Special schools or special schooling for the handicapped child? The debate in perspective.
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Piagetian cognitive level, language abilities, adaptive behaviour and graphic skills were assessed in three groups of adolescents with severe learning difficulties: Down's syndrome (DS), congenital cerebral palsy (CP) and unknown origin (NSP). Results were compared with assessments made seven years earlier. A wide range of scores was observed in each group. Medians of the DS and NSP groups were similar and generally were significantly higher than those of the CP group. When the number and severity of other impairments and disabilities (HDCP) was taken into account, group averages of attainments and progress were very similar. Implications for intervention are discussed.
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In order to determine the effectiveness of operant approaches to group therapy with children with cerebral palsy or mental retardation, four boys aged between 4 years 10 months and 5 years 7 months were given a total of 23 twice-weekly 30-minute treatment sessions. After treatment there was considerably improvement in the children's attention-to-tasks and they showed some increase in social interactions, though to a lesser degree. Teacher ratings also showed some improvement in classroom behavior.
A care-load study was performed on a homogeneous group of 51 children, adolescents and young adults with spastic tetraplegia, born in Sweden between 1959 and 1978. All were immobile and severely mentally retarded, none could speak and the majority had epilepsy, scoliosis and contractures. 16 were living with their families and 35 in care units. The mean time spent meeting basic care requirements was 24.7 hours/week (median 23.1), with feeding being the most time-consuming. 47 individuals went to training schools or day centres daily. Treatment by physiotherapists totalled a mean of 2.3 hours/week (median 1.3). The most difficult aspect of care was lifting, and a hoist was the most frequently requested aid. Eight families wanted more relief care. This study quantifies the care-load of severely handicapped individuals and the quality of life for them and their carers.
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According to a previous study, 8% of all children in Dalby primary care district were chronically ill. The impact of the illness on the children's well-being was investigated using parental questionnaires. No difference in socio-demographic variables was found between responders (70%) and non-responders. The study comprised 98 index and 168 control children. Comfort and well-being in school and pre-school were lower among the index than among the control children and lower among the index children in normal compared with special schools. According to the parents many teachers had insufficient knowledge of disorders/handicaps. Children with a physical disability more often had special remedial education compared with healthy children. The chronically ill children were bullied more often, had fewer contacts with peers and more emotional problems than the control group. Improved knowledge of chronic childhood disorders/disabilities and recognition of the psychosocial consequences at school/pre-school and in the child health services is advocated.
One of the basic needs of life to the handicapped, as well as to all individuals, is the understanding of one's own sexuality. Sex education can help handicapped individuals in finding sexual satisfaction and may foster self-responsibility, maturity and positive actions toward other rehabilitation goals. Traditionally, the teachings of sexuality to handicapped persons have run into objections resulting from society's negative attitude toward the handicapped and parental apprehension regarding the decision-making skills of their children in relation to acceptable and unacceptable sexual behaviors. However, the Education for All Handicapped Children Act of 1975 has provided a way for parents and health professionals to put pressure on local, state and federal programs to allocate funds for the development of a sound sex education program. As professionals in health education it is our challenge and responsibility to see that the sexual needs of the handicapped are not forgotten.
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The purpose of this paper was to (1) review the current research available in leisure skill programming for severely and profoundly handicapped persons; (2) summarize the gaps in knowledge and point to new programming directions in recreation skill development; and (3) outline leisure skill competencies which teacher trainees must develop. In reviewing the leisure skill studies which have been conducted over the past seven years, a descriptive analysis of subject characteristics, teaching procedures, response measures, and generalization/maintenance strategies in each study was provided. The principle areas which were then identified for future programming included recreational skill sequences, self-initiated free play and toy preference evaluation. A statement of 15 recreation programming competencies was devised as a set of guidelines for preparing teacher trainees in leisure skill programming.
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In the framework of a symposium on changing sexual behavior in a changing society problems are discussed which the modified mores have created for a number of individuals or groups, for therapeutic intervention and research concepts. Examples, assumed to be not isolated to one or the other case, are used as illustrations.
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