Module 1 DSP Notebook

indicators of disordered sensory processing

- attention problems - arousal problems - avoidance of touch or movement - self stimulation - inflexibility to change - unpredictably explosions of emotion some people need vestibular input, proprioceptive input, tactile input

taste/smell

- avoids certain tastes/smells that are typically part of children's diets - routinely smells nonfood objects - seek out certain tastes or smells - does not seem to smell strong odors

touch

- avoids getting messy in glue, sand, finger paint, tape - is sensative to certain fabrics - touches people and objects at an irritating level - avoids going barefoot, especially in grass pr samd - has decreased awareness of pain or temperature

movement

- becomes anxious or distressed when feet leave the ground - avoids climbing or jumping - avoids playground equipment - seeks all kinds of movement and this interferes with daily life - takes excessive risks while playing, has no safety awareness

epilepsy is the syptomatic of

- closed head injury - tumors - lack of oxygen in the brain - infectious disease

body position

- continually seeks out all kinds of movement activities - hangs on other people, furniture, objects, even in familiar situations - seems to have weak muscles, tires easily, has poor endurance - walks on toes

benefits of meeting sensory processing needs

- decreased need to stimulate or injure self - improved ability to pay attention - improved social interaction - ability to handle distractions easier

attention behavior and social

- jumps from one activity to another frequently and it interferes with play - has difficulty paying attention - is overly affectionate with others - seems anxious - is accident prone - has difficulty making friends, does not express emotions

unusual interest and behavior with ASD

- lines up objects - has to follow certain routines - has obsessive interests - gets upset by minor changes

visual

- prefers to be in the dark - hesitates going up and down steps - avoids bright lights - stares intensely at people or objects - avoids eye contact

auditory

- responds negatively to unexpected or loud noises - holds hands over ears - cannot walk with background noise - seems oblivious within an active environment

train

DSPs __ individuals on ways to advocate for themselves

train

DSPs __ individuals to recognize, avoid and respond to possible abuse and harmful events

listen

DSPs __ to what individuals choose and support them in attaining it

support

DSPs ___ individuals in achieving their goals, rather then achieving the goals for them

informed decisions

DSPs educate induviduals so they can make __ __

10%

__ of all people will have a seizure at some time in their lives this does not mean that these people have epilepsy

30%

__ of people who have intellectual disability also have epilepsy

1%

__ of the US population has epilepsy

13

__ out of 10,000 babies born in the US each year is born with down syndrome

50-80%

___ of people with epilepsy control or prevent their seizures using anti-convulsant medications

down syndrome

a condition in which a baby is born with an extra chromosome symptoms can range from mild to severe usually mental development and physical development are slower - a flat face with an upward slant to the eye, a short neck, small ears, and a large tongue - tiny white spots on the iris of the eye - small hands and feet - a single crease across the palm of the hand - small pinky fingers that sometimes curve toward the thumb - poor muscle tone or loose ligaments

schizophrenia

a disorder characterized by disorganized though processes split mind, NOT split personalities or multiple personalities emerges in late teens, early 20s symptoms include - disorganized thoughts/speech - inappropriate of flat emotions/affect - avoilation (lack of motivation) - lack of insight into illness - hallucinations - delusions - paranoia symptoms can come and go in cycles use caution with: developmentally appropriate self talk imaginary friends/fantasy play may be confused with hallucinations or delusions, in particular with clients with down syndrome or autism spectrum disorder

fetal alcohol spectrum disorder

a group of conditions that can occur in a person whose mother drank alcohol during pregnancy effects can include physical problems and problems with behavior and learning often has a mix of these - abnormal facial features, such as a smooth ridge between the nose and upper lip (philtrum) - small head size - shorter than average height - low body weight - poor coordination - hyperactive behavior - difficulty paying attention - poor memory - difficulty in school especially math - learning disabilitites - speech and language delays - low IQ - poor reasoning and judgement skills - sleep and sucking problems as a baby - vision or hearing problems - problems with heart, kidneys or bones

epilepsy

a person can have this and we might not know they have it just by looking at them caused by electrical problems in the brain which causes seizures can cause a short loss of consciousness or changes in how a person acts may be noticeable or barely or not noticable

PTSD

a real illness you can get this after living through or seeing a traumatic event, such as war, a hurricane, rape, physical abuse, or a bad accident makes you feel stressed and afraid after the danger is over affects your life and the people around you can cause problems like - flashbacks, or feeling like the event is happening again - trouble sleeping or nightmares - feeling alone - angry outbursts - feeling worries, guilty or sad starts at different times for different people signs may start soon after a frightening event and then continue can happen to anyone, even children

phobias

a type of anxiety disorder a strong, irrational fear of something that poses little or no threat to danger many specific types avoid what they are afraid of and if they cannot avoid then they may experience - panic and fear - rapid heartbeat - shortness of breath - trembling - a strong desire to get away

epileptic seizure

an electrical discharge of the nerve cells in the brain which causes a change in a persons consciousness, behavior, muscle movement or sensations these are not under a voluntary control

schizoid

appears aloof and detached avoids social activities that involve significant contact with other people does not want or enjoy close relationships, even with family members

no

are intellectual disability and mental illness the same thing?

