As students get older, it is increasingly important to begin to focus on the skills that they will need for adult life. This should include skills that they need for everyday life, such as movement, communication, and self-care (toileting, dressing, bathing, eating, etc.), as well as other functional skills. Sometimes introducing materials that can be used in a functional context may be helpful. For example, if a learner is interested in surfaces that are bumpy, exploring a vacuum cleaner hose may introduce a functional element.
In addition, the team should begin meeting by the time a student is 14 years old to disuss future plans. Where will the individual live? How will he or she spend the day? What gives them joy? How much one-on-one support is available to them and how much time will they be required to entertain themselves?
This also means having discussions with all members of the team, to be sure that priorities are addressed and that the goals are the same for everyone. What are the family’s preferences? The learner’s preferences? The school’s preferences? We need to think outside the box when planning for most learners with significant multiple disabilities, as they will not be following typical career paths or living independently.
Figure 1: A young man grinds coffee.
How Do Current Activities Relate to Future Goals?
The underlying question for all older students should be how current activities relate to future goals. When you get a student who is over the age of 14, everything you do needs to be focused on adult life and quality of life (both physical and mental health). This includes making choices, being actively engaged in one’s surroundings (rather than a passive observer), and developing meaningful recreational interests. It also includes hygiene and fashion, as well as self-care and independent living activities.
With recreation and leisure activities, it may mean, for example, helping them to create a collection of items they’re interested in. like rocks, shoes, or beads. Self-care activities, may include routines with lotions, powders, etc. or beauty routines. One young woman we know enjoyed going and getting her nails done regularly. Independent living activities could include cooking, vacuuming or doing the dishes. For some individuals, it might be helping to prepare favorite foods or participating in volunteer activities in the community.
Figure 2: A girl recycles a bottle with her teacher.
Customized Employment or Volunteering in the Community
Customized employment may incorporate highly motivating activities or materials that are reinforcing to the individual. We know of one young man who LOVED all candy, especially chocolate. He learned to help service vending machines and was able to earn candy as a reward when he finished his work.
A young woman in the Philippines with visual impairments and multiple disabilities who loves to mix any and all kinds of liquids together. Her parents have helped her set up her own business with a line of beauty and cleaning products.
What activities might be appropriate for older learners?
Each of these activities can be made as simple or complex as is appropriate for an individual student.
- Flower delivery
- Putting together herb sachets & potpourris
- Mixing spices (mulled cider, chili, Indian curries, Italian seasonings)
- Making tea bags
- Mixing essential oils
- Doing dishes -- rinsing them if student loves water -- pass to someone to put in dishwasher
- Watering plants
- Making popcorn and packaging it
- Making dog biscuits and selling them to a vet or pet store.
- Going to an animal shelter, pet store, farm or ranch to help care for animals (grooming, feeding, cleaning)
- Visiting a pet store or farm to feed or groom animals
- Rolling coins
- Following a beauty/spa routine with makeup -- fingernails, manicure in water bath
- Packaging materials
- Filling a vending machine
Figure 3: A young man pulls the string on a lettuce spinner.