MHCBE Webhosts “AAC by the Bay” Conference: Continuing our Journey from Augmentative and Alternative Communication (AAC) to Communication Access for All (CAA)
On March 23-25, 2017, MHCBE was one of 35 worldwide Web-hosting sites for the Bridge School’s bi-annual AAC by the Bay Conference. The conference focuses on issues and strategies related to education and communication of users of augmentative and alternative communication. This years focus areas included language acquisition and documentation, specialized curriculum areas related to vision and mobility, and language and communication development for students with autism. The option to web-host and attend the conference virtually created a great learning and networking opportunity for MHCBE Teachers, AHS and Private Speech Language Pathologists and Assistants and our regional Teacher for the Visually Impaired. Below are some of the highlights of the three-day conference.
Day 1: Language Acquisition and Documentation
The emphasis on language assessments is generally on spoken language. This means that there is often no way to document the many ways how individuals who can’t speak can communicate. In 1990, the Communication Matrix was created to respond to the need for an assessment tool for this population of students. This assessment offers a clear way to organize our observations of a child’s early communication abilities which then better positions those working with the child to consider communication partner strategies for growth.
The sessions on the first day of the conference outlined the design and use of the Communication Matrix and then the presenters shared many case examples of strategies that can be employed based on the profile that is created through the assessment. This positions teams to create a cohesive plan to promote the child’s advancement toward being a symbolic communicator.
Over the remainder of the year, MHCBE intends to adopt the use of this assessment tool with the students who fit the profile that this tool was designed for. We are excited about how the information we gather through the assessment can help guide our interventions and supports.
Day 2: Specialized Curriculum Areas – Vision and Mobility
Individuals with cortical visual impairment (CVI) present with a unique collection of visual and behavioral characteristics. These characteristics provide the foundation for specialized assessment using The CVI Range which determines the degree or level of functional vision. The scores derived from The CVI Range are then used to guide interventions and accommodations that are applied to meaningful routines of the day. The first two presentations of day two provided information and practical strategies connected to the CVI Range.
The accommodations that were highlighted demonstrated how those of use working with students with CVI can recruit and increase use of that student’s vision for communication, academic instruction, and accessing the environment. These accommodations lead to increased use of vision during instruction, support for vocabulary and language acquisition, increases in effective use of all AAC modalities, and support for the development of literacy skills.
The final presentation of the day examined the experiences of students with physical disabilities who were able to participate in self-initiated mobility experiences through the use of hands-free support walkers and thematic activities embedded into the curriculum in ways that contribute to the foundation of learning and development. Students who participated through these means demonstrated a positive increase in peer interaction, engagement, self-initiation, problem solving, physical motor control, and use of the upper extremities. Discussion was embedded throughout around the impact that this has on a student’s language and communication abilities.
Day two highlight for those of us attending the importance and reinforced our practices of collaborative teaming when working with students with complex needs. It offered new information and strategies to consider to support continued development.
Day 3: Language, Communication and Autism
The final day of the conference focused on supporting students who have autism to develop their initiation, communication and language skills. The session started off by examining research on initiation abilities of children with autism and challenged participants to consider that challenges around initiation of the use of communication systems might be tied more to our teaching methods then to a deficit inherent to autism. The first part of the session looked the Picture Exchange Communication System (PECS) and the instructional errors that are made in the process that can result in a lack of spontaneity.
The second part of the session discussed the need to move “beyond PECS” in order to provide opportunities for students who rely on AAC to initiate messages through the use of core and fringe vocabulary displays. The presenter, Pat Miranda, spoke to the need to make ongoing deposits in the student’s “language bank” so that, over time, they will be able to use those deposits in communicative interactions. She spoke about needing to model the use of a communication system that includes both core and fringe words right from the start even if the student is also working on the PECS system as a specific targeted intervention to learn exchange, perseverance in communication and discrimination of symbols.
These sessions reinforced the modeling work that is happening across our division to support this population of students.
