1) ASD Interventions Across the Lifespan May 15-17, 2013, in Chapel-Hill (http://teacch.com/teacch-autism-program-at-unc-chapel-hill-lend-carolina-institute-for-developmental-disabilities-and-greensboro-ahec-present); and 2) the 25th APS Annual Convention, May 23-26, 2013 in Washington (with a poster presentation).
Tuesday, April 16, 2013
Second month report from Chapel-Hill, Spring 2013
1) ASD Interventions Across the Lifespan May 15-17, 2013, in Chapel-Hill (http://teacch.com/teacch-autism-program-at-unc-chapel-hill-lend-carolina-institute-for-developmental-disabilities-and-greensboro-ahec-present); and 2) the 25th APS Annual Convention, May 23-26, 2013 in Washington (with a poster presentation).
Wednesday, March 20, 2013
GEDS: News letter from Vanderbilt University, Spring 2013, Tiago Ferreira
Thursday, March 14, 2013
First month report from Chapel-Hill, Spring 2013
Thursday, June 30, 2011
GEDS- Newsletter from Chapel Hill, Spring 2011 - YLVA STAHL
Saturday, April 30, 2011
Goodbyes
Hi, everybody!
Time flies, and I am going back to Portugal in two days. Classes have already finished and all students are studying hard for the finals. Unfortunately, I won’t be here for the commencement week (May 11-13). You can get some information about this tradition in here.
Now, it’s time for a brief reflection. I couldn’t be more gratified with this four-months experience. I would like to emphasize the high quality classes I have attended, and the knowledgeable, enthusiastic, and supportive scholars I have met. Each day I was able to learn a new thing and to discover a new perspective to look into my work, to reflect on it. This stay had a very positive impact on my professional and personal growth. I am very glad I have the courage to be so many days away from home. The GEDS made it possible, and I hope it will continue to provide this kind of experience to other students.
I would like to make a special thanks to Prof. Dale Farran, Prof. Mark Lipsey, Prof. Steve Baum, Prof. David Dickinson, Prof. Amanda Goodwin, Prof. Deborah Rowe, Prof. Mark Wolery, and all those people who have made my stay at VU so interesting, remarkable, and full of learning experiences.
I hope you have enjoyed all these newsletters. For now, take a look at how green and pleasant is Vanderbilt University in the spring:
Goodbye!
Sunday, April 10, 2011
March/April Visits: Two Hospitals & Two E.I. Clinics
The Hospitals:
1) Hospital de Magalhães Lemos (Porto): This psychiatric hospital recently underwent a merger with a couple of other hospitals in the area, and is one of 3 with pediatric units. It is clearly betting on the full social integration of individuals with mental illness. The psychologists act as liaisons with the Health Centers and other General Hospitals, as well as the structures of social security, public and private, and the municipalities in the Porto region. The pediatric unit serves children ages 4 months to 12 years-old. The lead psychologist reported that the services are more disjointed since they were removed from the pediatric hospital. The majority of the cases seen are for custody cases, referred by pediatricians.
I observed an IQ assessment for a referral where the child was being oppositional with her father following a divorce. I was struck by the mismatch between the referral question and assessment procedures. The WISC-III was used, as I was told that the WISC-IV is still being translated/ validated. For this 7-year-old girl, a photocopies protocol was used, the girl was sitting in a chair that was very tall, behind a desk that was too high, and was forced to sit sideways to allow for space for her feet. The girl was constantly shifting in her seat as well as standing throughout the session in order to remain physically conformable (this was clearly not due to inattention). The administration was not standardized, for example, on the Picture Completion subtest, the clinician said, “this is a picture of a pencil, in this pencil, what is missing?” Strategies were also given to the child (e.g., counting, on the Information subtest). In addition, the protocol was laid in front of the child, so that she could clearly see each positive and negative strike toward her score. The rationale I was given for this was because, “if you don’t let them see, they think you are hiding something from them.” The other children scheduled for the day did not show for their appointments.
In the afternoon I sat in on Grand Rounds for the pediatric psychology section. Each psychologist presented cases they found difficult, and received feedback from the other professionals. It appeared to work well, though I believe more time could have been allocated to problem-solving, opposed to case presentation.
In visiting the units, I not only met and spoke to the doctors, but had the opportunity (though unscheduled) to meet and talk with the patients. While waiting for a trip to the next unit, we waited in a coffee bar –frequented by the adult patients. One patient, who said she had Schizophrenia and had recently suffered a drug-induced psychotic break, said that she found the services at the hospital infrequent and inadequate, and said that she had been seeing a psychologist (for therapy) in a private clinic for years, and only went to the hospital to see her psychiatrist for drug titration. She said that the two doctors/institutions did not communicate, and she felt like she was “slipping through the cracks”. We also spoke to a psychiatrist with a university appointment in the department of nutrition, who spoke to use about hospital-based research. He explained that there is an Institutional Review Board for ethics, but that it is very complicated and time consuming, and that most times the practitioners conduct the research, and ask for permission after. He said that the doctors use their respective ‘internal moral compasses’ to tell them what it right/wrong. While I do believe that some of the ethics boards procedures are extensive, they are necessary, and something that should continue to be developed in Portugal.
