Educating Pupils with Intellectual Disabilities in England: Thirty years on

In April 1971, responsibility for the education of all children with intellectual disabilities in England and Wales passed from health to education authorities at national and local level. From that date, no child could be declared to be "ineducable," regardless of the nature or severity of their disability or whether they were living with their families or in residential institutions. The former Junior Training Centres were redesignated as special schools and were administered by the same Local Education Authorities who were responsible for all other publicly funded schools in the community. This paper highlights major developments in the education of children with intellectual disabilities in the light of an early review of progress and problems and subsequent reforms to the education system as a whole. Key issues include access to the National Curriculum, prospects for the education of children with intellectual disabilities in mainstream schools, and the implications of these developments for the professional development of all teachers.     

Sources of stress for Greek students with intellectual disabilities attending mainstream schools

Students with intellectual disabilities often experience school‐related stress. As a result, they are confronted with many difficulties in their daily school life. The goal of this study was to assess situations of school life that students attending Greek mainstream settings are likely to experience as stressful. Twenty students with mild intellectual disabilities were interviewed about their feelings and thoughts regarding possible stressful situations in school. Qualitative analysis of the interviews' data was conducted. As a result, five main sources of school‐related stress were mentioned: school achievement and classroom participation; peer interactions; student behaviour and risk of injury; parents' expectations; and teacher acceptance. The findings suggest that children with intellectual disabilities experience school‐related stress mainly to a normal degree. Concerning the stress factors that emerged as crucial, a basic conclusion can be drawn: mainstream schools should be changed into inclusive communities where student differences are fully respected, and wherein all children, with and without disabilities, are supported according to their individual abilities, potentials and needs.     

Demonstration of Classroom Survival Skills in Kindergarten: A five-year transition study of children with intellectual disabilities

Thirty-three children with a range of intellectual disabilities who participated in a transition program embedded within a model inclusive preschool program were enrolled in mainstream kindergarten classes from 1995 to 1999. In the second of four kindergarten terms the classroom survival skills, on-task behaviour across a range of activities and following teacher directions, were measured by observing the children with intellectual disabilities and a typical peer, nominated by each classroom teacher. While the teacher-nominated peers outperformed the students with intellectual disabilities in total time-on-task, the level achieved by the children with intellectual disabilities was still at the lower end of what is regarded as average. There was no statistical difference between the two groups in on-task behaviour during independent activities but the difference between the groups during whole class instruction was highly significant. This may have implications for the selection of strategies for preparing children for transition and the adaptation of teaching practices. On-task behaviour did not vary a great deal across level of intellectual disability but gender may have been a contributing factor. There appeared to be a greater difference between students with and without disabilities in responding to teacher directions. The results of the present study suggest that successful demonstration of these critical skills requires more appropriate teacher preparation and intervention at the kindergarten level.     

Teaching handwriting skills to children with intellectual disabilities using an adapted handwriting programme

Children with intellectual disabilities often struggle with handwriting, but there is very little research to inform intervention approaches. In this study, we developed a teaching manual based on Handwriting Without Tears®, a comprehensive handwriting programme designed for typically developing children. Three children with intellectual disabilities participated in the study and received handwriting instruction based on the manual three times a week over a 32‐week period. Our aims were to explore whether Handwriting Without Tears® can be used as a comprehensive handwriting curriculum for children with intellectual disabilities and to evaluate improvement in handwriting skills. We found that the intervention was successfully incorporated into small group teaching sessions within the child's regular classroom, and that all three children made improvements. Our data show promising results and support the need for larger evaluation studies.     

Jordanian parents’ beliefs about the causes of disability and the progress of their children with disabilities: insights on mainstream schools and segregated centres

This study aims to identify the beliefs of Jordanian parents of children with disabilities (CWD), including intellectual disabilities, specific learning disorders and Autism Spectrum Disorder: both in terms of the causes of these disabilities, and the ability of their children to make progress. A qualitative interpretive methodology was employed. Interviews were used to collect data from 63 parents of CWD. Two major themes emerged concerning beliefs about the causes of disability and children’s progress. Results showed generally that disabilities were attributed to supernatural and biomedical causes; also, most parents had positive expectations about their children’s progress, especially in education skills, and had hopes for their children’s futures. Conclusions and implications are presented in the light of the study findings.     

