{"id":39,"date":"2024-03-17T15:31:06","date_gmt":"2024-03-17T15:31:06","guid":{"rendered":"https:\/\/blogs.cardiff.ac.uk\/karen-reed\/?p=39"},"modified":"2024-06-05T11:55:50","modified_gmt":"2024-06-05T10:55:50","slug":"supporting-neurodivergent-students-in-case-based-learning","status":"publish","type":"post","link":"https:\/\/blogs.cardiff.ac.uk\/karen-reed\/supporting-neurodivergent-students-in-case-based-learning\/","title":{"rendered":"Supporting Neurodivergent Students in Case-Based Learning.\u00a0"},"content":{"rendered":"<p>Throughout 2023, I had the pleasure of hearing <i><span data-contrast=\"auto\">Rachel Carney, Cardiff University <\/span><\/i><span data-contrast=\"auto\">present at<\/span> several events and workshops<i><span data-contrast=\"auto\">. <\/span><\/i><span data-contrast=\"auto\">These opportunities opened my eyes to the need to better support neurodivergent individuals within academia.\u00a0 Looking to apply this new knowledge to my teaching practice, and to support others to do the same, I drafted a &#8220;support guide&#8221; for Case Based Learning (CBL) facilitators. CBL is <em>a student-centered learning approach,<\/em> used within the medical school during years 1 and 2 of the MBBCh curriculum to promote learning through the application of knowledge to clinical cases and scenarios. I subsequently had the utter pleasure of working with Dr Andreia de Almeida to finesse this draft to create the following which we shared with colleagues 18-03-24 at the start of <\/span><span class=\"wixui-rich-text__text\">Neurodiversity Celebration Week 2024.<\/span><\/p>\n<h2><span data-contrast=\"none\">A guide for CBL facilitators v1.0 2024<\/span><span data-ccp-props=\"{&quot;335551550&quot;:2,&quot;335551620&quot;:2}\">\u00a0<\/span><\/h2>\n<h3><span data-contrast=\"none\">Dr Karen Reed &amp; Dr Andreia de Almeida<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/h3>\n<p><b><i><span data-contrast=\"auto\">Neurodiversity<\/span><\/i><\/b><span data-contrast=\"auto\"> describes the idea that everyone experiences and interacts with the world around them in many different ways. Neurodiversity provides a framework for understanding how the human brain functions, arguing that there is diversity in human cognition with no single \u201ccorrect\u201d way to think.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h4><span data-contrast=\"auto\">Neurodiversity is a normal range\/variation in the population<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/h4>\n<p><b><i><span data-contrast=\"auto\">Neurodivergent<\/span><\/i><\/b><span data-contrast=\"auto\"> is a term used to describe people whose brains develop or work differently, meaning that they have different strengths and challenges from people whose brains develop or work more \u201ctypically\u201d. The latter are often referred to as neurotypical individuals.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h4><span data-contrast=\"auto\">Neurodivergent is someone who is dyspraxic, autistic, dyslexic, etc.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/h4>\n<blockquote>\n<p style=\"text-align: center\"><b><span data-contrast=\"auto\">Quote<\/span><\/b><span data-contrast=\"auto\">: Neurodivergent&#8230; means having a mind that functions in ways which diverge significantly from the dominant societal standards of &#8220;normal&#8221;.<\/span><br \/>\n<span data-contrast=\"auto\">Neuroqueer Heresies: Notes on the Neurodiversity Paradigm, Autistic Empowerment, and Postnormal Possibilities book by Nick Walker, p.38<\/span><\/p>\n<\/blockquote>\n<p><b><span data-contrast=\"auto\">Note<\/span><\/b><span data-contrast=\"auto\">: Neurodiverse is often used to refer to neurodivergent groups or individuals. However, a certain group is only neurodiverse if it consists of neurotypical and neurodivergent individuals. A group that is composed only of neurodivergent people will not be neurodiverse. Similarly, one individual cannot be neurodiverse, as diversity relates to various characteristics within a group.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">What falls within neurodiversity?<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">There is a broad range of medical conditions that contribute to neurodivergent traits, including but not limited to ADHD, autism, dyslexia, or dyspraxia (<\/span><span data-contrast=\"auto\">1)<\/span><span data-contrast=\"auto\">. However, not everyone will have a diagnosis<strong>*<\/strong>, or may not wish to disclose that information with everyone. Therefore, creating an inclusive environment that benefits everyone in the community is important.