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Top Lang Disorders

Vol. 23, No. 2, pp. 116–133


© 2003, Lippincott Williams & Wilkins, Inc.

Inclusion of Learners with


Autism Spectrum Disorders in
General Education Settings
Richard L. Simpson, EdD; Sonja R. de Boer-Ott, MA, BCBA;
Brenda Smith-Myles, PhD
A pivotal element of the Reauthorization of the Individuals with Disabilities Act in 1997 is the inclu-
sion of children and youth with disabilities, including those with autism spectrum disorders (ASD), in
general education classrooms. The challenges of including students with ASD are many because of the
nature and severity of their disability. In this regard, the Autism Spectrum Disorder Inclusion Collabo-
ration Model offers guidelines and supports that can facilitate the successful inclusion of children and
youth with autism and related disabilities. Key words: autism, autism spectrum disorders, collaboration,
inclusion

T HE WORK of pioneers such as Kanner


(1943) and Asperger (1944) graphically por-
trayed persons with an autism spectrum disorder
serving them (Happe, 1998; Quill, 1995; Zager,
1999). Beginning at an early age and typically
continuing throughout their lives, individuals
(ASD) as perplexing and mystifying individuals. with ASD (1) have difficulty relating appropri-
Over the decades this enigmatic legacy has con- ately to others, (2) present with a wide range
tinued. Indeed, in spite of a phenomenal increase of language and communication disorders and
in the study and scrutiny of persons with ASD, peculiarities, (3) frequently encounter difficulty
autism-related disabilities remain an intriguing in successfully following and mastering an un-
mystery, including to many professionals (Klin, modified school curriculum, (4) have an obses-
Volkmar, & Sparrow, 2000). Accordingly, it is sive insistence on environmental sameness,
not surprising that otherwise skilled and com- and (5) are well-known for their atypical and
petent educators and school-based professionals often difficult-to-understand behavior, includ-
frequently report that they consider themselves ing stereotypic, repetitive, and self-stimulatory
to be less than fully capable of serving the needs responses (American Psychiatric Association,
of students identified as having ASD (Spears, 2000; Scheuermann & Webber, 2002; Simpson
Tollefson, & Simpson, 2001). & Myles, 1998). Moreover, children and youth
Children and youth with ASD characteristi- with ASD often have irregular patterns of cog-
cally demonstrate significant deficits in basic nitive and educational strengths and deficits,
areas of functioning, including social interac- including splinter skills and isolated discon-
tion, communication, learning, and behavior, tinuous abilities (Jordan, 1999; Simpson, 2001).
thus contributing to the challenge of educators Connected to these multiple and consequential
and related services professionals effectively factors, there is little argument that students
with ASD present as significant educational
challenges.
Independent of the exact nature and severity
From the Department of Special Education, University of
Kansas, Kansas of their disability, all children and youth with
ASD require careful individualized planning to
Corresponding author: Richard L. Simpson, PhD, experience educational success. Learners with
Professor and Chair, Department of Special Education, The
University of Kansas, 521 Joseph R. Pearson Hall, 1122 ASD will significantly test even the best school
West Campus Road, Lawrence, KS 66045-3101. programs. Further, these challenges will likely
116
Learners with ASD in General Education Setting 117

be magnified when children and youth with ful general education inclusion of learners with
ASD are educated in general education settings. autism-related disabilities.
Accordingly, inclusion of learners with ASD in
typical classroom settings requires particularly THE AUTISM SPECTRUM DISORDER
careful planning. The argument for such accen- INCLUSION COLLABORATION MODEL
tuated planning is based on the fact that learn-
ers with ASD are increasingly being diagnosed The Autism Spectrum Disorder Inclusion
(i.e., there are ever-increasing numbers of these Collaboration Model is designed to support
students in public schools; (Accardo, Magnu- general educators who assume responsibilities
sen, & Capute, 2000), and because there is an for teaching children and youth with autism.
ever-increasing trend to recommend them for As such, the following proactive assumptions
placement in general education settings (U.S. regarding the appropriateness of many students
Department of Education, 2000). with autism for general education placement
Significant debate continues over the efficacy form the philosophic core of the model:
and appropriateness of recommending students • students with ASD and their nondisabled
with ASD for placement in general education peers benefit from planned contact with one
settings. These often-strident debates are related another
to the “least restrictive environment” provision • given appropriate support and resources, the
of the 1997 Reauthorized Individuals with Dis- majority of general education teachers, staff
abilities Education Act (IDEA). This pivotal members, and administrators are agreeable
element of IDEA stipulates that learners with to having qualified students with ASD in
disabilities, including those with ASD, are their classrooms
entitled to educational services in maximally • general educators are willing and able to
normalized settings that offer the greatest op- effectively assume primary teaching re-
portunities for contact with typical peers. Of sponsibility for many students with ASD,
course, differences of opinion abound on the ap- contingent on special educator and ancillary
propriateness and interpretation of this require- staff support and other resources
ment (Kauffman & Hallahan, 1995; Mastropieri The underpinning of the model is collabora-
& Scruggs, 2000; Stainback & Stainback, 1992). tion. Thus it emphasizes shared responsibility
Yet, as important as they are, these debates are and shared decision making among general edu-
overshadowed by the reality that children and cators, special educators, and support person-
youth with ASD, along with other learners with nel. The model also permits consideration of
special needs, are increasingly being served in both learner behaviors and instructional factors
general education programs. Unfortunately, in (Koegel, Rincover, & Egel, 1996; Salend, 1990;
spite of this trend, few models and procedures Warger & Pugach, 1996).
have been advanced to facilitate the successful The Autism Spectrum Disorder Inclusion Col-
placement and maintenance of learners with laboration Model has five major components:
ASD in general education classrooms. Thus • environmental and curricular modifications,
teachers, related service professionals, parents, general education classroom support, and
and others are frequently faced with the daunting instructional methods
task of designing inclusion programs for learn- • attitudinal and social support
ers with ASD in the absence of clear guidelines • coordinated team commitment
and procedural protocols. In response to this • recurrent evaluation of inclusion proce-
important need, we offer a discussion of the dures
revised Autism Inclusion Collaboration Model, • home-school collaboration (Figure 1)
originally presented in Educating Children and Each model component is presented as a
Youth with Autism: Strategies for Effective Prac- discrete item; however, components are inter-
tice (Myles & Simpson, 1998). Specifically, the woven. Thus each component significantly af-
purpose of this article is to present this model fects the others and cannot operate effectively
and to discuss its use in facilitating the success- in isolation.
118 TOPICS IN LANGUAGE DISORDERS/APRIL–JUNE 2003

