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    4. Appropriate curricula specifc curriculum materials must oten be developed to

    meet the special need o the severely handicapped. The criteria or selecting

    these materials should be that (a) they are exible and can be used in a variety

    o settings since we wish to help children acuire s!ills that can be adapted to

    variety o situations" (b) the training materials must include precise behavioral

    descriptions o ob#ectives$ the procedures or reaching these ob#ectives$ and the

    criteria or determining when the ob#ectives have been met" and (c) there must

    be a direct lin! between the curriculum materials and ob#ective measures o 

    progress.

    %. Ad#unctive services severely multiply handicapped persons hve a wide variety

    o disorders & physical$ sensory$ and psychological$ as well as educational & and

    there ore reuire that a diverse group o disciplines be available to provide

    treatment. 'hildren with chronic health problems need consultative medical

    supervision. 'hildren with moscular problems must have attention rom specially

    trained individuals who can wor! directly with teachers and parents. therchildren will need the services o physical therapists$ speech & language

    pathologists$ and other specialists. ne o the increasingly important roles

    played by all o these ad#uction to the parents themselves$ since the parents are

    the primary caregivers and the most highly motivated persons to help the child

    develop on consistent basis.

    . b#ective evaluation one o the most di*cult #obs acing educators is the

    development o evaluation systems that will allow or the assessment o 

    programs on a daily$ wee!ly$ and yearly basis. This issue can be partially dealt

    with by developing curricula that have evaluation or assessment built into the

    programs themselves.

     Table +,.- provides a developmental program across a number o dimensions

    that shows what might be expected o a prooundly retarded child rom preschool

    age to adulthood. The adult goals seem limited and ar rom the normal

    educational goals even or other children with handicaps. et the impairment is

    so severe with these children that the ob#ectives represent reasonable goals.

    /iven these goals$ then$ a careul set o interactions with the child can be

    established in attempting to reach a modest level o success in sel0care$

    language$ social adaptations$ and other areas (luc!ey and addison$ +124)

    'ontent using the broad goals noted by luc!ey and addison (+124) we can put

    together an organi3ed seuence o activities that shows the teacher how to

    proceed in specifc step. As sherr (+12) has stated$ the most adeuate

    programs will have to be deveoped in the public schools$ since it is in this setting

    that a ull & service program can be oered at reasonable cost to the public. The

    mandate that public schools are reuired to educate all children has created a

    demand or organi3ed curricula or the severly and multiply handicapped child.

     The essentials o a curricula or this group