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Remember, every neurodivergent individual is unique. They are likely to have just as many unique strengths as challenges. This will be different for every person, and as such, it may not be possible to generalise to meet everyone\u2019s needs. An individualised approach is needed.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\"><strong>*<\/strong>While diagnoses are important, it is crucial to remember that, according to the Equality Act 2010, one does not require a formal diagnosis in order to be provided with support. It is also important to note that certain assessments, such as ASD and ADHD, in the U.K., currently have waiting lists that can vary from months to several years (up to 5-7 in certain parts of the country). It is possible for individuals to have a private diagnosis, but this is often very costly, and students might not be able to afford the cost of the diagnosis and medication via a private route.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<figure id=\"post-48 media-48\" class=\"image align-none\"><img decoding=\"async\" src=\"http:\/\/blogs.cardiff.ac.uk\/karen-reed\/wp-content\/uploads\/sites\/651\/2024\/03\/Screenshot-2024-03-17-at-15.25.52.png\" alt=\"A diagram of a brain on an umbrella in the rain, with the following words underneath it: OCD, BPD, ADHD, Dyslexia, Anxiety, PTSD, Dysgraphia, Bipolar Disorder, ASD, Dyspraxia, Dyscalculia, Depression, Cerebral Palsy, Tourette's, Schizophrenia, Epilepsy, Traumatic Brain Injury.\" \/><\/figure>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><span data-contrast=\"none\">This schematic is not an extensive list of list of conditions that fall under the \u201cneurodivergent\u201d umbrella term. It was created based on information from various sources, including charities, such as the <\/span><span data-contrast=\"none\">ADHD Foundation<\/span><span data-contrast=\"none\">. ADHD Foundation is the charity that founded the \u201cneurodiversity umbrella project\u201d that displays colourful umbrellas across the U.K..<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[560,1120,1680,2240,2800,3360,3920,4480,5040,5600,6160,6720],&quot;469777927&quot;:[0,0,0,0,0,0,0,0,0,0,0,0],&quot;469777928&quot;:[1,1,1,1,1,1,1,1,1,1,1,1]}\">\u00a0<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">Barriers to Learning<\/span><\/b><span data-ccp-props=\"{&quot;335551550&quot;:2,&quot;335551620&quot;:2}\">\u00a0<\/span><\/h3>\n<ul>\n<li><b><span data-contrast=\"none\">Inaccessible learning materials<\/span><\/b><span data-contrast=\"auto\">:\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Learning materials may not be accessible to neurodivergent students.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Examples include textbooks or lecture materials that are not available in accessible formats, videos without captions or screen-reader incompatible online learning platforms. For some, text-heavy learning materials can pose significant barriers to learning.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"%1.\" data-font=\"\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Sensory overload<\/span><\/b><span data-contrast=\"auto\">:\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Neurodivergent students may experience sensory overload in academic spaces. This can be due to loud noises, bright lights, or other environmental factors that can be overwhelming.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"%1.\" data-font=\"\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Social isolation and stigma<\/span><\/b><span data-contrast=\"auto\">:\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">These students may feel socially isolated in academic spaces. This can be due to difficulties with social communication or a lack of understanding from peers. This isolation may also stem from stigma and discrimination from peers or faculty\/staff.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"%1.\" data-font=\"\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Lack of support<\/span><\/b><span data-contrast=\"auto\">:\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Neurodivergent students may not receive the support they need to succeed in academic spaces. This can include a lack of accommodations, such as extended time on exams or note-taking assistance, or a lack of understanding from faculty and staff.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h3><span data-ccp-props=\"{}\">\u00a0<\/span><b><span data-contrast=\"auto\">What can you do as a facilitator?