surviving and thriving in school. robert w. trobliger, ph.d. clinical neuropsychologist co-director...

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Surviving and Thriving in School

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Page 1: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Surviving and Thriving in School

Page 2: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Robert W. Trobliger, Ph.D.Clinical NeuropsychologistCo-Director NeuropsychologyNortheast Regional Epilepsy Group

Page 3: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Seizures and academic difficulties

Page 4: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Academic difficulties often caused by cognitive difficulties

-Attention-Memory-Executive Issues-Language Issues

Page 5: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Academic issues can be also be caused by underlying learning disorders.

Page 6: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Academic difficulties can also be caused by other issues- Developmental Delays impacting speech or motor skills -Autism Spectrum Disorder-Attention Deficit Hyperactivity Disorder-Behavioral Disorders (Oppositional Defiant Disorder)

Page 7: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

In different cases - Special schools may be warranted-Special classes may be warranted-Special accomodations may be warranted

Page 8: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Determining if changes in placement or providing services or accomodations is done using a comprehensive evaluation of abilities and difficulties

Page 9: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Parents or school staff start the process to determine if services or accommodations are needed, after identifying areas of concern

Page 10: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Which can be done by a school psychologist. Or an outside professional.

Page 11: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Results are used to determine if the child has a disability, as determined by IDEA.

Page 12: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

http://nichcy.org/disability/categories

AutismDeaf-blindnessDeafnessDevelopmental delayEmotional disturbanceHearing impairmentIntellectual disabilityMultiple disabilitiesOrthopedic impairmentOther health impairmentSpecific learning disabilitySpeech or language impairmentTraumatic brain injuryVisual impairment, including blindness

Page 13: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

The results combined with school records can be used to determine if an IEP or 504 plan is appropriate.

Page 14: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

If parents disagree with the results of the evaluation they can request an independent evaluation.

Page 15: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

If determined eligible, an IEP/504 plan must be developed within 30 days.

Page 16: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Before services are provided, parents must consent.

Page 17: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

The teachers and service providers have access to such and know what accomodations, modificaitons, and supports should be provided.

Page 18: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Annual goals are developed, and progress towards those goals is reported regularly.

Page 19: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

The IEP/504 plan is reviewed at least once a year, and revised as needed.

Page 20: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

IEP vs. 504 Plan

Page 21: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

What is a 504 plan?

A 504 Plan is a plan developed to ensure that a child who has a disability identified under the law and is attending an elementary or secondary educational institution receives accommodations that will ensure their academic success and access to the learning environment.

https://www.washington.edu/doit/Stem/print.html?ID=52

Page 22: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Section 504 is a part of the Rehabilitation Act of 1973 which prohibits discrimination based upon disability. Section 504 requires that the needs of students with disabilities be met as adequately as the need of those non-disabled.

Section 504 requires that school districts provide a free appropriate public education (FAPE) to qualified students in their jurisdictions who have a physical or mental impairment that substantially limits one or more major life activities.

Page 23: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Section 504 covers qualified students with disabilities who attend schools receiving Federal financial assistance. To be protected under Section 504, a student must be determined to: (1) have a physical or mental impairment that substantially limits one or more major life activities; or (2) have a record of such an impairment; or (3) be regarded as having such an impairment.

http://www2.ed.gov/about/offices/list/ocr/504faq.html

Page 24: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

A medical diagnosis of an illness does not automatically mean a student can receive services  under Section 504. The illness must cause a substantial limitation on the student's ability to learn or another major life activity. 

Page 25: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Under Section 504, no formalized testing is required. The 504 Committee should look at grades over the past several years, teacher’s reports, information from parents or other agencies, state assessment scores or other school administered tests, observations, discipline reports, attendance records, health records and adaptive behavior information. Schools must consider a variety of sources. A single source of information (such as a doctor’s report) cannot be the only information considered. Schools must be able to assure that all information submitted is documented and considered.

http://www.greatschools.org/print-view/special-education/legal-rights/868-section-504.gs

Page 26: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

For students with disabilities who do not require specialized instruction but need the assurance that they will receive equal access to public education and services, a document is created to outline their specific accessibility requirements. Students with 504 Plans do not require specialized instruction, but, like the IEP, a 504 Plan should be updated annually to ensure that the student is receiving the most effective accommodations for his/her specific circumstances.

https://www.washington.edu/doit/Stem/print.html?ID=52

Page 27: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Examples of Accomodations given under a 504 plan

Extra time for tests/quizzes (including state mandated)

Separate Location for tests/quizzes Redirection (as needed) Check for understanding Breaks Preferred seating assignment

Page 28: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

For students with disabilities who do require specialized instruction, the Individuals with Disabilities Education Act (IDEA) controls the procedural requirements, and an IEP (Individualized Education Program) is developed. The IDEA process is more involved than that of Section 504 of the Rehabilitation Act and requires documentation of measurable growth.