educational programs and demonstrate best-


practices methods. Professionals from a variety
of disciplines have determined that availability
of support services impacts student performance
and teacher attitude positively (Kellegrew,
1995; Salend, 1990). Indeed, general educa-
tion teachers have been found to lack support
for inclusion and the adoption of new instruc-
tional methods for students with disabilities
unless they receive assistance from qualified
resource personnel (Klinger, Argvelles, Hughes,
& Vaughn, 2001; Mastropieri & Scruggs, 2001;
Simpson & Myles, 1991). Further, parents and
support service personnel themselves seem to
agree that support services facilitate success-
ful inclusion. Because of the complex needs of
Figure 1. Autism collaboration model. students with ASD, team support is particularly
necessary. For example, speech/language, mo-
tor, sensory, behavioral, and academic problems
Environmental and curricular modifications, evident in these children and youth necessitate a
general education classroom support, and multiperson, multifaceted approach to planning
instructional methods and implementing a comprehensive program
(Dunlap & Fox, 1999; Jordan, 1999). When this
For years, researchers, policy makers, and occurs, general education teachers tend to be
administrators have called for appropriate in- willing to accept students with ASD within their
clusionary modifications and other supports for classroom. Accordingly, the model presented
general education teachers who assume primary here strongly supports the notion that general
instructional responsibility for children and education teachers who assume primary respon-
youth with disabilities (Miller & Savage, 1995; sibility for students with ASD receive assistance
Myles & Simpson, 1989, 1990). For children from social workers, psychologists, speech and
and youth with ASD, such modifications and language pathologists, special educators, occu-
support are particularly important because of pational therapists, physical therapists, counsel-
their unique needs, including availability of ap- ors, and other professionals as needed.
propriately trained support personnel, reduced
class size, access to collaborative problem-solv- Accessibility to collaborative problem-solving
ing relationships, adequate teacher planning relationships
time, availability of paraprofessional, and inser- As more and more students with disabilities
vice training. Each of these areas is discussed in are being served in regular education classes, the
the following sections. need for collaborative relationships designed to
assist general education teachers plan for these
Availability of appropriately trained support students is increasingly being recognized (Idol
personnel & West, 1987; Warger & Pugach, 1996). His-
The accessibility of knowledgeable and col- torically, data-based findings support teachers’
laboratively oriented support service personnel perceptions of the importance of consultation
is essential to the successful placement and (Miller & Sabatino, 1978). Klinger and col-
maintenance of students with ASD and other leagues (2001) provide a more current perspec-
disabilities in general education settings. That is, tive that supports Miller and Sabatino’s research.
general education teachers who teach students Specifically, they found that special educators
with ASD should be able to call on profession- would implement and sustain the use of new
als from various disciplines to help implement strategies with students with special needs when
Learners with ASD in General Education Setting 119

support was provided and when the instructional


methodologies became a part of the pedagogicl
culture of the school. General educators’ use of
The Autism Spectrum Disorder
the strategies helped them become a part of what Inclusion Collaboration Model
Klinger and others refer to as a “community of supports general educators who
practice.” assume responsibilities for teaching
Although the terms consultation and collabo- children and youth with autism.
ration are often used interchangeably, Pugach
and Allen-Meares (1985) contend that there are
important differences between them. That is, this exceptionality, how to communicate with
consultation may denote unequal status between persons with limited verbal skills, or academic
professionals, with specialists providing advice procedures that have been proven effective for
to classroom teachers, whereas collaboration this population (Koegel et al., 1982).
implies equal status among team members who Accordingly, the Autism Spectrum Disorder
share information, provide consultative support Inclusion Collaboration Model supports con-
to one another, and jointly problem solve. tinued inservice programs for general educators
The Autism Spectrum Disorder Inclusion who work with students with ASD. Both group
Collaboration Model accentuates collaborative and individual inservice formats are used within
consultation. Although educators vary in their this model. Group inservices may be used to
desire for “expert advice,” it is our experience provide a general body of information regarding
that collaborative consultation is the most effi- characteristics and needs of students with ASD,
cient and effective means of supporting general and individual training may focus on specific
education teachers working with students with instructional techniques, intervention methods
ASD, and preparing them to generalize and sus- and so forth (French & Cabell, 1993). Further,
tain problem-solving programs learned in col- both special and general educators require col-
laborative consultative relationships. Future col- laboration and consultation skill training to pre-
laborative approaches will likely discontinue the pare them for their new roles and, ultimately, to
use of models whereby consultation exclusively ensure that students with ASD receive the best
flows from expert to teacher in favor of more possible services.
transdisciplinary approaches (Peterson, 1987). Inservice training programs for teachers may
As a result, consultants will increasingly be ex- be desirable in implementing inclusionary pro-
pected not only to provide expert advice, but to grams. Educators recognize the complex needs
seek expertise from a variety of sources and to of students with disabilities, including those
coordinate the application of such expertise. with autism, and have stipulated that training
Because students with autism present mul- programs should provide continuous support
tiple needs that transcend traditional “educator” and education. In this connection, “one-shot”
roles, educators who work with students with workshops or inservice programs are generally
ASD must be able to collaborate with nonschool considered ineffective (Cates & Yell, 1994).
systems such as medicine, mental health, day
care, and so forth. Accordingly, they must be Implementation of appropriate instructional
knowledgeable about the services and the ex- methods
pertise each system can provide, as well as how Using appropriate instructional methods with
to access them and how to coordinate services students with ASD when receiving education
and expertise to best serve students. within the general education environment con-
tribute to the success of the student’s program
Inservice training and his or her progress. As stated previously,
It is often difficult for general educators to children with autism lack many of the language,
teach children and youth with ASD, because learning, and social skills that a child needs to
they do not have the necessary training and function and learn within a typical education
background to understand the characteristics of environment. There are several techniques,
120 TOPICS IN LANGUAGE DISORDERS/APRIL–JUNE 2003

