Educators face unique challenges teaching children with Williams syndrome. The information presented here is a good starting point for understanding how to address these unique issues
Williams Syndrome Association Education Survey results
by: Nancy Grejtak
In 1996, the WSA conducted a survey regarding
education of children with Williams syndrome. The families of 1,258 elementary
and secondary school age children received a questionnaire which addressed
specific aspects of the educational experience; the same questionnaire
was included in the Spring, 1996 issue of Heart to Heart.
This project was conducted by the Education Committee.
It follows directly from a specific objective in the 1996 WSA Strategic
Plan to provide information on the educational materials, strategies, and
programs shown to be most effective for children with WS. Preliminary results
were presented at the 1996 WSA National Convention.
112 families responded, representing 9% of the school
age population in the Williams Syndrome Association. Approximately two-thirds
of the families who responded have children in elementary school: 48% are
9 years old or younger, primary grade age, 23% are 10-12 years old, the
typical age for upper elementary grades, 20% are 13-15 years old, junior
high school age, and 9% are 16 years old and older, representing the high
school age population.
Children with Williams syndrome typically are referred
for evaluation for special education services in pre-school. The process
of qualification involves the determination of the appropriate classification,
i.e. one of the 13 handicapping conditions determined by federal law to
warrant consideration for special education services.
By law, every child who qualifies for special education
services must be accommodated in what for that child is the least restrictive
educational environment (LRE). The setting must also be one whereby he/she
can receive the appropriate educational services and support. Typically,
this means a program that most closely resembles regular education. In
the 1980's, the least restrictive setting was a resource support pull-out
program where the child would be taken from the regular classroom for special
education instruction. In the 1990's, more and more states are adopting
inclusion (or full inclusion) as the standard for the least restrictive
setting. In an inclusion program, the child receives all instruction in
the regular classroom, typically from a team of collaborating teachers
representing both regular and special education.
There were 107 responses to the question regarding
current special education classification, including some respondents who
identified two categories. A common double classification was LD/OHI. The
specific breakdown of special education classifications from the survey
was: 31% LD (specific learning disability), 15% OHI (other health impaired),
30% EMH/TMR/MR/MMR (various levels of mental retardation), 8% MH (multi-handicapped),
16% in other categories, focusing on physical, emotional, behavioral or
language handicaps.
The responses to the question regarding current program
confirmed the trends seen in special education today: LRE in the form of
inclusion and/or resource support pull-out programs. 50% of the respondents
report that their child is in regular education today, 14 specifically
identifying their child's program as full inclusion. Most of these were
children in the 6-13 age range who were in an inclusionary program with
modifications and/or adaptations to their curriculum, and with the support
of either a full-time aide (15) or a part-time aide (26). The children
in regular education without an aide were mostly in secondary education
(high school) programs.
About 35% of the children represented were being
served through a resource support program, whereby they are in the regular
education class at least 50% of the day. About one third of these children
are in regular education 80-90% of the day.
Seventeen percent of the children are in a special
day class (SDC) setting all day long. 25% are in SDC for part of the day.
Most (18) of these students are 11-20 years old. Presumably they have been
in SDC since the 1980's and are now experiencing some form of inclusion
in various classes (e.g. science, social studies with modifications, typical
art, music, etc.).
Only 5 respondents were in private schools, and 5
were being home-schooled.
What Types Of Therapies Are Provided? [back to top]
The question was worded to address both the past
and present, Does/did your child receive the therapies that were listed.
The results overwhelmingly supported the belief held by the committee that
designated support services are necessary for our children. All the respondents
said their child does or has in the past received speech and language services,
87% receive or received occupational therapy and 71% receive or received
physical therapy. 15% receive or received counseling services. Others mentioned
were music therapy, adaptive PE, vision therapy, social skills or play
therapy.
What Are The Characteristics Of Successful Programs? [back to top]
We asked you to tell us about your child's most
successful academic year. We were interested in the relative importance
of the teacher, grouping of children, class size, teaching styles and specific
curriculum. The overwhelmingly most critical factor in the opinion of parents
(anecdotal information) is the teacher (79 mentions), followed closely
by teaching styles, then class size (small preferred), grouping of children
(12 of these focused on the need for appropriate regular education peers
as language and behavior role models. Nine (9) respondents mentioned the
aide as being the most important person in their child's formula for success.
On the opposite side of the equation, we asked about
your child's least successful programs. Not surprisingly, poor teachers
topped the list, followed by teaching styles, grouping of children, class
size, and specific curriculum. Grouping of children responses focused on
how our children can be adversely affected by the behavior of other children,
again making the case for appropriate role models.
