Reading Assistive Technology

This week, we are welcoming a guest blog to our reading series. The team at LeafBridge of United Cerebral Palsy of Greater Cleveland are sharing information about low, mid, and high tech assistive technology resources that can help address your students’ reading needs.

Assistive Technology

An assistive technology (AT) device includes any item, piece of equipment, or product system used to increase, maintain, or improve the functional capabilities of a child with a disability. AT devices should promote access to the curriculum and student achievement. AT services are necessary to assess, select, and instruct in use of the most appropriate AT. Part 1 of this blog series (Assistive Technology: Review IEPs Prior to Back-To-School) includes general information about AT. In Part 2, the LeafBridge team reviews some possible “Low Tech”, “Mid Tech,” and “High Tech” AT solutions for reading.

Reading Assistive Technology.png

Remember that individualized assessment (AT service) precedes choosing an AT device or tool. The following lists include EXAMPLES of AT for reading. The intent is to demonstrate a small snapshot of the MANY available options for reading AT. There are many other fine AT devices and tools available in addition to those identified in this blog. We intentionally placed the “cart before the horse” in this blog to help readers understand the importance of assessment to identify the most appropriate AT option for a student, rather than arbitrarily choosing from lists of AT. Please stay tuned to AT Blog Part 3 to review the assessment process for AT. The following products, manufacturers or vendors are meant only as examples. United Cerebral Palsy and LeafBridge Services do not endorse specific products and they do not have affiliations with the products, websites, or resources. Please note that vendors listed may not be the sole supplier for a product.

Low Tech Reading Assistive Technology

Resources for Printable Graphic Organizers for Reading

Highlighters

Book Holders

Enlarged or Modified Print

Mid and High Tech Reading Assistive Technology

Fonts:

Reading with Pictures

Audio and Digital Books

Software Programs and Apps with Multiple Reading Technology Features

Digital Recording Pen

Cameras

About the Authors

Rebecca Guenther, M.A, CCC-SLP is a speech-language pathologist with 14 years of school based, home and outpatient experience with a primary focus on children with complex disorders including cerebral palsy, autism, and rare genetic conditions. Rebecca has a passion for developing and implementing functional communication systems using a combination of both low and high technology augmentative/alternative communication systems. Rebecca is a leader in her field and has provided hands on training and professional in-services to her peers regarding Augmentative/Alternative Communication. Rebecca remains current in this ever-changing assistive technology field by attending professional conferences such as the Assistive Technology Industry Association Conference and Closing the Gap. Rebecca is proficient in programming multiple AAC devices from frequently used vendors such as Saltillo, Prentke Romich Company, Tobii-Dynavox, Pragmatic Organization Dynamic Display communication books, and multiple tablet applications. Rebecca serves as the Speech and Language Pathology Manager for the pediatric department at LeafBridge of United Cerebral Palsy (UCP) of Greater Cleveland. As manager, she coordinates speech therapy programming, leads Camp LeafBridge for Extended School Year summer programming and she coordinates feeding therapy services provided at LeafBridge. Rebecca travels the state of Ohio to conduct Assistive Technology Evaluations and Independent Educational Evaluations.

Amanda Stohrer, MS, OTR/L, ATP is an Occupational Therapist with extensive experience in providing care for children with complex disabilities. Amanda serves as the Occupational Therapy Manager for the pediatric department at LeafBridge of United Cerebral Palsy (UCP) of Greater Cleveland. As manager, Amanda coordinates occupational therapy programming for school-based services, outpatient therapies, fieldwork experiences, a functional skills program, upper extremity serial casting, and the LeafBridge Steps to Independence program for intensive intervention. Amanda is a RESNA certified Assistive Technology Professional and is highly skilled with transdisciplinary assessment for seating and mobility in collaboration with the assistive technology team at LeafBridge. Amanda earned a BS in Interdisciplinary Health Sciences in 2008 and then a master’s degree in Occupational Therapy in 2009 through Western Michigan University. Amanda has significant training in sensory integration, NDT, functional electrical stimulation, orthopedics, interventions for children with complex learning needs, and Cortical Visual Impairment (CVI.) As an adjunct faculty member for the COTA program at Cuyahoga Community College, Amanda facilitates the lab and lecture series for the course entitled "Techniques in Developmental Disabilities.” Amanda holds the Perkins-Roman CVI Range© Endorsement which demonstrates expertise in administering the CVI Range Assessment for Children with Cortical Visual Impairment. In addition, she earned Micro credentials in CVI Basics and the CVI Range. Amanda travels the state of Ohio to conduct Assistive Technology and Independent Educational Evaluations.