methods, and accommodations that can easily materials development, and curriculum modifi-
be made to enhance a student’s with ASD to cation (Boomer, 1994).
enhance his or her ability to receive and learn It is not appropriate for paraeducators to
from instruction provided within a general exclusively and constantly be assigned to a
education classroom. A checklist that provides student with ASD for the purpose of translating
a list of these strategies as a reference for the teachers’ instructions and implementing all pro-
Individualized Education Plan (IEP) team, and grams. In many instances, part-time assignment
in particular, the general education teacher and of a paraeducator and use of a paraprofessional
instructional assistant appears in Table 1. Al- with all students in a classroom is preferred. On
though some items included within the checklist some occasions, students with ASD can com-
may not pertain to every student with ASD, it plete tasks with paraeducator assistance; when
can assist in maintaining awareness of success- this occurs, the student should be allowed to
ful techniques, methods, and accommodations, work independently. Although the student with
as well as providing the IEP team with specific ASD works independently, the paraeducator
instructional considerations when developing can support other students in the classroom on
the student’s goals and objectives and program. an as-needed basis. Nonetheless, availability of
paraeducators is considered to be an essential re-
Availability of paraeducators source for effectively serving students with ASD
As of 1980, more than 80,000 paraeduca- in the general education classrooms.
tors worked in public school special educa-
tion programs (Pickett, 1980). This number Adequate teacher planning time
has continued to rise (Mastropieri & Scruggs, With regard to placing students with autism in
2000; Blalock, 1991; Goodlad, 1990). Indeed, general education classes, teacher planning time
paraprofessionals are considered to play an im- is very significant. Additional planning time is
portant role in supporting students with disabili- needed to permit teachers to individualize aca-
ties (Jones & Bender, 1993; Simpson & Myles, demic tasks, plan alternative or additional activi-
1990; Young et al., 1997), including children ties, and develop appropriate, individualized in-
and youth with ASD. In this regard, Karagianis structional methods. This time is also needed to
and Nesbit (1983) noted that paraeducators are enable them to collaborate with others. Hence,
“…a necessary adjunct to the regular classroom the Autism Spectrum Disorder Inclusion Col-
where the teacher has a defined responsibility laboration Model incorporates adequate plan-
for handicapped children” (p. 19). ning time as an essential component.
An important element of the Autism Spec-
trum Disorder Inclusion Collaboration Model is Reduced class size
that, to the extent necessary, paraeducators must As a means for improving schools, the ef-
be available in general education settings to ficiency of our educational system could be
support children and youth with ASD. Empha- significantly improved by a reduction of the size
sis should be placed on training paraeducators of the average general education class (Lewis
to work with students with ASD. In relation to & Doorlag, 1999; Zionts, 1997). Smaller class
the area of ASD, they require knowledge re- sizes are often seen to be extremely important
garding (1) characteristics, (2) communication for students’ academic achievement, social and
skills, (3) behavior management techniques, personal development, and teacher job satisfac-
(4) instructional methods, and (5) arrangement tion (Coutinho & Repp, 1999). Thus several
of the educational environment (Young et al., researchers have ascertained that reduced class
1997; French & Cabell, 1993). Once trained, size facilitates increased student success, par-
paraeducators may assist with a variety of ticularly for children and youth with disabilities
tasks, including (1) helping students practice (Cates & Yell, 1994; Vaughn, Schumm, Jallad,
previously taught academic and social skills, (2) Slusher, & Saumell, 1996). Specifically, teach-
documenting student performance and progress, ers who have fewer students are often able to
and (3) assisting teachers with daily planning, better individualize instruction for students and
Learners with ASD in General Education Setting 121

Table 1. Checklist of instructional methods used with students with autism spectrum disorder
within general education classroom

Student Name: ___________________________ Observer: _______________________________


Date of Observation: ______________________

General Education Teacher/Paraeducator Use Appropriate:


Body Language

attention is paid to adult’s body movement; amount of movement around student, types of
movement (large, small, jerking, etc.)
attention is paid to adult’s proximity to student; “Velcro” phenomenon and hovering are
avoided (paraeducator does not sit consistently sit or stand next to student), proximity is
adjusted continually based on activity and needs of student
attention is paid to body positioning during a conversation or when providing assistance;
adult is at student’s level and does not obstruct visibility of teacher or access to materials
and peers
adults use modeling of appropriate action or behavior as a method of indirect prompting
Verbal Language
use of specific description words not general terms (i.e., not “good job,” but “good sitting”)
use of calm, even-toned firm voice in all situations; words used to praise, redirect, or correct
are not monotone nor high-pitched and abnormal, and anger, frustration, and anxiety are not
demonstrated in tone of voice
use of words which help student focus on activity or task and what he/she should be doing,
not on what he/she is doing inappropriately
use of statements and instructions that are firm and not in form of question; i.e., “let’s
do…,” “time for everyone to …,” “we need to …”
use of statements that give the student choices within the parameter of the activity; i.e.,
“now we’re going to … you may choose … or ….”
Task Analysis
tasks are broken down into individual steps, based on student’s needs; i.e., student is
provided with a numbered list of steps with reward for accomplishing each or student is
provided with only pertinent materials along with verbal directions for each step
instructional materials are modified (according to student’s needs) before presenting task to
student
paraeducator uses simplified verbal instructions to explain task or activity
adults use repetition to ensure mastery of concepts and skills
alternative outcomes (according to student’s needs) for tasks or activities are decided upon
before student participates and are imbedded within instructions
instructions are provided in method best understood by student: i.e., from whole to part, or
part to whole, or with visual cues or modeling, etc.
Transition Methods
use of incentives/prompts (motivation) to assist student with transitions from one place to
another or one activity to another; i.e., from home to school—provide a “job” student needs
to complete for class to start, from activity to activity—there is a natural reinforcer within
the next activity
use of warning (use consistent form) before ending an activity or task
do not describe next activity (while still completing another) if it is nonpreferred
use of data to assist in analyzing transitions—difficulties may not always lie in going from
preferred to nonpreferred

