
ICT 180
Art 182
Curriculum Boxes 182
Key points 184
Final thoughts 185
Glossary 186
References 188
Useful books 190
Useful Addresses and Websites 191
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