Attention is finally being given to the effects of childhood trauma on childhood development and learning, but it’s still not fully incorporated into the mainstream as common knowledge. Only when trauma-informed education becomes the norm can childhood trauma be prevented and responded-to with greater efficacy.
Because trauma often begets mental health issues, not the least of which being Post-Traumatic Stress Disorder (PTSD), and can also result in permanent physical disabilities, depending on the nature of the trauma, individuals with such impairments can become eligible for protections under disability-related laws. This includes Section 504 of the Rehabilitation Act (504), the Americans with Disabilities Act (ADA), and the Individuals with Disabilities Education Act (IDEA).
For this reason, one would think that the special education community is conducting trauma-informed assessments and considering the trauma-related needs of its students with IEPs. One would be thinking incorrectly, however. I’ve lost count of the number of special education assessments I’ve seen that are entirely silent regarding the unique traumatizing events of a student’s past, like they just didn’t happen or are entirely irrelevant to the assessment process, including in mental health evaluations.
I’m dealing with one of those, right now, as a matter of fact. The very signs of trauma and the historical events that likely contributed to them were described in detail to the mental health assessor, and none of those details appeared anywhere in her report. So, basically, what I took from the situation was that some ding-dong baby doll who fell out of the lap of luxury and into a master’s degree in social work was dispatched to assess a student with some pretty significant symptoms who had previously lived for 11 months with her mother in their car and who had also witnessed her mother getting mowed down in the street by a car while they were crossing the street together at a protected cross-walk, leaving this student as a young child to scream for help in the middle of the street. None of these past traumatic events were discussed in the assessment report, nor were any of the symptoms that had been brought to the assessor’s attention. She interviewed the student once via Zoom and noted that the student wasn’t very forthcoming, and relied on classroom observations conducted by a school psychologist, who is not a mental health clinician.
Thankfully, once it was brought to his attention, the involved school district’s special education director was just as taken aback as I was and immediately agreed to fund an Independent Educational Evaluation (IEE) in mental health at public expense, which is basically a second opinion conducted by an outside, uninvolved provider, that is funded by the District. We’re in the process of finding an outside assessor to conduct it, but we expect the situation for this student to be resolved once it’s done. However, this was just the latest of several cases we’ve worked in this same District over the last 15 years in which trauma and mental health issues are not being properly considered, and it’s a problem that is not unique to this particular district. It seems to be a fairly systemic problem in cases we encounter from around the country.
I think this article does a good job of explaining what it means to incorporate Trauma-Informed Care (TIC) into special education, so I’m not going to do a lot of rehashing, here. One of the things I like about this article is that it doesn’t just speak to special education as a stand-alone entity; it discusses the application of trauma-informed care within an evidence-based Multi-Tiered System of Support (MTSS), such as that found with Positive Behavioral Interventions and Supports (PBIS), which are meant to catch students before they fall too far behind and provide them with whatever types of supports they need to be successful, whether through special or general education. This naturally lends it to speak to the related “child find” issues.
This article cites other researchers by saying: “… adverse childhood experiences (ACEs; Felitti et al., 1998) … are all common experiences for students with emotional/behavioral disorders (Cavanaugh, 2016).” Certainly, one way to identify children who may need special education as per “child find” is to look at those already known to have experienced ACEs to determine if they are showing any signs of emotional and/or behavioral disorders. The moment it is known that a general education student has survived a traumatic event, a special education assessment referral should be made and it should include sufficiently comprehensive mental health evaluations to accurately capture any impact the traumatic event has had on the child’s ability to access and participate in education. Even if the child ultimately does not qualify for special education, Section 504 relies on the special education process to gather its own assessment data to inform appropriate 504/ADA accommodations for children with disabilities who do not require special education.
If the child is unavailable for learning due to extreme trauma, then the interventions have to restore the child to the point of being available for learning again, unless the child is medically incapacitated. If medical interventions are first necessary, those obviously come before any special education or 504/ADA accommodations. A child has to be physically medically stabilized before they are available to participate in education and anyone can know what to do for them at school. New assessments will have to be done to determine the student’s new baselines once physical medical stability is achieved.
If the child is psychiatrically incapacitated, it may be necessary for that child to be placed in a residential psychiatric treatment facility with an onsite school in order for the child to become available for learning. I’m not a huge fan of residential placement, but there’s a time and a place for everything. I’ve had a number of students benefit tremendously from a special education residential placement for these kinds of severe mental health needs, though I’ve also had students on my caseload molested and assaulted in some of the residential programs, so this model of intervention is hardly a monolith or panacea.
The above-cited article makes the following recommendations: “Considerations for special education professional development includes teachers undergoing an extensive training that addresses the following components:
Understanding Trauma and ACEs: School site staff who do not have a professional understanding of what trauma is, what ACEs are, and how they affect student performance are at a gross disadvantage when it comes to actually serving the public good. The pervasiveness of trauma in everyday life, anymore, is something we all have to consider when dealing with each other. We should certainly be able to expect our professionals who encounter it in the field daily to have an intelligent plan of action for how to respond to it appropriately in their professional capacities. We shouldn’t be ending up with privileged ding-dongs with fancy degrees who can’t recognize what they’re looking at when they encounter childhood trauma in the field.
Challenging current thought processes vs. TIC attributions: Long-entrenched policies and practices that fail to meet the needs of certain populations are effectively institutionalized biases against them. In professional settings in which no policies and procedures exist to appropriately respond to the needs of students who have experienced ACEs and trauma, there is no institutionalized response to proactively address the situation, which becomes an institutionalized proactive effort to ignore it. When people feel powerless to help someone being hurt by something, it’s a natural psychological defense mechanism for them to blame the victim for deserving mistreatment rather than live with feelings of helplessness, powerlessness, cowardice, or whatever else feels bad that goes along with not helping. Victim-blaming is meant to offset feelings of guilt for not helping.