The Clinics:
1) ANIP (Coimbra): Is the National Early Intervention Association (ANIP), which works in collaboration with regional health, education, and social security agencies. They are working with the Coimbra Project “Integrated Project for Early Intervention (PIIP), on which the National model was based. The early intervention practice is based on trans-disciplinary (though it sounded more like inter-disciplinary) teamwork, use of existing resources, and family-centered interventions. Through annual trainings held at the national level, as well as conferences, and resource dissemination (e.g., lending library, mailed pamphlets) the association provides training, information, and support for professionals and families involved in the early intervention process. It all started with the Coimbra project in 1989, was put into legislation in 1999, and was implemented as a law in 2009 (Law No. 281/2009).
Their tag-line is “enabling and empowering families”, and I think it is truly wonderful to perpetuate the belief that all families are competent to aid in habilitation, especially on a National platform! Within the child, the teams focus on increasing abilities and monitoring development. For families, the project leaders strive to promote autonomy of the child and family unit, as well as the family’s involvement in the intervention process, and improve the family’s dynamics within their daily routines. Community-level involvement works to promote communication between service-providers, and creating access to resources. The intervention is six-pronged: (1) relationship-building, (2) input and decision-making, (3) competency-promoting, (4) parents as adult learners, (5) informal support for families, and (60 informal supports for professionals.
While the efficacy of the PIIP project is still unknown, it has been highly effective in the district of Coimbra, and I truly hope that it works for the whole of Portugal –what a wonderful program!
2) UADIP (Porto): A center for Developmental Evaluation and Early Intervention (UADIP: Unidade de Avaliação do Desenvolvimento e Intervenção Precoce), they serve children ages birth to six-years-old, from the district around Porto. In conjunction with community services, they provide evaluation for children at-risk for or with developmental disturbances. Their teams are comprised of psychologists, social workers, physical therapists, speech therapists, occupational therapist, and a special education teacher. They base their practice on Transactional Theory: the interplay between the child and the environment. The team uses objectives that provide conjunctive training and common intervention strategies, in which the families are highly involved. Specifically, the family is trained on interaction styles and the necessitated intensity of the intervention (it is important to UADIP that intensity is not as important as functionality of intervention).
They work with the families to increase the number and quality of interactions, and increase the knowledge of strengths and weaknesses in the children; all of which is done in contextualized interventions (e.g., in a classroom) at least twice per week. There are two teams: Team A (for younger children, 0-3), and Team B, (for older children, 3-6). Team A, which serves 21 children focuses on high-risk children, as well as habilitation of family. They provide interventions for 3months, re-evaluate, and then re-intervene (if necessary) –no more than 2-3 times. Team B serves 66 children at a time. In the community, children may receive therapy at Maria Ped. (Hospital); Rehabilitation Center of Gaia, or at UADIP for speech intervention in children with Autism Spectrum Disorders. Dependent on the family’s worries, UADIP will perform specialized assessments and/or interventions (e.g., in preschools, or work with schools for transition planning).
While UADIP has two staff psychologists, who are present throughout evaluations, it was unclear as to their role in evaluation/assessment process, other than peripheral functioning. That is to say that UADIP appears to place great emphasis on physical rehabilitation of children (only 1 psychologist per team, compared to 3 occupational therapists, and 2 physical therapists).This was also echoed in the physical structure of the building, with ample space for physical rehabilitation, including multiple Snoezelen sensory rooms (see picture). While I believe these interventions are all valuable, I think that the psychologist could make a greater impact on the children’s developmental trajectory by increase the time and methods used for intervention.
In sum, UADIP provides wonderful evaluation, training, and therapeutic technology services to children in need.
Sunday, April 3, 2011
Experiences during the month of March
Hi, everybody!
Last month was a very busy and exciting one. During the week of March 5-13 we had a period of recess, known as Spring Break. As we did not have classes during this week it was a great opportunity to travel a little bit. I spent the weekend in Miami and then I went to New York where I had an amazing one-week stay. If you don’t know where to go next summer, these are two wonderful cities to visit!
