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Infant Toddler Development Training
Module 4, Lesson 4

Activity #4

Read the PLAI Curriculum Modules and Case Study
This is Research to Practice information giving an analysis of an infant, Michael, who is deaf-blind. You will need this information to complete Activities 4 and 5.

Pay close attention to the descriptions and consider the goals for each module shown below.

baby drinking bottlePLAI Module 1: Understanding Child Cues
Caregivers will develop a detailed picture of the ways in which the child expresses attention and interest, pleasure and discomfort, and needs and desires.

PLAI Module II: Identifying High and Low Preference Objects, Persons, and Events
Caregivers will develop a thorough understanding of what their child enjoys and dislikes.

PLAI Module III: Establishing Predictable Routines
Caregivers will create a daily routine that includes several predictable events that the child can anticipate through recognition of certain cues (words, sights, or other sensations).

PLAI Module IV: Establishing Turn-taking
: To develop and increase the child's participation in familiar turn-taking routines.

PLAI Module V: Encouraging Communicative Initiations
Goal: To increase the child's rate of communicative initiations for obtaining attention from significant others, obtaining a desired object or pleasurable event, and expressing rejection.

In the first three modules of the PLAI Curriculum, Cecelia, Michael's mother focused on observing Michael and creating a more predictable environment. Reflect on what she did and said. Then, outline new techniques you learned. Were there some familiar techniques?

Activity #5

In PLAI module IV, the emphasis was on helping Michael learn new behaviors. The first objective was getting him to request more of something he liked.

Think about the important motivator - the cinnamon bread. Write down an idea about parent child relationships, especially with a child with multiple disabilities. Think of something you think some parents may do as easily as Cecelia did?

Lesson 4 Highlights

  • Language and communication development are complex.
  • Language sub-skills are content, form and function.
  • Early literacy does not mean early reading.
  • Early story book skills are important for infants/toddlers to develop skills such as realizing the words on pages have meaning.
  • Literacy is all around us and should be embedded into daily routines as adults and babies play and work together.
  • Augmentative devices and other assistive technology can be simple or more complex and need not include technology, ie. putting knobs on puzzles.
  • Assistive technology can help the toddler integrate in settings with children who are typically developing.
  • Songs are important ways children learn language and it doesn't matter if the adult caregiver can't sing well, the rhythm and rhyme are some of the most important factors in songs for infants and toddlers.
  • The PLAI curriculum for children with multiple sensory disabilities includes five modules that can mirror the sequencing of coaching espoused.



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