Learning Disability (Treatments)

Identification of Learning Disabilities

Evaluation, the process for determining whether a child has a disability and needs special education and services, is the first step in developing a helpful educational program. A full and individual initial evaluation must be done before the initial provision of any special education or related services to a child with a disability. In addition, a student must be reevaluated at least once every three years. Evaluation involves gathering information from a variety of sources about a child's functioning and development in all areas of suspected disability, including information provided by the parent. The evaluation may look at cognitive, behavioral, physical and developmental factors, as well as other areas.

Under the 2004 reauthorization of the Individuals with Disabilities Education Improvement Act, legislators made significant changes in how people with learning disabilities could be identified as eligible for special education services. This reauthorization allows for the optional use of the Response to Intervention (RTI) approach to determine whether a child has a specific learning disability and may receive special education services. There is evidence that the IQ-discrepancy model normally used is ineffective in identifying all students with learning disabilities; therefore many schools are implementing an RTI approach.

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RTI is a tiered approach to educational intervention; the most common is a 3-tier model. The first tier provides high quality reading instruction to all students, with careful progress monitoring by teachers in the classrooms. Tier 2 is the same high quality instruction but with increased intensity for those not progressing well enough. If students do not progress with this more intensive instruction, they are identified for Tier 3, which is targeted special education intervention. Tier 3 students would have full evaluations and the establishment of an Individualized Education Program (IEP).

It can identify children who have delays or learning problems and may need special education and related services as a result.

  1. Eligibility. It can determine whether a child has a disability under the Individuals with Disabilities Education Act (IDEA) and qualifies for special education and services.
  2. Planning an Individualized Education Program (IEP). It provides information that can help parents and the school develop an appropriate IEP for a child.
  3. Instructional strategies. It can help determine what tactics may be most effective in helping a child learn.
  4. Measuring progress. It establishes a baseline for measuring a child's educational progress. The evaluation process establishes a foundation for developing an appropriate educational program. The public agency must provide a copy of the evaluation report and the documentation of determination of eligibility to the parent. Even if the evaluation shows that a child does not need special education, the information may still be used to help that child in a regular education program.

After a child's evaluation is complete, parents will meet with a group of qualified professionals to determine whether their child has a disability under IDEA. The school must provide the parents with a copy of the evaluation report and a written determination of eligibility.

If the team determines that a child is eligible for special education and related services, the next step is to develop an IEP to meet the child's needs.

The goals and objectives the IEP team develops relate directly to the strengths and needs that were identified through evaluation.

It's important for parents to understand the results of their child's evaluation before beginning to develop an IEP, and they should ask to have the evaluation explained in plain language by a qualified professional.

Parents will want to request the evaluation summary report before meeting with other members of the team to develop the IEP. Reviewing the results in a comfortable environment before developing the IEP can reduce parents' stress and provide time to consider whether the results fit their own observations and experiences with their child.

The most common treatment for learning disabilities is special education. Trained educators may perform a diagnostic educational evaluation assessing a child's academic and intellectual potential in addition to his or her level of academic performance. Once the evaluation is complete, the basic approach is to teach learning skills by building on the child's abilities and strengths, while correcting and compensating for disabilities and weaknesses. Other professionals such as speech and language therapists also may be involved. Some medications may be effective in helping the child learn by enhancing attention and concentration. Psychological therapies may also be used.

Learning disabilities can be lifelong conditions. In some people, several overlapping learning disabilities may be apparent. Others may have a single, isolated learning problem that has little impact on their lives.

Dyslexia

Recognizing dyslexia early is a key factor in how much the learning disability will affect a person's development. Unfortunately, adults with unidentified dyslexia often work in jobs below their intellectual capacity. But with help of a tutor, teacher or other trained professional, almost all people with dyslexia can become good readers and writers. Incorporating the following strategies into the learning process can help overcome the difficulties of dyslexia:

  • Early exposure to oral reading, writing and drawing, and encouraging development of print knowledge, linguistic awareness (the relationship between sound and meaning), basic letter formation and recognition skills
  • Practice reading different kinds of texts (books, magazines, advertisements, comics)
  • Multi-sensory, structured language instruction and practice using sight, sound and touch when introducing new ideas
  • Modifying classroom procedures to allow for extra time to complete assignments, help with note-taking, oral testing and other means of assessment
  • Using books-on-tape and assistive technology such as screen readers and voice-recognition computer software
  • Help with the emotional issues that arise from struggling to overcome academic difficulties

Reading and writing are fundamental skills for daily living; however, it is important to emphasize other aspects of learning and expression. Like all people, those with dyslexia enjoy activities that tap into their strengths and interests. As multidimensional thinkers, visual fields such as design, art, architecture, engineering and surgery, which do not emphasize language skills, may appeal to them.