Too often, adults in the public school setting become angry at children for manifesting the symptoms of trauma and ACEs, punishing them instead of helping them and making a bad situation worse. There is no excuse for this kind of conduct in a professional educational setting, and certainly not in this day and age when there is plenty of peer-reviewed research capturing strategies and approaches that actually work. As I’ve said in other posts, however, there are no real mechanisms in place in public education at this time for the consistent promulgation of the peer-reviewed research among the educators to equip them with the resources to translate the research into actual, practical classroom applications.
Where parents really need to get vocal at their school board meetings is in advocating for the application of the peer-reviewed research to the design and delivery of public education. It’s not like we don’t have evidence of what works. Education research continues to compile and accrue over time into an ever-enriching body of knowledge that can be used to solve so many of the world’s ills that it should be a crime that it’s not already being actively applied by competent professionals throughout the public education system on the regular.
You can look at this logic model more closely by clicking on the images or the link in this post. What you can see once you look at it is that the District’s MTSS incorporates TIC into its design. I can’t speak to the fidelity with which The School District of Philadelphia actually abides by this design or the degree to which it works. I can only show it to you as an example of how to create this kind of a design, which requires staff to be trained on how to implement it in order for it to actually work. By creating this kind of operational framework and training everyone within the school site on how to carry it out, staff become informed on what to look for and what to do when they see it, when it comes to trauma and its potential for undermining student learning.
Direct overview of MTSS: The above example shows how TICs are woven into an existing MTSS. Very often, special education personnel don’t understand where they fit into the overall tiers of intervention, and usually because the rest of their co-workers and superiors have no idea, either. None of these MTSS designs will work if staff don’t recognize themselves in all of the pieces of the design for which they are each actually responsible. It’s not enough to create a pretty logic model on paper. The logic model has to actually be executed according to its design or it’s worthless. To that end, it is imperative that both general and special education staff understand where the lines are drawn between their two universes and a child needs to be referred for special education assessment.
I actually have a case from my past that I can refer to as an example. In this case, the district had some kind of MTSS but it had failed to work in special education and the “child find” process in any kind of meaningful way. As such, staff didn’t know their roles when it came to “child find” and made mistakes all over the place. This was a case of multiple ding-dongs who had no idea what they were doing, trying to fake their ways through the MTSS design process and botching it royally. What’s worse is that the involved student in this example was being raised by his grandmother, who had been a teacher for this same school district for over 30 years at the time of this hearing, and her daughter, the student’s mother, had gone on to become a teacher of the same district, as well. The employees of this district were doing this to each other’s families, and purely out of ignorance and a grotesque leadership failure.
When done correctly, a school- or district-wide MTSS that incorporates TIC will naturally lend itself to helping those children who need special education mental health supports for any reason. Investing in developing a high-quality MTSS that incorporates TIC will appropriately funnel the children who need special education mental health services into the appropriate levels of intervention relative to their unique, individual needs.
That said, it’s not enough to simply refer children suffering from mental health issues related to trauma for assessment. The quality of the assessments conducted matter and leaving out critical information about the trauma a child has already experienced and how it is affecting that child’s learning is a fatal flaw that compromises the validity of the assessment and gives the parents a legitimate reason to disagree and request IEEs at public expense.
Administrators looking to cut corners will often try to minimize costs by having school psychologists do some basic social/emotional assessments instead of having proper mental health evaluations done by licensed mental health providers. This is no place to be cutting corners. First, it saves no money in the long run. Pretending the problem isn’t as bad as it actually is will blow up in your face, eventually. The longer the problem goes untreated, the harder and more costly it will become to address later on. Secondly, it’s heinously unethical. What kind of a person do you have to be to deny necessary mental health services because you don’t want to spend the money? Any school district administrators who think their budgets are more important than the lives of their students shouldn’t be employed in public education. The budget exists for the benefit of the students, not the administration. For that matter, school district administrators exist for the benefit of students; students do not exist for the purpose of lining administrators’ pockets with unearned tax dollars.
I know the technical issues of how to integrate TIC into a schoolwide system of successful interventions is a topic worthy of a full-day workshop and I’m not doing justice to the entire issue, here. But, I’m hoping that I’ve given you enough to think about TIC in special education and some pointers towards some resources that can help you as a parent, educator, and/or concerned taxpayer to address these kinds of challenges. We need to appreciate the degree to which special education can be a tool to protect our local communities and national security from unstable individuals responding to their personal traumas in ways that can hurt many other people in addition to themselves. In this day and age of mass shootings by people suffering from significant mental health issues, we can’t neglect to preempt these behaviors where we can by intervening in the lives of children who experience trauma and/or have mental and emotional health needs that affect their access to learning and behaviors. It takes a village to raise a child, and this is how it’s done when the child has experienced trauma.
The following is the written transcript of the audio recording of my interview of Zafer Elcik of Otsimo, which you can listen to in the podcast version of this post. This transcription was aided by Otter.
Thank you so much for being in this podcast with me today. I really, truly appreciate you making the time, especially since we’re having to accommodate international time zones, and I’m here in the United States and you’re in Turkey. If you don’t mind, could you just go ahead and give us just a brief introduction of yourself and your product?
Zafer Elcik
Thank you for taking the time to talk with me. My name is Zafer. I am co-founder of Otsimo. At Otsimo, we are developing apps for kids with special needs, mostly for autism, Down Syndrome, and mental challenge. What we are trying to do is to provide early intensive education to the mobile devices and the speech therapy, as well. I have a brother with autism. He has been vulnerable for a long time. And I realized that he has special interest in smart devices one day, but I couldn’t find any suites or apps for my brother. The typical apps have a lot of advertisements, as well as, like, they have a lot of sounds, animations, and so on, and my brother actually liked to play with them, but he ended up with a bad situation. I decided to create app companies just helping kids on the spectrum. Well, right now we have kids all across the US, UK, as well as Turkey. We have already met the Minister of Education of Turkey. We reach education and speech therapy all across the world through the mobile device.
Anne Zachry
That is so cool. That’s such a powerful outcome to make happen. That’s such an accomplishment. That’s so cool.
