Individual Education Plan (IEP)



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Individual Education Plan (IEP) THIS IEP CONTAINS AC MOD ALT REASON FOR DEVELOPING THE IEP Student identified as exceptional by IPRC Student not formally identified but requires special education program/services, including modified/alternative learning expectations and/or accommodations IPRC Date: 21/01/2013 Placement: Special education class full-time Exceptionality (identified): Multiple: Multiple Exceptionalities Primary Exceptionality:Intellectual: Developmental Disability Secondary Exceptionalities: Physical: Physical Disability STUDENT PROFILE Student OEN: 123456789 Last Name: XX First Name: X Gender: M Date of Birth: 18/07/1997 School: Secondary School Placement Date: 03/09/13 School Type: Secondary Principal: Mr. Principal Current Grade/Special Class: Grade 11 School Year: 2013-14 Student (secondary only) is currently working towards attainment of the: Ontario Secondary School Diploma Ontario Secondary School Certificate Certificate of Accomplishment Reporting Period

X XX RELEVANT ASSESSMENT DATA Information Source Date Summary of Results Functional Behaviour Assessment 11/11/2013 Focus required for independent communication, communication, sensory needs. CCAC Assessment 01/09/2012 The need for continued support with tube feeding and catheterization during lunch hour daily. Support for suctioning is required. Adaptive Assessment 22/08/2012 Community agency conducted adaptive assessment identifying the need to transition to a community living, fully supported setting. Safety concerns will require constant supervision. Occupational Therapy Assessment 16/04/2012 Recent significant decreases in Student's ability to use his right hand. Behavioural Assessment 25/03/2012 Updated Behavioural assessment is consistent with medical assessment. Both indicate an increase in self-injurious behaviours, that are most likely a function of organic brain impairment. Speech/Language Assessment 13/02/2012 Updated Speech/Language assessment indicates a need for increase in functional communication skills. Continue to use augmentative communication systems. Greater focus on increasing knowledge and use of picture symbols is required. Use of PECS program to continue. Medical Assessment 04/10/2010 Reconfirms global developmental delay. Requires tracheotomy, prolonged ventilation, chronic aspiration. Tube feeding is required. Experiences seizures, stroke-like episodes and uncontrollable severe selfabusive behaviour. STUDENT'S AREAS OF STRENGTH AND AREAS OF NEED Areas of Strength Areas of Need Visual learner Kinesthetic/tactile learner Augmentative communication skills Personal care/self-help skills Social skills

X XX SUBJECTS, COURSES/CODES OR ALTERNATIVE SKILL AREAS TO WHICH THE IEP APPLIES Accommodated only(ac), Modified(MOD), Alternative(ALT) 1.Social Skills Development KHD AC MOD ALT 2. Exploring our Environment KSN AC MOD ALT 3.Self Help and Self Care KPP AC MOD ALT 4.Language and Communication Development KEN AC MOD ALT REPORTING FORMAT Provincial Report Card Alternative Report ACCOMMODATIONS FOR LEARNING, INCLUDING REQUIRED EQUIPMENT Accommodations are assumed to be the same for all program areas unless otherwise indicated Instructional Accommodations Environmental Accommodations Assessment Accommodations Visual aids/concrete materials Device to support student's arm Additional time Picture Symbols, Picture Exchange Communication system Individualized table Picture symbols and PECS Highly structured activities Physical accessibility Large print Large print Helmet, padded wrist/arm guards Speech Output device Non-verbal signals Visual scheduling Speech Output device 55 cm exercise ball Change table, mechanical lift, wheelchair Individual area/room

X XX PROVINCIAL ASSESSMENTS This is a provincial assessment year No Yes Permitted Accommodations No Yes (list below) Exemption with Rationale No Yes (list below) Deferral of Ontario Secondary School Literacy Test (OSSLT) with Rationale No Yes (list below) Ontario Secondary School Literacy Course (OSSLC) Yes

Special Education Program Baseline Level of Achievement (usually from previous June report card): Prerequisite secondary course (if applicable): Letter grade/mark: Curriculum grade level: Subject or Course/Code or Alternative Skill Area Social Skills Development KHD X XX Baseline Level of Achievement for Alternative Skill Areas: Understands and uses some tactile picture communication symbols when verbally prompted. A trial period using a speech generating device was implemented and the student experienced success. Student selects personal preference when verbally prompted. Annual Program Goal(s): A goal statement describing what the student can reasonably be expected to accomplish by the end of the school year (or semester) in a particular subject, course, or alternative skill area. Increase independent and spontainious functional communication during transitional times throughout the school day. Learning Expectations Teaching Strategies Assessment Methods Will use a pic symbol to make personal requests during each transition throughout the school day. Will answer the question "How are you feeling today?" by pressing one of the emotions symbols using his speech generating device upon arrival to school and after lunch daily. Will follow a visual schedule to complete his daily activities and indicate preferences. Picture exchange communication system, Reinforcement. Verbal and physical prompt, visual cue. Fade prompts and reinforcement with mastery. Adult prompts, Modelling. Fade prompts. Provide choice on visual schedule. Checklist indicating choice, level of prompting required. Checklist indicating accuracy of speech generating device use and level of prompt/reinforcement. Daily Log of choices made and level of prompting required.

