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When there is no clear evidence of an organic cause for the intellectual delay, the suspected
social and environmental causes include a range of disadvantages, e.g. poverty, inadequate
nutrition including maternal nutrition, family instability, lack of stimulation and the opportunity
to learn.
exhibit avoidance behaviours, are reluctant to participate in school activities and have
little self-confidence in relating to others;
deficiency in the concept of time both in judging time and managing their time;
The term severe developmental disability or moderate to profound intellectual disability focuses
on an individual's functioning within the community and refers to severe limitations in both
intelligence and adaptive skills. Among the leading causes of severe developmental disabilities
are fetal alcohol syndrome, cerebral palsy, spina bifida, fragile X and other chromosomal
abnormalities.
The placement options for students with severe developmental disabilities tend to be a small
class placement with integration opportunities. However, having said this, it is also common to
see these students fully integrated into a regular classroom setting with the support of a teachers
assistant. For example, a teachers assistant may provide the major support during academic
subjects with volunteers, cooperative education students, peers and the classroom teacher
providing the major support during activity-based, non-academic programs.
For some students, due to the severe nature of their disability, the supports needed at school,
home and in the community are characterized by their constancy, high intensity and potentially
life-sustaining in nature. This level of support involves more staff members and intrusiveness.
Preserving and supporting the personal dignity of the individual with disabilities is paramount in
importance.