continues
122 TOPICS IN LANGUAGE DISORDERS/APRIL–JUNE 2003

Table 1. Continued
Antecedent and Consequence Interventions
use of proactive/antecedent measures rather than reactive measures to prevent inappropriate
behaviors; maintain data on common antecedents to inappropriate behaviors
use of antecedent strategies to redirect or distract student from engaging in self-stimulatory
or other inappropriate display of behavior
use of incentives/rewards (motivation) to assist student in understanding benefit of engaging
in challenging task or engaging in appropriate behavior in a difficult situation
use of data to continually adjust behavior interventions; reduce need for implementing
consequences (if behavior continues to occur it is being reinforced)
use of logical and natural consequences for inappropriate behavior rather than arbitrary
consequences
use of logical and natural reinforcement for appropriate behavior rather than arbitrary or
primary reinforcers
Teacher/Paraeducator Facilitate Appropriate:
Imbedding of Goals and Objectives within Curriculum
adults use matrix which match goal and objective of student to activities, tasks, and
curriculum used within the class
use of data sheet that allows teacher/paraeducator to daily track progress of student’s skills
(goals and objectives)
teacher develops class-wide activities or tasks that uses student’s goal and objectives as
student-wide goals and objective
adults imbed social interaction opportunities within activity (as appropriate)
Task Completion
adults attend to student’s function of behavior if he/she is not completing a task or activity
(level or ability vs. difficulty of task; frustration vs. noncompliance)
adults provide instructions in method best understood by student; i.e., visual, auditory,
modeling, kinesthetic
adults use least intrusive prompts first when assisting student with task
adults use minimal physical prompting if student is stalling or verbal prompting that focuses
student on what to start doing (i.e., student is playing with pencil, adult physically puts
student’s hand with pencil over line for name and says “write your name”)
adults accept student’s efforts on task (even if incorrect) and redirect student without him/
her knowing (avoids student feeling as if he/she did something wrong)
avoid student’s need for perfection by modeling making mistakes, or being a little sloppy, or
showing him/her work of other students
Generalization of Skills
difficult tasks are pretaught in one-to-one situation before being introduced to group in
general education class
adults fade prompts each time the same task or activity is used
adults (initially) use immediate reinforcement throughout duration and upon completion of
known task within general education class
teacher (initially) uses words or phrases, which are familiar to the student, within delivery
of instruction
adults use similar materials that student used when initially acquiring the skill and gradually
introduce different materials
paraeducator (initially) restates instructions in simplified manner with familiar words
adults reinforce attending skills
Student Independence
adults wait before stepping in when student is experiencing difficulty
paraeducator acts as “paraeducator” to entire class and students are not told that he/she is
student’s with autism paraeducator

continues
Learners with ASD in General Education Setting 123

Table 1. Continued
adults use least intrusive prompt when providing assistance
adults allow student to make mistakes and develop problem solving skills; let student have
less than perfect products (as long as student is exerting honest effort)
adults are aware of student seeking affirmation or confirmation (approval) throughout a task
or activity and use planned ignoring (sometimes removing one’s presence)
adults ignore nondisruptive (is not interfering with instruction or activity) inappropriate
behavior (excess movement, less-obvious self-stimulatory behaviors, quiet noises)
use of data to analyze increase of independence by determining if student is completing
tasks and participating in activities with less and less prompting
Consistent Intervention
adults follow through with reinforcement system for appropriate behaviors
adults follow through with consequences for inappropriate behaviors
adults follow through with predetermined routines
adults follow through with warnings for transitions and changes in routines
adults follow through with implementation of class-wide rules, procedures and behavior
management system

© Copyright 2000 Sonja R. de Boer-Ott

use a wider variety of instructional methods classroom (Mesibov, 1992; Sasso, Simpson, &
and more effectively manage their classes and Novak, 1985; Wing, 1992). Even before enact-
thereby experience fewer discipline problems. ment of P.L. 94-142, and, thus before IDEA’s
For students with ASD, reduced class size is specific language of “least restrictive environ-
of paramount importance, because they typi- ment,” integration was a goal for a number of
cally require high levels of teacher-student in- disability organizations. In 1973, for instance,
teraction and classroom structure. Researchers The Association for Retarded Citizens called for
have found that these students learn best when placement of individuals with disabilities in set-
teacher-to-student ratios are small (Vaughn et tings “as close to normal as possible” (National
al., 1996). In addition, behavioral excesses and Association for Retarded Citizens, 1973, p. 72).
deficits are most easily controlled when the Moreover, even at relatively early stages of
student has access to adequate teacher support. special education program development, notes
These elements are often unavailable in class- of caution were expressed regarding the need to
rooms containing large numbers of students. carefully prepare environments to accommodate
There appears to be little question that re- students with disabilities. For example, Martin
duced class size bodes well for students’ suc- (1974) warned that unless educators developed
cess, including children and youth with ASD strategies to create an accepting environment
in general education settings. Accordingly, an for students with disabilities “we will be pain-
integral feature of the Autism Spectrum Dis- fully naive, and I fear we will subject many
order Inclusion Collaboration Model is a class children to a painful and frustrating educational
size that permits general education teachers to experience in the name of progress” (p. 150).
respond effectively to the individual needs of all In spite of such cautionary notes, however,
students. limited attention has been paid to prepare gen-
eral education classroom settings to accommo-
Attitudinal and social support date students with disabilities, including those
with ASD. Thus, in spite of the recognized im-
It is widely recognized that students with portance of teachers, school staff, and students
ASD require attitudinal and social support to being aware and supportive of students with
be truly integrated into a general education ASD (Newman & Simpson, 1983; Sasso et al.,
124 TOPICS IN LANGUAGE DISORDERS/APRIL–JUNE 2003

