Kev Loj Hlob thiab Txais Tau Kev Pab Rau Cov Xib Fwb
Txoj Kev Loj Hlob Ntawm Kev Kawm Ntawv (DAPE)?
Kev Kawm Txog Kev Loj Hlob thiab Kev Hloov Kho Lub Cev yog kev qhia tshwj xeeb los pab kom cov tub ntxhais kawm uas ua tau raws li cov qauv tsim nyog thawj zaug hauv Minnesota muaj kev koom tes nrog kev siv lub cev kom muaj kev nyab xeeb thiab ua tiav hauv kev kawm txog lub cev lossis kev kawm tshwj xeeb. Cov Tsev Kawm Ntawv Pej Xeem St. Paul ua raws li lub tswv yim thiab cov qauv ntawm Lub Koom Haum Hauv Tebchaws rau Kev Ua Si thiab Kev Kawm Txog Lub Cev thaum txiav txim siab seb qhov kev loj hlob lossis kev ua tiav thiab kev ywj pheej hauv tsev kawm ntawv, tsev thiab zej zog puas tsis txaus los ua tiav hauv Kev Kawm Txog Lub Cev ib txwm muaj. Peb soj ntsuam saib tag nrho tus menyuam thiab txhua yam kev xav tau uas tau txheeb xyuas hauv cov hauv qab no: kev xav ntawm lub cev, kev paub, kev xav, thiab kev noj qab haus huv ntawm lub cev. (NASPE, 2013)
Raws li peb Minnesota DAPE Best Practice Guide, (Sept, 2012) Kev Loj Hlob Adapted Physical Education yog tsim los pab rau cov me nyuam kawm ntawv uas muaj mob xiam oob qhab uas muaj teeb meem loj los yog disorder nyob rau hauv lub cev kev loj hlob. Kev Loj Hlob Adapted Physical Education qhia rau cov miv nyuas muaj hnub nyoog 3-21 tej zaum yuav muaj xws li kev loj hlob ntawm lub cev thiab kev qoj ib ce, kev txawj ntse thiab cov qauv, ib tug neeg thiab ib pab pawg neeg ua si thiab kev ua si. Cov me nyuam kawm ntawv uas muaj tej yam kev mob xws li rog, ib ntus kev raug mob, thiab lub sij hawm luv luv los yog muaj mob xiam oob qhab yog cov me nyuam kawm ntawv tshwj xeeb. Cov me nyuam kawm ntawv tshwj xeeb yuav tsum tsis tsim nyog rau kev loj hlob ntawm lub cev kev kawm ntawv.
Tus xib fwb DAPE yog ib tug neeg muab kev pab ncaj qha, tsis yog ib qhov chaw muab kev pab, vim hais tias kev kawm ntawv rau cov me nyuam uas muaj mob xiam oob qhab yog ib qho tseem ceeb heev rau cov kev pab tshwj xeeb. Qhov no txhais tau tias kev kawm ntawv yuav tsum tau muab rau cov me nyuam kawm ntawv uas muaj kev nyuab kawm tsis tau uas muaj kev nyuab kawm tshwj xeeb uas tus me nyuam tau txais kev pab. Qhov no yog contrast to lub cev thiab occupational therapy uas yog hais txog cov kev pab cuam. (MN DAPE zoo xyaum ua hauj lwm qhia, cuaj hlis, 2012)
Tus Kws Kho Mob
Occupational Therapy (OT) rau cov muaj hnub nyoog 0-3
Cov me nyuam hnub nyoog 3 xyoos los mus pab peb cov kev pab hauv tsev, chaw zov me nyuam, thiab zej zog teev tseg. OT tsom rua cov me nyuam kawm ntawv nplua nuj, functional, adaptive behavior, ua si, nws tus kheej pab txawj ntse, sensory processing peev xwm, txoj hauj lwm thiab pab tshuab. Occupational Therapist hauv yug 3 ua hauj lwm tsis zoo xwb nrog tus me nyuam, tiam sis kuj nrog lawv tsev neeg, cov neeg zov me nyuam, thiab cov koom haum hauv zej zog. Cov OT muab kev pab thiab pab nrog coaching tsev neeg thiab cov neeg zov me nyuam nrog lawv tus me nyuam lub sij hawm niaj hnub nyob rau hauv lawv lub tsev thiab lub zej zog. Ib ot yuav yog ib qhov chaw muab kev pab rau cov me nyuam yug mus rau 3.