avoidant

are preoccupied with their own shortcomings form relationships with others only if they believe they will not be rejected loss and rejection are so painful that these people choose to be lonely rather then risk trying to connect with others - be easily hurt by criticism or disapproval - hold back too much in intimate relationships - be reluctant to become involved with people - avoid activities or occupations that involve contact with others - be shy in social situations out of fear of doing something wrong - exaggerate potential difficulties - hold the view they are socially inept, inferior, or unappealing to other people

mental health problems

are severe disturbances in behavior, mood and thought processes and/or interpersonal relationships

promoting physical and emotional well being

as a DSP, i am responsible for supporting the emotional, physical and personal well-being of the individual receiving support i will encourage growth, and recognize the autonomy of the individuals receiving support while being attentive and energetic in reducing their risk of harm

advocacy

as a DSP, i will advocate with the people i support for justice, inclusion and full community participation

relationships

as a DSP, i will assist the people i support to develop and maintain relationships

justice, fairness and equity

as a DSP, i will promote and practice justice, fairness and equity for the people i support and the community as a whole. i will affirm the human rights, civil rights, and responsibilities of the people i support

respect

as a DSP, i will respect the human dignity and uniqueness of the people i support. i will recognize each person i support as valuable and help others understand their values

confidentiality

as a DSP, i will safeguard and respect the confidentiality and privacy of the people i support

integrity and responsibility

as a DSP, i will support the mission and vitality of my profession to assist people in leading self-directed lives and to foster a spirit of partnership with the people I support, other professionals and the community

person centered supports

as a DSP, my first allegiance is to the person I support: all other activities and functions i perform flow from this allegiance

self determination

as a DSp, i will assist the people i support to direct the course of their own lives

mission statement

beverly farms foundation is a loving and caring home for the developmentally disabled, which provides each individual with physical and emotional security and a dignified quality of life, with opportunities and challenges within functional capabilities

yes

can new skills be learned regardless of a perons IQ?

substantial handicap

if a person is diagnoses with cerebral palsy, epilepsy or autism spectrum disorder, them why could they be no considered to be developmentally disabled? the disability must not have created a __ __

adaptive functioning

includes such real life skills such as grooming, dressing, safety, safe food handling, school rules, ability to work, money management, cleaning, making friends, and personal responsibility

proprioceptive input

sensory input comes through the person's joints by trained staff/therapists activities involve pushing, pulling and lifting

subtle ethical situations

speaking in a harsh tone to an individual who has just spilled their juice all over the table using if statements on a regular basis - "if you don't clean your room you won't be able to go shopping"

mania

symptoms include - feeling unusually high, elated - very fast, pressured speech - trouble staying on task, in one place - excessive motor activity - increased risk taking, impulsive behaviors - irritability and or aggressiveness - hyper sexuality

down syndrome

symptoms of __ __ include - a birth defect of the heart - stomach problems, such as a blocked small intestine - celiac disease, a digestive disease that damages the small intestine so that nutrients from food are not absorbed well - problems with memory, concentration and judgement, often called dementia - hearing problems - eye problems, such as cataracts or trouble seeing objects that are close by - thyroid problems - skeletal problems

reports

the DSP ___ any possible violations of abuse, neglect or any other type of harm to the authorities and team members

adaptive behavior

the ability to function in everyday living areas such as self-help, social abilities and mobility activities the individual uses to cope with the natural and social demands of the environment which include feeding, dressing, toileting and higher-level social interaction skills

one rule of dsp

the ability to recognize and support the talents, choices and preferences of each person

sensory processing

the brains ability to make sense of the many sensations coming into it

ethics

they are a system of moral principles they are principles of conduct governing a person or a group they are a guiding philosophy

development delay

this may happen when the child has not reached the milestones indicated for their age group

intellectual disability

this refers to significantly sub-average general intellectual functioning existing concurrently with deficits in adaptive behavior and manifested before the age of 18 years

independently

this requires DSPs to provide supports that teach people the skills needed to participate in the community, as ___ and fully as possible

dual diagnosis

those who have both a developmental disability along with a mental illness can be found at all ages and levels of intellectual and adaptive functioning is often missed because the person's behavior is attributed to the developmental disability

dsp

to create and ensure community connections and assist people in living their lives as full citizens

