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Normalization

Student Learning Outcomes

– Identify major historical contributions

• Bank-Mikkelson, Nirje, Wolfensberger, Gold

– Identify components of “developmental special needs”

– Identify practical applications of normalization process

– Apply new vocabulary RT normalization module

Stella Young

http://www.youtube.com/watch?v=8K9Gg164Bsw&list=UUAuUUnT6oDeKwE6v1NGQxug&index=75

Matty B video

http://www.youtube.com/watch?v=YGqG-NP8viQ&list=PL7B12D86F22BA6D4A

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Vocabulary

Review module page 10– Clangers

– Deviancy

– Disproportionate

– Facilitate

– Handicapism

– Normal

– Pedagogy– This is just a partial short list from page 10

Normal behavior for a 3 month old child…hand in mouthwhat about for a 55 year old individuals?

Thoughts to live by:

Mother Teresa said, “A life lived for others is a life well lived.”

Dr. Wayne Dyer says, “The only thing you can do with your life is to give it away.”

How: Find some way to be of service to others even if it means…

serving lemonade.

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“Values” by Ruth Maples, Executive Director of LDC 9/99Would I want my child to live on this residence?

Do clothing & grooming reflect how I would want my family to look?

Do I make a difference in this person’s quality of life?

Would I or my child enjoy this meal?

Do I need to improve people’s safety?

Do I treat and expect others to treat people with dignity & respect?

Is the recreation, work, school experience providing opportunities for fun, choice, learning, pay?

By whatever means a person communicates, do I listen & hear what they are telling me?

Do I give positive and constructive feedback to clients?

Normal Respect

Respect & consideration:– choices, wishes, and desires – & to their right to self-determination

Sensitivity when they cannot communicate Consideration of their belongings –

– Allow them to buy their own clothing and furniture at stores* Participate in committees & planning

– (Empowerment) People First Avoid the “Batch” process

– treat each as an individual - IPP, personalized plan

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Normalization Characteristics

Focus towards the individual’s present needs to attain highest level of independence

Incorporates functional activities that occur in the person’s current home & community

Emphasizes real life activities & materials

Takes place in natural environments at natural times

Program Characteristics

Applies basic skills to real life situations Age appropriate locations, activities & materials Paced according to the individual’s ability to learn Monitoring & progress is reported regularly for

usefulness of skills– Time frame? – Couple of weeks? Monthly?

Stigma of Develop. Disabilities

People with disabilities have not been fully accepted in society

Perceived as significantly different → being negatively valued → being stigmatized

Normal people who are different are not devalued or stigmatized

– e.g. Steven Hawking

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Steven Hawking

Stephen Hawking en.wikipedia.org

Stephen William Hawking CH CBE FRS FRSA is an English theoretical physicist, cosmologist, author and Director of Research at the Centre for Theoretical Cosmology within the University of Cambridge. Among his significant scientific works have been a collaboration with Roger Penrose on gravitational singularity theorems in the framework of general relativity, and the theoretical prediction that black holes emit radiation, often called Hawking radiation.

Hawking has a motor neuron disease related to amyotrophic lateral sclerosis (ALS), a condition that has progressed over the years. He is almost entirely paralysed and communicates through a speech generating device. He married twice and has three children.

Born: Jan 08, 1942 (age 72) · Oxford, England

Net worth: $20 million USD (2014)

Spouse: Elaine Mason (1995 - 2006) · Jane Wilde (1965 - 1995)

Children: Lucy Hawking · Robert Hawking · Timothy Hawking

Related movies: The Theory of Everything

Awards: Presidential Medal of Freedom (2009) · Albert Einstein Award (1978) · Copley Medal(2006) · Wolf Prize in Physics (1988)· Albert Einstein Medal (1979) · Adams Prize (1966) · Gold Medal of the Royal Astronomical Society(1985) · Hughes Medal (1976) · Dannie Heineman Prize for Mathematical Physics(1976) · Eddington Medal

Principles of Normalization

Sensitivity to the normalization principle is important because it can prevent devaluation of people

It can decrease discrimination Enhance the social role of the individual Assist them in making decisions about their lives Assist staff in deciding what services to provide and

how to provide those services

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Principles of Normalization #2

Live independently in the community

Work in supervised employment settings

Participate in community recreation

Attend community college classes

Focus attention on what they CAN achieve

Look for the “ABILITY” in the “DISABILITY”

LIFE SKILLS (SDC)What will we work on?

