High School Transition: Evidence to Support Interventions

Posted 6 Feb 2012 4:07 AM by Heather Jackson-Pena

This is the third of a six part series dedicated to inspiring leadership on transition teams through the use of resources including evidence, tools and models for high school based practice. Feel free to contribute your own comments about tools and resources you use that are not mentioned here! Please note, in an effort to keep the information in the more casual form of a blog, a reference list is available via email to the author at heatherj@newviewot.com.


"If there is a better way to practice, therapists should find it.”-Law & MacDermid

 

Student-Centered is an Evidence and Ethics-Based Practice

There are misconceptions about evidence-based practice. Before I summarize some recent research that impacts how we prepare students for transition I want to stress one point about the term evidence-based practice.

Many practitioners don’t realize evidence-based practice includes the integration of the student’s wishes, goals, strengths and needs based on our thorough interview and observations of the student; it is not the sole use of research-based activities in practice. 

Evidence-based is student-based.

While school-based practice is not a clinical-based practice, it does require a thorough gathering of all evidence to create an effective, student-oriented IEP— including research based practices to the best extent possible.

 I bring up this point because we owe our students our best effort and avoiding the use of interventions that are shown to work means we are also influencing the possible outcomes of our students. 

Evidence-based is ethics-based.

 

Evidence that Impacts School-Based Transition Interventions

Lee & Keilhofner (2010)

The factors that impact employment: volition, time not working, previous employment, environmental support, skills, and the workers beliefs about the environment

 

Becker et al. (2001), Campbell et al. (2010), Drake  et al. (1999), Lehman et al. (2001)

In order to have the best vocational outcomes supported employment and the integration of student work interests and preferences are more supported by evidence than pre-vocational tasks.

 

Benz, Lindstrom & Yovanoff (2000)

 

These researchers found that work experience in combination with mastery of individualized transition goals supports best post-school outcomes. More specifically, and importantly they found:

 

Students who did not feel their transition goals were based on their unique preferences also had worse outcomes in post-secondary employment.

 

AND

 

Surveyed students who felt their transition goals were focused on their interests had a greater chance of post-secondary employment.

 

Rabern, Dunn & Chambers (2010)

In probably the most significant research to determine successful post-secondary outcomes for students these researchers explored what impact employment vs. non-employment at the time of graduation from high school had on students.

 

87% of 1,393 students who were employed at the time of graduation were still employed one year after graduation.

 

The Bottom Lines 

1.     We must consider the factors that impact a student’s work success including their desires, if they’ve worked before, how much support they need, how they perceive the workplace and what skills they have to complete the job

2.     Real-life, community based employment with support will give our students better success than simulated pre-vocational tasks

3.     If we do not have individualized transition goals based on the student’s input they are not as likely to be employed or feel positive about their high school experience after graduation

4.     If our students are employed when they graduate they will be more likely to be employed a year after graduation 


Comments

# re: High School Transition: Evidence to Support Interventions

Monday, February 06, 2012 3:00 PM by Bill Wong

I agree with these bottom lines, from the Aspie perspective here.

#1- I have read that some Aspie adults who are fully capable of working, but end up having to fight a tough battle to live independently, where they are fighting for SSDI income.  First off, I believe that if they were provided with enough support, they might not need to rely on SSDI.  Secondly, I think they need to realize that relying on SSDI is not a long term way in helping them to be independent!

2. For me, that's what I believed the fieldwork experiences in OT had helped me a lot, as it definitely stimulates the work environment I will be in the future.  Perhaps helping these individuals to get into fields that they can apply what they learn in real life.

3. Before student input, though perhaps it's important to see what their strengths and weaknesses really are, comparing to what they think those might be.  I will take myself as an example.  Before OT school, Math has been my strongest subject.  Naturally, I chose Statistics as my undergrad major.  While I got a decent grade point average, my quality of life in that program wasn't great.  After all, I had no idea that the Statistics/Math classes I were taking in college were all theory based, which I turned out to struggle mightily in.  Eventually, I went against the thought of going to a grad school to further my studies in Math because I know I could be even more miserable.

4. I think this depends on the support piece for the autism community.  We have to check in constantly with those folks.  It might be once a week, twice a week, or once a month.  That is the case with my recent level 2 fieldwork and it has made a huge difference!