Laurene Sweet, PT, ATP, MEd, DPT is a Doctor of Physical Therapy and RESNA certified Assistive Technology Professional with 25 years of experience in outpatient clinics, schools, hospitals, an autism specialty program, and the Day Program for alternative school placements at UCP. She is the Manager of Specialized Services for LeafBridge. Laurene’s expertise in developing holistic programming for children with complex and co-existing disabilities emerged through cross training with other disciplines, continuing education, and direct experience. In 2007, she earned a master’s degree in Special Education with concentrations in Autism and Assistive Technology and advanced coursework in Functional Behavior Assessment. In 2014, Laurene published peer-reviewed clinical research in the Pediatric Physical therapy Journal. She manages the serial casting program at UCP to improve range of motion for children with ankle and foot deformities. Laurene coordinates UCP’s Day Program for children with complex learning needs and Cortical Visual Impairment (CVI). She holds the Perkins-Roman CVI Range© Endorsement which demonstrates expertise in administering the CVI Range Assessment for Children with Cortical Visual Impairment. In addition, Laurene earned Micro credentials in CVI Basics and the CVI Range. Laurene is a mother of a student with a Specific Learning Disability. She adopted two teenagers from foster care and is well-versed in Trauma Informed Care. Laurene travels the state of Ohio to conduct Assistive Technology and Independent Educational Evaluations.

The Difference Between K-12 and Postsecondary Services for Individuals with Disabilities

As more and more students with disabilities are accessing postsecondary educational options, the need for information and services beyond high school continues to grow. The first step in accessing those services is to understand the similarities and differences in services between K-12 and postsecondary education.  The key lies in the laws that regulate those services.

Similarities Between K-12 and Postsecondary Education

The similarity between K-12 and postsecondary educational settings is that all individuals with disabilities are entitled to accommodations. These accommodations are guaranteed under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act (ADA) which aim to level the playing field between those with and without disabilities. These laws cover individuals from birth to death, so these accommodations are available to those in all educational settings and beyond.

Differences Between K-12 and Postsecondary Education

Although all individuals with disabilities are guaranteed accommodations in all educational and occupational settings, individuals with disabilities may only receive direct services to address their deficits during their K-12 experience. This is because services for individuals from ages 3 to 21 are also covered under the Individuals with Disabilities Education Act (IDEA). IDEA ensures that those who met eligibility criteria for special education receive direct instruction supports and services to meet goals outlined in their IEP, in addition to any accommodations they may need. This is a higher level of support than what is provided under Section 504 or ADA. In a postsecondary and work settings, only Section 504 and ADA apply, and therefore adults are only promised access to accommodations.  There is no requirement to provide specialized services beyond reasonable accommodations. For our adult clients, this can be quite the transition.

Now that we under have established an understanding of the differences between services in educational settings, we will continue to talk about services in the college or postsecondary level.

IEP: Accommodations and Modifications

Since we have been talking about IEPs, in this blog we will be discussing an important component of IEPs: accommodations and modifications.  These are listed in Section 7 of your student’s IEP.  While specifically designed instruction includes the services that your student will receive to address their needs, accommodations and modifications refer to changes that can be made in the learning environment and assignments or assessments. 

Accommodations are changes in your student’s learning environment to provide them equal access to grade-level content.  Because everyone who has an IEP has such a unique profile, accommodations may vary widely, but every accommodation should be directly linked to the child’s needs.  For example, some may include additional time on assignments and tests, taking tests in a reduced distraction environment, audiobooks, frequent breaks, etc.  Similar to the specifically designed instruction portion of this IEP section, the team must list each specific accommodation, as well as the amount of time and frequency of the accommodations. 

Modifications refers to changes in the curriculum and assessments.  This means that while accommodations are generally meant to help students be able to access and achieve at grade-level standards, modifications reduce learning expectations.  Modifications tend to be reserved for a small portion of special education students with the greatest levels of need.

Accommodations and modifications are also addressed in Section 12 of the IEP which outlines information about statewide and district wide testing.  The team indicates whether the student will take assessments in each academic area (including reading, writing, math, science, social studies, and other) with accommodations or as a modified assessment.  If taken with accommodations, the team must list detail of accommodations.

