Learning Disabilities: What Parents Need to Know
The term Learning Disabilities (LDs) refers to a collection of neurodevelopmental or brain-based disorders that affect people who have at least average to above-average intelligence. These individuals are as smart as their peers. Learning Disabilities affect the way a person processes information and thus how they learn information. Simply put, their brains are wired differently.
Learning Disabilities are common and affect approximately 5 - 15% of young people around the world. They are considered an “invisible disability”.
Learning Disabilities are not new. Professionals have identified the characteristics of LDs for more than a hundred years even though the names used to identify them have changed. Researchers have studied the characteristics of Learning Disabilities extensively. Most of the research has been done on reading LDs which are the most common LD. It is suggested that 80% of LDs are in reading.
What Causes a Learning Disability?
Learning Disabilities have biological origins even though the exact causes are not truly understood. A combination of genetic (i.e., hereditary) and environmental (e.g., injury before or during birth, low birth weight) factors cause differences in the brain. This affects how the individual perceives or processes different types of information.
We can actually see physical differences between the brains of those with LD and those who do not through neuroimaging. Depending on the LD, we can see differences in size and level of activity in certain areas of the brain when compared to the brain of the same age without a LD.
While the exact causes of Learning Disabilities are unknown, we do know that they are NOT caused by:
- ineffective teaching,
- poor parental support,
- economic disadvantages,
- health-related problems,
- lack of exposure to schooling/instruction, or
- sensory deficits.
These factors, though, can contribute to students’ learning progress and later academic success.
How Do LDs Impact Learning?
LDs can range from mild to severe. Some children have mild LDs that may only affect them in certain academic activities. Other children have severe LDs that can affect them not only in their academic work but also across social and home activities. Some students may have more than one LD.
The following chart shows some of the ways LDs can impair different cognitive processes. We all have difficulties in these areas from time to time. But, individuals with LD can struggle to learn in the same way and/or at the same pace as other peers their age.
|Impairments in processes related to:||Perceiving||Thinking||Remembering||Learning|
|Language Processing||Difficulties in processing sarcasm or understanding when someone is joking Difficulty taking another’s perspective||Difficulties in understanding: long or complex sentence structure; and with figures of speech||Difficulties with: retrieving vocabulary words; orally presented task demands||Difficulties with new vocabulary and responses to teacher-directed questions|
|Phonological Processing||Sounds in words (e.g. bat/bag) are confused; poor sound sequencing in words; limited automaticity in decoding||Difficulty with comprehension of content caused by lack of fluency in decoding||Difficulty retaining sound/symbol correspondence||Difficulty extracting essential concepts due to focus on decoding|
|Visual Spatial Processing||Difficulty with oral or written directions for an activity; perceiving organization of ideas in a text||Difficulty identifying main ideas in a text||Difficulty with left/right; north south, hierarchical structures||Poor integration of sequential information (days of the week, recipe)|
|Processing Speed||Poor social interactions; does not keep up with fast-paced lessons||Few connections between isolated bits of information in texts||Slow linking of new with previously learned information||Less material covered or takes extra time and much effort to cover material|
|Memory||Few strategies when trying to remember content or concepts||Difficulty writing since spelling may not be automatic||Difficulty retrieving previously learned information||Forgets spelling words after test; difficulty recalling significant events in history; any new learning is difficult|
|Attention||Difficulty knowing when to pay attention Poor reading of social situations; impulsive||Poor concentration when putting ideas together||Little effort expended for remembering||Work may be disorganized; goes off on tangents,|
|Executive Functions (planning or decision making)||Poor recognition of value of planning; impulsive||Difficulty problem solving and understanding consequences of decisions||Difficulty in linking new with previously integrated knowledge; Few strategies||Difficulties in higher levels of learning, but has isolated pieces of knowledge|
How Are Learning Disabilities Diagnosed?
A psychologist is the only person who can make a diagnosis of a Learning Disability through a process called a psycho-educational assessment. A psycho-educational assessment is a comprehensive look at the child’s cognitive, academic, and social-emotional-behavioural functioning. As part of the assessment, a psychologist will gather information from both the child’s parents as well as teachers.
Psychologists can use different definitions and criteria to identify a Learning Disability (see note). In Canada, psychologists often use the definition provided by the Learning Disabilities Association of Canada (LDAC). However, psychologists also often use the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (DSM-5). The DSM-5 uses the term “Specific Learning Disorders” instead of Learning Disabilities.
If a diagnosis is made using the DSM-5 criteria, subsets of Specific Learning Disorders are identified with terms such as dyslexia (difficulties with reading), dysgraphia (difficulties with writing), and dyscalculia (difficulties with math). A persistent difficulty learning key academic skills and poor academic performance are consistent criteria for a diagnosis of a Learning Disability whether the LDAC definition or DSM-5 criteria is used.