Besides my tourist experience, this month was also full of other learning experiences. I have been attending some interesting seminars. The last one was about “Common capacity limits in visual selection and working memory storage”. I have also been meeting with PhD students working in the field of writing research. The courses I am attending have been very fruitful, too. I have been learning a lot about the education in US, which is a little bit different from ours, in Portugal. In another course, I had the opportunity to present the proposal of the first study of my PhD. We had a great scientific discussion and the feedback I received was very important and relevant to my work. Finally, the Academic Writing course has been surpassing my initial expectations. Besides the fantastic teacher and friendly classmates, it has been very useful to improve my scientific writing skills and to know better cultural issues related to writing. For instance, in the last class we discussed “email etiquette”, that is, how to be effective in composing emails.
Although my GEDS experience is approaching the end, I still have one more month in Vanderbilt. Until now, my experience in here has been absolutely amazing. Nevertheless, I suspect that this last month will be even more interesting because I will meet some leading researchers in the field of writing research. It will be a great opportunity to discuss my PhD and the work we are developing in Portugal.
I didn’t have the time to take some photos of the flowering trees that decorate Vanderbilt, but this beautiful dolphin can be equally inspiring! The photo was taken at the Miami Seaquarium.
Thursday, March 31, 2011
Reflections on Portugal
Also, I spent a lot of time with the children during the housewarming.
They had me sit down and watch Tico e Teco (Chip & Dale for all of those who remember watching). It was in Portuguese so I did not understand it but I remembered every episode they had me watch because my brother, sister, and I used to watch the show together. They had a particular episode they really loved and I vividly remember my siblings and I having it on replay because it was so funny to us. I just thought it was interesting that a new generation of children across the Atlantic, in a different culture, are still watching the same cartoons, laughing at the exact same thing ("Apple core, Baltimore, who's your friend? Me"), and put the same episodes on repeat. In fact, I wanted to tell the kids that I used to watch it when I was a child. The children and I communicate with nonverbal gestures, some odd form of broken Portuguese on my part, and with the English words they pick up from school or their father. In my attempt to tell them that I watched it as a kid, apparently I said my children watch it. I got some odd looks, like, well where are your kids then? :)
As I mentioned earlier, everyone in Portugal has been so kind and welcoming and I feel this the most from the children I have interacted with, whether in my personal life or during site visits. One little girl, who is 7, has been an absolute joy. She is so smart, so kind, always willing to help, and always has a smile on her face. She even teaches me Portuguese and corrects my pronunciation. My heart jumps every time she calls me, " Shahnohn vem aqui!" It's the little things like this that remind me of why I want to work with children and continue to advocate for them!
She made this for me when I came to visit |
Tuesday, March 29, 2011
March Visits: Education
Town Hall –Lisbon, Evaluation of Law 3/2008
I attended a summary of the evaluation of the 3/2008 Special Education Law, by the Portuguese department of education. A beautiful first-step in assessment of laws that affect children with special needs; however, it was just that, a beginning; Portugal should be commended.
The law, for those interested is: Decree-Law No. 3/2008, 7th January, which defines the specialized support provided in state, private and co-operative pre-school, compulsory and upper-secondary education with the aim of creating the conditions to adjust the educational process to the special educational needs of pupils with major limitations in terms of activity and participation in one or more areas.
Tangerina –In Porto
Tangerina’s educational platform –for children age 6-10 years-old) was described to me as preparing you children through socialization and developmentally appropriate education. This stand (school preparing you for life), while seemingly mundane, appear to work well in this small, private institution.
The educational objects include: (1) cycling children through learning, so they know a topic to the point of mastery before advancing, (2) gradual development of the child, (3) strong promotion of expressive arts: music, drama, physical education, (4) learning and language development (reading, writing), (4) math is not only the acquisition of tools and techniques for calculating, but also contributes to logical thinking, helping the child to read and interpret the world, (5)develop problem-solving skills, dialoguing capabilities, and creativity.
The founder and director of the institution adapted the curriculum from the following people/programs: Frenés (French), and CSMP (St. Louis, Belgium). To the 4th point enumerated above, we were given a tutorial on the methodology, adapted from a school in Lisbon.
The children appeared very involved, eager to participate in classroom discussions. The curriculum was very prescriptive, but well-balanced with physical activity outside.
Escola Da Ponte -Vila das Aves (30 km from Porto)
I visited an innovative school which was studnet-lead. Initially weary, and ultimatley impressed by the balance of student-directed and teacher-lead public instruction… here’s a bit about the school:
The students aren't distributed by school years, or by classes. Instead, they use a three-pronged approach: Initialization, Transition, and Development
The students that enter the first cycle in "Escola da Ponte" start by sharing a space that is called "Initialization". Here the kids learn the bases of reading and writing on a natural method approach. Here they also learn to work autonomously in diverse areas of the curriculum, working in group and being people... In the "Initialization" the children elaborate, together with a teacher, a fortnightly plan that is "negotiated” amongst them all.
In the second phase, transition, When they are able to read and write with some corrections, solve some elementary calculations, help and be helped by the others, they move on the “transaction" space, which is characterized by group work and research. The children help to elaborate their individual plan.