Now that we have covered everything you need to know about the important components of an IEP, we will be shifting to what happens after K-12 to focus on adult learners in upcoming blog posts.  

IEP: Specifically Designed Instruction

In our last blog, we discussed the central component of an effective IEP: SMART goals. This week, we will discuss the complimentary portion of the IEP, which is Section 7. This section spells out the specially designed instruction, sometimes abbreviated SDI, that your child will receive to reach the objectives and goals that are described in Section 6. This section outlines what services the child will get, who is responsible for providing these services, the location of the services, and the amount of time that the child will receive these services.

We cannot express the importance of this section enough; this section explains what special education will look like for your child. Each area of specially designed instruction will be linked with the goal or goals that it is intended to address. The most important portion of the section is what specially designed services will be provided to your child. It is imperative that these supports are research-based interventions and services. However, it is not enough that they be research-based. The research must show that they improve the specific deficits that your child is identified as having. There must be a direct link between the need, the goal, and the service that is based on best practice and is supported by empirical literature.

Who is providing that service to your child is just as important. This is frequently driven by the location of services. If your child will receive their services using an inclusion model, typically these services will be the responsibility of the general education teacher and the intervention specialist. If your child is to receive their services in a resource room or self-contained classroom, these services are typically the sole responsibility of the intervention specialist. If your child qualifies for related services, then the provider may be a speech/language pathologist, occupational therapist, physical therapist, or specialized expert such as an orientation or mobility specialist.

Another extremely important factor is the amount of time that your child will be receiving these services. The amount of time your child receives specially designed instruction should be directly related to the intensity of need that the child has. The more intensive the need, the more direct special education services the child should receive. Additionally, the more goals a child has, the more special education services they should receive. After the team details the instructional, behavioral, and functional goals in section 7, the same process will be repeated for any related services that your child qualifies to receive.

Next week we will be discussing the second half of Section 7, which is accommodations and modifications.

How to Make Smart IEP Goals

The goal of an IEP is to explicitly lay out the services and supports that your child will receive in order to meet your child’s educational needs as outlined in the Evaluation Team Report (ETR). The ETR and IEP are inextricably linked due to the fact that only data-supported needs directly stated within your child’s ETR will be addressed as goals in your child’s IEP. That is why we cannot stress enough the importance of a quality evaluation which should lead to a high-quality IEP. It is essential that each need is addressed with a specific goal to improve the child’s skills in the areas of deficit.

As stated in our previous blog, there are many sections that comprise an IEP.

Depending on the nature of your child’s disability, specific sections may hold a higher level of importance than it would for another child or family. No matter what the child’s needs are the most important portion of the IEP is Section 6, which comprises the goals and objectives for the child’s educational, behavioral, and functional goals for that calendar year. These goals are the core of a child’s IEP, and the specially designed instructional services and supports that your child receives in special education are all designed around accomplishing those individualized goals. After ensuring that all each area of identified deficit is matched by a goal, the next step is to evaluate the effectiveness of each individual goal.

Each goal within a child’s IEP must meet the standard that is set out in the acronym SMART:

  • Specific

  • Measurable

  • Achievable/Attainable

  • Realistic and Relevant

  • Time-limited

The first portion of a SMART IEP goal is that the goal is specific. The requirement of specificity applies to the present levels of performance, the goals, and the objectives. The goal must be specific to your child and their needs as well as specific to the academic, behavioral or functional area that will be addressed. A specific IEP goal clearly describes the knowledge or skill that your child will learn and how the team will measure your child’s progress and mastery of that goal.

The second portion of a SMART IEP goal is that the goal is measurable. This applies to both the overarching goal and the underlying objectives required to meet the overall goal. The most important part of a goal being measurable is that you can count or observe the goal. That means that the goal is something that both parents and teachers are able to objectively measure whether or not the child is making progress toward that goal. Most academic goals are easily measurable; however, this is particularly important when assessing the quality of a social-emotional/behavioral or functional goals. The goal should also describe what data collection methods will be utilized to assess your child’s progress toward that goal and how frequently that progress will be reported to you.

The third part of ensuring that your child’s IEP contains SMART goals is that it must be achievable or attainable for your child. This portion of the goal directly relates to the present level of performance for your child. This can be done by comparing how they are currently achieving in that area and determine whether or not that specific goal is achievable for your child within one calendar year. The goal must maintain a balance between being not rigorous enough, too rigorous, and being achievable/attainable.