The positive characteristics of teachers mentioned
are that he/she be flexible, provide options, be creative, communicate
well, be consistent, have a "you can do it" attitude, provide appropriate
discipline, and build self-esteem.
What Are The Child's Best And Worst Subject Areas? [back to top]
Our questions toyed with semantics: most successful
vs. least successful subject areas, and subject areas the child enjoys
most vs. the least Here is the breakdown, based on the results of the survey:
Reading - 52 mentions, music/band - 25, spelling - 14, science - 11, math
- 10 (all math lovers were in K through 2nd grade), foreign language -
8, miscellaneous others - 28 (writing got only 1 vote). Reading and music
cut across all age categories, implying that they had "staying power" throughout
the years.
As expected, the least successful programs mirrored
the most successful. The children represented have the most difficulty
with math (56), writing (23), reading (13), fine motor activities (9),
plus miscellaneous others (20).
In reviewing the data, it was in many ways a nice,
neat picture. Relatively speaking, the children do best in reading (and
secondarily in music), and worst in math and writing. None of the children
were succeeding in writing, and those who were succeeding in math were
very young. What was interesting was the 13 who said they were least successful
in reading, because they spanned the age range. Further investigation of
these respondents is warranted. It might reveal a reading disability not
associated with WS, which would reflect the preponderance of reading disabilities
in the general population.
Not surprisingly, our children like what they do
best in, and dislike the subject areas of most difficulty. Reading and
music tied as best liked, followed by science. Math was the most disliked
subject, followed by writing. Reading was a distant, but significant third.
It appears that many of our children are good at reading and enjoy it,
but many struggle, and therefore don't enjoy reading.
Bottom-line, if the subject is hard, the child doesn't
like it. The obvious next step in the investigation was to look at what
curriculums, strategies, approaches and materials work for our kids. If
we can find programs that improve their ability to learn, then we can make
sure they are working at or near full potential.
What Were The Most Successful Reading Programs? [back to top]
The question in the survey regarding reading programs
referenced phonics and whole language as examples of generic programs.
There were 53 respondents who specifically mentioned phonics as a successful
approach, 9 mentioned whole language, and 15 stated that a combination
of the two had been successful for their child.
The specific programs or curriculums identified were:
SRA's Reading Mastery (previously known as DISTAR) and SRA's Corrective
Reading (11), Edmark (6), other multi-sensory programs (7 - Orton-Gillingham,
Slingerland, Rescue Reading, Project Read), and the Lindamood-Bell program
ADD (for developing phonics skills). Reading Mastery is a phonics based
program which also directly teaches sight words; Edmark is a sight word
reading program exclusively. Lindamood-Bell also offers a comprehension
program called Visualizing & Verbalizing (V/V) that several parents
are considering. If effective, it would draw on the child's verbal strengths
to assist them in forming visual mental images which would aid them in
reading comprehension.
What Were The Most Successful Math Programs? [back to top]
Despite math being the least liked and worst subject
for our children, several approaches emerged. First and foremost was the
program Touch Math, mentioned 22 times. This was followed by the generic
category of manipulatives, then calculators, then Hands On Math curriculum.
What Other Types Of Programs Were Recommended? [back to top]
Word processors were mentioned repeatedly as the
older child's option to overcome their difficulty with handwriting. Keyboarding
was therefore a common part of the curriculum for the younger children.
Two handwriting programs were mentioned: Handwriting Without Tears, and
Zaner & Bloser Handwriting. McCracken Spelling, SRA's Spelling Mastery
and Steck Vaughn Spelling programs were recommended by several parents.
Many different computer programs for reading, math
and writing were mentioned (note that the Edmark software is a complete
language arts curriculum for schools). The most popular appear to be Reader
Rabbit, Kid's Phonics (Davidson), Mickey's ABC's, Millie's Math House (Edmark),
Sticky Bear Math, Math Rabbit, Math Munchers, Fraction Munchers, Math Maze,
Math Blaster, Spell it 3 (Davidson), Edmark's Spelling, Story Weaver, Dino
Soft Word Builder, Write Out Loud, Student Writing Center, Sticky Bear
Typing, Talking Fingers, Mavis Beacon, and Type to Learn (Starburst).
What Program Modifications And Grading Adaptations Were Recommended? [back to top]
Since most/many of the children whose parents responded
are in regular education at least part of the time, the issue of program
modifications and grading adaptations was relevant. The following program
modifications for WS children are common: adapting program, materials,
homework, and tests to the student's ability level, giving more time to
complete tasks, use of computer for writing assignments, oral tests with
an auditory rather than visual focus in general, addressing obvious weaknesses
with pencil grips, raised line paper, peer helpers to copy from the board
for them, etc. Grading adaptations included grading based on IEP short
term objective performance, grading according to ability level and the
goal of achieving potential, no grades at all, specific skill mastery checklists.
