Mary Ann Rasnak
Director
mrasnak@ku.edu
Melissa Manning
Associate Director
manning@ku.edu
Kim Bates
Interpreter Coordinator
kimbates@ku.edu
Andrew Shoemaker
Learning Disabilities Specialist
shoe@ku.edu
Suzanne Goff
Administrative Specialist
semoore@ku.edu
Stephanie Preston
Administrative Specialist
Spreston@ku.edu
Q. What is Attention Deficit Hyperactivity Disorder (ADHD)?
A. Attention deficit hyperactivity disorder (ADHD) is a neurobiological disorder affecting learning and behavior in approximately 2% - 5% of the school population. It is typically characterized by inattention, impulsivity, distractibility, possible hyperactivity and/or aggression. Current diagnostic criteria require evidence of the disorder prior to the age of seven. The symptoms must be pervasive in two (2) or more settings. Evidence of the disorder may be significant in social, academic and occupational settings.Of those diagnosed with ADHD in childhood, 70% - 80% will continue to manifest symptoms into adulthood. As many as 30% - 60% of individuals diagnosed with ADHD may have accompanying learning disabilities and/or other psychological concerns, such as generalized anxiety disorder, obsessive compulsive disorder, oppositional defiant disorder. ADHD is also commonly referred to as ADD or Attention Deficit Disorder.
Q. What are some common characteristics of ADHD?
A.
Q. What are some of the areas that can be most impacted by ADHD?
A.
Q. What are some of the most common treatments for adults with ADHD?
A. One or more of the following:
Q. What are the positive characteristics that can accompany ADHD?
A.
Q. What are some of the most common compensation techniques and in-class accommodations used/requested by individuals with ADHD?
A. Students with ADHD often compensate for and accommodate the disability by:
A. A diagnosis of acquired brain injury is made when there has been significant trauma to the brain whether by accident or disease. These injuries commonly are the result of motor vehicle or motorcycle accidents. Such injuries have a tendency to be very specific, effecting a certain cognitive function (e.g. short term memory). However, other accompanying problems such as seizures and headaches may also have an affect on cognitive functioning.
Q. What are some of the functional limitations students with ABI may have?
A. The limitations will vary based on the specific location and severity of the injury. Students with ABI may experience one or more limitations as a result of their injury. The following is a limited listing of some common characteristics:
- difficulty with receptive and/or expressive language (oral and/or written)
- difficulty with memory, long term, short term or sequential
- difficulty with abstract thinking, reasoning, problem solving
- difficulty managing frustrations and social behavior
- problems with attention and concentration
- physical problems
- gross and/or fine motor deficits
- difficulty with speed of processing information
- poor organizational and time management skills
- psychological concerns
In addition to the individual characteristics of the disability, the presence of medications can have a profound effect on cognitive functioning. Some medications can create varying physiological states, e.g., sedation, some can create various psychological states, e.g., depression, anxiety, hyper-vigilance and some impact cognitive processes, e.g., memory, concentration, speed of processing.
Q. When is a student considered Visually Impaired?
A. A student is considered partially sighted when his/her vision is 20/70 or less in the best eye with best correction.
Q. When is a student considered legally blind?
A. A student is considered legally blind when his/her vision is 20/200 or less in the better eye with best
correction, i.e., with the best correction possible (including glasses), the student sees 20/200 or less.
or
When a student has a field defect such that the greatest diameter of arc subtends an arc no greater than
20 degrees, i.e., the student cannot see out of the center or sides of the eyes. What the student can see
is only 20 degrees or less of his/her total vision.
NOTE: Vision plus full correction is less than 20/200 means vision at 20 feet is equivalent to what is normally seen at 200 feet.
Q. When is a student considered totally blind?
A. A student is considered totally blind when he/she has no useful vision in either eye.
Q. How do students who are Blind/Visually Impaired compensate for their disabilities in higher education?
A. Students with vision disabilities develop and implement a number of compensation techniques in order to create access and function independently. In higher education, some of the most critical are:
NOTE: The primary challenge facing students who are blind/visually impaired in higher education is accessing the tremendous amount of necessary print material in an accessible format at the same time as their sighted peers. Textbooks, handouts, class outlines, class schedules, supplemental readings, overheads, board work and exams all pose accommodation challenges.