Occupational Therapy (OT) rau cov muaj hnub nyoog 3-21
Cov me nyuam/cov me nyuam kawm ntawv hnub nyoog peb mus rau 21 feem ntau yog muab kev pab nyob rau hauv ib lub tsev kawm ntawv ua ntej tsev kawm ntawv, tsev kawm ntawv los yog rau tej cov me nyuam muaj hnub nyoog 3-5 hauv lawv qhov chaw zov me nyuam los yog hauv tsev. Tsev kawm ntawv raws li OT tsom rua cov me nyuam kawm ntawv nplua nuj, functional, self-help skills (xws li chav dej, nws tus kheej pub, dressing), sensory processing peev xwm, txoj hauj lwm thiab pab tshuab xav tau kev sau ntawv, koom haum, nws tus kheej thiab sensory processing. Cov Neeg Ua Hauj Lwm Hauv Tsev Kawm Ntawv kuj pab tau rau adaptations los yog lub modification ntawm kev kawm hauj lwm, ib puag ncig los yog kev niaj zaus ua hauj lwm thaum lub tsev kawm ntawv los yog tus me nyuam hnub.
Kev Txiav Txim
Occupational therapy yog ib qhov kev pab cuam, yuav tsum tau txais OT nyob rau hauv lub tsev kawm ntawv, cov me nyuam kawm ntawv yuav tsum xub tsim nyog rau kev kawm tshwj xeeb thiab ces ob feem ntau qha tau tias tej yam uas lawv muaj peev xwm ua tau nyob rau hauv lawv qhov kev kawm raws li txiav txim tau los ntawm qhov kev pab cuam OT nrog input ntawm pab neeg kawm ntawv. Rau ib lub sij hawm los yog rov xav tau, tus kws kho mob yuav siv ib tug continuum ntawm qhov kev pab (direct, indirect or ob yam) los txhawb cov me nyuam kawm ntawv xav tau.
Xyaum Ua Tej Yam Uas Xyaum Ua
Occupational Therapy (OT) raws li ib qho kev pab txhawb kev kawm ntawv yuav txawv ntawm ib ot hauv ib qhov chaw kho mob. Tsev kawm ntawv raws li tus kws kho mob kub siab rau kev pab cov me nyuam kawm ntawv kom kis tau tus kheej peev xwm tsim nyog mus saib tau cov ntaub ntawv thiab txais tau lawv qhov chaw kawm ntawv. Tus kub siab yog tsim kev txawj ntse, adapt tasks, miv nyuas thiab tej chaw thiaj li yuav pab txhawb tus menyuam kawm ntawv txoj kev kawm nyob rau hauv lawv qhov kev kawm ntawv. Tus neeg ua hauj lwm hauv kev pab yuav cob qhia/txhawb lwm cov chaw zov me nyuam thiab cov neeg ua hauj lwm nqa tawm cov txheej txheem los yog cov txheej txheem los txhim kho cov miv nyuas kev kawm.
Tus Kws Kho Mob
PhysicalRapy (PT) rau cov muaj hnub nyoog 0-3
Cov me nyuam hnub nyoog 3 xyoos yuav muab kev pab rau peb cov kev pab nyob rau hauv lub tsev, chaw zov me nyuam, thiab zej zog teev. PT tsom rua cov me nyuam kawm ntawv lub cev thiab adaptive kev loj hlob, tshwj xeeb tshaj yog hais txog qhov muaj peev xwm kis tau ywj siab mobility thiab transitional zog, mus saib tau kev kawm/kev kawm thiab tswj optimal lub cev (yooj ywm, circulation thiab respiratory function) los ntawm qhov no, txoj hauj lwm, thiab siv cov khoom adaptive khoom. PT muaj xws li cov kev pab rau qhov qib uas muaj kev loj hlob ntawm perceptual motor development, qoj thiab endurance, thiab kev txawj ntse. PT muaj tswv yim rau adaptive khoom los txhawb kev kawm thiab ywj siab.