1985), few guidelines are available for creating Positive teacher attitudes are also determi-
educational environments in which children and nants of success for students with disabilities
youth with disabilities will thrive and experi- in general education classes. General education
ence acceptance. For example, guidelines for teachers typically view themselves to be ill-
teachers and students’ roles in facilitating so- equipped to deal with students with disabilities
cial interaction of students with ASD have not (Helps, Newsom-Davis, & Callis, 1999; Miller,
been defined. Research has validated several 1990; Vaughn et al., 1996). Nevertheless, they
interventions that enhance the social skills of tend to perceive inclusion as a positive educa-
persons with ASD including direct instruction, tional practice, contingent on appropriate teacher
adult-mediated, and peer-mediated programs. training and support (Klinger et al., 2001; Knoff,
The attitudes of those associated with a given 1985; Moore & Fine, 1979; Reynolds, Martin-
school, including administrators, teachers, Reynolds, & Mark, 1982; Stephens & Benjamin,
parents, and students, in large measure deter- 1981; Williams & Algozzine, 1979). Myles and
mine the extent to which the Autism Spectrum Simpson (1989) reported that 86% of the general
Disorder Inclusion Collaboration Model (or educators they surveyed were willing to accept
any other inclusion strategy) will be effective a student with a disability in their classrooms
(Gersten & Woodward, 1990; Klinger et al., on a full-time basis if appropriate support and
2001). If school personnel are not supportive training were provided. Without such support
of inclusion, it is likely that the inclusion ex- and training, on the other hand, less than 33%
perience will be short-lived for the student with of the teachers were willing to accept the same
ASD. Persons holding the attitude that students student. Still, other studies have revealed differ-
with ASD are not well-suited for inclusion will ent findings. Some general education teachers
create a self-fulfilling prophecy and the student have indicated that they do not want to work
will not profit from the inclusionary environ- with students with special needs, including
ment. those with ASD (Vaughn et al., 1996). Given the
With respect to administrator attitudes, impact of teacher attitude on student academic,
O’Rourke (1980) found a significant relation- social, and behavioral success, school personnel
ship between teaching personnel’s and building (general and special education administrators)
principals’ attitudes toward students with dis- must carefully consider teacher attitudes when
abilities. That is, building principals’ attitudes placing students with ASD in general education
set the tone for the overall school’s attitude, settings.
including the attitudes of teachers and staff. Parents of disabled and normally developing
Accordingly, positive principal attitudes, as children are also important stakeholders in the
well as administrative support for working with inclusion process; thus successful integration of
all students (including those with ASD), are a students with ASD also hinges on their support
prerequisite for optimal educational benefits (Heller & Schilit, 1987; Vaughn et al., 1996).
for all students, including students with dis- Such a claim is best understood by examining of
abilities in regular education classes (Heller & the historical role of parents in the development
Schilit, 1987; Vaughn et al., 1996). It is strongly of special education programs. That is, it was
recommended that administrative personnel be their activities and lobbying that brought about
selected on the basis of their attitudes toward virtually every important special education sys-
individuals with disabilities and, specifically, tem reform, including passage of P.L. 94-142. In
their willingness to accommodate these stu- fact, as mentioned, many parents of children with
dents in their classes. Although it is possible to disabilities appear willing to place their children
modify administrators’ attitudes toward children in general education classrooms, contingent on
and youth with disabilities, it is far more effi- appropriate support (Abelson & Weiss, 1984;
cient to initially select educational leaders who Abramson, Wilson, Yoshida, & Hagerty, 1983).
have positive attitudes towards inclusion and Inclusion programs must include methods and
students with ASD than attempting to modify procedures that facilitate adults’ awareness and
less than favorable attitudes. acceptance of students in general education set-
Learners with ASD in General Education Setting 125

