All posts by Therapro

Massachusetts District Determined Measures

District Determined Measures (DDMs) is a hot topic in Massachusetts’ school districts. DDMs are defined by the Massachusetts Department of Elementary and Secondary Education as:

“measures of student learning, growth, and achievement related to the Massachusetts Curriculum Frameworks, Massachusetts Vocational Technical Education Frameworks, or other relevant frameworks, that are comparable across grade or subject level district-wide. These measures may include, but shall not be limited to: portfolios, approved commercial assessments and district-developed pre and post unit and course assessments, and capstone projects.”

On September 10th, Jan Hollenbeck, OTD, OTR/L tackled the complex and evolving subject in her Saturday seminar entitled: Accepting the Challenge: Developing Meaningful District Determined Measures (DDMS). Jan is an authority on the subject as the Special Education Coordinator responsible for related services, assistive technology, 504, and secondary transition services for Medford Public Schools.

Dr. Hollenbeck shared her experiences with DDMs in an honest and clear way. She provided numerous references and guides to clarify the subject. Because DDMs are designed for teachers, applying them to therapists and other support school personnel is challenging. OTs and PTs are included in the Specialized Instructional Support Personnel (SISP). This group earns individual ratings in two areas: Summative Performance Rating and Student Impact Rating (what’s the therapist’s impact on student learning). We as therapists need to demonstrate that we have impact on student learning, but Jan raised the question of whether DDMs are the right way to do this.

Attendees were all occupational therapists or OT grad students. The seminar generated much discussion among attendees about how OTs fit the model of Massachusetts District Determined Measures and what is happening with DDMs in various school systems where the therapists practice. All enjoyed the opportunity to engage in a lively brainstorming session with colleagues. They were asked to identify their key roles and functions on the school team and designate what data is currently being collected. Quantitative data is required for DDMs. Further in this exercise, therapists generated possible DDMs, decided why they were meaningful, and whether they would be direct or indirect measures of student impact. One interesting idea was to do a survey to ascertain how helpful OT consultation is on a 5 point rating scale, tabulate the results, and use them to arrive at a performance rating.

Jan reminded us that developing DDMs is a “work in progress.” Stay tuned…

Take a look at some remarks from attendees:

“This is the first time I feel like I have a meaningful baseline understanding of the DDM process/expectations.” Anonymous, Occupational Therapist

“Jan presents in an organized & concise manner. She is effective in moving the audience through issues. Considerations presented in a positive manner.” Anonymous, Occupational Therapist

“Very informative – this is a very complicated subject and Jan helped to simplify some of the major points.” Beth M., Occupational Therapist

“I would recommend this seminar to a colleague to get a better understanding of DDMs and how it is still a ‘work in progress.’ Makes you feel less isolated!” Anonymous, Occupational Therapist

Thank you, Jan!
Filomena Connor, MS, OTR/L
September 10, 2016

Task Boxes: A Hands-On Approach to Life Skills

by Angela Mahoney

The importance of pre-vocational planning and opportunity is ever growing, yet when and where to begin can be so overwhelming for both educators and parents! Task boxes are a great way to introduce as well as develop a wide range of hands-on life and vocational activities for a range of diverse learners.

Task boxes are compartments that contain material for a certain activity. The activities are typically short and structured and they offer a nice blend of familiarity and challenge. Any activity that fits in the compartment may be used as part of the young adult’s curriculum both at school and home as well as in a therapy session such as OT, PT and Speech. Task boxes offer much more than organization for the young adult working on the activity:

  • Activities address various skills.
  • They encourage independence, as the young adult takes the task out of the box, completes it, and puts it away with minimal or no guidance.
  • They serve as excellent sequencing activities.
  • The boxes are visual, and the single-unit presentation is easy to understand.
  • They break down activities into small steps, which is an important aspect of applied behavioral analysis (ABA).

Task Boxes for Life SkillsTask Boxes for Life Skills

To create a task box you need to first gather a limited number of materials (10-20) related to the activity as well as a compartment with lid large enough to store materials.

Task_Boxes_for_Life_Skills_3

Next you will need to create a visual guide showing each step of the task in the compartment. This allows the young adult to visually see each step of the variety of task boxes and encourages independence when working.

Task_Boxes_for_Life_Skills_3

After the materials have been placed in the compartment, adhere the steps to the lid, number the box and add it to your task box area for future practice and success with a wide range of skills!

Below are some examples of task box ideas broken down by Module, adapted from the I Can Work! Program.

