1. Chapter 14 Facilitating Self-Care, Adaptive, and Independence Skills

2. Definitions
Functional skills—skills that, if a child cannot perform, someone does for them.
Adaptive behaviors are determined by culture, but include eating, dressing, toileting.
Self-determination—people with disabilities are taking an active role in making choices about their own life.

3. Self-Care Skills and the Curriculum
Self-care skills are taught so that the children can be as independent as possible with or without their disability.
Culture impacts the age that these skills are taught.
They should be taught throughout the day when they are naturally occurring.

4. Self-Care Skills and the Curriculum (continued)
Assessment
What exactly is each child capable of.
Checklists, developmental profiles, and professional judgment.
Child’s typical functioning in familiar environments.

5. Self-Care Skills and the Curriculum (continued)
Embedding self-care learning
Self-care skills should be taught to generalize skills.
Self-care skills like eating can combine eating and pre-academic skills like color words, vocabulary, and number.
Communication can take place encouraging a child to share information during the teaching of self-care skills.

6. Self-Care Skills and the Curriculum (continued)
Individualizing self-care programs
Building independence—allow children to demonstrate their independence in skills and practice, practice, practice.
Building in success—celebrate the success of doing a skill on their own, rejoice in the accomplishment.

7. When and How to Teach Self-Care Skills
Let the child do it
As much as the children are able to do, let them do.
Encourage them to try, and reward the success.
How much assistance?
Teachers need to evaluate each child and learn when to help, how to help, and how much to help.

8. When and How to Teach Self-Care Skills (continued)
When to help
Least intrusive assistance
Offer help in unnoticeable ways so that the child feels success.
Excessive demands for assistance
Watch for children who are seeking attention by demanding adult help.

9. When and How to Teach Self-Care Skills (continued)
Visual cues and supports
Can increase independence.
When children can’t
If a child is having an “off” day, offer support and encouragement; if needed, a little assistance as well.

10. When and How to Teach Self-Care Skills (continued)
Game-like assistance
Making learning fun is a way to keep a child involved and interested.
It is also more fun to play a game than complete rote practice activities.

11. A Systematic Approach to Teaching Self-Care
Specify a goal for learning
Achievable and based on what is developmentally appropriate.
Break the skill into small steps
Task analysis; teach in small steps.
Using a systematic teaching approach
Shaping, prompting, fading and cueing
Forward or backward chaining

12. A Systematic Approach to Teaching Self-Care (continued)
Using data to evaluate progress
Monitor behaviors and track effectiveness.
Modify the teaching as needed
Review data and examine if teaching strategies are working.

13. Snack Time: An Opportunity to Teach so Many Skills
Self-feeding practice.
Social and communication skills.
Figure 14.4 for skills and strategies.

14. Maturation and Learning: Toilet Training as an Example
Can be task analyzed and taught in steps to children.
Toilet-training programs
Commercial programs designed for children with disabilities.
Special considerations
Teach skills from behind child so they do not have to reverse the behavior.
Put children in suitable clothing.

15. It is suggested that buttoning, zipping, and lacing boards may not be appropriate for a young child to learn those skills. Why?

16. Self-Care Skills and the Teacher
Special considerations
When demonstrating a skill, do so from the child’s perspective.
When zipping, stand behind the child.
When learning to tie, put the shoe in front of them the way their shoe looks on their foot.
When learning to dress, try to avoid pretty shaped buttons, tight fitting clothing, and tags in funny places.
Use clothes with elastic waists and items that are a little large.