https://www.washington.edu/doit/Stem/print.html?ID=52

Page 29: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

IEP

The Individuals with Disabilities Education Act (IDEA) is a law that ensures that children with disabilities are provided early intervention, special education, and related services.

http://idea.ed.gov/

Page 30: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

The Individualized Educational Plan (IEP) is a plan or program developed to ensure that a child who has a disability identified under the law and is attending an elementary or secondary educational institution receives specialized instruction and related services.

https://www.washington.edu/doit/Stem/print.html?ID=52

Page 31: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

The IEP team review evaluations, information provided by parents, classroom-based assessements and observations present levels of academic achievement and related developmental needs; to determine:

-if the child has a disability,

-whether the child needs special education and related services;

-whether any additions or modifications to services are needed to meet goals and partipate in the general education curriculum.

http://nichcy.org/laws/idea/partb/subpartd

Page 32: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

If determined appropriate, a program should be developed within 30 days, with parents' agreement.

Program is developed together to determine what is most needed.

Page 33: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

An IEP involves actually providing particular special education services.

Page 34: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

This may mean education in regular classrooms with special education teachers on site (inclusion settings); education in regular classes with supplementary services (pull out classes), and/or classes in a self-contained setting.

Page 35: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Inclusion class/mainstream placement: Placement in a regular class with peers, ideally with a special education teacher in the classroom.

Resource room placement: Special education teacher works with a small group of students, for a particular subject.

Self-contained class: Removal from general population for all academic subjects and placement in a small class for more individualized instruction at a different pace.

Special education classes

Page 36: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Out of distract placement: Placement in a specialized school specifically designed to address special learning or behavioral needs, such as schools with work with children on the autism spectrum.

Page 37: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Modified assignments

Highlighted textbooks

Extended time on tests or assignments

Separate location for tests/quizzes

Peer assistance with note taking

Teacher provision of notes

Frequent feedback

Extra set of textbooks for home use

Enlarged print texts

Accommodation Examples

Page 38: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Positive reinforcement

Behavior intervention plans

Rearranging class schedules

Use of visual aids/manipulatives

Opportunity to give answers to tests/quizzes orally

Opportunity to have tests/quizzes read aloud (except where reading skills are being assessed directly)

Accommodations

Page 39: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Annual Goals Review of Goals Re-Evaluation

Page 40: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Can you have both and IEP and a 504 Plan?

If your child has a disability and an IEP, he or she is automatically covered by Section 504. If your child has an IEP and needs academic interventions, this should be included his IEP. The IEP is required to address ALL of a child’s needs that are related to the disability.

In addition, an IEP also provides the child and the child’s family with more rights and protections than 504 plans.

http://www.wrightslaw.com/blog/?p=122-

Page 41: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

School versus College

Public elementary and secondary recipients are required to provide a free appropriate public education to qualified students with disabilities. Such an education consists of regular or special education and related aids and services designed to meet the individual educational needs of students with disabilities as adequately as the needs of students without disabilities are met.

http://www2.ed.gov/about/offices/list/ocr/504faq.html

Page 42: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

At the college level, the recipient is required to provide students with appropriate academic adjustments and auxiliary aids and services that are necessary to afford an individual with a disability an equal opportunity to participate in a school's program. Recipients are not required to make adjustments or provide aids or services that would result in a fundamental alteration of a recipient's program or impose an undue burden.

http://www2.ed.gov/about/offices/list/ocr/504faq.html

Accommodations at the college level

Page 43: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

What can parents do besides participate in the development of IEP/504 plan?

Page 44: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Parents

Reviewing Work Working with teacher/school staff,

regular communication Helping organize/manage assignments Helping get started on tasks, moving

back/helping as needed Checking work

Page 45: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Helping – Providing assistance as needed, moving back when not.

Parents

Page 46: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

What can students do for themselves?

Page 47: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Students

Doing homework/studying/completing projects in the right environment

Avoiding distractions

-internet

-phones

-television

-other people

-noise

Page 48: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Learning to take breaks/switch between assignments

Page 49: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

-Spreading out reading assignments

-Spreading out projects

Page 50: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Studying versus Cramming

Page 51: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Studying together

Page 52: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Quizzing self when studying

Page 53: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Schedules Organizers and Phones

Page 54: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Folders and assignment notebooks

Page 55: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Time management: the 2x principle Making checklists of assignments and

projects – place on calendar, plan ahead critical points

Page 56: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Meeting with college advisors regarding classload

Meeting with college disability office staff regarding accommodations

Learning to sit at the front of the class

Going over material in advance of classes

Asking questions as needed

Meeting with teaching assistants as needed

Surviving in college

Page 57: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Conclusions

Surviving and thriving in school involves:

Page 58: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Services and/or accommodations provided by the school system

Page 59: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Assistance, guidance, and support provided by parents.

Page 60: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Different approaches to learning and studying by students.

Page 61: Surviving and Thriving in School. Robert W. Trobliger, Ph.D. Clinical Neuropsychologist Co-Director Neuropsychology Northeast Regional Epilepsy Group

Thank you.