dependent

usually begins in childhood the cause of this disorder is unknown it is one of the most common personality disorders equally common in men and women they do not trust their own ability to make decisions they may be devastated by separation and loss they may go to great lengths, even suffering abuse, to stay in a relationship - be extremely having difficulties making decisions without reassurance from others - have problems expressing disagreements with others - avoid personal responsibility - avoid being alone - feel devastated or helplessness when relationships end - be unable to meet ordinary demands of life - become preoccupied with fears of being abandoned - be easily hurt by criticism or disapproval - passive in relations with other people

fetal alcohol effects

was previously used to describe intellectual disabilities and problems with behavior and learning in a person whose mother drank alcohol during pregnancy in 1996 IOM replaced this with the term ARND and ARBD

fetal death

what is the most extreme outcome from drinking alcohol during pregnancy?

echolalia

when people with ASD repeat what others say

intellectual disabilities

which disability is the most common of the developmental disabilities?

social skills of ASD

can range from mild to severe many have similar symptoms such as problems with social interaction but there are differences for when the symptoms start , how severe they are and the exact nature of the symptoms they might not be interested in other people at all others might want friends but not understand how to develop friendships might have problems with showing or talking about their feelings have trouble understanding other peoples feelings very sensative to being touched and might not want to be held or cuddled self-stimulatory behaviors are common - not play "pretend games" - avoids eye contact - has flat or inappropriate facial functioning - avoids or resists physical contact - does not share interests with others - is not comforted by others during distress - be very interested in people, but not know how to talk, play or relate to them

antisocial

cause is unknown genetic factors and child abuse are believed to contribute to the development of this condition more men than women have this common in prison populations fire setting and cruelty to animals during childhood are linked to the development - breaks the law repeatedly - lies, steals and fights often - disregards the safety of self and others - does not show any guilt must have shown symptoms of conduct disorder as a child - anger and arrogance - capable of acting witty and charming - good at flattery and manipulating other peoples emotions - substance abuse and legal problems

severe chronic disability

cerebral palsy or epilepsy: or any other condition, other than mental illness, found to be closely related to an intellectual disability because this condition results in an impairment of general intellectual functioning or adaptive behavior similar to that of persons with intellectual disability, and requires treatment or services similar to those required for these persons - it is manifested before the age of 22 - is is likely to continue indefinatley - it results in substantial functional limitations in three or more of the following areas of major life activity self care language learning mobaility self-direction capacity for independent living - children can be classified as having a developmental disability if it seems they will have these problems when they get older

reasons why DSP has evolved

changes in funding sources public policy social values disability movement

autism spectrum disorder

condition that can cause significant social, communication and behavioral challenges they handle information in their brain differently than other people might repeat certain behaviors and might not want to change in their daily routines many who have this also have different ways of learning, paying attention, or reacting to things disorder usually begins in childhood and lasts throughout a person's life

significantly sub average

defined as an intelligence quotient of 70 or below on a standard measures of intelligence

guidelines

direst support ethic are ___ they are principles and values developed for and used by profession

anxiety disorder

disorders characterized by - avoidance of certain stimuli - autonomic arousal - excessive motor activity - agitation

mood disorders

disorders characterized by longer periods of marked shifts in emotional state significant impairment in functioning components of mood disorders are depression and/or mania depression symptoms include - feeling excessively down, sad - tearfullness - trouble sleeping, sleeping too much - not eating/overeating - loss of interest/pleasure in everyday activities - trouble concentrating - lack of goal directed behavior - irritability

no

does everyone with a developmental disability have an intellectual disability?

communication is ASD

each person has different skills some can speak well others cannot speak at all or very little people who do not speak might use langauge in different ways some say only one word at a time others repeat the same words or phrases over and over some have echolalia might have a hard time using and understanding gestures, body language, and tone of voice might not understand what it means to wave goodbye might smile while saying something sad because they do not match their facial expression and gestures - has trouble expressing needs in typical words or motions - appears to be unaware when other people talk to them but respond to other sounds - gives unrelated answers to questions - does not point or respond to pointing - does not understand jokes, sarcasm or teasing - reverses pronouns - talks in a flat, robot like, or sing song voice

borderline personality disorder

effects mood, self-image and relationships mood changes rapidly, easily enraged create a crisis or act out in a crisis to put focus back on them emotional or angry outbursts

personality disorders

enduring patterns of inner experience and outward behavior that deviate markedly from the expectation of the individual's culture this isn't people just being odd or difficult, it is - maladaptive - disruptive to social, occupational, relationships - pervasive and inflexible - stable over time - leads to distress and impairment symptoms vary depending on the specific type of disorder treatment usually includes talk therapy and sometimes medicine

types of fads

fetal alcohol syndrome alcohol-related neurodevelopmental disorder alcohol - related birth defects

