ESD Autism Evaluation
Education Service District
REGIONAL AUTISM SERVICES
Student: CK
Evaluation Date: 12/17/98
DOB: 2/22/96
Autism Specialist:
School: Early Intervention & Kindercare
Speech/Language Pathologist:
District: EIECSE
Teacher:
CK is a 2.10 year old boy, who was referred to the Regional Autism Program for evaluation on 11/13/98 by Early Intervention Service Coordinator. The areas of concern are language and social development. CK currently receives services at Early Intervention Toddler Group.
EVALUATION ACTIVITIES
Autism is a developmental disability affecting the processing, integration and organization of information. Autism typically impacts communication, social interaction, functional skills and educational performance. The following parts of the eligibility process were completed as a apart of this evaluation:
1.Behavioral Observations which identify characteristics seen across settings and times.
During classroom routine, on 12/15/98, for 45 minutes, by .
During toddler group, on 12/17/98, for 30 minutes, by .
During toddler group, on 12/17/98, for 45 minutes, by .
2. Developmental Profile which looks for characteristics in past and present development
Interview with parents, on 12/11/98
Interview with Kindercare Teacher, on 12/15/98
Interview with Toddler Group Teacher, on 12/17/98
Review of student file at Early Intervention Early Childhood Special Education, on 12/11/98.
3. Functional Communication Assessment which looks for characteristics in expressive, receptive and social communication.
Portions of the Generic Skills Inventory (GSI) on 12/17/98 .
Receptive and Expressive Checklist for Language Observations, on 12/17/98, .
Informal Language Sample, on 11/12/98, .
4. Other Assessments which look for learning characteristics typical of children with autism. Portions of the Physical educational Profile Revised (PEP-R) on 12/17/98 by .
EVALUATION RESULTS
To be eligible for Special Education in the area of autism, a child must:
Exhibit impaired ability to relate to people or the environment,
Exhibit or previously have exhibited unusual responses to sensory information;
Exhibit or previously have exhibited inconsistencies or discrepancies in the development of physical, language, social or cognitive skills.
Exhibit impaired verbal or nonverbal language or social communication skills;
1. Autism Characteristics
| Characteristic |
Observation |
Interviews |
File Review |
Assessment |
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| Relating |
|
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| Unusual peer/adult interactions |
X |
X |
X |
X |
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| Does not watch or notice peers. | ||||||||||||
| Pushes peers for no apparent reason. | ||||||||||||
| Prefers to play alone. | ||||||||||||
| Grabs toys from others. | ||||||||||||
| Will hit or push child that tries to take a toy. | ||||||||||||
| Will move away from physical contact with adults. | ||||||||||||
| Unusual responses to dangerous situations |
X |
X |
X |
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| Will bolt from environment with no concern for safety. | ||||||||||||
| Jumps from high places. | ||||||||||||
| Limited play abilities |
X |
X |
X |
X |
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| Wants to have things his own way. | ||||||||||||
| Cannot take direction or instruction from adult. | ||||||||||||
| Likes to dump toys from buckets. | ||||||||||||
| Likes to throw toys in air. | ||||||||||||
| Seeks out certain toys. | ||||||||||||
| Sensory |
|
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| Unusual oral stimulation |
X |
X (staff) |
X |
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| Stuffs food in mouth. | ||||||||||||
| Mouths inedible objects. | ||||||||||||
| Drools at times. | ||||||||||||
| Sucks thumb continuously. | ||||||||||||
| Unusual responses to auditory stimuli |
X |
X |
|
X |
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| Does not respond to loud noise if involved in a preferred | ||||||||||||
| activity. | ||||||||||||
| Does not respond to name if involved in a preferred activity. | ||||||||||||
| Unusual repetitive movements |
X |
X |
X |
X |
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| Likes to watch objects drop/roll over and over. | ||||||||||||
| Runs around and around a pattern on the playground. | ||||||||||||
| Shakes head and crosses eyes. | ||||||||||||
| Stomps feet and flaps hands when walking. | ||||||||||||
| Unusual tactile responses |
X |
X |
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| Fiddles with carpet nap. | ||||||||||||
| Makes sounds with mouth, moving tongue in an odd way. | ||||||||||||
| Wrings hands. | ||||||||||||
| Development | ||||||||||||
| Splintered developmental skills |
X |
X |
X |
X |
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| Can easily operate mechanical things (VCR and TV). | ||||||||||||
| Limited spontaneous expressive vocabulary. | ||||||||||||
| Can repeat phrases he has heard before (delayed echolalic). | ||||||||||||
| High organizational skills; can find and match video cases and tape, can replace toys in the same exact place that he found them, can follow routines that are predictable. | ||||||||||||