Zafer Elcik
Thank you.
Anne Zachry
Oh, thank you. So well, one of the things that because we’re here in the United States, and we’re constantly advocating for kids with special needs to get the services they’re supposed to be getting and the supports that they need. And, very definitely, the whole issue of alternative communication methods and kids who have language impairments who can’t get their words out, but that doesn’t mean they don’t have words … I mean, I’ve worked for over 30 years with kids with every kind of disability you can imagine, and lots and lots of kids on the autism spectrum with language challenges, but also across all age groups. And, so one of the things I wanted to ask you about – because I did download and install your app and mess around with it, so I could become familiar with it – the graphics and the imagery, and the age ranges that look like on the app max out at like seven and older. And, for my kids on the spectrum who are middle school and high school age or young adult age, they don’t see themselves necessarily in the apps, and the tools that are are out there for children who are younger. And, the accommodations they need evolve over time as they get older, and they may still have the language skills of a very young child, but they are still a teenager on the inside. And, so, my question to you was, “Is there … are there plans to expand the app to have a version that is more grown up and more adult looking and more age appropriate for teens and young adults that will follow them into college?” Because I’m seeing kids who everybody thought they would never go to college. But once they get the help was like “Oh, hey! That’s a possibility for you, now …”
Zafer Elcik
Yeah.
Anne Zachry
… but these tools can’t follow them necessarily. And so my question to you is, “Are you looking to expand it to for to make the tool something that will support older users, especially as your kids get older … your child users?”
Zafer Elcik
Yeah, actually, it’s a great question, because my brother is getting older and older. And, we try to test with my brother as well to what the level will be of the new content in the app. Like, at Otsimo, we approach early and intensive education, because, like, you heard a lot of the time that you know it, like, if the kids can get early and intensive education, it affects our …
Anne Zachry
Right, right. Those are my kids who are now growing up and going to college, who, when we first started when they were four and five years old, that wasn’t even a thought. But, now that they’re 18, it’s like, “Oh my gosh! Look what you can do!”, because we got all those services when they were little.
Zafer Elcik
That’s because, like, I realized that, in the US, as well as in Turkey – I mean – a lot of countries in the world, because, like, we have a lot of users all across the world, and we realized that, like, getting a diagnosis and, then after that, getting the first education is a really big hassle. Like, in the US, as well, like, you need to go to IEP meetings …
Anne Zachry
Yep.
Zafer Elcik
… to get what you need, and it’s a big hassle and you lose a lot of precious months, sometimes a year, to just getting the education. That’s because we, at first, we focused on the, like, really early and intensive skills, like, small hand gestures, or social skills, and so on. But, after that, we really found out that we need to create content for a really diverse community. That’s because, like, right now we have more than 100 games, some of them is really easy, some of them is kind of middle school-ish. But we haven’t, like, created, like … I can set it up, like, we … our apps are at pre-K to K-2, but after K-2, right now, we don’t have real content. That’s because, right now, we are developing new content every month, just to keep updated. I don’t think so we will create content for university or high school and so on, but I believe it’s so go we can go to like pre-K to K-8, and so on, in the near future. We will have a lot of content for that.
Anne Zachry
Right. Well, definitely the early intervention is a huge part of it. I mean, that’s certainly important. And, you know, my background is also in educational psychology. That’s what my master’s degree is in. And I can tell you from an instructional design standpoint … but, also I’ve worked in IT. I’ve worked it … I can do some coding, it’s not my greatest skill, but it’s not like I don’t have any coding skills at all. I understand what it takes to build something from scratch in code. And you want to start with the simpler skills and move into the … progress into the more complex skills, anyway. You know, that those simpler younger skills are foundational, not only for human beings, but also for technology. So, you build on that not only with the kid, but with the tech over time, I would imagine. So, that totally makes sense.
Zafer Elcik
Yeah. Right now, we are developing these apps for more than five years, and still, I believe that we are in the, like, really beginning.
Anne Zachry
Right.
Zafer Elcik
We have more than 20 people. Like, we have psychologist on team. We have educators, developers, designers, testers. A lot of people lately, designers working with us, and so on. And it takes a lot of …
Anne Zachry
I can only imagine. I mean, I’m just trying to envision what all the logistics are of making something happen, you know, like what you’re doing. And, it’s just … you know, what you’re doing is moving the earth. That’s huge. And you said something a moment ago that …
Zafer Elcik
Thank you.
Anne Zachry
Thank you … that really caught my ear, and that was, you know, the diversity within the autism community. And, we have a saying over here that, “When you’ve met one person with autism, you’ve met one person with autism.”
Zafer Elcik
Yeah.
Anne Zachry
Because, no two people with autism are alike, you know. Just like everybody else, that no two brains are alike, even if they have a common disorder. And so, how it manifests … and I’ve got, you know … and this goes to my next question is, you know … I’ve got situations out here where we have students with IEPs that will say in the IEP that they’re supposed to have an AAC device, with hardware and software loaded on it, but they won’t specify what they’re using. They won’t name the device and they won’t name the software in the IEP, as though all AAC tech is interchangeable. And, it’s not! Each technology is different and nuanced, and every student has to learn that piece of technology as a way to learn language. Like, if you start a kid out on ProLoQuo2Go, and then you move that kid to another school, and they see that, “Oh, well. You’ve got an an AAC device with some kind of software in your IEP. We have to implement your IEP that you came in with, but we don’t know what you were using.” And they’ll go off and get, you know, a Samsung smart pad with some kind of who-knows-what software installed on it. And it’s not the iPad with the ProLoQuo2Go the kid knew how to use from the last school. And so, what happens is their language gets taken away. And so, I guess my question to you then becomes, “If there’s other technologies that are going to be used as these children get older, like ProLoQuo2Go, going into the adult world, do you think that it’s wise to start them off on something different and then switch them, or does it make more sense to get them accustomed to one piece of technology and have it carry them through, or does it make sense to teach them more than one type of AAC tech so that if one goes out of business, the other one’s still around?” I mean, that’s my concern. It’s about the people in the public schools who tend to think that AAC technology, if they’re not specifically trained in it, they think it’s plug-and-play, and you can pull one out and push another one in. And, I wonder what your feedback on that what would be.