tings as necessary for social and psychological Gordon, Arnold, Handleman, and Harris (1992)
integration to be achieved. In recognition of this provide suggestions for facilitating inclusion of
important, the element, the Autism Spectrum preschool children with ASD. Although the edu-
Disorder Inclusion Collaboration Model ad- cational and social needs of students with ASD
vocates disseminating information about indi- who are included vary, regardless, their peers
viduals with ASD to students, parents, teachers, must receive information and experiences to al-
administrators, and others. Such information low individuals with ASD to be successful and
should include not only facts about the rationale accepted.
and advantages of inclusion, but information Generally, children and youth with ASD will
about ASD as well. lack social skills needed for assimilation and
Development of positive attitudes also re- acceptance in general education classrooms, un-
quires that inclusion stakeholders (e.g., teachers, less they receive proper training and attention.
administrators, parents) be permitted to discuss Thus a significant feature of the Autism Spec-
their roles, attitudes, and feelings about inclu- trum Disorder Inclusion Collaboration Model is
sion, particularly as it relates to students with an emphasis on best-practices social interaction
ASD. Thus development of a supportive general training methods. These include:
educational climate for students with ASD is • direct skill instruction (students receive
best accomplished by combining information instruction and social skills needed for vari-
with opportunities for further discussion. ous settings, including general education)
As in the case of adults who interact with (Sasso, Melloy, & Kavale, 1990)
students with ASD, nondisabled peers also • antecedent prompting methods (students are
require information and experiences designed prompted by adults to engage in specified
to familiarize them with the characteristics and interactive behavior with peers) (Odom &
needs of students with ASD, foster more accept- Strain, 1986)
ing attitudes toward individuals with autism, and • peer-initiated training strategies (socially
promote better peer interactions (Hurley-Gef- competent peers are instructed in methods
fner, 1995). Positive attitudes toward students for initiating and encouraging social inter-
with disabilities, including those with ASD, actions with children with ASD in natural
do not occur automatically. Accordingly, this is settings) (Sasso & Rude, 1987)
frequently overlooked inclusion consideration • peer tutoring (socially competent peers are
must be planned. instructed to use effective teaching tech-
Use of curricula and experiences designed niques with their classmates with ASD)
to facilitate better understanding and sensitiv- (Simpson, Myles, Sasso, & Kamps, 1997).
ity toward included students with disabilities These social interaction enhancement meth-
have proven effective (Fiedler & Simpson, ods are not only very useful but extremely flex-
1987; Meyer, Park, Grenot-Scheyer, Schwartz, ible as well (Sasso, 1987). Hence, they may vary
& Harry, 1998). Several resources are available from setting to setting, depending on students’
for disseminating of information about ASD to needs, while still addressing the important issue
general education students as well as structur- of fostering positive and accepting relationships
ing integration activities involving disabled between children with ASD and their normally
and nondisabled students (Baker, 2002). For achieving peers. Without such support students
example, Simpson and Regan (1988) offer cur- with ASD are vulnerable to rejection and isola-
ricula for nondisabled students on such topics as tion, which could destine them for failure an
human differences and similarities, characteris- otherwise successful inclusion program (Myles
tics of ASD, and making friends with students & Simpson, 2001).
with ASD. This resource also identifies methods
of structuring interactions between students with Coordinated team commitment
ASD and their peers. Similarly, Quill (1990)
provides guidelines for integrating students Special education and general education have
with ASD into a school, whereas Tomchek, historically functioned as independent systems.
126 TOPICS IN LANGUAGE DISORDERS/APRIL–JUNE 2003

Thus special educators have historically as- context, refers to the clear definition of roles for
sumed responsibility for students with disabili- service delivery personnel, especially individu-
ties while in special education settings, whereas als involved in including students with ASD.
general educators have been expected to assume Recognizing the importance of such reorgani-
primary responsibility for students with dis- zation, Judy Schrag (1990), former Director of
abilities in inclusionary settings in addition to the U.S. Office of Special Education Programs,
“traditional” regular education students. observed that
Often to the distress of general educators,
special educators have also historically assumed special education program enhancements include bet-
primary responsibility for determining (1) if and ter coordination across special programs and general
education, increased roles of the building principals,
when needs the of students with disabilities can
continued exploration of the circumstances under
appropriately be met in general education set- which students with special needs can be educated
tings, (2) which regular education programs in the regular classrooms and exploration of refine-
and teachers will best meet integrated students’ ments in our assessment and classification procedures
needs, and (3) how inclusion may most effec- (p. 7).
tively be accomplished. Not surprisingly, this
system, in combination with other imprudent Coordination of special and general education
inclusion policies and activities, has weakened programs requires that individuals be aware of
many general educators’ motivation for inclu- their own as well as the responsibilities of oth-
sion. Improvements in the way students with ers. It is our contention that much discontent
ASD are integrated into general education can among general education teachers concerning
be expected only with the support of and close inclusionary programs stems from a lack of
working relationship between general and spe- orchestration (e.g., role clarification) of school
cial educators (Sailor, Anderson, Halvorsen, personnel responsibilities. Hence a logical step
Doering, Filler, & Goetz, 1989). Thus a major in dealing with this problem is to establish re-
component of the Autism Spectrum Disorder sponsibility boundaries more clearly.
Inclusion Collaboration Model involves shared Related to achieving coordinated team
responsibility by general and special educators commitment, communication is the basis for
for students with autism. That is, general educa- developing a collaborative relationship, the
tors must accept that integrated students with philosophical underpinning of the Autism Spec-
autism are their responsibility while in regular trum Disorder Inclusion Collaboration Model.
education programs. In return, general educators Communication is the basis for involvement of
can expect full participation in decision-making all inclusion stakeholders, including administra-
processes associated with inclusion (including tors, parents, teachers, support personnel, and
input regarding which students are appropriate students. Effective communication ensures that
for inclusion!) along with appropriate support involved persons are working toward the same
(e.g., training, consultation). goals and that each person follows established
Calls for shared ownership are not new (Heller procedures (Vaughn et al., 1996). As often
& Schilit, 1987; Hersh & Walker, 1983; Warger stated, effective communication is the sine qua
& Pugach, 1996; Zionts, 1997). Yet, in spite of non of effective general–special education col-
widespread emphasis by both practitioners and laboration.
researchers on the significance of this variable The need for shared decision making and par-
in developing successful inclusion programs, ticipatory management has been recognized for
it continues to present problems (Coutinho & some time (Goodlad, 1990). Such organizational
Repp, 1999; Ysseldyke, Algozzine, & Thurlow, systems increased involvement in decision mak-
1992). ing, thus resulting in enhancing the well-being
A first step toward coordinated team commit- of stakeholders and organizational efficiency
ment is to arrange schools such that they require in meeting individual needs. These outcomes
and reinforce coordination and communication have obvious importance for including persons
among faculty and staff. Coordination, in this with ASD, and thus, as noted by a variety of
Learners with ASD in General Education Setting 127