Q. What accommodations are commonly recommended for this population?
A.
Q. What can faculty and instructors implement in course preparation to insure
access for
students who are Blind/Visually Impaired?
A.
Q. Are there any tips that would enhance faculty communication with this population?
A.
Q. What is a Learning Disability?
A. Although learning is clearly established as a major life function, nowhere in the federal regulations (504/ADA) is there a definition of specific learning disabilities that pertains to adults and higher education. Diagnosis of learning disabilities made in the public schools are typically based on the definition found in Public Law 94-142, the Education for All Handicapped Children Act as follows:
The term " specific learning disability" is a disorder in one or more of the basic psychological processes involved in understanding or in using language, spoken or written, which may manifest itself in an imperfect ability to listen, speak, read, write, spell or to do mathematical calculations. The term included such conditions as perceptual handicaps, brain injury, minimal brain dysfunction, dyslexia, and developmental aphasia. The term does not include children who have learning disabilities which are primarily the result of visual, hearing, or motor handicaps, or mental retardation, or emotional disturbance, or environmental, cultural, or academic disadvantage. (U.S. Department of Education, 1977, p. 65083)
The definition proposed by the National Joint Committee on Learning Disabilities (NJCLD), in 1988, is widely accepted as the definition that most appropriately addresses learning disability issues as they pertain to students in higher education and adults as follows:
Learning disabilities is a general term that refers to a heterogeneous group of disorders manifested by significant difficulties in the acquisition and use of listening, speaking, reading, writing, reasoning, or mathematical abilities. These disorders are intrinsic to the individual, presumed to be due to central nervous system dysfunction, and may occur across the life span. Problems in self-regulatory behaviors, social perception, and social interaction may exist with learning disabilities but do not of themselves constitute a learning disability. Although learning disabilities may occur concomitantly with other handicapping conditions (for example, sensory impairment, mental retardation, serious emotional disturbance) or with extrinsic influences (such as, cultural differences, insufficient or inappropriate instruction), they are not the result of those conditions or influences. (National Joint Committee on Learning Disabilities, 1988, p. 1)
Understanding the nature and impact of specific learning disabilities:
Q. What are some of the areas most impacted by learning disabilities?
A. Some of the areas most commonly impacted by specific learning disabilities are: reading, written expression, mathematics, listening comprehension, oral expression, reasoning, attention, thinking, learning efficiency, memory, organization, time management, or social perception. Keep in mind that no one person will manifest difficulties in all areas!
Q. What are some common characteristics of students with learning disabilities?
A. Again keep in mind that these are students with average to above average ability. None will manifest all of these characteristics. Many will offset areas of disability with significant ability in other areas.
Q. What are some of the common compensation techniques used by college students with learning disabilities?
A.
Q. What are the most common accommodations used by students with learning
disabilities?
A.
Q. What are physical disabilities?
A. Physical disabilities, sometimes referred to as orthopedic disabilities, are conditions that affect the supporting and locomotive structures of the body, e.g., bones, muscles, joints, etc. These disabilities may result in functional limitations in walking, manual dexterity, strength, endurance, coordination, and range of motion. They can vary in intensity from mild to severe. Factors such as environmental conditions, medication and individual emotional state may also effect the degree to which symptoms manifest themselves.
Q. What are some of the more common physical disabilities?
A. Some of the more common physical disabilities are: Multiple Sclerosis, Spinal Cord Injury (SCI), Muscular Dystrophy, Cerebral Palsy, Arthritis, Spina Bifida and Amputation. (This list is not all-inclusive.)
Q. What are some concerns frequently faced by students with physical disabilities?
A. Mobility, manual dexterity, strength, and endurance are all common concerns in this group of students and as such, accessibility is a major concern. For example, steps, narrow or heavy doors, thick carpet, extremely low or high tables or shelves, aisle obstructions, items lying on the floor or extremely rough floor surfaces can all be potential barriers. The location of elevators, accessible restrooms, and the distance between classes are all possible concerns faced by students with physical disabilities.
Q. What are some common academic accommodations that would be considered
reasonable to provide students with physical disabilities?
A. The accommodations required by students with physical disabilities will differ for each individual. However, some of the more commonly requested accommodations are:
- in-class note takers
- lab aide
- test accommodations, e.g., extended time, use of a computer, scribe
- an accessible table on which to write.