Zafer Elcik
Yeah, my feedback on that, like, is, we have also AAC solution in our special education app.
Anne Zachry
Right.
Zafer Elcik
We are targeting mostly young children instead of, like, ProLoQuo2Go or other AAC devices as well. And I believe in … so, like, we need to introduce the AAC to the people and individuals on the spectrum as soon as possible, because, like, we have a lot of research also going on there. AAC actually doesn’t have any disadvantages to learning a language. It also have advantages to learning language or concepts of vocabulary, and so on. I believe … so, we need to, we need to show the AAC in really early stages, because it’s helpful for them. And the second thing I need to say: We need to find a way to, like, a different kind of solution. Like, sometimes you need Tobii Dynavox with a eye-tracker device on it …
Anne Zachry
Right.
Zafer Elcik
… and so on, and sometimes you need also some AT with a light reading cue and open source system with you. I think that, like, the schools doesn’t … like, schools must not mandate an AAC over others. They need to accommodate the diversity, the diversity of different assistive technology. That’s because, like, I also came across some schools, like, they’re using just one tech and they don’t want to change, but it doesn’t help anyone. Like, it just helped the teachers, maybe the managers there. It doesn’t help the kids and the family. Because I think that, like, teachers also have a lot of goals, as well, because of the … I don’t want to say that, but, like, teachers need to accommodate the diverse kids …
Anne Zachry
Yeah. Right.
Zafer Elcik
… diverse problems or … the diverse solutions of the kid, and find a way to use the … what the kids like, what the individuals like. Because, like, communication is essential, and when you are changing a device, you’re actually changing the whole communication system. And, you force them maybe to voiceless.
Anne Zachry
Right.
Zafer Elcik
And that’s a huge drawback for diverse communities. That’s because, I believe it. So they don’t need to see a lot of different AAC, but they need to stick with what they feel comfortable.
Anne Zachry
Right. It’s doesn’t do any good to teach a kid how to speak using the tool and then take the tool away from them. And…
Zafer Elcik
Yeah.
Anne Zachry
… and that’s our concern. And that, again, goes back to how special education is legally regulated here, because you can’t just go and change things up once it’s written into the IEP. That’s a legally binding contract that the parents can hold the school to that says, “Hey, these are the things you’re supposed to do for my kid.” But if the contract itself is flawed, if the what it describes in writing is not appropriate, then that’s what’s enforceable. And, what we run into is … Yes, I agree with you that you have way too many school districts that will standardize on a particular technology, because they get bulk discounts. If they buy in bulk from the vendor, they get it less per unit.
Zafer Elcik
Yeah.
Anne Zachry
And so, it’s cheaper to get multiple licenses of a particular AAC and a particular device because they can buy those in bulk, because all of these vendors have realized that they can sell more in quantity to the schools if they can convince them that their technology will solve all these problems. And, for a lot of kids it will, but you have to specify what it is in the IEP. Because, if a kid has started out, say, on your technology and it’s part of what’s being done in the classroom, if it’s not written into the IEP, and that child moves to another area, and that IEP has to follow them to the new school, but it doesn’t say in there … that they were using your technology, the new schools not going to know to put that in. And so, what we run into is sort of a mixture of too vague of a description of the accommodation, as well as what you were talking about, what is sometimes is over-specified to the point where there’s no flexibility to try anything new.
Zafer Elcik
Yeah … Yeah.
Anne Zachry
So, you don’t … you have to strike a balance where there’s enough flexibility with the way the document is constructed that trying out new technologies is not prohibited, but what the child is familiar with is also not taken away. And so, it comes down to the wording of the document. And I think that that’s something that a lot of solution developers find frustrating when they enter into the American special education system because they’re thinking, “Oh, America loves special ed! They actually have laws and they make it free and they do all this stuff!” But, when you actually try to participate in it, it looks a lot different to live through it than it looks like on paper. Yes, there’s an embracing of it. But there’s also all of these rules that get in the way of actually doing something about it, sometimes. And so, sometimes the rules are there to help, and sometimes they get in the way. And I think that, especially as an international developer, for you coming in to try and insert your product into that kind of situation and have been successful, that’s enormous. Because that’s not an easy thing for anybody to do. And for you to come from outside of the country, and insert yourself into such a heavily regulated situation, with a solution that people are actually adapting and accepting and using, I think that’s huge. So that’s … congratulations on that. That’s enormous.
Zafer Elcik
Actually, like, the system in the U.S. is changing by state-by-state. And that’s because like, maybe it’s district-by-district.
Anne Zachry
Yeah.
Zafer Elcik
You are right. They’re involved in that kind of stuff. We here are actually trying to be a company like family-friendly, or special individual-friendly. What we try to provide is an additional value. Like, they can pick what they want. Mostly … most of the other companies, like there are big corporations in the U.S., like, they are selling bulk, but they don’t update the software for a long time or doing anything like that, specifically.
Anne Zachry
That’s true. Right.
Zafer Elcik
That’s because, like … and also, some states and district doesn’t … they need to cover by IEP by law, but they have a lot of that system. That’s because kids couldn’t reach out for, like, the AAC they need.
Anne Zachry
Right.
Zafer Elcik
That’s because we try to find a way to be an affordable and accessible solution for all families, instead of, like, binding the districts or states to just forcing them into one single product. But, you are also right. On the other side, if the kids started some sort of specific AAC, I think, I believe it, so they need to follow the same system in the other schools or other districts because, like, they learn how to communicate through that. Like, it’s something like you learn in English in one nursery; while you carry on your school, you need to … you’re forced to talk in French and …
Anne Zachry
Right.
Zafer Elcik
… it’s impossible for you to actually … it’s something like that.
Anne Zachry
I agree.