What does the client already do?

How does the client learn best?

Are there barriers?

What skills are needed to move to a less restrictive environment?

Normalization

To be successful in the less restrictive environment?

To function more independently in the current environment?

Would enrich client’s quality of life?

What does the client want to learn?

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Fathers of normalizationCan you match these?

Bank-Mikkelson

Nirje

Wolfenberger

Normalization

Compared lives of people in institutions with his own life: sofas, private bedroom & bath, colorful rooms

“Making available to the mentally subnormal patterns & conditions of everyday life which are as close to as possible to the norms and patterns of mainstream society.”

Paradigm shift - shift in attitudes

Increase exposure

reduce stigmatizing condition

education

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Applications

Rhythm of the day

normal routine of life

rhythm of the year

normal developmental experiences

making choices, wishes, and desires

gender integration

normal economic standards

standard physical facilities

Social behavior

don’t assume sadness in disabled person

don’t pity them

focus on their ability, not disability

don’t overuse cute nicknames

don’t avoid because of their disability

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Social integration

Foster relationships with all people

small group settings in community

do training in natural environments

integrate home, workshop, school in like surroundings

Institutional behavior

Would I want my family member treated that way?

Marc Gold

Competency-deviancy hypothesis

The more _____ one becomes, the more ______ will be tolerated.

http://www.youtube.com/watch?v=u-zeVeY2zYY

Afraid, competent, aware, avoidant, deviant, deviancy, angry

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Training principles

Do real work

place a maximum of demand and challenge on individual to achieve maximum growth

risk-taking to be encouraged

Teaching Self-help skills

Dining

Restroom use

Grooming

Personal Hygiene

Socialization

Dining skills

Positioning is important

Start with finger foods

1st step:

– inform client dining program is beginning

Simple instructions demonstrate task

Use shadowing as alternate to hand over hand….fade

Don’t talk too much!

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Restroom use

Steps involved?

Flushing toilet? – noise?

Safety issues?

Best time for hand washing?

Grooming issues– need mirror when shaving, combing hair

– Eye level

Socialization skills

Incorporate as part of daily living– Manners

– Taking turns

– Sharing

– Overly affectionate? • Hugs vs. handshakes

Attend community events

Pre-vocational training

Goals – Emotional stability

– Dependability

– Honesty

– Social compatibility

– Ability to be flexible• Adjust routine

– Appearance

– Quality of work

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Vocational Training

Provides opportunity to earn money

Opportunity

Technology

Resources: cell phones, tablets, laptops, iPods, etc.

Social media: FB, Twitter, etc.

Internet: school, shopping, information

These things are normal for us….

What about our clients?

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Regional centers

Established 1965

Centrally located 2hr drive for caregivers

Provide alternatives to institutions

Financial support on per need basis

Respite care

NVC Resources

http://www.napavalley.edu/StudentServices/Pages/studentserviceshome.aspx

Goethe

“If you treat an individual as he is, he will stay as he is; but if you treat him as if he were what he ought to be and could be, he will become what he ought to be and could be.”

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Empowerment

Discussion on practical applications:

Consider:

– Choices

– Least restrictive

– Inclusion

– Highest potential

– Non-stigmatizing

– Privacy

– Respect

Ex: Apply “choices” to the list

Apply principles to the following areas:

– Dining

– Toileting

– Environment

– Socialization/ communication

– Worksites

– Education