Q. How does a professor/instructor work effectively with a student whose
speech is so severely impaired that he/she cannot be understood?
A. This can be most frustrating and stress evoking for both student and faculty:
The onset of psychiatric disabilities is often between the ages of 18 and 25. Advances on psychotropic medications have made it possible to control many of the symptoms associated with this disability and allow many to return to productive lives. Higher education is an important part of the return for qualified students with psychiatric disabilities.
Q. How are these disabilities defined?
A. Psychiatric disabilities are persistent psychological, emotional or behavioral disorders which result in significant impairment of educational, social or vocational functioning. The diagnosis of psychiatric disabilities must be based on appropriate diagnostic evaluations completed by a qualified professional (i.e., licensed or certified) e.g., a psychiatrist, psychologist. The criteria most often used to diagnose psychiatric disorders are found in the Diagnostic and Statistical Manual, 4th Edition, (DSM-IV). Keep in mind that in order for the disorder to rise to the level of a disability under the ADA, the impact must substantially limit one or more major life activities. Documentation must specify the functional limitations of the individual that meet the disability criteria. As such, beyond the DSM-IV criteria, additional assessment is often required.
Q. What are some of the stereotypes often faced by individuals with psychiatric
disabilities?
A.
Q. What are some of the functional limitations that could impact academic
achievement?
A. Although returning to school is a sign of progress and health for students with psychiatric disabilities; it can be stressful and intimidating. Difficulties are encountered in negotiating everything from admission to financial aid including renewing or developing relationships with peers, faculty and staff. There are some specific problems including, medication side effects, labile mood, absence due to treatments and medication adjustments, fluctuations in energy and focus, panic attacks, social isolation, distractibility, anxiety, and depression sometimes resulting from long-term goal setting, and difficulties monitoring social responses when under stress. There is also a high rate of co-morbidity with other disabilities, e.g., learning disabilities, ADHD, traumatic brain injury and systemic health disorders. Some additional concerns:
- difficulty screening out environmental stimuli
- fear in approaching figures of authority
- difficulty initiating personal contact
- problems with time management, organization and meeting deadlines
- limited ability to tolerate noise and crowds
Q. What are some of the common compensation techniques used by students
with
psychiatric disabilities?
A.
- developing an awareness of cognitive strengths/weaknesses
- developing and implementing appropriate self-advocacy
- developing techniques for writing and supplementing notes, e.g., taping, using lap-top computers
using appropriate technology, e.g., computers with spelling and grammar software, portable FM Systems, lap-tops, calculators, Kurzweil Reading Edge, Kurzweil 3000, Dragon Naturally Speaking
- actively using faculty and TA office hours for information clarification
- using tutorial assistance
- developing study skills, organization/time management skills, and individualized learning strategies
- working closely with academic advising to appropriately balance course loads
- academic coaching
- on-going use of mental health resources
Q. What are some of the common in-class accommodations used by students
with
psychiatric disabilities?
A.
- alternative note taking strategies: tape recording, in-class note takers, laptop computers
- alternative testing accommodation, e.g., extended time, private room
- as appropriate, negotiated absences, incomplete, or withdrawals without penalty to accommodate psychological states, treatment and medication adjustments
- reduced courseloads
- arranged seating
Q. What tips can assist faculty when they are working with students with
psychiatric
disabilities?
A.
- expect behavior that is consistent with the student code of conduct
- provide clear direction regarding behavioral expectations and be consistent with all students
- be willing to clarify class information expectations as needed
- if initiated by the student, discuss problems or side effects related to medications
- express acceptance and reassurance
- don't attempt a therapeutic relationship
- keep all information confidential
- focus on the accommodations, not the disability
A systemic health diagnosis is given when a person experiences a chronic, debilitating health problem. Some typical examples are as follows: asthma, cancer, chronic fatigue syndrome, HIV, heart disease, epilepsy and diabetes. These disabilities are often, unpredictable, creating chaotic situations for the student.
In addition to the individual characteristics of the disability, the presence
of medication/s can have a profound effect on cognitive functioning at times.
Some medications can create varying physiological states, e.g., sedation, some
can create various psychological states, e.g., depression, anxiety, hyper-vigilance
and some impact cognitive processes, e.g., memory, concentration, speed of processing.