Special Education Program Baseline Level of Achievement (usually from previous June report card): Prerequisite secondary course (if applicable): Letter grade/mark: Curriculum grade level: Subject or Course/Code or Alternative Skill Area Exploring our Environment KSN Baseline Level of Achievement for Alternative Skill Areas: Consistently, with minimal support, recognizes and uses appropriate phrases with respect to the classroom environment. (learning, leisure and daily living) Annual Program Goal(s): A goal statement describing what the student can reasonably be expected to accomplish by the end of the school year (or semester) in a particular subject, course, or alternative skill area. Consistently and with minimal support, recognize and use appropriate vocabulary related to leisure opportunities in the greater school community and the community at large. Learning Expectations Teaching Strategies Assessment Methods X XX Independently and with minimal prompting, recognize and use specific vocabulary related to equipment and safety in the exercise room in the school and the library in the school. Provide some specific visuals to picture exchange system. Model communication. Fade prompts as appropriate. Checklist indicating accuracy, level of support required. With minimum support, recognize and use specific vocabulary related to equipment and safety in the exercise room at the local community centre, public library at the leisure centre. Provide some specific visuals to picture exchange system. Model communication.fade prompts as appropriate. Checklist indicating accuracy, level of support required.

Special Education Program Baseline Level of Achievement (usually from previous June report card): Prerequisite secondary course (if applicable): Letter grade/mark: Curriculum grade level: Subject or Course/Code or Alternative Skill Area Self Help and Self Care KPP Baseline Level of Achievement for Alternative Skill Areas: Beginning to use his right hand for picture exchange communication. He is able to follow a visual schedule throughout the day with some verbal prompts. Annual Program Goal(s): A goal statement describing what the student can reasonably be expected to accomplish by the end of the school year (or semester) in a particular subject, course, or alternative skill area. Will improve the grip of his right hand so that he can accurately and independently slide a picture symbol across his desk or wheelchair tray. Learning Expectations Teaching Strategies Assessment Methods X XX Will be able to squeeze a stress ball at least 10 times unassisted in approximately one minute. Will be able to lay his hand on a puzzle piece and slide it right to left on his wheelchair tray with support. Will move a 55 cm exercise ball from right to left, unassisted. Hand-over-hand assistance, modelling. Fade physical prompts. Hand-over-hand assistance, modelling. Fade physical prompts. Hand-over-hand assistance, modelling. Fade physical prompts. Checklist the number of times X can squeeze the ball during timed intervals. Charting to monitor accuracy, speed and level of prompting to complete the task. Charting to monitor accuracy, speed and level of prompting to complete the task. Will be able to lay his hand on a picture symbol on his wheelchair tray and slide it from right to left unassisted. Hand-over-hand assistance, modelling. Fade physical prompts. Charting to monitor accuracy, speed and level of prompting to complete the task.

Special Education Program Subject or Course/Code or Alternative Skill Area Language and Communication Development KEN Baseline Level of Achievement (usually from previous June report card): Prerequisite secondary course (if applicable): Letter grade/mark: Curriculum grade level: X XX Baseline Level of Achievement for Alternative Skill Areas: Trial of speech generating device for communication system supports continued use of AT for communication. Currently uses a picture exchange system with physical support and prompting. Students uses a 15 symbol communication system with people with whom he is familiar Annual Program Goal(s): A goal statement describing what the student can reasonably be expected to accomplish by the end of the school year (or semester) in a particular subject, course, or alternative skill area. Increase use of familiar communication symbols through a speech generating device system throughout the school day. Increase symbol recognition of concepts/places in the school commmunity and the greater community with a focus on leisure opportunities. Learning Expectations Teaching Strategies Assessment Methods Independently communicate already familiar concepts using a speech generating device system. Program familiar symbols in a speech generating device system. Model and support use. Fade physical/verbal support as appropriate. Chart symbols used, accurracy and level of support required. Use new vocabulary (added to commmunication systems) related to leisure activities (a) within the school (b) within the community. Direct instruction of new vocabulary Provide opportunities to use vocabulary during the school day Add vocabulary to picture exchange and the speech generating device systems. Track use, accuracy and level of prompting required when vocabulary used.

