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Michigan Severity Rating Scales:. Solving the Puzzle of Service Delivery Time. Michigan Severity Rating Scales Tools Supported by Data. Orientation and Mobility Severity Rating Scale (O&MSRS) Orientation and Mobility Severity Rating Scale for Students with Additional Needs (O&MSRS+)
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Michigan Severity Rating Scales: Solving the Puzzle of Service Delivery Time
Michigan Severity Rating ScalesTools Supported by Data Orientation and Mobility Severity Rating Scale (O&MSRS) Orientation and Mobility Severity Rating Scale for Students with Additional Needs (O&MSRS+) Vision Services Severity Rating Scale (VSSRS) Vision Services Severity Rating Scale for Students with Additional Needs (VSSRS+)
Michigan Severity Rating ScalesHistory and Development Adapted from the Montgomery County, Pennsylvania model beginning in 1995 Published and disseminated by the Michigan Department of Education – Special Education Services in 1996
Michigan Severity Rating ScalesHistory and Development First versions – 1996 and supported by the Michigan Department of Education – Special Education Services Michigan Department of Education-Low Incidence Outreach (MDE-LIO) created and sponsored committees beginning in 2007 to revise the three existing scales and develop the O&MSRS+
Michigan Severity Rating ScalesHistory and Development Web search indicated the Scales were being used and referenced in documents in several other states Referred to in O&M university preparation programs Internationally recognized
Michigan Severity Rating Scales What they are: • Data collection tools • A guide based on best practices • Guideline for IEP team service discussion
Michigan Severity Rating Scales What they are not: • Not an assessment • Not a severity of disability but a severity of student’s need for services • Not a pre-determiner of service • Not the only data source
Michigan Severity Rating ScalesThe Surveys 2011 – MDE-LIO partnered with the Department of Blindness and Low Vision Studies – WMU Dr. Robert Wall-Emerson & Dr. Dawn Anderson oversaw the development of the surveys Surveys administered by MDE-LIO and sent to listserves in early 2012
Michigan Severity Rating ScalesThe Surveys Number of respondents in the national survey O&MSRS / O&MSRS+ 125 complete or partial VSSRS / VSSRS+ 103 complete or partial
Michigan Severity Rating ScalesThe Surveys Survey questions included: • O&M, TCVI or Dual service provider • Previous experience with the scales • When the Scale is completed & with whom • Are the Scales used for caseload analysis and how important of a role do they play?
Michigan Severity Rating ScalesThe Surveys Respondents read scenarios and answered questions based on student profiles • How well are areas of concern covered? • How well do contributing factors address adding or subtracting from service time? • How well do service times match instructional needs? • What are the reasons if recommended service time can’t happen?
Michigan Severity Rating ScalesThe Surveys Reliability (precision) Respondents overwhelmingly identified the scales as measuring the significant factors to be considered in determining service time for O&M and Vision Services Validity (accuracy) O&MSRS above 90% O&MSRS+ 84% VSSRS 87% VSSRS+ 79%
Orientation & Mobility Severity Rating Scale Fill out the student information on the Severity of Need Profile
Orientation & Mobility Severity Rating Scale The numbers attached to each severity of need are considered part of a continuum.
Orientation & Mobility Severity Rating Scale Each of the Severity of Need categories is structured in terms of impact on independent travel skills as it relates to the student's age appropriate needs
Orientation & Mobility Severity Rating Scale Severity of Need Categories Refers to the student's distance vision and/or peripheral vision as reported by an eye care specialist
Orientation & Mobility Severity Rating Scale Severity of Need Categories Refers to the student's ability to use vision for all travel tasks
Orientation & Mobility Severity Rating Scale Severity of Need Categories Refers to the student’s need for use and skill level of a white cane or alternative mobility device
Orientation & Mobility Severity Rating Scale Severity of Need Categories Refers to possible situations when a discrepancy exists between the student’s actual functioning in travel skills and the projected level of independence based on the O&M Specialist’s professional judgment
Orientation & Mobility Severity Rating Scale Severity of Need Categories Refers to the student’s ability to travel safely and proficiently in a familiar environment (i.e., school, neighborhood) based on current literature of age appropriate travel levels and expectations
Orientation & Mobility Severity Rating Scale Severity of Need Categories Refers to the student’s conceptual understanding and how O&M progress is affected
Orientation & Mobility Severity Rating Scale Severity of Need Categories Refers to the type of environment in which instruction is required (i.e., business district, new school, neighborhood)
Orientation & Mobility Severity Rating Scale Severity of Need Categories Refers to whether the student has the opportunity to use O&M skills in the community, at home, etc. outside of O&M instructional time
Orientation & Mobility Severity Rating Scale Total the right hand column to obtain a “Severity of Need Score” at the bottom
Orientation & Mobility Severity Rating Scale Severity of Need Summary
Orientation & Mobility Severity Rating Scale Severity of Need Summary If appropriate, fill out the Contributing Factors to Service Delivery on the Student Performance Summary by adding or subtracting .5 points
Orientation & Mobility Severity Rating Scale Severity of Need Summary Locate the range which contains the Final Severity of Need Score to determine the frequency of service
Orientation & Mobility Severity Rating Scale Completion of the O&MSRS Sam is an 8th grade student in general education classes. He has a diagnosis of ocular albinism and a recent low vision examination indicated a visual acuity of 20/200 OU. He has excellent orientation to his community and can describe routes from his house to many destinations including the names of streets in his description. He has experience using public transportation with family and friends. He rarely has access to a computer except during directed class time and has little experience using internet mapping sites for route planning or to preview unfamiliar destinations.