Q. What are some of the compensation and accommodation techniques
commonly used by college students with systemic health disabilities?
A. The compensation techniques and accommodations used by students with systemic health disabilities will be specific to the individual and the specific disability. There may be times they will function well without the need for accommodation. There may be times when there are significant functional limitations due to the disability and accommodations are required. These students typically develop and maintain close relationships with outside health care providers who also provide guidance to DR in the process of determining reasonable and effective accommodations when necessary.
Q. What are some of the common in-class accommodations used by students
with systemic health disabilities?
A. As noted above, the compensation techniques and accommodations used by students with systemic health disabilities will be specific to the individual and the specific disability. They can vary considerably from none to extensive accommodation needed. As appropriate, some of the most common accommodations include:
- reduced courseloads
- alternative print formats, e.g., taped text
- note takers
- testing accommodations
- assistive technology
- physical accessibility
Q. Isn't all hearing loss equal?
A. Hearing loss can affect people in a variety of ways. A hearing loss is plotted on an Audiogram with the frequency (pitch) along the horizontal axis, and decibel loss (severity) along the vertical axis. A line is drawn along the graph. Anything above the line is inaudible. There are "levels" of deafness ranging from slight (16-25 dB loss) to profound (91 dB loss or more).
Q. Whats the difference between hard-of-hearing, deaf,
and Deaf?
A.
For more information on these distinctions see: http://www.nad.org/infocenter/infotogo/dcc/difference.html
Q. What are the most common accommodations used by students who are deaf/hard-of-hearing at KU?
A.
- Sign Language Interpreters
- Captioned Videos/DVDs
- Notetakers
- Assistive Listening Devices (ALDs)
- Real-time Captioning (live or remote via the Internet)
Determination of accommodation is primarily made based on amount and type of hearing loss, along with the students preferred mode of communication. For example, a student may only need captioned video material.
Q. Why are notetakers necessary?
A. Students who are deaf/hard-of-hearing primarily rely on their vision to access auditory information, so they cannot use their eyes for two different tasks simultaneously.
Q. How do I know if my videos/DVD's have captions?
A. Please see Captioned Videos for in depth information on this vital topic.
Q. What is an Assistive Listening Device (ALD)?
A. An ALD utilizes either infrared or FM waves to transmit an auditory signal from a lapel microphone hooked to a transmitter worn by the speaker to a receiver and earphones worn by the listener. The listener can adjust the volume until it suits his/her needs.
Q. How can I effectively work with the interpreter(s) or captioner(s) in my class?
A. Interpreters and captioners provide a much more accurate product when they have advanced access to course materials such as copies of handouts, overheads/power point slides, and course texts.
- DR can arrange for interpreters/captioners to have access to Blackboard in order to access power point slides in advance of the class.
- If you have an extra desk copy of the text(s), it is helpful to share that with the interpreter/captioner, if not, the interpreter/captioner is to contact DR so other arrangements to get the text(s) can be made.
Limit the use of indiscriminate pronouns (e.g. here, there, and overuse of s/he in reference to more than one female/male).
Be aware that the interpreter(s) may move about the class if necessary in order to maintain a proper line of vision with the student, instructor/speaker, and potentially any visual aids.
If there are two interpreters in your class, they will rotate interpreting duties every 20-30 minutes. This helps alleviate physical and mental strain.
Due to the time required to carry out the mental processes of interpreting, the interpreter will be about 3-5 seconds behind you in terms of content. For this reason when asking for student response, please be sure to allow a few extra seconds for the interpreter to finish interpreting your question so all students have the opportunity to respond. There is a similar delay when captioning is being used as the accommodation.
Q. What teaching tips can I incorporate in order to make my class more accessible?
A.
- Present lecture material by facing the students rather than the black/white board.
- Repeat other students' questions, especially if the questioner is sitting in the farthest corner of the room.
- Present information in visual as well as verbal formats, especially assignment instructions, or any changes to course content, format or schedule.
- Use your normal speaking voice when speaking directly to the student; if there is an interpreter in class, she/he will interpret in "first person".
- If wanting to comment during a video, please pause the video while commenting to avoid competing auditory information.
Additional teaching tips can be found online at: http://www.netac.rit.edu/publication/tipsheet/
If you have any further questions specifically related to your class, please contact Kim Bates, Interpreter Coordinator.