To ensure that your child’s IEP contains SMART goals, the goal must also be realistic and relevant. The IEP goals and objectives must be crafted to meet the unique needs that result from your child’s disability as identified in the child’s ETR. The means that the goals must be specifically designed to meet the needs that your child’s disability has demonstrated. It is essential that the goals are relevant to the precise needs that have been determined by the team.

The last portion of a SMART IEP goal is that the goal is time-limited. This means that the goal is designed to address what your child needs to learn or do in one year of special education services. A time-limited goal enables the child’s progress to be monitored at regular intervals. Typically, this is done through creating short-term objectives that the child will meet in order to obtain the overall goal.

The next blog installment will discuss the importance of the specially designed instruction section of an IEP.

Difference between an IEP and a Section 504 Plan

Although an Evaluation Team Report (ETR) and an Individual Educational Program (IEP) are required for a child to receive special education and related services, there is another type of plan that is available to support children with disabilities: A Section 504 Plan. This is an individualized plan that serves as a blueprint for specific accommodations and changes to the learning environment that a child requires in order to have access to the curriculum. Under Section 504, there is no list of approved disabling conditions; therefore, it covers a wide variety of disabling conditions. Instead, the law describes a person with a disability as someone who “has a physical or mental impairment which substantially limits one or more major life activities,” has a record of such an impairment, or is regarded as having such an impairment. Frequently, children with diagnoses of attention disorders and medical conditions receive school supports through a Section 504 Plan. Major life activities can include: caring for oneself, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, concentrating, and working. Common accommodations found on a 504 Plan include: frequent breaks, extended time, small group testing, and prompting/cueing. An evaluation is required to determine if the child meets these criteria and is eligible to receive accommodations through a 504 Plan. Typically, these plans are reviewed and updated on a yearly basis to ensure that they continue to meet the child’s needs.

There are two defining differences between a child who has a 504 Plan and a child who has an IEP: the laws that regulate these plans and the services outlined on the plan. The first major difference is the law under which they are housed. Section 504 of the Rehabilitation Act of 1973 and Title II of the American’s with Disabilities Act (ADA) are federal laws that prohibit discrimination against people with disabilities and provide protection for those individuals. It is under these laws that individuals with disabilities are afforded Section 504 Plans. Individuals from birth to death are covered under these non-discrimination laws. Therefore, the accommodations that are necessary to level the playing field for the individual are provided in a variety of settings across the individual’s lifespan. The special education services outlined on an IEP are protected under the Individuals with Disabilities Education Act (IDEA). This is the federal law that ensures special education services are provided to children with disabilities. IDEA has more stringent eligibility criteria; a student must meet the definition of 1 of 13 disability categories and must require specially designed instruction in order to make educational progress. When a student meets eligibility criteria under IDEA, that is when a IEP is created. IDEA is a special education law specifically for school-aged students. Individuals are no longer protected under IDEA once they either graduate from high school or are 21 years of age. This means the protections of IDEA do not extend to college and adult life. Many times individuals who were provided services under an IEP K-12 education are transitioned to Section 504 Plans in college.

The second difference is the content of the plans. A Section 504 Plan is designed to provide equal access to individuals with disabilities and level the playing field with non-disabled people to mitigate discrimination. Therefore, Section 504 Plans are made up of specific accommodation supports for the child. It also specifies who is responsible to provide each support and the individuals who are responsible for ensuring that the plan is implemented. The purpose of an IEP is to design an individualized special education program with specific learning goals and objectives and describe the specially designed services that the child requires to meet those goals. An IEP also provides accommodations that would be incorporated into a 504 Plan, but it goes beyond accommodations with specialized educational services. The law specifies many more components that must be included in an IEP. The contents of an IEP were covered in our last blog. Essentially, a 504 Plan provides accommodations and supports in order to provide the individual access to the educational environment, while an IEP provides specific instructional supports in order to teach specific skills to meet measurable educational and functional goals.

Eligibility under either law requires that the school must provide a Free and Appropriate Public Education (FAPE) for the student and provide additional legal protections based on the identification of child as having a disability. Due to the fact that Section 504’s has a broader definition of disability than IDEA’s definition, this means that many more children are provided protection under this law and are eligible for a plan under Section 504 than are eligible for an IEP. Therefore, many children who are not eligible for special education services or the team does not believe that specialized instruction is necessary are referred to determine their eligibility under Section 504. A Section 504 Plan can provide the appropriate level of support for a student who requires the support of accommodations in order to level the playing field to ensure that they have equal access to the curriculum.