When children enter the final phase, development, When they are able to work in group, elaborate research work, do auto-planning and auto-evaluations, as well as dominate a determined number of goals in the different curriculum areas, they are able to autonomously manage their learning time and space in what is called " working in freedom and in great level ". The space in which is developed the “development " phase is situated in the first floor of the open-area building. Here, the students work in total autonomy. In the beginning of each fortnight they elaborate their own working plan, negotiate amongst themselves and the teachers. They elaborate individual plans every day, not forgetting the school, the groups and their own interests. At the end of every fortnight they precede in auto-evaluating their plan according to the development of the project.
Rights & Duties: Every year, the students decide democratically, which rights and duties they consider essential. This is one of the first tasks of the School Assembly. The students do the list of all rights and duties they consider to be important.
Assembly: and also know that it is where teachers and students work together in order to discuss the school problems. Children know that when they help their school mates and pick up garbage form the floor, they are in the good way to become good citizens.
Help commission: Help commission serve to solve the most difficult problems that are presented at the Assembly. It is formed by four children. Two of them, chosen by the Assembly, and the other two, by the school teachers.
Debate: Debate takes place every day, from 15:00 to 15:30. There is discussed what they have been doing during the day and they also prepare the Assemblies.
We were shown around the school by two ‘volunteer’ students, who insisted that we read the visitors rules.
While little was said, or rather skirted around, about children with mild learning disabilities, their functioning, and inclusion in the classrooms; I was impressed with the level of inclusion of children with more severe disabilities (e.g., Down’s). One of the girls giving us the tour was one of the children who volunteered to work closely with a boy with Down’s –helping him with his course work, learning sign language, etc. I observed two children wholly participating in classroom-based activities: interacting with classmates, getting help from teachers when necessary, and completed their self-chosen-tailored curriculum.
Friday, February 25, 2011
Reflections on the University of Porto
The Faculty of Psychology and Educational Science at the University of Porto (FPCEUP) recently celebrated its 30th anniversary, which makes me reflect on the history of a revolutionary peoples and their pursuit of education, with my chosen field. Thirty years ago they rose from the ashes of a fascist regime, and the Portuguese began to work, while few were educated. Women were given access to all professions, the right to vote, and up sprang the Faculty Psychology and Educational Science at the University of Porto, as we know it today (more or less).
In discussing the history of psychology within the public university system with many students here–I believe it central to the theoretical framework (both clinical and scientific practice) of the Portuguese.
Moreover, I find this important for me, as a foreigner studying here, to understand. Psychology in Portuguese public universities came about by support from the institute of Applied Psychology, Portuguese Society of Psychoanalysis, and the Portuguese Society of Psychology (please correct me if I am wrong!). Though they are later coming to scientist-practitioner scene than psychologists from other countries; the Portuguese’s multifaceted influences, and the sociopoliticohistorical (yes, I made that word up) milieu at the time of degree establishment may not be a short coming.
The Portuguese have a chance to learn from other nations’ successes and short comings. From my experiences here, many strive for what American students are taught in our Doctoral programs: empirical investigation and “scientific method”, in the vein of the APA.
I wish continued success to FPCEUP, and continued development of scientists and practitioners within this burgeoning faculty.
…On a lighter note
Porto is filled with medieval fountains –which once sustained the life of its people; and now sustain the life of the students: in Gomes Teixera Square.
In front of the University Rectory lies the “Source of the Lions”, where students participate in fraternal exercises –a rite of passage to a higher level of knowledge.
For a brief period I was enveloped by this culture, acting as “Godmother” to one of the pupils. Through a series of Latin phrases, swaths of water, and capes, I participated in a baptism, and watched one young man be indoctrinated into academic society. With an education which many take for granted, this ceremony –complete with traditional garb– struck me as particularly poignant in a country which so recently struggled for the right to freely learn.
Thursday, February 24, 2011
Visit to The IRIS Center
Hi, everybody!
Simply stated, The IRIS Center for Training Enhancements translates research about the education of students with disabilities into practice. Based on research-validated practices the Center develops a broad array of enhancement materials in order to provide students with disabilities greater access to the general education curriculum (from PreK to High School). The IRIS Center’s work is made possible by several partnerships with professional and community organizations, public agencies, and universities whose role is instrumental in assessing the needs of college faculty and professional development providers, in determining specific topics to be explored, in validating materials, and in disseminating information about the Center’s work.
Some of the topics addressed include reading and writing, math, RTI, learning strategies, and progress monitoring. Importantly, all IRIS materials are available online through its website. In here, faculty and professional development providers can find interactive challenge-based modules, case studies, activities, and information briefs to supplement their classes and trainings. Click here and explore all the high-quality materials developed by the IRIS staff.