Parental Influence on Physical Activity of Children with Disabilities

The purpose of this study was to identify parental influences on physical activity behaviours of children with disabilities. One hundred and forty-eight parents of children with disabilities responded to a survey about factors related to parent and child physical activity, parental support and belief in their child’s abilities regarding physical activity. The results of multiple regression revealed that parents’ perceived competence of their child’s physical ability and parental support were the key factors of promoting physical activity behaviours of children with disabilities. Findings from this study should be utilised to inform parents on the ways that they can be most helpful for improving the physical activity experiences of their children.     

Community Child Care Inclusion: the development of two children

The development of two children with severe disabilities who were fully included in a community child care centre that implemented a developmentally appropriate play‐based curriculum is chronicled in this paper. The children's development was monitored over the course of a 9‐month school year using the traditional measure of a standardised assessment instrument, as well as monthly observations of the children in various play activities. The data are presented in a case study format and provide evidence that the children in this study made progress in all areas of development. The findings are important in that they show the children with severe disabilities progressed without intensive intervention, indicating that a play‐based curriculum utilising developmentally appropriate practice may provide an effective structure for the instruction of young children with disabilities.     

Patterns of Home‐ and Classroom‐based Toy Play of Preschoolers With and Without Intellectual Disabilities

Children with and without intellectual disabilities were observed playing with toys during both home‐based independent play and classroom‐based freeplay situations. Categorical and sequential play was analysed for within‐ and between‐group patterns. Within‐group patterns during classroom freeplay were similar for both groups. There were no significant differences among home‐based categorical play variables for children with intellectual disabilities; however, children without intellectual disabilities engaged in significantly more constructive play than other home‐based categorical play types. Between‐group analyses of home–classroom difference scores revealed greater variability in play for children with intellectual disabilities than children without intellectual disabilities. The analyses presented complement and extend extant work on contextually‐based variation of children’s toy play supporting a more positive ability profile for children with intellectual disabilities than that engendered by classroom‐based observations. Results have implications for (a) perceptions of and attitudes toward children with intellectual disabilities held by stakeholders, and (b) how intervention targets are determined.     

Student Teachers' Attitudes Towards the Inclusion of Children with Special Needs

Previous research has suggested that teachers' attitudes are crucial to the success of inclusion programs for children with special needs. In the present study, the impact of special needs category (intellectual disabilities versus emotional and behavioural problems) and student teachers' training (being trained to work with either younger or older children) on their attitudes towards inclusion were explored. Ninety three student teachers completed a new measure of attitudes towards inclusion: the Impact of Inclusion Questionnaire (IIQ). Results showed that student teachers were more negative about the impact of children with emotional and behavioural problems on other children, teachers, and the school environment than they were about children with intellectual disabilities. There was little support for the effects of training background or student teachers' previous experience of special needs on their attitudes. Implications for inclusion programs and future research are briefly discussed.     

An examination of teacher–student interactions in inclusive classrooms: teacher interviews and classroom observations

Teacher–student interactions in 17 inclusive classrooms were examined using a mixed‐methods approach that involved quantitative analysis of interactions recorded during classroom observations and follow‐up interviews with seven general educators. Observational findings suggest that classrooms were organised along traditional lines with the vast majority of interactions provided by general educators to the whole class, followed by brief intervals of 1 : 1 interactions directed towards individual students, most frequently children with disabilities. Interview findings suggest that teachers were aware of the greater individual attention devoted to students with disabilities and described a number of ways that they adapt their instruction that are consistent with the research on effective teaching. In addition, participants struggled with the dilemma of balancing their attention between students whom they perceived as needing it most and ensuring that the class as a whole made adequate progress. The analysis of both observational and interview data indicates that paraprofessionals were responsible for a large portion of instruction and curricular decision making for children with severe disabilities in these classrooms.     

