Writing is especially challenging for students with disabilities, as 19 out of every 20 of these students experience difficulty learning to write. In order to maximize writing growth, effective instructional practices need to be applied in the general education classroom where many students with special needs are educated. This should minimize special education referrals and maximize the progress of these students as writers. Evidence-based writing practices for the general education classroom include ensuring that students write frequently for varying purposes; creating a pleasant and motivating writing environment; supporting students as they compose; teaching critical skills, processes, and knowledge; and using 21st-century writing tools.
It is also important to be sure that practices specifically effective for enhancing the writing growth of students with special needs are applied in both general and special education settings (where some students with disabilities may receive part or all of their writing instruction). This includes methods for preventing writing disabilities, tailoring instruction to meet individual student needs, addressing roadblocks that can impede writing growth, and using specialized writing technology that allows these students to circumvent one or more of their writing challenges.
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Effective Practices for Teaching Writing to Students with Disabilities in the United States
April Camping and Steve Graham
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Vocational Services
Lauren B. Gates
Vocational rehabilitation (VR) services, provided through a jointly funded state–federal rehabilitation system and available in each state, help people with disabilities prepare for, secure, and sustain employment. Since 1920, VR Programs have helped 10 million individuals with disabilities reach employment. Anyone with a mental or physical disability is eligible for VR services. While a range of services is provided, the services most consistent with VR goals are those, such as supported employment, that promote full integration into community life. Social workers are essential to community-based VR services; however, a challenge for the profession is to assume new roles to meet best practice vocational standards.
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Effective Practices for Helping Students Transition to Post-Secondary Education
Jenn de Lugt
Globally, more and more students with disabilities are choosing to continue on to post-secondary education following high school. Nevertheless, in comparison to their non-disabled peers, young people with disabilities are persistently underrepresented in this area. As with students without disabilities, a post-secondary diploma or degree will enhance opportunities for employment, both in terms of options and income. Bridging the gap between high school and post-secondary education can be daunting for most students, but with the added complexities associated with disabilities, the challenges will be intensified. Hence, a supportive and efficacious transition between secondary and post-secondary settings is not only helpful, but essential.
For post-secondary education to be inclusive, it must be accessible. To be accessible, the transition must support the student by taking into account their strengths, challenges, interests, and goals, while considering the post-secondary environment. Successful transition plans must be student-centered, collaborative, begin early, and include measured and specific steps that are individually designed to help individual students bridge the gap. Key elements and considerations include: (a) assessing the environment and the fit; (b) developing the student’s self-advocacy skills; (c) tailoring accommodations based on the academic, social, and independent living skills of the student; and (d) supporting the student emotionally and mentally through the transition and beyond. Additional considerations include the use of assistive technology, mentoring programs, and familiarizing the student with the environment in advance of the change. Although often considered the panacea for the many academic and organizational challenges faced by students with disabilities, assistive technology is most beneficial if introduced early; this allows the student to experiment, select, and become familiar with it before leaving high school. Mentorship programs and supports, both formal and informal, should be given careful consideration as effective means of facilitating the transition. In addition to the academic and social challenges, the disruption of routines and the unfamiliar aspects of the post-secondary environment can be particularly daunting for students with disabilities. To negotiate and mitigate these aspects it might be beneficial to create opportunities for the student to become familiar with the post-secondary institution before going there. By easing and supporting the transition of students with disabilities in these and other ways, some of the barriers they face are ameliorated. Affording equal opportunity for students with disabilities to progress to post-secondary education and the subsequent workforce is not only just, it is a moral obligation and essential to an inclusive society.
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Teacher Education and Inclusivity
Sarah L. Alvarado, Sarah M. Salinas, and Alfredo J. Artiles
Inclusive teacher education (ITE) defines the professional training of preservice teachers to work in learning spaces encompassing students from all circumstances, regardless of race, linguistic background, gender, socioeconomic status, and special education needs (SEN). This preparation includes the content, pedagogy, and formative experiences required for teachers to work in inclusive schools.
To fully understand ITE, it is necessary to examine what is meant by inclusive education (IE). Indeed, it is essential to explore ITE’s definition since scholars and teacher educators have struggled to agree on what is meant by IE. In addition to disagreements about IE’s definition, support for this idea and its implementation may vary due to the cultural, historical, and political differences specific to local contexts. For these reasons, it is necessary to recognize the inclusive policies, practices, and processes that often shape definitions and concepts related to ITE.
Notwithstanding the ambitious meanings of ITE across the globe, researchers, professionals, and policymakers tend to emphasize a vision of teacher preparation for working with students with disabilities (SWD) or SEN. Also, there is no consensus about which particular aspects matter in teacher education programs, primarily based on ideological differences about the core goals of IE. These differences in views and beliefs have resulted in limited understandings and applications of ITE. For instance, a student with an SEN may also come from a family living in poverty, with no access to books in the home, or speak multiple languages, including languages that are not a part of their first (formal) educational experiences. In such circumstances, there is no agreement about whether ITE programs should focus on students’ linguistic, socioeconomic, learning differences, or multiple factors.