educators, are worthy of serious pursuit (Clune instruction within the general education class-
& White, 1988; Mertens & Yarger, 1988; Mas- room. This involves determining if appropriate
tropier & Scruggs, 2000; Walberg & Lane, 1989; and utilitarian accommodations and modifi-
White, 1989). cations are being made to the materials and
instruction methods, including the provision of
additional adult support (paraeducator) and as-
RECURRENT EVALUATION OF sistive technology. The needs of the particular
INCLUSION PRACTICES student determine the appropriateness of the
accommodations or assistance being provided,
“Assessment is a key component of any not a general checklist of modifications and
program serving children with exceptionalities services.
and acts as an ongoing part of the instructional When analyzing the evidence of the student’s
strategy” (as cited in Simpson & Myles, 1996). benefit from participation and education within
Ongoing evaluation of a student’s with special the general education environment, two ques-
needs progress within the general education is an tions must be answered. First, is the student
integral part of his IEP. After the IEP team has socially benefiting from the general education
developed the goals and objectives and made a environment? The answer takes into consid-
determination that at least some of the goals and eration whether the student diagnosed with
objectives can be met within the general educa- ASD demonstrates a meaningful awareness of
tion environment, it crafts strategies to assess his or her peers, imitates the actions of adults
the student’s progress. Thus the team begins the and peers, responds to interactions initiated
process of continually reevaluating the appro- by adults and peers, demonstrates attempts to
priateness of meeting the student’s needs (goals initiate and respond to interaction, and seeks
and objectives) within the general education social reinforcement for appropriate display of
environment. behavior and completion of tasks. Second, is the
To successfully evaluate progress of a stu- student with ASD academically benefiting from
dent’s with ASD, a comprehensive assessment the general education experience? The answer
must be undertaken. This process involves uti- to this question considers whether the student
lizing the framework set up by the “least restric- is able to participate in academic activities at
tive environment” requirement of IDEA (IDEA, increasingly independent level with or without
34CFR, Section 300.50; 20 USC 1412 (5)(A)) modifications, demonstrates acquisition of new
and the ensuing court case findings, which fur- skills, demonstrates generalization of acquired
ther clarified and defined the intent of the LRE skills, and attends to group instructions.
doctrine (Ronker v. Walter [1983], Daniel R.R. v. Determining whether or not there is sufficient
State Board of Education [1989], Greer v. Rome evidence of appropriate facilitation of member-
City School District [1990], Oberti v. Board of ship involves a two-fold evaluation. First, it
Ed. [1993], and Board of Ed. v. Holland [1994]). needs to be apparent that the general education
This involves evaluating (1) the provision of teacher and students are respectfully treating the
appropriate supplemental aides and services, student with ASD as a legitimate member of the
(2) the evidence of benefit from participation classroom. That is, it must be determined that
and education, (3) the evidence of appropriate they are allowing the student to participate in all
facilitation of membership, and (4) the child’s the same activities with the class (according to
demonstration of appropriate participation. An- his or her ability), they speak to and interact di-
other factor, which will not be addressed in this rectly with the student and not about him or her
article, is the cost of including the student within or to the paraeducator, and they demonstrate an
the general education. acceptance of the child as an equal and valuable
Upon evaluating whether or not appropriate member of the class.
supplemental aides and service are being pro- It is also important to evaluate whether the
vided for a student with ASD, it is important student with autism demonstrates appropriate
to determine if the student is able to receive participation within the general education en-
128 TOPICS IN LANGUAGE DISORDERS/APRIL–JUNE 2003

vironment by determining that he or she is not (Pugach & Johnson, 1995). In contrast, current
inhibiting the successful delivery of instruction policies and practices of allowing and encourag-
by the teacher and receipt of instruction by the ing parent involvement in educational matters,
typical students. This means that the student is which affect their children, are mandated, and
not consistently disrupting the class activities ensure the right to involvement for all parents.
and schedule by making loud noises, physically Thus related to successful inclusion of students
running around the class, inappropriately han- with ASD and implementation of the Autism
dling objects within the classrooms, or refusing Spectrum Disorder Inclusion Collaboration
to complete a task or to transition to another Model, the meaningful participation of parents
place or activity. This also means that the student is essential. Involvement must be individual-
is contributing to a safe learning environment for ized. However, we consider participation by
all students and does not consistently hit, kick, parents in inclusion-related activities to be an
or bite, people, or throw objects. indispensable part of an effective program.
To appropriately determine if these factors Frea and Hepburn (1999) and Simpson and
are being addressed satisfactorily, one needs to Fielder (1989) identified several basic elements
observe and analyze several important compo- needed for effective home-school collaboration.
nents of the general education environment and These elements include development and main-
the progress and development of the student’s tenance of a collaborative home-school environ-
skills. In this connection, a checklist of the key ment, application of collaboratively oriented
components contributing to the success of inclu- administrative arrangement, and a willingness
sion of a student with autism has been developed on the part of professionals to train parents and
to facilitate a more objective and measurable family members to participate as a member of a
evaluation (Table 2). The checklist is designed school team.
to remind the observer (with examples) what, Creating the conditions for a collaborative
on the whole, should be observed, along with home-school environment begins with recog-
the assumption that the observer will maintain nition that parent-professional cooperation is
detailed notes on specific components or skills something that extends beyond legislation and
within each category of the instrument. Some of that interpersonal, not legislative, conditions are
the items within the checklist do not pertain to the bases for meaningful parent and family in-
every student with ASD. After an observation, volvement (Simpson & Myles, 1989). Simpson
the evaluator is able to identify areas of strengths and Fielder (1999) specifically noted that the
and weaknesses in the student’s program and foundation for such a relationship must involve
skill development within the general education professionals’ willingness to listen, to recognize
environment. that trust is a basic element of cooperation, to
be knowledgeable of and to accept of indi-
vidual values, and to demonstrate a willingness
HOME-SCHOOL COLLABORATION to accommodate a partnership relationship. That
parents of children with ASD and professional
IDEA guarantees not only the right to a free have often had less that optimal interpersonal
and appropriate education for all learners with relationships underscore the importance of these
disabilities, but it also ensures the continuous elements as salient ingredients of effective par-
involvement of parents in educational plan- ent-professional relationships.
ning, decision making, and implementation. Administrative arrangements and policies
This clearly stated policy of support for parent also are determinants of effective parental in-
involvement represents a radical departure from volvement. Indeed, meaningful involvement
past attitudes and practices. Historically, parents between parents and professionals will likely
have often been blamed for their children’s edu- only occur when suitable administratively sup-
cational problems and isolated from profession- ported conditions are in place. Relative to
al decision making concerning the development parents and families of learners with ASD, this
and support of their children with disabilities involves administrators providing encourage-
Learners with ASD in General Education Setting 129