Zafer Elcik
… take a special tech from their hand just because of the bulk discount or so, but it doesn’t help anyone.
Anne Zachry
Right.
Zafer Elcik
It’s helping the … maybe the district managers and so on.
Anne Zachry
Exactly. And that’s a lot of what we run into is … we run into administrators who spend zero time in the classroom, who are business office people making decisions that affect the classroom based on finances, which is illegal, but it happens all the time, because they don’t know any better. They don’t realize their decisions are going to have that big of an impact on a kid. They’re not even thinking about that because their business office people. And so, that’s I think it’s … we’re running into an issue over here with respect to how the bureaucracy is organized. It was created during the Industrial Revolution and emulates a factory. And, even though modern business technology has evolved well beyond that, public education technology has not. Public agency technology has not. The public sector, our government agencies, are decades behind technologically speaking, which I’m sure you’ve encountered with all of their different business systems …
Zafer Elcik
Yeah, yeah.
Anne Zachry
… and things and accounting systems and was like, none of them are running the same operating system. None of them are running the same software. So, it’s a highly disparate situation. And it kind of reminds me when I was working in IT years ago, around the, like, the late 1990s, early 2000s. I went through that whole Y2K thing … and … when I was working in IT. And, at the time, the customers that I had for the company I worked with were mostly in the freight forwarding business. And, it was when U.S. Customs was switching to paperless. And, my goodness! The pandemonium and chaos that broke out amongst all of the people who handle paperwork for shipping goods back and forth overseas. I mean, this was all a paper driven processing, and now Customs wanted to go paperless, and it was something. And, nobody had the same operating system. Nobody had the same software. But, everybody’s stuff was somehow supposed to magically talk to U.S. Customs electronically. And, making that all come together over the span of like five to seven years was outrageous. But at the same time, I see that now happening in public education where we’re finally starting to reach that place where we’re just going to have to deal with it in do the upgrades. And, I think that once the upgrades get done, and we get to a more cohesive modern system, that it’ll be a lot easier because … we have better technology being implemented in the classrooms than we having implemented in the business offices. And, I think that that’s a lot of the problem is that we have this antiquated bureaucracy responsible for teaching modern children. And so, we have all these innovators like you bringing technology in, but what’s it supposed to integrate with? It’s like a green cursor on a black screen or an amber cursor on a black screen. I mean, some of the tech is so old. And so, I know that you’re having to go in and blaze a trail in a place where, you know, in a space in an industry where technology is not as easily as embraced as it is in other places. So that’s another thing that you have to be proud of yourself for, because it’s another accomplishment, to be able not only to come into the American market, with all of the regulations involved, but also just all of the backwards technology that you’re going to have to overcome. And so you’ve really taken on something that’s enormous. You know, I have one last question. I have a young man on my caseload that I’ve been with for a very, very, very long time, and he’s severely, severely, severely autistic. But he’s even more severely intellectually disabled. I think the intellectual disability gets in his way more than the autism does. But, when he was much younger, he was very self-injurious. And he would hit his head against very hard surfaces, like floors, and roads, and walls and …
Zafer Elcik
Yeah.
Anne Zachry
… and so he was a head-banger. And, he would hit himself and he would hurt other people. And, it was because he couldn’t get his words out. And, when he would speak, people wouldn’t take him seriously, because he did a lot of scripting. So they didn’t listen to anything he said, even when he was trying to speak for real. And so, it got to the point where the behavior became his method of communication. And it took a long, long time; he had to be institutionalized to break him of that habit, and teach him to use his words again, and to get him to, you know, where he could be more functionally communicative without engaging in these violent behaviors. Unfortunately, in the course of all of this before I, you know … by the time I got involved with him, a whole lot of harm had already been done. And he had managed to, as best as we can tell, detach his own retinas from head-banging. So, now, he’s permanently blind.
Zafer Elcik
Oh, wow!
Anne Zachry
He hit his head so hard that he blinded himself, or at least that’s what the doctors are saying, because he just … all of a sudden, his retinas peeled off the backsides of his eyeballs and he couldn’t see anymore, and, so, you know, and it was after years and years of head-banging against really hard surfaces. And, his school would … they didn’t know what to do with him, so they would just put them in a seclusion room and leave them in there to whack his head on the wall for 45 minutes at a time. And, needless to say, there was a lawsuit. And, you know, we got compensatory services for him. But what we can’t do with him, now, is teach him to use a traditional AAC or any kind of device-based technologies where, you know, all these wonderful things like what you created, because he doesn’t have eyesight anymore. He can’t see the screen.
Zafer Elcik
Yeah.
Anne Zachry
And so, you know, we’ve had him evaluated by experts to help figure out what we can do for this guy, you know. And, he’s now my friend. I love him to death. He’s my sweet little lamb. He … I mean, I don’t have any behavior problems with him. But, here he is now, you know, as a young adult finally starting to say, “Okay, well, I think I want to have a life and do something with myself,” and the tools and the resources are so now limited for him because of the eyesight loss, because everything for autism was all about visual schedules and visual cues.
Zafer Elcik
Yeah.
Anne Zachry
And, you know … and I can’t do that with him. And so, what we’ve had to do is, I create tactile schedules for him where I take dollhouse miniatures, and I glue them on a great big piece of foam board. And, I make like a visual schedule, but instead of looking at it, he’s got to touch each item, and it moves through a progression so that he can, you know, follow the flow of what it is we’re going to do. And once he learns the routine – once he gets that ritual down – he knows the order of events, I don’t have to use the schedule with him anymore, because he already knows what’s coming. Now he knows the routine. But, to teach him new schedules, I would have to glue together $200 worth of dollhouse miniatures off of Amazon onto a piece of board to give him an idea of what was about to happen. And, what I’m not seeing … and so, I’m kind of putting it out there, hopefully you’ll … this is something you can think about … are tools for individuals with autism who are also blind or are deaf and have these sensory impairments on top of the autism that makes the typical solutions inaccessible to them. And just your your thoughts maybe of what you think might be a good way to go in terms of adapting a device for use with someone. Like, I can see if someone has hearing loss … hearing loss, you could do vibration. You could make the device vibrate …
Zafer Elcik
Yeah.