Dyscalculia

Helping a student identify his or her strengths and weaknesses is the first step in moving ahead. Following identification, parents, teachers and other educators can work together to establish strategies that will aid the student in learning math more effectively. Help outside the classroom lets a student and tutor focus specifically on the difficulties that student is having, taking pressure off moving to new topics too quickly. Repeated reinforcement and specific practice of straightforward ideas can make understanding easier. Other strategies include:

  • Use graph paper for students who have difficulty organizing ideas on paper
  • Work on finding different ways to approach math facts; instead of just memorizing the multiplication tables, explain that since 8 x 2 = 16, if 16 is doubled, 8 x 4 must = 32
  • Practice estimating as a way to begin solving math problems
  • Introduce new skills, beginning with concrete examples and later moving to more abstract applications
  • For language difficulties, explain ideas and problems clearly, and encourage students to ask questions
  • Provide a place to work with few distractions, and have pencils, erasers and other tools on hand as needed
  • Help students become aware of their strengths and weaknesses; when a child understands how he or she learns best, he or she takes a big step toward achieving academic success and confidence

Dysgraphia

There are many ways to help a person with dysgraphia achieve success. Generally, strategies fall into three categories:

  1. Accommodations: Providing alternatives to written expression
  2. Modifications: Changing expectations or tasks to minimize or avoid the area of weakness
  3. Remediation: Providing instruction for improving handwriting and writing skills

Each type of strategy should be considered when planning instruction and support. A person with dysgraphia will benefit from help from both specialists and those who are closest to the person. Finding the most beneficial type of support is a process of trying different ideas and openly exchanging thoughts on what works best.

Below are some examples of how to teach individuals with dysgraphia to overcome some of their difficulties with written expression.

Early Writers

  • Use paper with raised lines for a sensory guide to staying within the lines
  • Try different pens and pencils to find one that's most comfortable
  • Practice writing letters and numbers in the air with expansive arm movements to improve motor memory of these important shapes. Also practice letters and numbers with smaller hand or finger motions
  • Encourage proper grip, posture and paper positioning for writing; it's important to reinforce this early on as it's difficult for students to unlearn bad habits later
  • Use multi-sensory techniques for learning letters, shapes and numbers; for example, speaking through motor sequences, such as b is "big stick down, circle away from my body"
  • Introduce a word processor on a computer early; however, do not eliminate handwriting for the child. While typing can make it easier to write by alleviating the frustration of forming letters, handwriting is a vital part of a person's ability to function in the world
  • Be patient and positive; encourage practice and praise effort; becoming a good writer takes time and practice

Young Students

  • Allow use of print or cursive, whichever is more comfortable
  • Use large graph paper for math calculations to keep columns and rows organized
  • Allow extra time for writing assignments
  • Begin writing assignments creatively with drawing or by speaking ideas into a tape recorder
  • Alternate focus of writing assignments; put the emphasis on some for neatness and spelling, others for grammar or organization of ideas
  • Explicitly teach different types of writing: expository and personal essays, short stories, poems
  • Do not judge timed assignments on neatness and spelling
  • Have students delay before proofreading their work; it's easier to see mistakes after a break
  • Help students create a checklist for editing work: spelling, neatness, grammar, syntax, clear progression of ideas
  • Encourage use of a spell-checker—speaking spell-checkers are available for handwritten work
  • Reduce the amount of copying; instead, focus on writing original answers and ideas
  • Have students complete tasks in small steps instead of all at once
  • Find alternative means of assessing knowledge, such as oral reports or visual projects
  • Encourage practice through low-stress opportunities for writing, such as letters, a diary, making household lists or keeping track of sports teams

Teenagers and Adults

  • Provide tape recorders to supplement note-taking and to prepare for writing assignments
  • Create a step-by-step plan that breaks writing assignments into small tasks (see below)
  • When organizing writing projects, create a list of key words that will be useful
  • Provide clear, constructive feedback on the quality of work, explaining both the strengths and weaknesses of the project and commenting on the structure as well as the information that is included
  • Use assistive technology such as voice-activated software if the mechanical aspects of writing remain a major hurdle

All age groups can use many of these tips; it is never too early or too late to reinforce the skills needed for proper writing

Though teachers and employers are required by law to make "reasonable accommodations" for individuals with learning disabilities, they may not be aware of how to help. Speak to them about dysgraphia, and explain the challenges you face as a result of your learning disability.

Although obtaining a diagnosis is important, even more so is creating a plan for getting the right help. Because learning disabilities can affect the child and family in so many ways, help may be needed on a variety of fronts.

Learning Disabilities and the Law

Public Law 105-17, the Individuals with Disabilities Education Act Amendments of 1997, is the federal special education law. IDEA was signed into law in June 1997, with final federal regulations published in March 1999. This law replaces all earlier versions of Public Law 94-142, the Education of All Handicapped Children Act of 1975.

In 2004, there was a reauthorization of the Individuals with Disabilities Education Improvement Act, where significant changes were made as to the identification of individuals with Learning Disabilities so that they can receive the needed educational services.

IDEA guarantees each child with a disability and need of special education services, the right to a free appropriate public education (FAPE) in the least restrictive environment (LRE) appropriate.

Learning Disability. Last reviewed 01/08/2010

Sources:

  • American Academy of Pediatrics
  • Diagnostic and Statistical Manual of Mental Disorders
  • Families and Advocates Partnership for Education
  • Learning Disabilities Association of America
  • National Center for Learning Disabilities
  • National Institute of Health - Eunice Kennedy Shriver National Institute of Child Health and Human Development
  • National Institute of Mental Health
  • National Institute of Neurological Disorders and Stroke
  • University of Maryland Medical Center; Learning Disabilities
  • University of Michigan Health System: Learning Disabilities: Your child
  • United States Department of Education; Jessup, Maryland: Office of Special Education and Rehabilitative Services