Direct Service
CATEGORY | LOW NEEDS - 1 | AVERAGE NEEDS - 3 | HIGH NEEDS - 5 | SCORE |
VISION |
- No "severe vision loss" noted on eye report, but ability to attend to visual stimuli is questionable
- Uses vision very well in a variety of settings
- Very sure of functional vision
- Visual diagnosis made over 1 year ago
- Vision is not expected to change in the next 6 months
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- Able to attend to visual stimuli
- New visual skills being developed
- Visual diagnosis made 1 year ago
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- Unsure of functional vision
- Difficulty attending to visual stimuli
- Vision fluctuates
- Severe vision loss or totally blind
- Prognosis for improved visual functioning appears to be good (CVI, ROP)
- Progressive loss of vision expected in next 6 months
- Visual diagnosis made less than 1 year ago
|
DIRECT SCORE |
HEALTH |
- Very Medically Fragile
- No health concerns
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- Some health concerns (nutrition, etc.)
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- Chronic ear infections
- Very premature/low birth weight
- Significant time spent in hospital
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DIRECT SCORE |
OTHER IMPAIRMENTS |
|
|
Two or more additional impairments |
DIRECT SCORE |
DEVELOPMENTAL |
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- Very slight developmental delays
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- Vision loss may be contributing to developmental delays
- Modifications needed
|
DIRECT SCORE |
FAMILY MEMBERS/PRIMARY CAREGIVER |
- Does not want additional professionals making weekly home visits
- Understands about their child's vision
- Distressed about issues other than this child (Financial, Marital, etc.)
- Does not readily participate in parent child trng.
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- Needs help learning about the educational systems
- Want additional resource info
- Need information about getting the most out of ophthalmological appointments and interpreting reports
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- Has lots of vision related concerns
- Needs lots of info about their child's vision
- Needs additional support
- Grief issues about vision
- Needs help bonding with child
- Needs help reading child's communicative cues
|
DIRECT SCORE |
Consulting Service
CATEGORY | LOW NEEDS - 1 | AVERAGE NEEDS - 3 | HIGH NEEDS - 5 | SCORE |
PROFESSIONALS ON TEAM |
- All have experience working with babies with similar vision
- No questions about ECI or ISD procedures
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- Few questions about ECI or ISD procedures
- Few questions about assessment, stategies, etc.
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- Have no experience working with child with visual impairment
- Need training in implications, modifications, strategies, communicative cues, etc. for child with VI
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CONSULT SCORE |
VI TEACHER (Activities in Support of Instruction) |
- Has significant experience working with babies, babies with visual impairments, and babies with multiple impairments
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- Has moderate experience working with babies, babies with visual impairments, and babies with multiple impairments
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- Has little or no experience with babies
- Needs time to learn from other professionals on team (Motor, Handling, Communication, Infant Development, Working with Families, etc.)
- Suspected or diagnosed auditory impairment
|
ACTIVITIES IN SUPPORT OF INSTRUCTION SCORE |
OTHER |
|
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- Child actively explores environment
- Needs adaptations to learn basic concepts
- Needs help to generalize skills
- Needs more exposure to concrete experiences to develop language skills
- Body imaging, spatial awareness
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DIRECT OR CONSULT SCORE |
*PROFESSIONAL JUDGEMENT FACTORS (POSITIVE OR NEGATIVE) |
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|
|
DIRECT OR CONSULT SCORE |
TOTAL SCORES |
DIRECT SCORE |
CONSULTING SCORE |
ACTIVITIES IN SUPPORT OF INSTRUCTION SCORE |
|
*PROFESSIONAL JUDGEMENT FACTORS:
(THESE CAN BE POSITIVE OR NEGATIVE)
SCORE |
FACTORS |
BRIEF DESCRIPTION |
|
Age of Student |
|
|
Transition Issues |
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Parent Concern/Issues |
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Attendance |
|
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Home Environment |
|
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VI Teacher Issues |
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Other Professional's Issues |
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Child Issues |
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Other |
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TOTAL |
|
DIRECT SCORE |
FREQUENCY AND AMOUNT: DIRECT SERVICES |
CONSULTING SCORE |
FREQUENCY AND AMOUNT: CONSULTING SERVICES |
ESTIMATED TIME FOR ACTIVITIES IN SUPPORT OF INSTUCTION |
1-5 |
2 HOURS PER MONTH |
1-2 |
2 HOURS PER MONTH |
PLANNING |
6-20 |
1 HOUR PER WEEK OR 2 30 MIN. SESSIONS/WEEK |
3-4 |
1 HOUR PER WEEK |
PREP |
21-25 |
2 HOURS PER WEEK |
5-9 |
2 HOURS PER WEEK |
LIAISON |
26-30 |
3 HOURS PER WEEK |
10+ |
3 HOURS PER WEEK |
EVALUATIONS |
30+ |
3+ HOURS PER WEEK |
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|
IFSP |
|
|
|
|
MEETINGS |
|
|
|
|
OTHER |
____ DIRECT SERVICE TIME
____ CONSULTING TIME
____ TRAVEL TIME
____ ACTIVITIES IN SUPPORT OF INSTRUCTION
____ TOTAL NUMBER OF HOURS
Teacher of the Visually Impaired
NOTE: To be used with: "GUIDELINES FOR AMOUNT OF SERVICE TO STUDENTS WITH VISUAL IMPAIRMENTS: SAMPLE" (Developed by the VI staff of Denton ISD, Revised by D. Leff and O.F. Morris), Found on pages B-57-58 of the Quality Programs For Students With Visual Impairments Manual
Adapted by Stacy Shafer from:
Michigan's Vision Severity Rating Scale
1996
Printed by the Office of Special Education Services, Michigan Department of Education