We review the research on ITE in various national contexts. We also discuss how scholars have conceptualized the preparation of future teachers and the implications for greater clarity on how teacher preparation can improve IE in an increasingly diverse society.
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Least Restrictive Environment and Students With Disabilities in the United States
Mark C. Weber
This article considers placement in the least restrictive environment (LRE) for students with disabilities in the United States, discussing the LRE concept as it has developed in other contexts and its application to special education. The article describes the legislation that embeds the LRE principle in the delivery of special education services and details its origin, then covers developments in the courts both before and after the legislation was enacted. Finally, the article takes up ongoing controversies over LRE, including whether the principle has been taken too far, problems with implementation, and how the LRE principle relates to issues regarding racial segregation in the schools.
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Jeffers, Audrey Layne
Karene-Anne Nathaniel
Audrey Layne Jeffers (1898–1968) was an early feminist of African descent with a commitment to the advancement of Black women, education of girls, services to children with disabilities, and government responsibility for social welfare. She mobilized young women to form the Coterie of Social Workers in Trinidad that began a meal program for underprivileged school children in the 1920s, which shaped the National School Feeding Program that today offers free meals to all school students. This led to the establishment of other similar facilities in other parts of the country, as well as the opening of homes for dispossessed young women, the elderly, and the blind, and daycare facilities to help working women. These facilities form the backdrop for the practice of social work in the Caribbean. She was instrumental in the hosting of the first women’s conference which made numerous recommendations including equal opportunities for women and women in the police service. She was the first woman to be elected to local government, and later nominated to the legislative council by the governor. Jeffers was a champion for disadvantaged women and girls, but notably opened the door for women in politics in the English-speaking Caribbean.
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Displacement, Natural Hazards, and Health Consequences
Christelle Cazabat
When natural hazards lead to disasters, they can affect people in many ways, including damaging their housing and negatively impacting their livelihoods. Each year, millions of people are injured or killed as a result of disasters. They can also force people out of their homes: In 2020, 30.7 million new internal displacements linked with disasters, mostly storms or floods, were recorded throughout the world. Between 2010 and 2020, disaster displacements were recorded in 198 countries and territories, making the issue truly global. Such displacement can have severe and long-lasting consequences on physical and mental health, often similar to those of conflict-related displacement.
Psychosocial trauma and the deterioration of living standards and housing conditions often alter displaced people’s well-being and their ability to maintain healthy lives or obtain treatment and care. People with disabilities or long-term illnesses are particularly vulnerable in displacement, as are children and older people. Depression and anxiety, malnutrition, communicable diseases, and lack of access to sexual and reproductive health are among the most frequent issues for internally displaced people.
The health consequences of displacement linked with disasters vary depending on affected people’s pre-existing conditions and sociodemographic characteristics, the duration and severity of their displacement, and the type of support they are able to access. In cases of mass and protracted displacement, the health of people in communities of refuge and the health systems in the areas of origin and refuge can also be affected, with repercussions on the broader society.
Although some of these impacts are relatively frequent and should be systematically considered by national and local governments, humanitarian organizations, and aid providers, each situation requires tailored approaches. Information on the health impacts of displacement remains limited, but the body of knowledge is growing as awareness increases on the scale of current and future displacement crises linked with disasters in a changing climate.
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Differentiated Instruction and Inclusive Schooling
Diana Lawrence-Brown
Differentiated instruction encompasses a wide range of responsive pedagogies, including individualized types and levels of curricula, teaching methods, materials, and assessment strategies. It has at its roots the impetus for effective inclusive schooling, providing supports directly within general education classrooms for students with the full range of exceptionalities (both significant disabilities and giftedness) and other diverse educational characteristics such as cultural and linguistic background and socioeconomic status. To effectively include students with higher levels of need, comparable levels of supports follow the student from the special education setting to the general education classroom. This enriched level of support in the general education classroom benefits not only students with disabilities, but the class as a whole.
The legal and ethical bases for inclusive schooling are connected with various civil rights movements (including race, disability, culture and language, gender); it can be viewed as a response to segregated schooling (and denial of schooling altogether). Schools frequently remove students when traditional educational programs fail, adding on separate programs rather than rectifying the existing system. Such special programs have been routinely promulgated without substantial evidence of their effectiveness over supportive general education classrooms (either for segregated students or for their unlabeled general education peers).
Important aspects of differentiated instruction and inclusive schooling include multilevel instruction; authentic and culturally responsive curricula, methods, and assessment; universal design for learning; assistive and instructional technologies; positive behavioral supports; and a collaborative team approach to instructional decision-making and delivery.
Differentiated instruction and effective inclusive schooling are vital for equitable access to educational opportunities, bringing more responsive curricula, methods, and perspectives to increasingly diverse classrooms and schools.
