Sample IEP

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a semi-detailed sample Individual Education Plan

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INDIVIDUAL EDUCATION PLANSY 2015-2016

Name of student: A.BBirthday: October 2005Age:9 years and 9 monthsLevel: Primary 1Present condition: cognitive delay due; multiple congenital anomaliesInterventions: noneDomain: Gross Motor and Movement

Priority: develop strength and increase mobility through exercises

TERMINAL OBJECTIVE

ENROUTE OBJECTIVESLESSON/ ACTIVITY AND PROCEDURESDURATION

At the end of the quarter, the child will be able to perform 10-15 minutes exercises 3-5 times a week 1. Develop body awareness by naming body parts a. Visualization - show pictures of body parts with labelb. Generalization through song (My hands, my knees) while the child imitate the action c. Holding specific body parts one a time in front of the mirrord. Guiding the childs hand to hold specific body parts in front of the mirrore. Student pointing to specific body part independently

2-3 sessions

3 sessions

2-3 sessions

2-3 sessions

2 -3 sessions

2. Perform exercises in supine position

a. Moving the neck , legs, feet and trunkb. Moving arms and legs to the right (R) and left (L) c. Rolling (left going to right and vice versa)3-5 sessions for 5mins3-5 sessions for 5mins

3-5 sessions for 5 minutes

3. Perform exercises in prone positiona. Moving the neck , legs, feet and trunkb. Extending the arms one at a time then backc. Crawling3-5 sessions for 5 minutes3-5 sessions for 5 minutes3-5 sessions for 5 minutes

Domain: Fine Motor

Priority: develop finger dexterity and strength; develop grip strength

TERMINAL OBJECTIVE

ENROUTE OBJECTIVESLESSON/ ACTIVITY AND PROCEDURESDURATION

At the end of the quarter, the child will be able to do 1-2 simple paper-pencil tasks (coloring and connecting lines)1. Develop finger dexterity and strengtha. Manipulate a squeeze ballb. Manipulating a clothespin or soft binder clipsc. Singing action songs with finger play (Eensy-Weency Spider)

2 sessions 30 minutes a day

2. Use a 5 point pen graspa. Use large pen-like objects such as jumbo crayon and pencils, molded clayb. Practice doing up and down strokes in a paper (push and pull) using hand-on-hand supportc. Practice doing up and down strokes in a paper (push and pull) using wrist supportd. Practice doing up and down strokes in a paper (push and pull) independently

5 sessions a week 5-10 minutes a day

5 sessions a week 5-10 minutes a day5 sessions a week 5-10 minutes a day

Domain: Cognitive and Communication

Subdomain: Pre-reading

TERMINAL OBJECTIVE

ENROUTE OBJECTIVESLESSON/ ACTIVITY AND PROCEDURESDURATION

At the end of the quarter, the student will be able to increase vocabulary by 10%1. Name 5 common picturesa. Show 5 common pictures to the child while saying each nameb. Repeat showing the pictures while saying the names and ask the child to repeat what youre sayingc. Show the child the same pictures but ask the child to identify the name of each picture2-3 sessions 20 minutes a day

2-3 sessions 20 minutes a day

2-3 sessions 20 minutes a day

2. Name 10 common picturesa. Show 10 common pictures to the child while saying each name including the first 5b. Repeat showing the pictures while saying the names and ask the child to repeat what youre sayingc. Show the child the same pictures but ask the child to identify the name of each picture3-5 sessions 20 minutes a day

3-5 sessions 20 minutes a day

3-5 sessions 20 minutes a day

3. Name 15 common picturesa. Show 15 common pictures to the child while saying each name including the first 10b. Repeat showing the pictures while saying the names and ask the child to repeat what youre sayingc. Show the child the same pictures but ask the child to identify the name of each picture3-5 sessions 20 minutes a day

3-5 sessions 20 minutes a day

3-5 sessions 20 minutes a day

Domain: Activities of Daily Living

Subdomain: Dressing

TERMINAL OBJECTIVE

ENROUTE OBJECTIVESLESSON/ ACTIVITY AND PROCEDURESDURATION

At the end of the quarter, the student should be able to remove and put on shirt with assistance 3 out of 5 times1. Pull over shirt by doing the step with the child2. Pull over shirt by telling the child what to do and doing with the child3. Pull over shirt by telling the child what to do and showing the child how you want to do it4. Pull over shirt by telling the child what to do and pointing to something to prompt5. Pull over shirt by telling the child what to do onlya. Watch videos of children dressing independentlyb. Use backward chaining in teaching dressing.c. Begin with a short sleeve shirt which is easier for the child to weard. Use the following task-analyzed instructions for the child to follow in order:i. Pull shirt over head ii. Push right arm up through right sleeve iii. Push left arm up through left sleeveiv. Pull shirt down to waiste. Make sure to give the child enough time to finish each task.Backward chaining procedure: (sample)

Step 1With the child standing or in a comfortable position, put on the shirt over the head and arms inserted into the sleeves. Pull the shirt until underarm level. Ask the child to pull the shirt to waist and guide with your hands. Praise the child if he completed the task.20 minutes each day

Domain: Psychosocial

Priority: engage further in socialization and play

TERMINAL OBJECTIVE

ENROUTE OBJECTIVESLESSON/ ACTIVITY AND PROCEDURESDURATION

At the end of the quarter, the student will be able to participate in social play and small group activities 4 out of 7 times1. Engage in pair activity 2. Engage in activities involving small groupa. Provide activities which involve a pair to finish such as: Building blocks/Lego Completing puzzles Art works Coloring a big picture Playing with toysb. Give the child an opportunity to initiate interaction by letting her choose her partner.c. For the next activities, tell the child that they should rotate pairs or choose another partner.d. For small group socialization, choose games or activities that need 4-5 students to participate in such as: simple obstacle race (*disability noted) movie and picnic time (cleaning up together is a good socialization activity) brushing teeth together

20 -30 minutes a day