Anne Zachry
… in the absence of sound. But when for someone with vision loss, I don’t know how you replicate a visual schedule, other than to just audio record yourself, like in the voice recorder, you know, just speaking your way through it. I’ve done that, too. But it doesn’t seem to be as powerful as a tactile schedule. And I’m curious as to, you know, when I talk to developers, what do you think about that? What do you think could be done for someone who’s got multiple disabilitiees and the autism is just one of many?
Zafer Elcik
Yeah, it’s a nice question. Like, we also came across like, people with hearing disorders with autism, and so on. We try to make our product as much as accessible for that. I don’t know, literally, like, because we are not doing visual schedules. I don’t know, in specific people region schedule basis. But for the Apple devices, there is, like, assistive disability techniques. And I know that, for example, ProLoQuo2Go has a system. You can actually use the switches or you can … they will actually scan the screen with them. But, you need to teach them this assistive tech on the Apple devices to the kid. And, I believe it, we are also … there will be our apps right now. I can’t say we are 100% accessible for vision problems, or hearing problems and so on, but you can use that assistive settings in the settings in Apple devices. And, combined with that assistive settings with the apps like us or ProLoQuo2Go, or if you’re using a visual schedule app, you should reaching out to developers and saying them, like, “Could you implement assistive settings to our device on your app, because we are using it for for this, this this?” And, that’s the only chance I can see from my point of view …
Anne Zachry
That stands to reason.
Zafer Elcik
Apple has a great assistive settings for people with vision problems, as well as hearing problems. That’s because, if he or she can use them assistive techniques while using the device, apps also can be a part of it and you can use that settings in the specific apps, and you can just scan the screen instead of picking seeing regionally, and so on. You will see here what you, like, the device actually loudly saying that what they’re clicking, and they can actually talk thanks to that, while just memorizing what they were seeing. That’s doable and a lot of companies are doing but, yeah, it’s a one more additional step of teaching.
Anne Zachry
Is it like an API where you if you’re a developer, you could reach out to Apple and say, “Hey, we want to link in with your accessibility tools. What’s the code?”
Zafer Elcik
Yeah.
Anne Zachry
Okay.
Zafer Elcik
Yeah, it’s kind of an accessibility feature. You use that kind of specific codes in your app. At times, too, the Apple accessibility feature actually can be used in the app as well. The name is … or … you can use voice over, or you can use in the voice over settings. You have, like, Braille alphabet, as well as, like, the others. And also hearing devices can be connected to the Apple devices and you can use for specifically hearing disorders and so on. That’s because like, the settings if the app using that specific API or SDK, for just specific assistive technology settings, you can use it in the app as well. And Facebook, Google, using these APIs a lot. You can test it out there. You can see how they … how it’s working. And if you’re using one, we just schedule it out. You just reach out to developers and say what you want. That I believe in, so they will implement it in near future.
Anne Zachry
That’s a really good point. I know that one of the colleagues that I work with who I’ve actually have involved with this student in the past to teach independent living skills, she herself is blind. And she … her whole house is an Apple smart house at this point, because she’s become so dependent upon the Apple technologies to … as her accommodations …
Zafer Elcik
Yeah.
Anne Zachry
… but it’s interesting you would say that because the first time I introduced the two of them to each other, we met at a restaurant in the community that is entirely staffed by individuals with mental disabilities. And, we were there to meet each other – for him to meet her – and I went inside to go get the menu. And, there was a line! And, I had to wade through a sea of people before I could even get the menu to bring it back out to him and read it to him and ask him what he wanted. And my colleague had already looked up the menu on their website, and had her phone read it out loud to the both of them so that, by the time …
Zafer Elcik
Yeah.
Anne Zachry
… I got back outside with the menu, he already knew what he wanted.
Zafer Elcik
Yeah. Like, Apple devices are expensive, but Apple as a company, really pro assistive technology. That’s because, like, they devices are best in case for using that kind of technology.
Anne Zachry
Right, they’ve got the most experience working with this kind of stuff; they’ve been doing it longer. And well, it just for the for the benefit of our listeners who are hearing this conversation, I mean, here in the United States, if you if you’re on the autism spectrum, especially if you have other disabling conditions, other developmental disabilities, you’re also going to be eligible for services from Department of Developmental Services. And every state has a Department of Developmental Services. Now, again, federal regulations that come down from the top, just like special education law, but then how each state …
Zafer Elcik
Yeah.
Anne Zachry
… implements the federal regs varies from state to state. And so with Developmental Services, some states, the DDS is its own thing, and you just go to the DDS office and that’s who you deal with. It’s the state agency, and they have offices in different communities around the state. But in California, and in other states, it’s a little bit different, where you have what’s called regional centers. And, regional centers are non- … here in California, are non-profit organizations that contract with California’s Department of Developmental Services. And, their function is to provide anything that someone with a developmental disability needs above and beyond what any of the other generic agencies have to do. So, for example, for a child who’s in, you know, K-12 age, the school district is going to have the primary responsibility for meeting their needs in terms of publicly funded programming for people with disabilities. But if there’s anything that doesn’t have to do with school, like afterschool childcare, or social skills in a non-school setting, like a Boy Scout troop, or something like that, there’s services above and beyond what the school is obligated to do, those things fall to regional center. So, if a child gets an iPad with your technology – with Otsimo – loaded on it, for example, at school, that’s only for school. If they need to be able to use it to communicate with people outside of the school day, they need a second separate iPad that they keep at home and take out into the community, and that’s regional center. Because the school’s …
Zafer Elcik
Yeah.