self stimulation behaviors

flapping arms over and over

GAD

has the following symptoms - excessive anxiety and worry that is out of proportion of the situation - difficulty controlling the worry - restlessness or feeling keyed up or on edge - being tired easily - difficulty concentrating - irritability - muscle tension (shakiness, headaches) - sleep disturbance - excessive sweating, palpitations, shortness of breath, and stomach/intestinal symptoms

profound

intellectual disability classification 0-25 IQ skills vary, ranging from high to low ends but all have major limitiations in all areas of adaptive behavior identified as having major diabilities in their first year of life significant physical and health conditions are also very common - have sensory motor deficits that are obvious at an early age - usually develop minimal self-care and communication skills - require a highly structered environment with constant support and supervision - can use a spoon and fork but often spill food - can put on shirt and pant, but need help buttoning and zipping clothes - may need assistance when using the restroom - can wash hands, but not very well - can use many gestures fro communication - understands simple verbal communications - participates in group activities and can interact with others in simple play - do not know that money has value about 1-2% of people diagnosed with intellectual disability are in this range

severe

intellectual disability classification 20-40 IQ significant limitations in all areas of adaptive behavior usually identified in the first 2 years of life their disability continues throughout their lives language and ability to communicate is limited understanding is better than speaking abilities often have medical conditions such as seizure disorders - have deficits in motor development and speech - have little or no communication skills - use a spoon, or fork adequately, but need help with knives - can dress themselves, but cannot tie shoes - can indicate the need to use the restroom - can wash their hands ans face, but need assistance in bathing - can recognize some words, but do not really read - know money has value, but do not know the values of different coins - can help with simple household tasks - can attend to tasks for 10 minutes or more and make effort to carry out responsibilities about 3-4% of people with intellectual disabilities are considered in this range

moderate

intellectual disability classification 35-40 to 50-55 IQ substancial adaptive behavior problems in several areas first diagnosed with this classification in preschool years can often learn important self-care, domestic, work and other skills complete independence is not achievable, usually - can learn to talk to communicate, but have poor awareness of social conventions - can take care of themselves with moderate supervision or less - can feed, wash, and dress themselves selecting own clothing, comb/brush hair, prepare simple foods - can speak clearly and distinctly - can interact cooperatively with others - can make minor purchases - can prepare foods that require mixing about 10% of people with intellectual disability are in this category

mild

intellectual disability classification 50-55 to about 70 IQ having substancial difficulties in at least two areas of adaptive behavior having these difficulties first evidenced in a developmental period before adulthood females are less likely to have this children are diagnosed with this much more than adults and struggle with schoolwork - usually can attain academic skills up to about 6th grade - can usually achieve vocational skills necessary for minimum self-support - take care of all personal grooming needs - can get around their neighborhood without difficulty - cannot travel to another unfamiliar location - participate in recreation - communicate complex ideas verbally - may need guidance handling money - can have a career or hold a job about 85% of persons diagnosed with intellectual disability are in this range

epilepsy

is a chronic disorder of the cns

no

is epilepsy a disease?

tactile input

lotion, rubs, vibration

intellectual disability

low intelligence with impairment in adaptive behavior must begin before the age of 18 - have limited intellectual functioning - learn new things more slowly - have limited physical coordination - have increased medical issues

treatments for dual diagnosis

medication therapy behavior management

alcohol related neurodevelopmental disorder (ARND)

might have intellectual disabilities and problems with behavior and learning - might do poorly in school - difficulties in math, memory, attention, judgement, and poor impulse control

alcohol related birth defects (ARBD)

might have problems with the heart, kidney, or bones or with hearing

OCD

obsessive, intrusive thoughts sometimes relieved only by engaging in repetitive ritualistic behavior only temporarily relieves anxiety overwhelming need to have things a certain way - hand washing - cleaning/fear of germs - hoarding - touching in patterns

routine

people with ASD usually thrive on ___ a change in the normal pattern of the day can be very upsetting

bipolar disorder

periods of depression alternating with periods of mania sometimes longer, slower and sometimes more rapid drastic swings presentation varies greatly somethings can be difficult to attribute to this disorder or just a bad day - poor judgement - distractibility - excessive activity the key is to compare current behavior with previous functioning look for deviations from what was previously exhibited

fetal alcohol syndrome

represents the severe end of the FADS spectrum - abnormal facial features - growth problems - cns problems - learning, memory, attention span, communication, vision, and hearing problems common have a hard time in school and trouble getting along with others

symptomatic

result

vestibular input

rolling, jumping, running

thought disorder

schizophrenia is a type of __ __

partial seizure

seizures that affect, or start in, only part of the brain

impulsive behavior

self-injury/harm manipulation overly dramatic, hostile, friendly moves into serious relationships very quickly/ moves between relationships quickly