Ethical Reasoning Used by Teachers of Children with Severe and Profound Intellectual Disabilities: A preliminary investigation

In a study of the ethical reasoning of teachers of children with severe and profound intellectual disabilities, the authors report on their findings from interviews with, and classroom observations of, five teachers of children in segregated classrooms. The teachers' responses to four ethical dilemmas were discussed and analysed for the types of reasoning that they used and for the presence of four principles often cited in normative ethics: justice, respect for autonomy, beneficence, and non-maleficence. Interview data also suggested the presence of some distinctive elements in the ethical discussion of the participants. The authors found that teachers gave almost exclusive consideration to individual student interests in their discussions of the dilemmas. Although justice played a significant role in their validation of their decisions, the governing principle in their argument seemed to be beneficence. Moral impasses have frequently arisen in discussions of the ethics of decisions regarding persons with severe and profound intellectual disabilities. The findings of this study are presented as an empirical contribution to that debate and as a mandate for further discussion.     

Best Practices for Interviewing Children with Intellectual Disabilities in Maltreatment Cases

Globally, children with intellectual disabilities are at an increased risk of being victims of maltreatment compared to those without disabilities. Among the children who do disclose the abuse, limitations with communication and working memory can result in their allegation being perceived as not credible. There are several evidence-based interviewing methods available to interviewers for improving the accuracy and amount of detail in children’s testimonies, such as free-recall and cognitive load questioning. In general, these interviewing methods have been developed and tested with typically developing populations, and do not take into consideration the needs of children with intellectual disabilities. Further, there is very little empirical work to guide forensic interviews with intellectually disabled populations, despite there being a great need for such strategies. To address this notable gap in the literature, the current article reviews the contemporary literature on forensic interviewing to identify the best methods for questioning children with intellectual disabilities in maltreatment cases. Adaptations to the commonly used forensic interviewing techniques, including verbal, nonverbal, and repeated questioning strategies, are proposed that address the unique developmental, social, and emotional needs of this population. Furthermore, a series of recommendations are provided to enhance the limited forensic interviewing research with this population.     

‘Am I safe here and do you like me?’ Understanding complex trauma and attachment disruption in the classroom

Elementary and special education teachers and school counsellors currently provide support to children presenting learning disabilities and behavioural problems symptomatic of the more hidden diagnosis of complex trauma resulting from abuse or severe attachment disruption. Specific disorders such as attention deficit/hyperactivity disorder (AD/HD) may be diagnosed in such children, but not the aetiology of complex trauma, resulting in missing information in the development of remedial and behavioural interventions. The evolving field of trauma counselling provides important information to special education teachers and school counsellors who work with children who have experienced trauma. In this review article authors Linda O'Neill of the University of Northern British Columbia (UNBC), Francis Guenette who is a doctoral student at the University of Victoria and Andrew Kitchenham of the University of Northern British Columbia summarise attachment, neurobiological, and complex trauma research that can be used in school settings to understand better the needs of these children. They conclude by suggesting that teachers and school counsellors would benefit from training on the consequences of childhood trauma and attachment disruption to develop interventions that will be effective and to identify what types of behaviours children can control and those they cannot.     

The effect of choice on motivation for young children on the autism spectrum during discrete trial teaching

Self‐determination and decision‐making are acknowledged internationally as key rights of persons with disabilities and should play an important role in the development of educational plans and procedures. Not only is the chance for individuals with developmental disabilities to select their own tasks, leisure activities or reinforcers a valuable way of enhancing rights‐based education and personal dignity, but choice‐making opportunities may also function as a useful clinical or educational tool if they actually improve the efficacy of programmes aimed at the acquisition of socially relevant behaviours and life skills or the reduction of challenging behaviours. The study reported here assessed whether or not choice affected effectiveness of an educational procedure for three children on the autism spectrum. Following a preference assessment, a number of discrete teaching trials were conducted with each child and, contingent upon targeted responses, either the child or the therapist selected one of three preferred reinforcer items. Reinforcer choice did not affect intervention effectiveness for two of the children; however, performance and motivation improved for the third child. Results re‐affirmed the importance of thorough preference assessments prior to intervention and showed that additional stimulus choice contingent on the target response may improve motivation and outcomes for some children.     