Tus Kws Kho Mob hauv lub cev yug 3 tsis zoo xwb nrog tus me nyuam, tab sis kuj nrog lawv tsev neeg, cov neeg zov me nyuam, thiab cov koom haum hauv zej zog. Cov PT muab kev pab thiab pab nrog coaching tsev neeg thiab cov neeg zov me nyuam nrog lawv tus me nyuam lub sij hawm niaj hnub nyob rau hauv lawv lub tsev thiab lub zej zog. Ib tug pt yuav yog ib qhov chaw muab kev pab rau cov me nyuam yug 3.
Physical Therapy (PT) rau cov muaj hnub nyoog 3-21
Cov me nyuam/cov me nyuam kawm ntawv hnub nyoog peb mus rau 21 feem ntau yog muab kev pab nyob rau hauv ib lub tsev kawm ntawv ua ntej tsev kawm ntawv, tsev kawm ntawv los yog rau tej cov me nyuam muaj hnub nyoog 3-5 hauv lawv qhov chaw zov me nyuam los yog hauv tsev. Tsev kawm ntawv raws li PT tsom rua cov me nyuam kawm ntawv lub cev thiab adaptive kev loj hlob, specifically hais txog qhov muaj peev xwm kis tau tus neeg sab nraud mobility thiab transitional zog, access/training opportunities thiab tswj optimal lub cev (yooj ywm, circulation thiab respiratory function) los ntawm qhov no, txoj hauj lwm, thiab siv cov khoom adaptive khoom. PT muaj xws li cov kev pab rau qhov qib uas muaj kev loj hlob ntawm perceptual motor development, qoj thiab endurance, thiab kev txawj ntse. PT muaj tswv yim rau adaptive khoom los txhawb kev kawm thiab ywj siab.
Kev Txiav Txim
Kev kho mob yog ib yam kev pab cuam. Yuav kom tau txais PT nyob rau hauv cov tsev kawm ntawv, cov me nyuam kawm ntawv yuav tsum muaj feem tau txais kev kawm tshwj xeeb thiab ces ob feem ntau yuav tsum tau muaj feem rau lawv muaj peev xwm ua tau ywj siab hais txog kev kawm ntawv raws li tau hais los ntawm kev kawm PT; nrog cov tswv yim los ntawm kev kawm ntawv. Tus kws kho mob yuav siv ib daim ntawv continuum ntawm qhov kev pab (direct, indirect los yog ob yam tib si) los txhawb tus me nyuam kawm ntawv xav tau ib lub sij hawm los yog rov xav tau.
Xyaum Ua Tej Yam Uas Xyaum Ua
Physical Therapy (PT) raws li ib qho kev pab txhawb kev kawm ntawv yuav txawv ntawm ib qho PT nyob rau hauv ib qhov chaw kho mob. Tsev kawm ntawv raws li tus kws kho mob kub siab rau kev pab cov me nyuam kawm ntawv kom kis tau tus kheej peev xwm tsim nyog mus saib tau cov ntaub ntawv thiab txav mus nyob ib ncig ntawm lawv qhov chaw kawm ntawv. Tus kub siab yog tsim kev txawj ntse, adapt tasks, miv nyuas thiab tej chaw thiaj li yuav pab txhawb tus menyuam kawm ntawv txoj kev kawm nyob rau hauv lawv qhov kev kawm ntawv. Nws yog lub luag hauj lwm ntawm lub cev therapist los qhia lwm cov neeg zov me nyuam thiab cov neeg ua hauj lwm kom muaj kev ruaj ntseg zoo nqa tawm cov txheej txheem los yog cov txheej txheem kom txhim kho cov me nyuam kawm ntawv cov kev kawm.
Tsev Kawm Ntawv Psychologist
Tsev Kawm Ntawv Psychologists soj ntsuam txog kev tsim nyog thiab ntxiv rau cov kev pab tshwj xeeb ua ib feem ntawm ib pab neeg multidisciplinary. Tsev Kawm Ntawv Psychologists soj ntsuam thiab soj ntsuam xyuas seb qhov chaw nyob ntau yam yuav tsum tau muaj nyob rau hauv cognitive thiab kev puas siab ntsws functioning.