Orientation & Mobility Severity Rating Scale Discussion
Orientation & Mobility Severity Rating Scale + Severity of Need Categories The Level of Vision (Medical) is identical to the O&MSRS
Orientation & Mobility Severity Rating Scale + Severity of Need Categories Refers to the student's ability to use vision for all travel tasks (i.e. movement within the classroom, school building and community) as reported by the Orientation & Mobility Instructor
Orientation & Mobility Severity Rating Scale + Severity of Need Categories Refers to the student's need for use and skill level of a white cane or alternative mobility device
Orientation & Mobility Severity Rating Scale + Severity of Need Categories Refers to the ability of the student to communicate with the O&M Specialist and benefit from instruction. Students with little ability to communicate with the O&M Specialist may not benefit from a high level of direct O&M service
Orientation & Mobility Severity Rating Scale + Severity of Need Categories Refers to the impact of the additional needs on the instructional process. Students whose additional needs prevent progress in travel skills may not benefit from a high level of direct O&M service
Orientation & Mobility Severity Rating Scale + Severity of Need Categories Refers to the supervision needed to maintain the safety of the student during travel
Orientation & Mobility Severity Rating Scale + Severity of Need Categories Refers to the impact that the student’s level of concept development has on progress in travel skills
Orientation & Mobility Severity Rating Scale + Severity of Need Categories Refers to the amount of time needed tomanage the student’s behavior so that learning can take place
Orientation & Mobility Severity Rating Scale + Severity of Need Score As with the O&MSRS, total the right hand column to obtain a “Severity of Need Score” at the bottom Severity of Need Summary Fill out the student information on the second page
Orientation & Mobility Severity Rating Scale + Severity of Need Summary If appropriate, fill out the Contributing Factors to Service Delivery on the Student Performance Summary by adding or subtracting .5 points
Orientation & Mobility Severity Rating Scale + Severity of Need Summary Locate the range which contains the Final Severity of Need Score to determine the frequency of service
Orientation & Mobility Severity Rating Scale + Completion of the O&MSRS+ Rochelle is a severely multiply impaired student in a center based program. Her visual acuity is estimated at 20/100 in both eyes. There is no suspected field loss. She is able to use a power chair for independent mobility, however, she frequently refuses to operate the joystick and waits for staff to drive her to her destination. When motivated, she is able to negotiate around furniture and through doors, but at a very slow speed. She has little expressive language other than some inconsistent ability to point to symbols on a communication board to indicate basic wants and needs. She is dependent on others for transfers and all activities of daily living.
Vision ServicesSeverity Rating Scale Each of the eight categories listed on the VSSRS, Severity of Need Profile is structured in terms of the impact on vision functioning as it relates to the student's educational program
Vision ServicesSeverity Rating Scale Severity of Need Categories Level of Vision (Medical) is identical to the O&M Scales
Vision ServicesSeverity Rating Scale Severity of Need Categories Refers to the student’s level of functional near vision as determined by the TCVI or TVI (Appendix A)
Vision ServicesSeverity Rating Scale Severity of Need Categories Refers to the student's primary mode of learning (i.e., braille, print, print modifications, auditory, or combination)
Vision ServicesSeverity Rating Scale Severity of Need Categories Refers to the student's need for and use of low vision devices and technology to facilitate maximum participation in the general education curriculum