<\/span><\/b><span data-ccp-props=\"{&quot;335551550&quot;:2,&quot;335551620&quot;:2}\">\u00a0<\/span><\/h3>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><span data-contrast=\"auto\">Follow the principles that are encompassed by the ideology of a universal design for learning (UDL) approach (<\/span><span data-contrast=\"auto\">2)<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-ccp-props=\"{}\">\u00a0<\/span><b><span data-contrast=\"none\">Create an inclusive learning environment<\/span><\/b><span data-contrast=\"auto\">: <\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Ask group members what they need\/don\u2019t need to support effective learning. By conducting a sensory audit of the group (asking students what does and doesn\u2019t work for them), you will be able to consider adapting the learning environment to cater to the unique needs of the group members, including neurodivergent individuals. For example, reducing visual or auditory distractions, normalising space for relaxing, and\/or sensory deprivation (stepping out of the room for a few minutes) can help.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li><b><span data-contrast=\"none\">Remember that everyone is different<\/span><\/b><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Neurodivergent students may have different learning styles and may not learn in a linear and stepwise manner. Creating environments that optimise flexible learning approaches can help cater to individuals\u2019 unique needs.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li><strong>Acknowledge the notion of academic ableism<\/strong><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Academic ableism describes the discrimination of disabled people in academic spaces. The educational system has many barriers for neurodivergent students, which are often invisible and unrecognised. Some examples are provided below, but recognizing the notion of academic ableism can help create a more inclusive learning environment for all students.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li><b><span data-contrast=\"none\">Make things simple and structured<\/span><\/b><span data-contrast=\"auto\">: <\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Nobody likes things to be unnecessarily complicated, but remember, neurodivergent students may have particular difficulty understanding complex instructions. Therefore, it is important to provide clear and concise instructions that are easy to follow. Similarly, a structured learning environment can help neurodivergent students stay organized and focused. This can include providing a clear schedule, breaking down tasks into smaller steps, and using visual aids. Offering plenty of opportunities for personalised compassionate feedback (two-way feedback is best) can really help. The best practice is to work with individuals to meet their specific needs and build on their strengths.\u202f<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li><b><span data-contrast=\"auto\">Be conscious of your communication<\/span><\/b><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Everyone needs to be cognisant of the impact of unconscious biases and stereotypes, particularly when communicating with others. A lack of consideration can unwittingly result in signals that are counterproductive to providing an inclusive learning environment, e.g. annoyance at students being fidgety (see academic ableism above). If not appropriately considered, miscommunications can easily add to the burden of microaggressions that neurodivergent students are frequently exposed to.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p style=\"text-align: center\"><b><span data-contrast=\"auto\">Quote<\/span><\/b><span data-contrast=\"auto\">: Allowing a student with a hidden disability (ADHD, Anxiety, Dyslexia) to struggle academically or socially when all that is needed for success are appropriate accommodations and explicit instruction is no different than failing to provide a ramp for a person in a wheelchair.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p style=\"text-align: center\"><span data-contrast=\"auto\">Joe Becigneul, board chair at the Greater St. Albert Catholic Schools in Alberta, Canada<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">Content inspired by workshops provided by Rachel Carney, Cardiff University.