Lub luag hauj lwm ntawm lub tsev kawm ntawv Psychologist:
- Tswj puas hawv thiab kev kawm ntawv, thiab lwm cov txheej txheem kev soj ntsuam ua ib feem ntawm tej kev kawm tshwj xeeb kev kawm tshwj xeeb;
- Kev txhais lus;
- Nrhiav kev sib integrate, thiab txhais lus txog tus me nyuam kawm ntawv tus cwj pwm coj thiab tej yam kev mob uas yuav kawm tau;
- Tham thiab koom tes nrog cov neeg ua hauj lwm thiab tsev neeg los txhawb tus me nyuam txoj kev xav tau nyob rau hauv chav kawm ntawv;
- Koom tes nrog ib tug koom tes nrog pab neeg kawm ntawv (Student Assistance Team) (SAT) los pab txhawb kom tsim kom muaj kev txhawb thiab kev xav tau nyob rau hauv chav kawm ntawv
Me Nyuam Kawm Ntawv Pejxeem Txais Kev Pab:
Tsev Kawm Ntawv Psychologists soj ntsuam cov me nyuam kawm ntawv ua ib feem ntawm qhov kev luj xyuas tshwj xeeb thiab reevaluations nrog niam txiv/tus saib xyuas kev tso cai. Tsev Kawm Ntawv Psychologists ua hauj lwm nrog me nyuam kawm ntawv pab ua ke (SAT) los tsim kev cuam tshuam rau cov me nyuam kawm ntawv kev kawm ntawv. Cov niam txiv/cov tswj fwm yuav raug ceeb toom thaum cov me nyuam kawm ntawv raug xa mus rau SAT.
Neeg Ua Hauj Lwm Rau Tsev Kawm Ntawv
Cov neeg ua hauj lwm hauv tsev kawm ntawv pab cov me nyuam kawm ntawv nyob rau tej qho kev kawm los ntawm ib tug ecological foupective uas tus me nyuam kawm ntawv saib nyob rau hauv cov ntsiab lus teb ntawm chav kawm ntawv, tsev neeg, lub zej zog thiab nyuas. Cov neeg ua hauj lwm hauv tsev kawm ntawv to taub thiab txheeb xyuas cov kev ua hauj lwm ntawm ib tug me nyuam kawm ntawv nyob rau hauv cov ntsiab lus teb ntawm ntau cheeb tsam. Cov neeg ua hauj lwm hauv tsev kawm ntawv muab kev pab rau txhua tus me nyuam kawm ntawv txoj kev kawm thiab kev kho kom haum rau tsev kawm ntawv, tsev neeg, zej zog thiab haiv neeg. Cov neeg ua hauj lwm hauv tsev kawm ntawv yog qhov txuas ntawm lub tsev kawm ntawv, tsev kawm ntawv thiab zej zog muab kev pab ncaj qha rau cov me nyuam kawm ntawv, tsev neeg thiab cov neeg ua hauj lwm hauv tsev kawm ntawv los txhawb cov me nyuam kawm ntawv txoj kev kawm thiab kev kawm tau zoo.
