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Top 4 Dual-Diagnosis - Practices for Multiple Disabilities

By Ann Logsdon, About.com

Students diagnosed with more than one learning disability are sometimes referred to as dually diagnosed, twice exceptional, or having comorbid disabilities. These students qualify for services in more than one academic area or in other areas of exceptionality. They typically have complex needs and require careful assessment, planning, and instruction to be successful in school. Learn helpful practices that can increase classroom achievement and learning for twice exceptional students.

1. Assessment of Dual Diagnoses - Team Test Dually Diagnosed Students

Team Assessments involve several types of professionals. In most cases, team assessment can ensure that all factors affecting a student's learning are identified and can determine which and how many disabilities apply. Evaluators share their results and report their findings in an integrated report. These comprehensive reports identify specific areas of strength and weakness in speech, language, all areas of academics, aptitude, psychological health, physical functioning and health, behavior, and sensory functioning.

2. Developing the IEP for Dually Diagnosed Students Requires Collaboration

Developing an effective IEP for dually diagnosed children is complex. Input by all professionals involved is essential to determine problems and possible causes to develop appropriate treatments, specially designed instruction, and therapies.

For example, a student with expressive language disabilities may also have underlying physical problems that must be addressed by a speech pathologist with training in oral-motor disorders before language therapy can be provided. Specialists in areas of medical concerns can also provide valuable input in the program development process.

3. Parents Can Ensure Good Communication Among Providers

Parents can provide a vital link in information sharing between in-school professionals and private providers, such as physicians or psychotherapists, who are not available to meet with the IEP team. By providing copies of evaluations and information on all services being provided, the parent can ensure that each person has the information needed to make the most appropriate recommendations for the child.

4. Parents and Educators Must Consider Range of Needs in Placement

Students with dual diagnoses may have a broad range of needs and may require creative placements to meet those needs. Determining the least restrictive environment for students will require flexibility and a willingness to consider a range and combination of placement alternatives. Collaboration between teachers in regular and special education programs can be helpful in many cases.

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