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Lecture on Mental Retardation

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Lecture on Mental Retardation

Development

Lecture Objectives

1. Parents will understand the developmental process of mental retardation. 2. Parents will be exposed to different intervention techniques for their child. 3. Open forum for questions at the end of lecture will help in the learning process.

Child

Darrin is a 16 year old 11th grader diagnosed with moderate mental retardation. He gets himself up for school each morning and dresses himself in the appropriate uniform required for school. Darrin has to make sure that his mother is aware that he must catch the bus by 630 am in order to make it to school on time. His mother is fully aware that this is the case but Darrin feels the need to remind her. Darrin is transported by a yellow bus that is also occupied by special needs students. The route is direct and strict rules are adhered to by the driver. There are no extra passengers or stops allowed on this route. The driver is not allowed to leave a student without proper notification. At school, Darrin is required to go to the school nurse for his daily medication. He is not responsible enough to carry this or dispense it himself. Darrin is border line schizophrenic in addition to his mental retardation diagnosis. He enters the school grounds and feels immediately at home. He smiles constantly and hugs the staff genuinely. His social boundaries are not too good but his teachers are working with him on this. His IEP states that Darrin is included in two regular education classes daily in hopes to help him with these social graces. He is not expected to perform academically but is expected to behave and interact appropriately. Darrin occasionally is sent out due to his feelings being hurt. If he cries the other students make fun of him. The rest of the day he is in Ms. Wilson’s special education class. Here he is given full attention and learns basic academics and social skills. There is often conflict in this room and mediation and resolution is always a priority. Darrin is learning how to handle himself in the outside world and feeling more independent as he grows. Darrin has a job after school working at McDonalds. He loves this feeling of responsibility and is overjoyed at the thought of getting paid to make French fries! The manager is very pleased with Darrin because he takes directions well and completes the tasks in a timely manner. The only issue in the workplace is often times with other employees. Darrin will often say inappropriate words which cause other workers to become defensive. Darrin’s parents have gone through a multitude of obstacles and feelings since his diagnosis. They were not prepared for handling a mentally retarded child and considered institutionalizing him at first. Support was given to the family through many different avenues and knowledge and understanding replaced anxiety and fear. They now have a very tight knit family that is surrounded with love and unity. The other siblings have embraced Darrin and see him as being no different than they are.

Many of you can relate to Darrin’s story. Some of you are in the beginning stages of the journey and still remain confused and discouraged. This lecture is geared towards helping you understand how your child will develop and the interventions that are available to you.

In the previous lecture we discussed diagnostic techniques, causes and the history of mental retardation. We now have that base knowledge to step off of when we discuss the following adaptive skills.

As I read through this list of developmental skills think of where your child is in relation to other children their age.

How well is your child….

1. Dressing 2. Eating 3. Personal hygiene 4. Using the restroom 5. Moving around

Discuss

How well is your child…

1. Hearing 2. Smelling 3. Seeing 4. Tasting 5. Touching 6. Coordinating movements

Discuss

How well does your child…

1. Shop 2. Handle money

Discuss

How well does your child…

1. Communicate with others 2. Understand and comprehend what is said to him 3. give non-verbal communication 4. write his feeling

Discuss

How well does your child…

1. Conform to cultural norms 2. Engage in leisure activities 3. Trust others 4. Take responsibility for his own actions 5. Perform routine tasks 6. Interrupt others 7. Focus on activities 8. Tell time 9. Motivate himself 10. Get along with others

Discuss

As you begin to focus on the level of adaptability of your child understand that there are five levels that will help you determine the level of your child’s ability.

Cooperation: Is your child compliant and easy to be around? Assertion: Is your child proactive when he needs something? Self-Control: Does your child exhibit self restraint; compromise? Empathy: Does your child feel for others and console others? Responsible: Does your child take care of what is his?

Then consider his age and how he compares to others in that age category. His intelligence can be assessed based on skill performance.
If your child is displaying strong behavioral, psychological and abusive behaviors then it can be possible that they will have a dual behavioral diagnosis along with the mental retardation.
If your child has physical limitations, they must be identified and addressed.
The environment that your child is in needs to be full of support, love, guidance and attentiveness. If your child is not receiving these things you may want to consider other options.

How intervention is there for you!

Intermittent support is given on an as needed basis.

Limited support will be given during short term transitional times.

Extensive support will be given throughout their lifetime to assist in all types of daily activities.

Pervasive support will be offered, if needed, to those that will not be able to function on their own. They need continuous assistance.

Once your child enters school the process of intervention will become more extensive. Psychologist, teachers, case coordinators and family will all assist in the development of the education plan for your child. Goals will be put in place for your child that will meet him where he is.

The special education classroom: Will be the main home for your child in school. This is where they will get most of their support and academic learning. They will have a specialized curriculum based on the specific disability. Everyday living skills will also be addressed and behavior will be maintained appropriately.

School to Work programs will be offered during their high school years to assist in finding jobs and fine tuning skills required for these jobs. The school will provide coaches and case managers to help with the success into the working world.

The regular education environment will be a venue in which they can test new waters and interact with their peers. They will be assigned an assistant aide to help them with the set curriculum.

Adult living will be offered to those individuals who cannot live on their own. They are of limited intelligence and cannot hold down a job or live independently. They will enter into a life skills program that will ensure that these adults are given proper instruction and guidance with the essentials to living. Transportation will be provided for them or they will be taught how to use public transportation if needed.

Support services will be provided free of cost to those of low-income status. The support person will be there to continually help the family understand the system that is in place to help them with their mentally retarded child. Assistance will be given to the family whenever the needs arise and the support person will be there advocate.

In conclusion, it takes a bunch of soldiers to build an army. We need to come together and support one another through these difficult days. Knowledge and understanding breaks down so many of life’s barriers. As a parent, make it your goal to be your child’s biggest supporter. Utilize the programs that are in place and the funding that has been put aside for your assistance. It is not wrong to feel the need for help and support. You cannot do it alone. Get to know your child and love them for all that they are. They truly are the children of God and will in turn teach us what is important in life. There are few things that are more refreshing than spending time with the innocence to the special child.

Darrin is a success story. He has flourished in the system that was set up for him. His parents took the responsibility on themselves to reach out. If Darrin’s parents chose to hide and feel left behind and bitter about their son’s diagnosis, Darrin wouldn’t be where he is today. With early intervention and family support your child’s limitations will be just that….limited.

Thank you for your attention to this important, heart felt message.
Questions from the audience will be greatly appreciated…

1. What can I do if my child is too young for a certain diagnosis but is presenting some difficulties with certain milestones? 2. What is the process for getting financial assistance to tap into these specific programs. 3. How do I go about getting a service provider for my child? 4. What can I expect when my child enters into pre-school. 5. How soon will I begin to see behavioral problems in my child? 6. I am not getting the support that you say is out there…what should I do. 7. My child’s IEP is not working for him. What are my options? 8. I am wanting to get my child into Special Olympics…how do I do this? 9. How do I know whether my child is MR or just slow or maybe autistic? 10. The school district that we live in does not provide any extracurricular activities for my son…what can I do about this?

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