X XX HUMAN RESOURCES (teaching/non-teaching) Type of Service Frequency or Intensity for board staff Location Teacher assistant 2.0 FTE, daily (Sept-June) Classroom, break room, outside, bus area Teacher assistant Special education teacher Speech language pathologist Board behaviour staff 1.0 FTE as required for personal safety (Sept-June) At least 75 minutes of each school day (Sept-June) Consult, once yearly to set annual goals and augmentative communication program (May) Monthly, as required on consult (Sept-June) As above Classroom, break room Classroom, office Classroom, break room, outside, bus Health Support Services in the School Setting: No Yes Administration of prescribed medication Assistance with mobility Catheterization Feeding Injection of medications Lifting and positioning Nursing Nutrition Occupational therapy Physiotherapy Speech and language therapy Suctioning Toiletting IEP DEVELOPMENT TEAM Staff Member Position Ms. Principal Ms. Special Education Classroom Teacher Mr. Head - Special Education Department Ms. Behaviour Counsellor Ms. Speech/Language Pathologist Mr. Teacher Assistant Ms. Nurse Principal Special Education Classroom Teacher Head - Special Education Department Behaviour Counsellor Speech/Language pathologist Teacher Assistant CCAC Nursing Staff

X XX TRANSITION PLAN No Yes Long-term Goal(s): Student will transition to a community living setting that can provide significant support and supervision for his medical and safety needs. Actions Meet with parents, behaviour counsellor and CCAC nurse to update Student's strengths, needs, interests and physical/medical needs. With support, student to add summary to his Individual Pathways Plan (IPP). Meet with parents, CCAC nurse and other community supports to begin discussions regarding long term planning for Student. Student to indicate preferences and, with support, save reflections to IPP. Annual Integrated Transition planning discussions- will include community resources/agencies, funding, residential programs, safety concerns. See Integrated Transition Plan for full details. Person(s) Responsible for Actions Principal/SERT/Parents/student Principal/SERT/Parents/student Community Living Agency representative, parents, student, SERT Timelines August annually Transition Meetingyear 4 to grad Year 6-graduation Update Leisure Skills and Interest Inventory for IEP Planning and to assist student in articulating interests to Community Living staff and parents. Include interests as part of IPP. Update Comprehensive Assessment of Skills to inform post secondary placement Compile Transition Portfolio (interests, skills, accomplishments) Program focus on development of Communication Skills SERT and student Year 4 SERT, community partners Year 6/7 SERT, student, parents Year 6/7 SERT, student, parents Year 1-4 Plan summer activities in conjunction with Community Supports and Parents. Include summary of summer activities as part of IPP. Community Living staff, parents, student, SERT Annually with Transition Planning meeting

X XX LOG OF PARENT/STUDENT CONSULTATION Date Description of Consultation Parent/Student Feedback/Outcome of Consultation 26/08/2013 Case conference to discuss personal safety and most recent medical assessment. 26/09/2013 Meeting to discuss IEP goals, recent progress at school and SIP application package. Parents shared concerns that will harm himself while at school. Use of a specific behaviour modification plan and the support of staff at all times to maintain safety will be implemented during the first month. Monthly case conferences to occur. Parents agree with progress thus far and support goals outlined in the IEP and the renewal of the SIP application. 24/10/2013 Monthly case conference. Head banging and hitting continues. Will complete a functional assessment of behaviour (FBA). Progress noted in Student's communication skills. 28/11/2013 Monthly case conference. Results of FBA reviewed with parents, Implementation of the use of safety gear at all times. Waive December case conference at parent request. 30/01/2014 Monthly case conference. Communication skills using picture symbols is rapidly increasing. Parents are pleased. Grip in right hand is getting stronger. 06/03/2014 Monthly case conference. February conference waived as Student was out of school due to medical condition. Upon return to school, noted increase in self-injurious behaviours. Increased staff support needed until transition to school is complete and behaviours decrease in frequency/severity/duration. 24/04/2014 Monthly case conference. Conference attended by community living representatives to begin discussions and planning for long term transition to community living setting. 22/05/2014 Monthly case conference. Student has shown dramatic improvement (regained skills as in Semester 1) in the use of picture symbols and right hand grip. Can now move a picture symbol across his wheelchair tray. Parents are very pleased with his progress. 12/06/2014 Monthly case conference. Discussion of Student 's summer plans and begin to plan support and program for upcoming school year. PRINCIPAL'S RESPONSIBILITY The principal is legally required to certify that the IEP is developed within 30 school days after placement in the program, and that the parent has been consulted in its development. The principal is further required to ensure that a copy of the IEP is sent to the parent (or the student if 16 years of age or older), that the IEP will be implemented and reviewed in relation to the student's report card each reporting period, and that it will be placed in the OSR.

Principal Signature Date Parent/Guardian Signature (Please sign and return this page to the school for the OSR) Date Student Signature (if 16 years of age or older) Date IEP completion date:27/09/2013