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What is the difference between adaptions/accommodations vs. modification?

The biggest difference being simple changes or altogether different.

Adaptions/Accommodations are usually seen listed on a student's Individual Education Program (IEP) or 504. Some examples: less answers to choose from, a scribe, test in an alternate location, and/or tests read aloud. The instructional delivery does not change.

Modifications are utilized when instructional delivery and/or expectations are changed to meet student academic and/or social needs.

Why should we adapt?

Educators should adapt instruction, environments, activities, materials, and so much more for one simple reason - to reach each child where they are. Every student learns a little differently from their peers. In today's world, we all adapt to learn and work effectively and efficiently.