Cov neeg ua hauj lwm hauv tsev kawm ntawv yuav npaj muab ib cov kev pab cuam ci ci txog kev pab. Lawv yuav muab sij hawm mus tsis tu ncua los yog lub sij hawm luv luv rau cov me nyuam kawm ntawv. Cov neeg ua hauj lwm hauv tsev kawm ntawv pab raws li ib qhov chaw muab kev pab rau cov me nyuam kawm ntawv thiab lawv tsev neeg thaum muaj kev puas siab ntsws thiab tus cwj pwm coj kev txhawj xeeb nrog tsev kawm ntawv kev kawm ntawv. Inclusive yuav tau tuag taus teeb meem, tam sim ntawd tsis tau ib tug neeg tseem ceeb nyob rau hauv tus me nyuam kawm ntawv lub neej, huab chim siab, los yog ib lub caijnyoog twg traumatic. Tus neeg ua hauj lwm hauv tsev kawm ntawv tej zaum yuav muab sij hawm luv luv thiab/los yog kev sib tham rau cov me nyuam kawm ntawv, cov niam txiv, cov xib fwb, lossis cov khiav dejnum uas siv ua ntej xa mus cuag kev xa mus cuag kev pab, xa mus cuag pab tus kawm pab neeg kawm ntawv lossis pab neeg kawm ntawv lossis tsim nyog pab cov uas tsim nyog. Tag nrho spPS cov neeg ua hauj lwm yuav muab kev kawm rau Trauma Informed Care (TIC) rau cov neeg ua hauj lwm thiab incorporate TIC concepts rau hauv kev cuam tshuam thiab txhawb.
Lub luag hauj lwm ntawm lub tsev kawm ntawv cov neeg ua hauj lwm hauv lub tsev kawm ntawv lawv yog txiav txim tau los ntawm qhov nyiaj pab los ntawm txoj hauj lwm. Cov neeg ua hauj lwm hauv tsev kawm ntawv uas nws txaus qhia los ntawm kev kawm ntawv nyiaj txiag pab rau cov me nyuam kawm ntawv. Zoo li cov neeg ua hauj lwm tshwj xeeb, lawv muab ib tug neeg thiab pab tswv yim pab tswv yim, qhia kev txawj ntse, thiab ua hauj lwm los txhawb lub tsev kawm ntawv zoo, nrog rau kev pab txhawb cov me nyuam kawm ntawv. Tag nrho cov neeg ua hauj lwm hauv tsev kawm ntawv tej zaum yuav pab ntsoog xws li tsis muaj tsev nyob, tuag nyob rau hauv tsev kawm ntawv, cov kev hem thawj rau yus tua yus, los yog tsam tus me nyuam maltreatment. Tsis tas li, tag nrho cov neeg ua hauj lwm SPPS yuav muab kev kawm rau Trauma Informed Care rau cov neeg ua hauj lwm.
Hais lus thiab hais lus Pathologist
Hais lus Pathologists (SLPs) nyob rau hauv lub tsev kawm ntawv teev yog ib feem ntawm ib lub tsev kawm ntawv tshwj xeeb kev kawm ntawv tshwj xeeb. SLPs qhia cov me nyuam kawm ntawv uas muaj kev sib txuas lus disorders nyob rau tej cheeb tsam articulation, lus, suab thiab fluency (stuttering) thiab muab ob yam ncaj qha mus rau cov me nyuam muaj hnub nyoog yug los ntawm nees nkaum-ib. Txoj kev loj hlob ntawm kev sib txuas lus tseem ceeb heev rau cov tsev kawm ntawv, tshwj xeeb tshaj yog nyob rau tej cheeb tsam ntawm kev nyeem ntawv thiab kev txawj ntse. Thaum muaj teeb meem nrog articulation, lus, lub suab zoo los yog fluency adversely muaj feem xyuam rau ib tug me nyuam txoj kev kawm ntawv, cov SLP tej hauj lwm nrog pab neeg no nyob rau qhov kev xav tau ntawm tus me nyuam kawm ntawv.
Raws li Xeev Minnesota lub xeev kev kawm tshwj xeeb, tej zaum tus me nyuam yuav muaj feem tau txais kev pab raws li ib tug me nyuam kawm ntawv hais lus tsis meej nyob rau plaub cheeb tsam: articulation disorder, disorder, voice disorder los yog fluency disorder. Cov me nyuam kawm ntawv uas muaj lwm yam mob xiam oob qhab (e.g. kev loj hlob qeeb, kev xiam hoob qhab, kev xiam oob qhab, kev impairments, mental cognitive impairments los yog autism) tej zaum yuav qha tau cov teeb meem uas puag muaj tshwm sim nrog lawv tus kheej disability thiab yuav tsum tau ncaj qha los yog indirect specialized kev pab los ntawm ib tug SLP.