Anne Zachry
… only responsible for what happens at school, or anything to do with homework, you know, anything that’s school related. But, if it’s beyond that, if it’s just life in general, now, you’re talking about regional center. And, for our individuals who have graduated from high school with a diploma or aged out of special ed, and now they’re young adults and they’re going out into the world, regional centers and the Department of Developmental Services are obligated to serve these people their entire lives, not just when they’re children. So, if someone is using an iPad with your technology, or ProLoQuo2Go or anything else, and then they’re no longer a public school student – they’ve grown up, they’ve gone on – but they still need that iPad with that technology on it to communicate with people, then they have to go back to DDS, or regional center, depending on how its configured in their state and say, “Okay, well, this is a life functional skill thing for me. This is an activity of daily living. If I don’t have this device, I don’t have a means of communicating with people.” And so, the laws very definitely protect their communication rights. And so, it falls on a different agency to purchase that equipment. It doesn’t automatically fall on the shoulders of the families to come up with all this money to buy all of this tech. There’s public dollars out there for it. Just, people need to know which agency to go to for which circumstance. If you’re talking about someone who is an adult who’s looking to get a job and needs to have this technology to communicate in order to be employed, well, now you’re talking about the Department of Rehabilitation, which is also federally funded and also regulated under the same bodies of law as special education law on a federal level. But again, every state does it different. Some states will roll their Department of Developmental Services and their Department of Rehab together as one solid agency that takes care of both of those responsibilities. Where others, like in California, DDS it’s its own thing and it’s got its regional centers, and the Department of Rehabilitation is a completely separate entity that you have to go to separate from everybody else and go ask for their help. And so, getting all of these different agencies that each may have an individual responsibility to one person can be a lot, but any one of these agencies could end up having to finance the technology, the communication device and software, that these individuals would need. And so, I’m just putting it out there not only for you, but for our listeners, that there’s more than one way to get the job done, and if one avenue is not appropriate for an individual, there may be another avenue that is, and that could still make your technology accessible to people outside of just the schools, even if they can’t afford to buy it personally. And so, I just, you know … Yes, I want my families who can afford it, they can just go straight there and get it. It could even be something they could get reimbursed on by the schools, if they buy it themselves because the schools haven’t given them anything appropriate, and that ends up working for them. And so, there’s a lot of different ways here in the United States where families can access these tools, including your technology, even if it’s not through the public schools.
Zafer Elcik
Yeah.
Anne Zachry
There might be another way to do it. So I just wanted to put that out there. Have you worked with any other agencies other than the school districts out here?
Zafer Elcik
Not yet. But we will like to working with agencies and so on. Right now, we are on track to complement …
Anne Zachry
I think what I’m going to do is I’m going to share your information with, here in California, we have First5, which is an early childhood intervention program, separate from the schools, but it works with them, sort of, but it’s separate. And, it is all early intervention. And, very often they’re the ones making the referrals.
Zafer Elcik
Yeah, that would be awesome.
Anne Zachry
Yeah, they’re the ones often finding out, especially when you’re talking about children from low-income, non-English-speaking families, immigrant families … they don’t know what to look for necessarily, or, even if they see something’s up, they don’t know what to do.
Zafer Elcik
Yeah.
Anne Zachry
Very often, First5 will be the one that catches it and makes the referrals and gets these kids into the appropriate supports and services. And so, this is the kind of stuff that they’re going to want to know about. So I’m very definitely going to share it with them. And, then I’ll also have it on our website and everything and I’ll put it out there on our social media.
Zafer Elcik
So, I forgot to mention we have also a Spanish version, as well.
Anne Zachry
Ooooh!
Zafer Elcik
Many families are using our apps in U.S., is reaching out to special education.
Anne Zachry
Oh, that’s huge. That’s enormous to know. I’m excited to see what your project is going to be doing as it expands use through here in the United States, and as it evolves over time. I’m going to be putting links to it on our … on this … the post for this podcast. Wanted to ask me about anything?
Zafer Elcik
No, thank you for your time. Like, it was a nice coffee talk with you. Like, I haven’t imagined that, like, we are going to talk in this prophetic situations, and how I am thinking about it. It was nice questions. It was the one of the best questions I ever ask. Thank you for that and thank you …
Anne Zachry
Oh, of course! Thank you!
Zafer Elcik
… for your time and showcasing our product, as well as me. Happy to see you in two years, three years after this podcast, out with the new products focusing on adults on spectrum. That will be really awesome!
See how disability rights advocacy and smart device-based interventions can put evidence-based practices into the hands of the people, regardless of whatever rules and regulations may apply (or not) where they live.
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Once a special education student with behavioral issues receives an appropriate assessment of his/her behavior, and appropriate IEP goals are written to address the student’s behavioral needs, the IEP team has to determine what services and supports are necessary to see those goals achieved. The types of services and supports a child requires in order to achieve his/her IEP goals can influence placement decisions, which is why placement is the last decision that should be made by the IEP team.
It is necessary to first know what services and supports will be required in order to determine what the Least Restrictive Environment (“LRE”) is for each particular special education student and, as we’ve stated before, the LRE is relative to the unique needs of each individual child. What is the LRE for one student is not necessarily the LRE for another. Placement must be in the least restrictive environment necessary in order for the services and supports to be provided such that the goals can be achieved, which varies from student to student. That means that the selection of services, including the frequency, duration, and times of day they are provided, is a very critical step in the IEP process and it comes into play fairly late in the game.
To recap the process (as described in our prior postings in the “Techically Speaking” category), the IEP process begins with assessment. The data yielded by the assessment is supposed to inform the IEP team of the student’s Present Levels of Performance (sometimes referred to as “PLOPs”). Based on what is understood about the student’s Present Levels, the IEP team then must write measurable annual goals that describe in objective, empirical terms what outcomes the IEP is attempting to achieve – what specifically it is trying to teach the student to do. Once that is known, the next step is the selection of services and supports.
There are a number of tools to address behavioral goals that can be used. One of the most powerful tools is a Behavior Support Plan (“BSP”) or Positive Behavior Support Plan (“PBSP”). Once a functional analysis of a student’s behavior has been conducted, the next step is supposed to be the creation of a BSP/PBSP unless?the analysis reveals that the behaviors do not significantly impact the child’s participation in his/her education.
