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Working with ABE Students Who Have Had a Stroke or Brain Injury Part 2 – Student Intake and Instructional Strategies
Sheila Brandes, PANDA Certified Brain Injury SpecialistWhat is a brain injury and how can you help individuals with stroke or brain injury succeed in the ABE classroom? Part 1 of this article discussed causes and common challenges associated with brain injury. Part 2 discusses intake and instructional strategies.
Intake
If you have a student or a prospective student who has experienced a stroke or brain injury, set aside some time to meet with them in a quiet location and gather more information. Encourage the student to bring a family member or other support person to the meeting. Topics to discuss include:
- Nature of the injury and how it affects their daily life
- Past educational level and employment
- Health issues that may impact learning
- Family or other support systems
- Transportation
- Educational goals and learning styles
- Program expectations
Refer to PANDA’s Intake for ABE Students Who Have Had a Stroke or Traumatic Brain Injury.
Instructional strategies
It is helpful to keep Universal Design for Learning (UDL) principles in mind when working with a student with a brain injury. UDL helps teachers minimize barriers and maximize learning for all students by creating a welcoming environment; providing clear expectations; using a variety of instructional methods and materials; allowing a variety of methods to demonstrate knowledge; and using technology to enhance learning.
Strategies for physical challenges:
- Monitor classroom light and sound.
- Allow for easy movement throughout the school and classroom.
- Use large fonts, high contrast, and lots of white space on the page.
- Provide adaptive devices such as line readers, large print materials, magnifiers, color filters, pencil grips, ergonomic keyboards, or speech recognition software.
- Prioritize the most important activities.
- Shorten or provide assistance with written assignments.
- Allow students to answer in one or two words rather than complete sentences.
- Adjust the pace of activities and provide regular breaks.
Strategies for cognitive challenges:
- Provide consistent routines, schedules, and staff.
- Encourage the use of calendars, planners, binders and model their use.
- Keep visuals and distractions to a minimum.
- Provide a quiet area or cubicle.
- Allow extra time for students to express thoughts, get organized, and accomplish tasks.
- Speak slowly and clearly.
- Limit conversations to one person at a time.
- Redirect the conversation if a student gets off topic.
- Focus on one task or subject at a time.
- Make sure you have students’ attention before starting each lesson.
- Provide written instructions for homework and assignments.
- Break large or complex tasks into smaller chunks.
- Link new material to prior knowledge and interest.
- Gradually make tasks more difficult.
- Encourage “overlearning” through repetition, paraphrasing, summarizing, highlighting, and note-taking.
- Structure thinking with graphic organizers and steps to solve problems.
- Use short sentences.
- Keep written materials simple and direct.
- Use visuals to reinforce or clarify verbal information.
- Use a multimodal approach.
- Allow students to demonstrate knowledge in a variety of ways.
- Engage students’ senses, imagination, and emotions.
- Ask the student to teach someone else.
- Provide feedback and progress reports.
- Provide regular breaks.
- Use accommodations for standardized testing.
Strategies for emotional/ behavioral challenges:
- Post rules in clear language.
- Reduce unnecessary stresses in the classroom.
- Remain calm. Do not argue with a student during an outburst.
- Provide direct feedback if a student displays inappropriate behavior.
- Redirect by changing the subject or the environment, by focusing on something positive, or by reminding the student of their goals.
- Model appropriate behavior.
- Identify precursors to behavioral problems such as distraction or fidgeting.
- Work with the student to develop cues to alert them to inappropriate behavior.
- Get help before behaviors escalate (health care provider, support system, etc.). Note any safety concerns.
- Praise the student often and build on success.
For more information about stroke and brain injury, visit the PANDA website.
Sources:
- Intake for ABE Students Who Have Had a Stroke or Traumatic Brain Injury (PANDA, 2020)
- Model Systems Knowledge Translation Center website
- PANDA website
- Return to Learn (Hennepin County Medical Center, 2015)
- Teaching Adult Students With Brain Injuries (Lori Leininger, PANDA, 2015)
- The Essential Brain Injury Guide (Brain Injury Association of America, 2016)

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