Individualized Education Program (IEP)

Once your child qualifies for special education through the Evaluation Team Report (ETR), the team’s hard work isn’t over yet.  They still need to create an Individualized Education Program (IEP) for your child.  The IEP is a legal document that is the plan of how the team will address your child’s needs and help them make gains.  In Ohio, the IEP must be completed within 30 days of the ETR meeting date. 

At the IEP meeting, you and your child, if appropriate, will meet with your child’s IEP team, which includes a general education teacher, special education teacher, district representative, and any other appropriate related service provider (speech/language pathologist, occupational therapist, etc.).

For most disability categories, the IEP is made up of 14 sections.  There is an additional section for children with visual impairments. 

Section 1: Future Planning
The first part of the IEP includes information about future planning.  This is where the parents’ input about what they hope to see in the future for their child is included.  It should also include information about the student’s interests and what they would like to be when they are adults.

Section 2: Special Instructional Factors
In the second part of the IEP, the team answers “yes” or “no” questions about the child regarding behavior, English proficiency, whether they have visual impairments, communication needs, requires assistive technology, or specially designed physical education. 

Section 3: Profile
The third section addresses your child’s profile.  This should include relevant assessment data, including data from the Evaluation Team Report (ETR) and other standardized and classroom assessments.

Section 4: Postsecondary Transition
The fourth section is only required for those who will be 14 years old during the length of the IEP, but may also be completed for younger students if appropriate.  It includes a statement about the transition services your child will need based on their course of study.  For those older than 16, data from transition assessments will also be included.

Section 5: Postsecondary Transition Services
For those students who are 15 or older, the fifth part of the IEP must be completed.  This included goals regarding postsecondary education and training, employment, and independent living.

Section 6: Measurable Annual Goals
The sixth section of the IEP is the goals that address your child’s needs.  It is important that these are directly linked with the information provided in the ETR so that the team is sure that they are specifically working on the student’s areas of difficulty.  Section 6 will provide information about the area of need, the present level of performance (based on assessment results), a measurable annual goal, and measurable objectives that will help your child reach that goal.  It will also include information about how your child’s performance on this goal will be measured, and how and when they will provide you information about your child’s progress.  Each area of need will have its own goals and objectives.

Section 7: Description(s) of Specially Designed Services
The seventh section of the IEP provides information about the types of services your child will receive, which goals those services are meant to address, who will provide those services, where the services will be provided, and the amount of time and how often they will be provided.  This section not only provides information about how your child’s needs will be addressed by teachers, but also includes information about related services, assistive technology, accommodations, modifications, and medical services your child may require, as well as support that the school personnel may need.

Section 8: Transportation as a Related Service
This part of the IEP determines if your child has any transportation needs do to their disability, and what types of accommodations or modifications may address those needs.

Section 9: Nonacademic and Extracurricular Activities
This section lists ways in which your child has the opportunity to participate in nonacademic and extracurricular activities with peers that do not qualify for special education.

Section 10: General Factors
The tenth section of the IEP ensures that the team has considered your child’s strengths, your concerns, results of evaluations, performance on state or district testing, your child’s needs, and whether your child needs extended school year (ESY) services.

Section 11: Least Restrictive Environment
This section addresses whether your child will attend the school they would be normally attended if they did not qualify for special education services, and whether your child will receive all special education services with nondisabled peers.  If not, the team must provide a justification about why the child needs to be provided services in a different setting. 

Section 12: Statewide and District Wide Testing
This part of the IEP addresses state- and district-wide testing that will take place during the length of the IEP.  It included what types of accommodations will be provided for each area of assessment and whether the student should take a modified assessment.  It also addresses whether your child will be excused form passing state assessments required for graduation.

Section 13: Meeting Participants
All team members who attend the IEP meeting should sign this section of the IEP to indicate their participation in the IEP process.

Section 14: Signatures
Parents will check specific boxes and sign to indicate what services listed in the IEP they consent to.  If your child is 17, you and your child will both sign to transfer safeguard rights to the student once they turn 18 years old.  The team will also indicate if they provided a copy of the Procedural Safeguards Notice and a copy of the IEP to you or when it was sent to you.

Section 15: Children with Visual Impairments
If your child has qualified for special education services due to a visual impairment, the IEP team must complete this section.  It addresses the reading and writing media in which reading and writing instruction will be provided to meet your child’s educational needs.