Table 2. Checklist of key components contributing to the success of inclusion of students with
autism spectrum disorder

Student Name: ___________________________ Observer: _______________________________


Date of Observation: ______________________

Curriculum Delivery and Reception


method of delivery and type of instructions given for the activity
type and levels of accommodations/modifications made for student, i.e., directions written
out for him, paraeducator helps student assemble the needed materials, objective (level of
difficulty) is different for student, etc.
level and schedule of reinforcement used with the student during activities
level of adult and peer assistance provided to student during activities
level of apparent motivation demonstrated by student and related voluntary and independent
participation in activity
ability of student to transition between activities and follow the steps within the activity
type of curriculum and materials used (level appropriate for student and materials accessible
and easily manipulated)
Environmental Arrangements
student’s ability and current method of locating and using restrooms, water faucet, and
drinking fountain
location of student’s seat/desk within classroom related to equipment, door, window, peers,
teacher’s desk, and the teacher when providing group instruction—level of distractibility,
attending and supervision
seating arrangements used for circle time—location of student related front/teacher, peers
and materials/equipment—level of distractibility, attending, supervision (ease of adult
access)
student’s ability to appropriately access playground (motor ability to play on equipment,
remains accessible to supervisor, displays understanding of rules, socially interacts with
peers)
Interaction Amount/Type
between teacher and student
between paraeducator and teacher
between paraeducator and student
between teacher and typical students
between paraeducator and typical students
between student and peers (during academic and nonacademic activities)
between other adults (parent volunteers, other assistants, etc.) and student
student to adult ratio within class
instruction used by teacher (small group, large group lecture, cooperative groups,
independent)—student’s ability and success when participating in each type
instruction delivery (use of visual aides, auditory lecture, oral brainstorming with class—
asking for volunteers with information)—student’s ability and success when receiving and
expressing information
implementation of behavior plan (consistent use and meets students needs within general
education environment)
implementation of goals and objectives within classroom (consistent data and fading of
modifications and prompts)
implementation of reinforcement plan (consistent use, student preferred reinforcers, fading
rate of reinforcement, use of natural reinforcers as much as possible)

continues
130 TOPICS IN LANGUAGE DISORDERS/APRIL–JUNE 2003

Table 2. Continued
Participation Level of Student
ability of student to sit for sustained period of time (on floor and/or in chair)
ability of student to imitate adults and peers
ability of student to follow classroom routine and procedures
ability of student to “wait” (for one’s turn, in line, to receive reinforcement)
ability of student to attend to teacher and other pertinent stimuli
motivation to participate in classroom activities
appropriate prompts provided by adults (may include eye contact, gestures, nodding/affirming
questions, giving individual instructions, individual physical prompting, use of student’s name
within instructions)
appropriate membership—either socially or academically (i.e., peers enjoy and include student,
student seeks to participate as some level, student demonstrates some awareness of environment,
student is able to participate at some appropriate level, student does not consistently disrupt the
class, nor interfere with delivery of instruction)
Attitudes of General Education Teacher/Paraeducators/Peers
willingness to include student within class (ways in which this willingness, or lack of, is
demonstrated to peers and student)
interest in and ability to work and interact with student during different activities (amount of
training received, level of instructional control, ability to motivate and include student within
each activity, body language around student, differences in interaction with student versus typical
students)
receptiveness to collaboration with, and suggestions and support from special education staff
initiation of problem-solving and implementation of new techniques with student

© Copyright 2000 Sonja R. de Boer-Ott

ment and reinforcement for participation and cordingly, educators must at least offer to train
demonstrating a willingness to share informa- parents how to participate in IEPs and other
tion and procedures. Thus program and building conferences. Such training will, of course, vary
leaders should make it clear to parents that they in accordance with parent and family interests
have access to documents regarding their child; and abilities. Nonetheless, appropriate parent
that they are free to have program information training must be recognized as a fundamental
and data; and that school professionals will as- element of forming and maintaining an effective
sist them in locating problem solving resources. collaborative parent-professional partnership.
Such a willingness to share and inform not only
provides parents with valuable information, but
CONCLUSIONS
more importantly communicates the willingness
of school personnel to accommodate and share The authors are not convinced that every
decision making with parents (Webber, Simp- student with ASD should be included in general
son, & Bentley, 2000). education classes. Nonetheless, it is recognized
Training parents to be partners in the educa- that many children and youth with ASD can
tional and inclusion process is also a required and should be integrated into general education
part of developing an effective home-school classroom settings, and that inclusion will likely
program. This component recognizes that many continue. Moreover, we recognize that societal
parents of learners diagnosed with ASD will and school changes will require that general and
want to participate. However, without suitable special educators work together more effectively
training, their ability to understand and make to serve the needs of all students, including those
meaningful contribution may be limited. Ac- with ASD. Indeed, we take very seriously the
Learners with ASD in General Education Setting 131

warnings of legislators and the general public lenge for schools in coming decades. The use of
that education will need to evolve or otherwise structured multifaceted models such as the Au-
dissolve. tism Spectrum Disorder Inclusion Collaboration
Effectively and efficiently including students Model can significantly assist in this important
with ASD will continue to be a significant chal- undertaking.

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