Learning Disabilities can be difficult to diagnose. Part of the process includes ruling out other conditions that can cause a child to struggle at school and home such as an intellectual disability, ADHD, or a mental health concern.
To further complicate the diagnosis process, many young people with LDs will meet the diagnostic criteria for additional disorders. Many of these diagnoses have common genetic origins. The most common diagnoses for students with LDs are:
- Attention Deficit Hyperactivity Disorder (AD/HD)
- Depressive Disorders
- Anxiety Disorders
- Language Disorders
- Autism Spectrum Disorders (ASD)
- Developmental Coordination Disorder (DCD)
- Behavioural Disorders
In the media, ADHD (Attention Deficit Hyperactivity Disorder) and ASD (Autism Spectrum Disorder) are often lumped together and referred to collectively as “Learning Disabilities” which is incorrect. While ADHD and ASD can definitely affect learning, they are distinct disorders with their own criteria for diagnosis.
How Does Having a Learning Disability Affect My Young Person?
There is a saying that can apply to the LD population: If you have met one person with a Learning Disability, you have met one person with a Learning Disability. This saying highlights the fact that LDs can show up differently in each individual.
A key feature of those with LDs is the unusually high level of effort and support required for the individual to achieve at the same level as their peers despite their strong potential. This can lead to great frustration and in some cases cause the individual to give up due to fear of failure.
Some students may appear “lazy,” unmotivated or show a lack of effort. In actuality, they may have become discouraged because they’ve been struggling significantly, often over a long period of time. Individuals with LDs tend to get the most attention and feedback for their difficulties instead of their strengths. This lack of positive feedback and the repeated academic failure they may experience can lead to a sense of incompetence. Feelings of failure and incompetence can negatively impact student motivation, desire to improve, social functioning and emotional well-being.
It is also well understood that individuals with LDs often do not have a “knowledge deficit” but instead have a “performance deficit”. This means that they know what they are supposed to do but they struggle to perform the task when required. This can lead to social challenges because they struggle to apply appropriate social skills in the moment. Social challenges can include difficulties connecting with others, making friends, and understanding what is expected of them in social situations. They may miss social cues or misinterpret body language and tone of voice. As a result, they may be rejected by peers and may become targets of teasing and bullying. Students rely on friendships to provide them with a sense of acceptance, belonging, and approval. Social challenges can have a significant negative impact on a child’s self-esteem and create anxiety about social situations and activities.
What Are The Increased Risks for a Young Person with a Learning Disability?
Without identification and proper support, individuals with LDs are at an increased risk for negative outcomes in many areas of life.
Social and Emotional Difficulties: Individuals with LDs are significantly more likely than their non-LD peers to struggle with social and emotional difficulties for many reasons. For example, individuals with LDs can have significant frustration and struggles with academics.
Education: Data from Statistics Canada in 2012 shows that individuals with learning and attention issues are significantly less likely than those without LD/ADHD to complete post-secondary education. When not supported, individuals with LDs can experience significant frustration and struggles with academics.
Employment: In the workforce, individuals with LD/ADHD have higher rates of unemployment, underemployment and lower incomes compared to other young adults.
Mental Health: The data also shows that they report mental health issues at more than twice the rate of young people without LD. Additionally, these individuals are at a greater risk of engaging in risky behaviours (e.g., alcohol/drug use) and suicidality.
It is important to remember that we are talking about an increased chance of problems. They are not inevitable. Proper diagnosis and treatment of LDs are important ways to decrease the risks your child will face. Furthermore, providing students opportunities to find “islands of competence” (i.e., sources of pride and accomplishment) can help to build their self-worth and resiliency.
How Long Do Learning Disabilities Last?
Learning Disabilities are generally accepted to be lifelong in nature. But, improvements can occur over time with appropriate interventions. And, based on the demands within their environment, LDs may look different over an individual’s lifetime. For example, as a student, an individual with an LD in written expression may struggle in school subjects with heavy writing loads. But, in adulthood, if they have a job that pulls on their other strengths, they may do well. Research is less available for the adult population so exact numbers are unknown. But, some estimates have LDs as occurring in approximately 4% of the adult population.
Supporting Individuals with Learning Disabilities
Psycho-education (or learning more about LDs) is an important way to reduce stress for everyone in your child’s life. When teachers, coaches, and caregivers learn about LDs, they are less likely to be frustrated with the young person. And, they are more likely to have appropriate expectations and use helpful
strategies. A child is less likely to feel bad about themselves if the people around them understand their struggles and the best ways to support them. A young person is also more likely to advocate or ask for help for themselves if they understand how the disorder affects them.