Clerical: Folding paper in thirds, Addressing envelopes, Filing by numbers or words

Task Boxes for Life SkillsTask Boxes for Life Skills

Retail: Folding t-shirts, Pairing and Sizing shoes, Buttoning Shirt

Task Boxes for Life SkillsTask Boxes for Life Skills

Food Service: Folding napkins, Setting a Table, Assembly of place settings

Task Boxes for Life SkillsTask Boxes for Life Skills

Grocery: Sorting hard and soft groceries, stocking shelves

Task Boxes for Life SkillsTask Boxes for Life Skills

By creating task boxes that apply to life, utilizing vocational materials, young adults are building a stronger foundation and confidence for future success!

A Sensory Approach to Supporting Teens with Emotional Regulation

 Karen Moore, OTR/L presented on  Sensory Approaches for Emotional Regulation

Karen Moore, OTR/L presented a superb seminar on Saturday entitled: A Sensory Perspective on Helping Adolescents and Young Adults Learn to Deal with Difficult Emotions. Working in the area of mental health has been Karen’s passion and career focus.  She is a highly respected and renowned therapist in her area of practice. In her seminar, Karen shared information from her most recent publication of The Sensory Connection Program called The Sensory Connection Program: Curriculum for Self-Regulation, which teaches self-regulation skills through the use of sensory strategies and social engagement. It was evident from her creative and heartfelt approach that her clients benefit greatly from her knowledge and experience. Today she focused on the emotionally charged years of middle and high school, when students benefit from learning fun and engaging strategies to help them deal with emotions. She described how to teach adolescents to recognize signs that they are having emotional difficulty, how to teach them to seek help, and how to help them learn to use effective self-regulation skills.

Karen’s discussion of the value of mastering self-regulation made good sense; when an individual is able to cope with emotions, he/she is able to “tune back in” to the self, which in turn results in being back in control and greater self-confidence.  She emphasized that without mastery of self-control, it would be difficult for an individual to explore new adventures including higher education, travel, or entering the job market. When applied to adolescents, whose pre-frontal cortex and cerebellum are still developing, the need for learning self-regulation strategies is crucial.

Sensory Connection Program- An example of an Approach used for Emotional Regulation

When Karen reviewed the evolution of the stress response, it was easy to see that the vagal level of “freezing” when confronted by a stressor is not a useful response because it results in being overwhelmed by fear.  In the next level in the hierarchy she explained how the sympathetic “fight or flight “ response is more effective than the “freeze” response, but has a long recovery time.  The optimal response to stress involves appraisal of the situation and communication, which promotes a calm state. She shared research evidence that shows that adolescents who have experienced trauma respond with more primitive responses, have difficulty with communicating verbally, and are more reliant on sensory responses than cognitive strategies for coping. Teaching adolescents self-regulation skills prevents them from resorting to the dangerous lower levels of the hierarchy when responding to stress.

Karen employed some of techniques for calming with her audience today, including several different ways of using deep breathing as a group activity, resulting in a feeling of socialization and engagement.  The pneumonic “Pause – Connect – Engage” helps adolescents to “short-circuit” fear by signaling them to stop and think what made him/her upset, make a social connection by reaching out to someone trusted, and then do something positive that helps, which may be tool-based or non tool-based, i.e. squeeze a ball, do deep breathing, exercise, use a fidget, etc. The group tried out several calming strategies, but one called “seaweed” which involved rooting the feet on the floor and swaying gently and slowly with body and arms, was simple and effective immediately.

Karen guided us in learning how to avert a crisis by helping adolescents gain self-control with the use of a variety of sensory strategies that can be personalized.  The strategies are highly effective for the teen population, but can be valuable tools for any individual who is in a state of emotional distress.

Here’s what attendees had to say about Karen’s seminar:

“As a pediatric OT at elementary school level, learning about sensory curriculum at adolescent level guides me in treatment.  Really enjoyed Karen’s stories/real examples to associate to curriculum.” Jen M., Occupational Therapist

“This topic is relatable to everything I do as a COTA. It ties emotions and sensory input. Every student I work with will benefit!” Beth M., COTA

“Very informative.  Wonderfully explained with explanations in brief & practical exercises to experience.”  Rajini K., Parent

“I would recommend this seminar to a colleague because of the scientific/physiological information, therapeutic activities, and hands on demonstrations.  Very knowledgeable speaker.  Excellent examples.” Joann W., Occupational Therapist

“Useful information for sensory techniques to calm/alert children effectively. New concept/less traditional routes for sensory strategies.” Megan Z., OT student

Thank you, Karen!

Filomena Connor, MS, OTR/L