SLPs ua hauj lwm nrog cov me nyuam kawm ntawv uas hais lus thiab/los yog lus impairments txhua st. Paul tsev kawm ntawv thiab cov chaw. Thaum ntxov, qhov no muaj xws li tsev, cov chaw zov me nyuam thiab lwm lub zej zog teev. Cov kev pab no tej zaum yuav muaj xws li kev tshuaj ntsuam, kev xa mus cuag kev sib tham ua ntej, xa mus cuag kev tshuaj ntsuam thiab kev pab. Ua kom tsoom fwv teb chaws thiab lub xeev mandates, SLPs tsim kev cuam tshuam cov kev ua ub no uas txhawb lub xeev thiab cov qauv kawm thiab cov miv nyuas kev kawm ntawv, thiab feem ntau siv cov ntaub ntawv uas muaj kev cuam tshuam los ntawm cov chav kawm ntawv kev kawm ntawv.
Cov niam txiv yuav tau hu rau lawv tus me nyuam lub tsev SLP yog hais tias lawv muaj lus nug los yog kev txhawj xeeb txog lawv tus me nyuam hais lus, hais lus los yog kev kawm tau zoo.
Kev Xiam Qab Haus Huv/Kev Noj Qab Haus Huv
Lub luag hauj lwm ntawm lub cev/kev xiam oob qhab
Lub Cev/Kev Noj Qab Haus Huv (P/HD) xib fwb muaj ntawv tso cai los muab kev pab rau cov me nyuam kawm ntawv hnub nyoog 21 xyoos, thiab muab kev koom tes nrog kev kawm ntawv thiab yog hais tias lawv ntsib lub xeev criteria, kev cuam tshuam rau cov me nyuam kawm ntawv uas muaj ib qho kev mob nkeeg. Lub cev impaired (PI) txhais tau hais tias yog ib tug mob uas paub, chronic impairment - xws li congenital los yog kis tau - uas tej zaum adversely muaj feem xyuam rau lub cev los yog kev ua tau zoo thiab ua rau kev kawm tshwj xeeb thiab lwm yam kev pab ( xws li kev pab ( xws li congenital los yog kis tau - uas tej zaum adversely muaj feem xyuam rau lub cev los yog kev ua tau zoo thiab ua rau qhov xav tau kev kawm tshwj xeeb thiab lwm yam kev pab (MN Txoj cai 3525.1337). Raws li txoj cai, ib tug xib fwb tau tso cai nyob rau hauv P/HD yuav tsum koom rau hauv cov kev tshuaj ntsuam thiab tom qab kev kawm ntawv thaum xaiv qhov qeb ntawm lub cev impaired (PI).
Ua ib tug nyob hauv ib qho kev luj xyuas thiab/los yog IEP pab neeg, ib P/HD xib fwb chaw nyob kev kawm uas txhawb cov me nyuam kawm ntawv tas nrho thiab koom tes nrog lawv classmates.
Tus xib fwb qhia ntawv rau lub cev impaired, yuav nrog cov neeg ua hauj lwm hauv tsev kawm ntawv uas ua hauj lwm nrog ib tug me nyuam kawm ntawv uas muaj ib tug me nyuam kawm ntawv lub cev impairment. Tus P/HD xib fwb qhia indirect consultative service rau cov me nyuam kawm ntawv uas ntsib lub tsev kawm ntawv tshwj xeeb rau lub cev impaired.
Kev pab cuam muaj xws li:
- Muaj ntaub ntawv hais txog tus menyuam txoj kev kho mob thiab kev xav txog kev kawm ntawv.
- Raws li cov kev siv uas siv rau tus mob no, nrog rau pab neeg no kom paub tseeb tias tsim nyog thiab/lossis hloov kho.
- Pab tus xib fwb qhia ntawv muaj kev nyuab siab rau tus menyuam kawm ntawv.
- Collaborating nrog lwm pab neeg, pab nrog rau txoj kev ntsuam xyuas thiab IEP accommodations.
- Pab cov ua ke nrog cov me nyuam kawm ntawv uas tej zaum yuav tau ua raws li lub tsev kawm ntawv txoj kev npaj rau cov me nyuam kawm ntawv uas txwv mobility.