Starting in junior high and through high school and into the early years of college or university the prevalence of mental health disorders increases dramatically.Between the ages of 12 and 25, one in five young people will develop a mental health disorder (depression, anxiety disorders, psychosis, eating disorders, substance abuse…etc.).
Students often turn to teachers, guidance counselors, administrators, learning assistants, and various other school-based staff for help when dealing with social and emotional issues that arise during these years.
But these professionals may not always have the tools to identify mental health issues with particular students. With this in mind, on March 18, 2017 MHCBE hosted it’s first “Go-to” Educator Training for school staff to learn how to recognize mental health problems as well as how to connect students with the mental health supports, both at school and in the community, that they may need.
The “Go-to” Educator Training was developed in 2009 by Dr. Stan Kutcher, Sun Life Chair in Adolescent Mental Health. The training helps build understanding of the need for the integration of schools with health care providers to better meet the mental health care needs of young people.
MHCBE is currently working with stakeholders to create a Mental Health Strategic Plan. The continued movement toward integration of school and community supports is an integral part of this plan.
Students who have complex communication needs (CCN) are unable to communicate effectively using speech alone. They and their communication partners may benefit from using alternative and augmentative communication (AAC) methods, either temporarily or permanently (Perry et al. 2004). When students with complex communication need are successful in education, they go on to achieve meaningful lives that include employment, post-secondary study, friendships/relationships, community living…etc.
Over the past several years, MHCBE and the southeast region service providers have been building their capacity to support students with complex communication needs and, in the process, have been breaking down social, learning, and living barriers for, and with, these students.
In 2010, MHCBE began the process of shifting our educational approach for students with complex communication needs from a self-contained approach to an inclusive approach. Two years later, all students with complex communication needs were included in age-appropriate neighborhood schools. Inclusive education provides enables students with complex communication needs to listen and learn from peers who are able to speak, creates opportunities to provide peer support, and provides the frequent routine, social and academic communication opportunities needed to learn to communicate. Inclusive education also offers multiple in-points for the development of literacy skills and better ensures that high expectations for this population of students are maintained. Inclusive education gives students the best chance to become competent communicators and to participate in meaningful inclusive lives.
“Education requires a robust support system for people with complex communication needs, including special educators and therapists with specialised skills in addressing the physical, health, communication and educational needs for students with high support needs” (Giangreco, Cloninger & Iverson 2011).
MHCBE has responded to this need by building up resource of materials to support this population. These resources include iPads with both communication and literacy apps, core word boards, PODD communication books, and Pixon Project materials, literacy program resources (MeVille to WeVille, First Author Writing Curriculum, Start to Finish Core Curriculum, and Start to Finish Literacy Curriculum), and alternative pencils for writing. Many of these resources were provided in the four years that multiple teachers from the division participated in Alberta Education’s Literacy for All and Learning for All communities of practice.
Over the past few years, Speech Language Pathologists (SLPs) working with this population of students in MHCBE have been expanding knowledge through training and personal study. In 2016, MHCBE hired an SLP who has extensive experience in the area of augmentative and alternative communication to work as part of a support team for students with CCN from grade 1 through 12. This ensures long-term consistency and continuity for these students. Having this SLP be a member of a divisional specialized support team also creates opportunities to capitalize on the connections between curriculum, social/emotional development, literacy, language and communication.
People with complex communication needs can access speech generating communication devices through Alberta Aids to Daily Living (AADL). Eligibility for these devices must be determined by a Speech Language Pathologist (SLP) who has been approved as an AADL Authorizer. An Occupational Therapist (OT) may also be involved in this process depending on the access needs of the person seeking the device. In the past, families of students who wanted to access AADL supports for devices needed to travel to Calgary. Accessing this serve involved an extensive wait list. In 2014, Medicine Hat Health Services became an AADL Authorizer. This has resulted in students being able to more quickly access this service. As it is local, it has also created the opportunity for much more extensive and ongoing problem solving to ensure that people are getting devices are effective for them. Since this services has been provided in our local area, MHCBE students are getting the devices they need in a much more timely manner.