<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Providing Feedback on this resource<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/forms.office.com\/e\/G3Sakz2YgH\"><span data-contrast=\"none\">Link to Feedback form<\/span><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">We appreciate any feedback, comments and suggestions on this resource. For any queries, please contact: Dr Karen Reed (reedkr@cardiff.ac.uk) or Dr Andreia de Almeida (deAlmeidaA@cardiff.ac.uk)<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">References<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">1 &#8211; NHS England (2022) <\/span><a href=\"http:\/\/tinyurl.com\/2h9dfu3v\"><span data-contrast=\"none\">A Guide to Practice-Based Learning (PBL) for Neurodivergent Students<\/span><\/a><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">2 &#8211; La, H., Dyjur, P., &amp; Bair, H. (2018). <\/span><a href=\"https:\/\/taylorinstitute.ucalgary.ca\/sites\/default\/files\/UDL-guide_2018_05_04-final%20(1).pdf\"><span data-contrast=\"none\">Universal design for learning in higher education<\/span><\/a><span data-contrast=\"auto\">. Taylor Institute for Teaching and Learning. Calgary: University of Calgary<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Further reading and other resources<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Blog &#8211; THE,<\/span> <span data-contrast=\"none\">How can we create accessible and inclusive learning environments for neurodivergent students?<\/span><span data-contrast=\"none\">\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:288}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Blog &#8211; Faculty Focus,<\/span> <span data-contrast=\"none\">Bridging the Gap: Overcoming Barriers in Higher Ed for Students with Disabilities including Neurodivergent Learners<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:288}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Blog &#8211; Cardiff University, Diversity in STEM &#8211;<\/span> <span data-contrast=\"none\">Understanding the needs of neurodivergent <\/span><span data-contrast=\"none\">students, including recording of online event.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:288}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Network &#8211;<\/span> <span data-contrast=\"none\">Cardiff University Neurodiversity and Inclusivity Staff Network<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:288}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Journal Article &#8211; Hamilton, L. G. and Petty, S. (2023)<\/span> <span data-contrast=\"none\">Compassionate pedagogy for neurodiversity in higher education: A conceptual analysis<\/span><span data-contrast=\"none\">, Frontiers in Psychology<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:288}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Book &#8211; Brown, N (Ed) 2021. <\/span><span data-contrast=\"none\">Lived Experiences of Ableism in Academia. Strategies for Inclusion in Higher Education<\/span><span data-contrast=\"auto\"> Policy Press ISBN: 978-1447354116<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"Throughout 2023, I had the pleasure of hearing Rachel Carney, Cardiff University present at several events and workshops. These opportunities opened my eyes to the need to better support neurodivergent [&hellip;]","protected":false},"author":7065,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[24],"tags":[22,21,20,19],"class_list":["post-39","post","type-post","status-publish","format-standard","hentry","category-diversity-and-inclusion-edi","tag-case-based-learning-cbl","tag-diversity-and-inclusions-edi","tag-equality","tag-neurodiversity"],"meta_box":[],"_links":{"self":[{"href":"https:\/\/blogs.cardiff.ac.uk\/karen-reed\/wp-json\/wp\/v2\/posts\/39","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.cardiff.ac.uk\/karen-reed\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.cardiff.ac.uk\/karen-reed\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.cardiff.ac.uk\/karen-reed\/wp-json\/wp\/v2\/users\/7065"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.cardiff.ac.uk\/karen-reed\/wp-json\/wp\/v2\/comments?post=39"}],"version-history":[{"count":16,"href":"https:\/\/blogs.cardiff.ac.uk\/karen-reed\/wp-json\/wp\/v2\/posts\/39\/revisions"}],"predecessor-version":[{"id":57,"href":"https:\/\/blogs.cardiff.ac.uk\/karen-reed\/wp-json\/wp\/v2\/posts\/39\/revisions\/57"}],"wp:attachment":[{"href":"https:\/\/blogs.cardiff.ac.uk\/karen-reed\/wp-json\/wp\/v2\/media?parent=39"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.cardiff.ac.uk\/karen-reed\/wp-json\/wp\/v2\/categories?post=39"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.cardiff.ac.uk\/karen-reed\/wp-json\/wp\/v2\/tags?post=39"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}