The data painted a picture of a changing population
and changing programs for children with Williams syndrome. It appears from
this survey that our children are increasingly being served in a more inclusive
(regular education) setting. Ancillary services, especially speech and
language, occupational therapy, and to a lesser extent, physical therapy,
continue to be an important element in the children's programs. The teacher
is the critical element to their success, although appropriate role models
are also important.
In this study we found that reading and music are
the children's best and favorite subjects, while math and writing are the
critical academic stumbling blocks. In reading, specific multi-sensory
programs which utilize a phonetic approach have been successful. Generally
speaking, programs which are sequential, mastery oriented, and therefore
directly teach skills have been successful, whether their orientation is
sight reading or phonics. Whole language, which is not a direct instruction
methodology, has therefore not been as successful with our children.
Math programs which are experiential, sequential,
and which accommodate the typically weak visual and spatial modalities
have been relatively successful with our children. Accommodations and grading
adaptations have been necessary in order for our children to succeed in
the regular education environment.
The Education Committee plans to follow-up on this
effort, with a telephone survey in 1997. Specifically we hope to determine
if there are any definite or unique links between the cognitive profile
and the academic experiences of children with Williams syndrome. In this
study we hope to continue to unravel the mysteries of how our children
learn, in order to ensure that they can achieve their potential and become
productive members of their respective communities.
Adaptations and curriculum modifications [back to top]
By Nancy Grejtak
Several of the parents who responded to the survey
included lists of the modifications which have been included in their child's
IEP's. Some or all might be appropriate for your child, depending upon
his/her unique needs. They certainly should be considered if the child
is in an inclusion setting in a regular education classroom for most of
the day.
- Utilize a slant board for all material to be read, written, or drawn.
- Utilize small group instruction when possible.
- Utilize hands-on activities.
- Utilize cooperative learning when possible.
- Enlarge worksheets (144%).
- Send home vocabulary and a copy of the story for regular 3rd grade reading group in advance.
- Utilize pencil grip recommended by O.T.
- Provide an individual instruction area within the regular 3rd grade classroom, preferably with a partition to limit distractions and increase time spent on task.
- Provide individual reading instruction daily within the regular 3rd grade classroom, utilizing a phonics approach as well as writing stories/books to reinforce reading skills (in other words ..... if it is a whole language program, add phonics).
- Provide individual spelling instruction within the regular 3rd grade classroom, on 1st and 2nd grade word lists as well as words from his sight word vocabulary.
- Provide individual math instruction daily during half of the regular math class, with the remaining half to participate with regular peers.
- Utilize a large button calculator for math computations.
- Utilize computer with keyboard and mouse to teach and reinforce math and reading skills.
- Use color coded Fun Touch keyboard and mouse (has orange stickers for left hand keys, green stickers for right hand keys.
- Do pre-writing warm-up exercises (consult with O.T.).
- Testing should be done individually and orally.
- Shadowing is used to promote independent travel throughout the school building. Bathroom use is monitored from the hallway.
- Use stickers or longer post-it strips to select correct answer from multiple choices.
- Reduce the number of problems on study sheets when necessary.
- Send home spelling words on Friday instead of Monday.
- Use calculator, number line, manipulatives for computation during class math lesson.
- Provide oral assistance in making sure directions are understood. Work an example if necessary.
- Provide help and guidance on organizational skills (notebooks, lockers, papers, daily homework assignments, etc.).
- Send home daily assignment sheet for ALL subject areas and check for completeness. Send home daily work/papers.
- Allow an extra set of books to be kept at home.
- Give preferential seating near the blackboard and/or the teacher.
- Allow the student to print on tests and assignments, and allow unfinished assignments to be completed at home.
- Provide extra help in classes and study hall as needed.
- Reduce amounts of textbook copying. Xerox and enlarge math pages or have teacher copy a reduced number of problems.
- Allow student to Xerox teacher outlines or another student's class notes.
- Allow the use of a calculator to facilitate lengthy math problems.
- Send home notification of upcoming tests at least two to three days in advance to allow time for prior study at home.
- Keep parents informed of key areas/concepts that the student should focus on for testing.
- Allow all tests (including CBE, proficiency, achievement and ability tests) to be given orally.
- Use black on white for all tests and all graded papers (no mimeographs).
- Allow short answers or multiple choice to reduce written work.
- Allow the opportunity to retake failed quizzes/tests.
- Follow traditional vertical math format and allow the use of a calculator; reduce problems and/or allow extra time on math tests.