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Effective Practices for Teaching Self-Determination
Dalun Zhang, Yi-Fan Li, and Melina Cavazos
Self-determination refers to a set of skills that helps individuals with disabilities control their life and achieve better inclusive outcomes. In special education, self-determination is often conceptualized as an educational outcome, which recognizes the important role that education plays in the development of student self-determination skills. Consequently, a number of educational practices have been developed to teach students with disabilities these essential skills. Some of the practices focus on helping students to acquire and maintain these skills; others focus on developing a conducive environment that allows and encourages individuals with disabilities to apply and exercise self-determination skills.
Research has provided empirical evidence to support the need for teaching self-determination skills to students with disabilities. A number of evidence-based practices have been recommended for schools and parents to use in teaching these skills to students with disabilities. Some of the strategies focus on creating conducive environments that provide opportunities for individuals with disabilities to apply and exercise self-determination skills; others provide suggestions to families regarding what they can do to promote self-determination. A particular focus is on instructional practices because of the strong link between education and self-determination. Some popular instructional practices include teaching choice-making, self-management instruction, involving students in the transition planning process, and teaching self-determination skills through a self-determination curriculum such as the ChoiceMaker Curriculum, Steps to Self-Determination, Whose Future Is It Anyway?, Next S.T.E.P. Curriculum, Self-Advocacy Strategy, and Self-Determined Learning Model for Instruction (SDMLI).
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Disability Inclusion in Sexual and Reproductive Health in the United States
Linda Long-Bellil
Despite the passage of the Americans with Disabilities Act (ADA) more than 30 years ago, people with disabilities experience significant barriers to exercising their right to sexual and reproductive health throughout their life course. The historical segregation and stigmatization of disabled individuals has created the conditions in which members of this population experience persistent disparities in the prevalence of adverse health conditions and inadequate attention to care, along with disparities in preventive care, health promotion, and access to health care services. These disparities manifest in social services and health care generally and also in the sphere of sexual and reproductive health.
Among many direct care workers, health care providers, and family members, assumptions persist that individuals with disabilities are asexual, unable to exercise informed consent to sexual activity, and unable to carry a pregnancy to term or to parent successfully. These assumptions adversely affect the ability of individuals with disabilities to access basic information about their sexual health and function in order to make informed decisions about their sexual activity, and also impact their access to preventive health screening, contraception, and perinatal care. Inadequate transportation and physically inaccessible environments and equipment such as examination tables pose additional barriers for some disabled individuals. A lack of training in disability-competent care among health care professionals is a pervasive problem and presents yet another challenge to obtaining appropriate and necessary information and care. Despite these barriers, the research shows that more and more women with disabilities are having children, and there is an increasing recognition that people with disabilities have a right to sexual expression and appropriate sexual and reproductive health care , accompanied by a gradual evolution among social services and health care providers to provide the necessary information and support.
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Inclusive Medicine and Medical Education: Increasing the Number of Clinicians With Disabilities
Kristina Petersen, Zoie Sheets, Satendra Singh, Zina Jawadi, Dawn Michael, and Lisa Meeks
For two decades, leaders in medical education have emphasized the importance of increasing diversity within the physician workforce to better reflect the general population, including people with disabilities. Historically, the barriers in medical education for the inclusion of learners with disabilities have been many. As we progress through the early 21st century, researchers are seeking to reduce or eliminate these barriers to improve access to medical school education by readily putting forth the value of disability as diversity. Inclusive and accessible learning environments for those with disabilities benefit all learners. Carrying these findings into the healthcare profession brings further evidence to show the concordance between patients and physicians with disabilities through the lived experiences of being a patient with increased empathy and patient-focused care. With the inclusion of learners and practitioners with disabilities, their lived experiences, and allies contributing to the environments and standards in medical education and the medical profession, significant contributions for equitable opportunities and improvements can be made that ultimately benefit all.
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Human Rights Overview
Joseph M. Wronka
At the heart of social work, human rights is a set of interdependent and indivisible guiding principles with implications for meta-macro (global), macro (whole population), mezzo (at risk), micro (clinical), meta-micro (everyday life), and research interventions to eradicate social malaise and promote well-being. Human rights can be best understood vis-à-vis the UN Human Rights Triptych. This consists of the Universal Declaration of Human Rights, increasingly referred to as customary international law; the guiding principles, declarations, and conventions following it, such as the Guiding Principles to Eradicate Extreme Poverty, Declaration on the Rights of Indigenous Peoples, the Convention on the Rights of the Child, the Convention the Elimination of Racial Discrimination, and the Convention on the Elimination of All Forms of Discrimination Against Women; and implementation mechanisms, such as the filing of country reports on compliance to conventions, the Universal Periodic Review, thematic and country reports by special rapporteurs, and world conferences. This powerful idea, which emerged from the ashes of World War II, emphasizes five crucial notions: human dignity; nondiscrimination; civil and political rights; economic, social, and cultural rights; and solidarity rights. The hope is that every person, everywhere, will have their human rights realized. Only chosen values endure. The challenge is the creation of a human rights culture, which is a lived awareness of these principles in one’s mind, spirit, and body, integrated into our everyday lives. Doing so will require vision, courage, hope, humility, and everlasting love, as the Indigenous spiritual leader Crazy Horse reminded us.