There is no way to “cure” Learning Disabilities. But, research supports the two most common treatments: remediation and accommodation.
1. REMEDIAL INSTRUCTION (Special teaching techniques)
Remedial instruction helps students to build up their foundational academic skills. Remedial instruction may be provided as part of a student’s school programming (e.g., pull-out instruction in small groups) or arranged outside of school by families privately. Remedial instruction targets the particular skill in which the child is showing gaps. Most research has been conducted in the area of reading. It suggests that such programs should be:
- multi-sensory in nature (use sight, sound and touch),
- taught in a step-by-step fashion at the student’s pace, and,
- offer regular reviews to reinforce learning and practice of the new concepts.
2. CLASSROOM ACCOMMODATIONS
Accommodations help to level the playing field for children with Learning Disabilities. They do not change the curriculum the child is expected to learn. Instead, they provide what the child requires to access the curriculum (i.e., changes how they learn). In other words, they lower the barriers in the classroom, not the bar! Examples of accommodations include:
These accommodations help match teaching methods and the classroom environment more to the child’s individual learning needs. These accommodations can vary from how material is presented (e.g., audio recording for a child who struggles with reading) to the setting (e.g., where the child sits).
These accommodations ensure the child is able to demonstrate their knowledge of what they have learned. They can vary from how the child responds (e.g., an oral exam rather than a written one) to changes in the timing and scheduling of the test (e.g., extra time).
c. Assistive Technologies:
In our 21st century world, technology is important for all students. But, it represents a key strategy in supporting students with LDs. Assistive Technology involves any device, equipment, or system that allows an individual with a disability to work around their challenges. It can vary from very simplistic technology (e.g., calculator) to more complex (e.g., text-to-speech software). Not every technology will be a good fit for each student. It is important to ensure that the tool not only addresses the student’s particular need but that the child is capable of using, and willing to use, the tool. Many assistive technology tools can be used throughout the student’s education, including at the post-secondary level, and even in the workplace.
The type of remedial instruction and the classroom accommodations suggested for an individual will depend on their learning profile and specific LD. Furthermore, these may change as the individual develops and encounters greater academic demands.
Regardless of age, individuals with LDs should be taught how to self-advocate for their learning needs. It is important that they learn how to ask for the supports they need. Help the student to discover their learning strengths and needs; what supports their learning; and how to communicate these needs appropriately. In particular, self-advocacy builds self-confidence, independence and success in post-secondary and the workforce.
In Alberta, the recommended supports and strategies for students from Kindergarten to Grade 12 are outlined in an Individualized Program Plan (IPP). An IPP is a living document, which can change over time. It translates a student’s needs into the supports required, goals to work towards, and strategies to accomplish these goals. These strategies are typically outlined in the psycho-educational assessment report.
A child’s IPP team generally consists of their parents, teachers, resource teachers, and often a principal/assistant principal. The team should meet a few times a year to discuss whether the student’s goals are being met and how to continue working towards them. IPPs do not follow students into the post-secondary system. But, these students are still eligible for supports, accommodations, and grant funding at this level. They must have an up-to-date psycho-educational assessment, which shows the barriers they might experience because of their learning challenges.
Both remediation and accommodation are possible within all classroom environments. But, in some cases, these treatments are not enough. Thus, a special education placement may need to be considered for the student. These placements provide smaller class sizes and specially trained teachers. They also provide access to other treatments the student may need. For example, they may allow the student to see an Occupational Therapist to support motor concerns. If a special education placement is not possible, such supports can be accessed privately. There are a number of funding options that can be accessed to help families with these costs.
In summary, Learning Disabilities are life-long disorders that can affect all areas of an individual’s life. With the appropriate supports in place, though, these individuals are very capable. They can learn, and they have the potential to lead happy and successful lives.Note on Learning Disability Definition: The LDAC definition indicates that individuals with a Learning Disability have average to above average intelligence. This means a general IQ of 85 and above. Since the DSM-5 was introduced in 2013, the term Specific Learning Disorders is now often used. As defined in the DSM-5, Specific Learning Disorders include a general IQ of 70 and above. These ranges are quite large. This means that the level of supports required, both within the home and school environments, can vary greatly. Individuals with an IQ closer to the 70 mark may require information to be explained in concrete terms and support with complex daily living tasks such as making meals or managing money. Conversely, individuals with an IQ closer to the 100 mark and above may only need support for higher academic tasks and are quite capable of continuing on to a post-secondary education. These are the individuals that Foothills Academy identifies as having Learning Disabilities, in matching with the LDAC definition.