A properly written BSP/PBSP is a thing of gold, but it’s no good to anyone if not everyone implements it the way it is written. Behavior is a touchy thing. When you have a child who realizes that the same behavior is met with different outcomes depending on who that child is with, what you often produce is a manipulative child who learns how to push peoples’ buttons. When behavior is met with the same outcome regardless of who the child is with, the child gets a consistent message about certain behaviors. For that reason, it is imperative that anyone working with a special education student who exhibits problematic behaviors follow the BSP/PBSP to the letter as best as he/she possibly can.
A BSP/PBSP starts out by describing the problem behavior so people know what they’re looking for. Identifying the function that the behavior serves (i.e. to avoid math problems, to avoid writing, to gain access to more preferred items or activities, etc.) allows people know what need the child is trying to meet and, therefore, the types of responses they should have to the behaviors. The BSP/PBSP should then describe what responses to give to each type of problematic situation if the behavior manifests, but, more importantly, it should describe what replacement behavior will be taught to the child so that he/she has a more appropriate way of seeing his/her needs met without engaging in the problematic behavior.
It’s not enough to tell a kid to stop doing something. You have to tell them what is appropriate for them to do instead. If you’re trying to drive a nail with a banana peel, you’re just going to make a mess. But, if all somebody does is tell you to stop slinging that useless banana peel at the nail and fails to give you a hammer and show you how to use it, you’re still going to be stuck with a nail that hasn’t been driven. What you were attempting to accomplish remains unachieved.
Children need to be taught things. They can’t be expected to somehow magically know things or figure things out as well as more experienced adults. Children with certain types of disabilities have a harder time picking up what seems obvious to most people, requiring explicit instruction on more basic concepts. A BSP/PBSP describes what fundamental concepts are being taught, or refers to the behavioral goals which describe what concepts are being targeted, so that the child acquires the reasoning skills necessary to handle situations more successfully.
I’m a fan of Diana Browning Wright’s work. She’s done trainings in California and I have students whom I represent whose PBSPs are written up on Diana’s forms. They’re very well organized and make total sense.
Another tool that some schools try to use is a “Behavior Contract.” I’m not a huge fan of these at all. A “Behavior Contract” is something usually used in general education in which a student makes a written commitment to follow school rules. It utterly fails to identify what need the student was attempting to meet by engaging in the inappropriate behavior and only speaks to what the child will do; there is nothing that describes what the adult school site personnel will do to assist the student in dealing with whatever is provoking his/her inappropriate behaviors so that they don’t present problems for the student anymore.
Instead, the child is stripped of whatever coping strategies he/she had, even if they were poor ones, and left with nothing he/she can do at all. This creates a great sense of powerlessness, which can turn on its heel in an instant and lead to more escalated behaviors meant to regain whatever power the child feels he/she has lost.
I’ve seen it happen too many times. What was meant to stop a problem behavior only served to reinforce it and is particularly horrible to deal with among children with issues involving anxiety, paranoia, and/or Oppositional Defiant Disorder. Their handicapping conditions magnify, sometimes exponentially, their reactions to having their actual needs ignored and left with no way to see them met, while everyone else is focusing on what they inappropriately did in an effort to see those needs met.
A good BSP/PBSP should also include a description of what consequences and reinforcers should be used to encourage the use of the appropriate replacement behavior and discourage the use of the inappropriate behavior. By consequences, I do not mean punishment. A consequence is anything that results from an occurrence or event.
In the realm of positive behavioral intervention, a consequence is any outcome that discourages a behavior from reoccurring. This is often the intent of punishment, but punishment is an artificial consequence that the child may associate with something other than his/her own inappropriate behavior, such as the person who is punishing him/her.
Consequences should fit the behavior and they work best if they are natural, inadvertent outcomes of doing the wrong thing.? In my example above, the natural consequence of trying to drive a nail with a banana skin is a gooey mess and a nail that still hasn’t been driven. That by itself is enough to discourage me from ever trying to drive a nail with a banana skin again. It clearly didn’t work.
But, associating consequences with one’s own behavior is actually more subtle and difficult than it sounds. For children with relatively inexperienced, growing (and, thus, continually changing) minds, it’s even harder. For children with certain types of special needs, it can often be agonizingly difficult. The connections have to be taught. So, the consequences to inappropriate behaviors and reinforcers of appropriate behaviors should be delivered as soon after the behaviors have manifested as possible, particularly when first starting out with a new behavior program. Over time, the reinforcers can be faded. The idea is that the use of the appropriate behavior will become intrinsically rewarding because it yields success without drama and the need to artificially reinforce will disappear.
The use of appropriate data collection tools is critical. Data collection should be naturally built into the behavior goals and BSP/PBSP. It’s the only way to track progress and measure the degree to which the replacement behavior is taking over for the problematic behavior. Therefore, data sheets have to be created right away at the beginning so that data collection can begin as soon as the school site personnel start implementing the goals.
Parent training is also a really valuable piece to a successful behavioral intervention program. Just as it is imperative that the child be met with the same response to his/her behavior by all of the staff working with the child, it is equally important that he/she is met with the same response at home.
I’ve seen some of the best school-based behavior strategies in the world completely unravel because no one thought to explain to the parents how the behaviors were being responded to at school. The child would go home to a completely different set of expectations and responses to problematic behaviors and an entire school day’s worth of intervention might as well have never happened. The next day, the school site staff would be starting all over again.
By training the parents on the behavioral strategies being used at school, particularly if they can collect at least some data on what they are doing, makes them more involved, gives them greater understanding of what the school site team is trying to do, makes them partners in the process rather than outside observers, makes them more comfortable about how their child’s behavior is being handled by the school site staff, and creates much needed consistency that will help make the intervention successful.
Do you have any other suggestions regarding behavioral supports and services that can be made part of a student’s IEP? Post your comment with your suggestions below.