Finally, in 2015 MHCBE started hosting a monthly AAC Parent Support Group meeting for all parents in Medicine Hat and area. This group meets the last Tuesday of every month from 6:30 to 8:30 at St. Michael’s school and offers parents a time to connect, share stories, offer support, problem solve and learn together. All parents are welcome. If you are interested in learning more contact Monica Braat at 403.866.5443 or firstname.lastname@example.org. Parents can also join our Facebook group Let’s Talk: AAC in Medicine Hat.
On Friday, March 10, 2017 over 20 Speech Language Assistants, kindergarten teachers, early learning educators, and learning assistants who work directly with students with complex communication needs in our early learning programs and kindergarten classes gathered for a hands-on professional learning session on Augmentative and Alternative Communication (AAC). There are plans in place to deliver this workshop to others in the division who are working with students with complex communication needs. A link to the handout for this session is provided below.
Published in Medicine Hat News by Charles Lefebvre on September 26, 2016
Students at Mother Teresa School now have a space to ensure they’re in the right frame of mind to learn at school.
The school recently opened up a Just Right Room, a space where students can learn coping strategies and emotional regulation to get ready to learn at school.
The concept of the room originated at St. Patrick’s School five years ago.
“We found it was a good resource to have at St. Patrick’s School, so I jumped on the opportunity when a classroom opened up at Mother Teresa School,” said Kym Porter, early childhood services coordinator with the Medicine Hat Catholic Board of Education, during a recent board meeting.
Hugh Lehr, MHCBE’s associate superintendent of learning services says the board has also been researching self-regulation and best ways to improve it among students.
“We can’t assume that all kids are ready to come to school, are ready to sit, are ready to listen,” he said on Wednesday. “Some kids need their engine revved up, some kids need their engine revved down. Some needs breaks, some need quiet spaces, and this room allows them to get into the just right state for learning.
The room features tools such as fidget tools, art and craft supplies, a story area and a swing chair, among other items. Lights in the room are also dimmed and there is minimal items on the wall, to help avoid distraction and stimulation for some students.
The room has three staff members supervising so students do not need to be with their education assistants to utilize the room.
“The room is available to all students at the school, and having the extra support and the staff in there, gives the teacher an opportunity to work on their relationship with the child in a different environment, as well as with the staff that’s in there already,” said Erika Bodnaruk, principal at Mother Teresa School, who adds that half of the staff have been trained in use of the room, while the remaining staff will be trained by the end of the month.
Lehr notes each elementary school in the division has a space dedicated to self-regulation.
Lord our God,
We thank you that you made each one of us in your image and likeness, and that we are all your beloved children.
We pray for the children/students we teach.
We pray for children/students who
… make us smile;
… challenge our way of thinking;
… test our patience;
… we find easy to like;
… we find difficult to like;
… are bright;
… are hardworking;
… find learning tough;
… get on our nerves;
… are a delight;
… like to laugh;
… always look sad;
… always look lost;
… talk all the time;
… never say a word;
… are easily overlooked;
… are impossible to ignore;
… remind us of ourselves when we were younger!
We thank you for all the children/students who have an impact on our lives and for the privilege of having an impact on their lives.
Lord help us not to label those we teach or to fall in to the trap of thinking we have got them sussed. Help us to be open to new revelations and the work of the Holy Spirit in each of their lives.
Lord, use those we teach to teach us. Help us to be Christ-like at all times; seeing each one with your eyes and valuing them with your heart of love.
We ask this prayer in the name of Jesus the teacher.
This prayer by Rubert Kaye was first published in the Autumn 2006 of ACT Now, the membership magazine of the Association of Christian Teachers.
It’s National Inclusive Education Month! Check out the Inclusive Education Canada website for daily commentaries from educators, students, and parents on their views and experiences with Inclusive Education in Canada.
Our vision is that all people with intellectual disabilities are fully included with their peers in regular education, with appropriate supports from early childhood through to post secondary and adult life-long learning.