The Measurement of Stress in People with an Intellectual Disability: A Pilot Study

This research investigates the feasibility of assessing the self‐perceived stress levels of people with mild intellectual disabilities by self‐report. People with intellectual disabilities generally find it difficult to complete commonly used self‐report checklists when they are administered in the prescribed manner because of unfamiliarity with both the language and the paper and pencil format. A measure of daily stressors was therefore adapted to a standardized interview format and administered to 28 people with mild intellectual disabilities on five consecutive days. The interview format using standardized questions enabled all participants to complete the questionnaire. The use of follow‐up clarifying prompts by the interviewers ensured that the participants understood the questions and gave responses that they could support with explanations or examples. The data appeared to have reasonable levels of internal consistency. On average, each person experienced seven stressful events per day which they generally rated somewhere between ‘not so good’ and ‘bad’. The daily events found to be most stressful involved difficulties in interpersonal relationships. The evidence, however, suggests that many of the events that people with mild intellectual disability find stressful may not be covered in standard instruments such as that used in the present study. Future research should continue to develop a more sensitive, standardized measure based on events that people with disabilities report as stressful in their lives.     

Promoting Prosocial Behaviours Among Preschool Children With and Without Disabilities

A multiple probe across subjects design was used to evaluate the effectiveness of an intervention program on promoting prosocial behaviours among preschool children with and without disabilities. The intervention was carried out with three integrated groups of children, each comprised of one child with a disability and two peers without disabilities, created from three mainstreamed preschool classrooms. The intervention was successful in promoting increases in positive social interactions among the children with disabilities and their peers without disabilities. For two of the three groups the children with disabilities engaged in an equal or greater percentage of positive social initiations than their peers without disabilities. Increases in positive social responses to positive social initiations were similar for children with and without disabilities. Intervention phase behavioural changes generalised to both immediate group conditions, but did not generalise to deferred classroom conditions. Variability of response to intervention across groups highlights the need to develop and implement interventions on an individualised basis. The results indicate that further research is needed regarding the promotion of deferred generalisation effects as well as understanding the effects that trainer presence may have on the generalisation of the targeted social behaviours. There is also a need for the investigation of the potential for gender‐related effects including differential activity levels, ability for sustained attention, and group composition.     

A meta-analytic review of interventions to improve children’s attitudes toward their peers with intellectual disabilities

Children’s biases toward their peers with intellectual disabilities tend to have negative developmental and social consequences for those with intellectual disabilities. As a result, researchers developed intervention programs to reduce biases toward children with intellectual disabilities. This meta-analysis is a quantitative summary of 59 studies and 144 hypothesis tests involving intervention programs to change children’s attitudes toward their peers with intellectual disabilities. Results revealed an overall significant effect (d = 0.44): following intervention programs, children’s attitudes toward their peers with intellectual disabilities increased. Moderators indicate that the most effective interventions were those that occurred over multiple sessions, involved active engagement in multiple strategies and social interactions, emphasized equal status contact that was unstructured or indirect, and had little adult guidance. Interventions had no effect on changing children’s perceptions of competence and participants in junior high had more negative attitudes following the interventions. Findings provide guidance for researchers, educators, and counselors who seek methodologies to reduce biases toward children with intellectual disabilities.     

Children with Intellectual Disabilities and Special School Education in Ghana

Even though Ghana has embraced international calls for mainstream education, many children with intellectual disabilities still receive education in segregated special schools. This article discusses the views of seven informants on the importance of special schools in Ghana. After securing the consent of our informants, we conducted in-depth qualitative interviews, transcribed and subjected the data to thematic analysis. The following views on the education of children with intellectual disabilities in special schools emerged; availability of dedicated teachers, variations in learning activities, playing the preparatory role, inclusion on their premises, discrimination and cultural stereotypes. The findings indicate that special schools still play important roles in the education of children with intellectual disabilities in Ghana.     

Self-Esteem of Greek Mothers of Children with Intellectual Disabilities

The present study assessed the impact that children with intellectual disabilities have on their mothers' self-esteem. It also examined the differences in self-esteem between mothers of children with intellectual disabilities and mothers of non-disabled children. The study sample consisted of 50 mothers of children with intellectual disabilities living in Central Greece and a comparison group of 50 mothers of non-disabled children. Two instruments were used for the data collection: (a) a questionnaire for biographic information and (b) an adaptation of the Culture-Free Self-Esteem Inventory. Results indicated significantly lower self-esteem for the mothers of children with intellectual disabilities. Moreover, the best predictor of maternal self-esteem in the disabled group was the size of the family.