| Has difficulty following verbal directions. | ||||||||||||
| Short attention span |
X |
X |
X |
|
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| Difficulty sitting in large group activities. | ||||||||||||
| Flits from one activity to another. | ||||||||||||
| Will escape an activity if a demand is made. | ||||||||||||
| Easily distracted by visual information (sees something and | ||||||||||||
| wants it now) - | ||||||||||||
| Difficulty transitioning from one activity to another. |
X |
X |
X |
X |
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| Protests if he does not want to be done with preferred activity. | ||||||||||||
| Does not comply if adult directed activity. | ||||||||||||
| Does not respond to prompts to change activity. | ||||||||||||
| Has little or no concept of time sequences. |
X |
X |
X |
X |
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| Has difficulty waiting for his turn. | ||||||||||||
| Difficulty understanding when he should be "done" with an activity. | ||||||||||||
| Communication |
|
|
|
|
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| Limited speech |
X |
X |
X |
X |
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| 1 - 2 word spontaneous speech. | ||||||||||||
| High use of jargon (3 - 6 syllables). | ||||||||||||
| High use of gestures and pointing to get needs met. | ||||||||||||
| Limited communication function |
X |
X |
X |
X |
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| Misuses labels of objects. |
|
|
|
|
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| No awareness of communication breakdown. |
|
|
|
|
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| Limited receptive language understanding. |
X |
X |
X |
X |
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| Follows 1 -step directions within familiar routine only. | ||||||||||||
| At times cannot answer yes/no questions. | ||||||||||||
| Unusual speech characteristics. |
X |
X |
|
X |
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| Has loud, raspy, tense quality to voice when communicating with others. | ||||||||||||
| Flat, monotone intonation when singing or initiating vocal play(imitating a fire engine siren). | ||||||||||||
| Does not use joint referencing. |
X |
X |
X |
X |
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| Attention stays on an object with no regard to person. | ||||||||||||
| Looses interest if an object is not present. | ||||||||||||
| Difficulty establishing more than a fleeting interest in an adult directed/led activity. | ||||||||||||
| Fleeting eye contact with others. | ||||||||||||
| May want to interact, but does not follow through. | ||||||||||||
2. Learning Characteristics
CK has difficulty attending to adult directed activities for any length of time. He wants to do things his own way and in his own time. This makes instruction difficult due to compliance issues.
CK is very active and has difficulty sitting for any length of time. He will flit from one activity to another, not able to attend to verbal cues or prompts to help him get involved in an activity. He needs objects readily available to him to stay focused in a large group and attend to the speaker.
CK is a visual learner. He needs visual cues (objects, toys, or pictures) and gestures to follow instruction or directions. He can be visually distracted by objects in the environment. He may see something and want to go to it immediately, distracting him from a task or transition. CK has unique mechanical abilities; he is able to operate and control a VCR and Play Station with ease. CK prefers to play alone, showing little interest in his peers and sometimes interacts inappropriately with them (pushing, hitting and grabbing toys from them). CK has limited speech abilities and is difficult to understand. He does not attempt to correct his verbalizations to help the listener to understand his message. He will resort to gestures, pointing, or leading to help get his needs met. CK has intent focus on activities that he prefers and will shut out other sensory information (auditory) when he is engaged in these activities.
3. Recommendations
CK would benefit from a structured classroom enviromnent that supplies predictable routines and visual supports to help him attend to instruction.
CK would benefit from direct instruction in a small group to help develop play skills. CK does try to interact at times, but will easily give up if he is not understood or given immediate reinforcement from the play partner. Direct modeling and practice in sharing, taking turns and creative play scenarios could help CK follow through on his interactions with other peers.
CK would benefit from direct instruction to increase his functional language skills. Pairing direct prompting with immediate reinforcement for attending, verbal imitation and verbal attempts to request motivating items, could help CK develop relationships with language and behavior.
Autism Specialist
Regional Services
Speech-Language Pathologist
Early Intervention
Please note: Regional Services will keep and maintain an educational record to assist with planning and program development for your child. The record will be retained for five years after the end of your child's participation in the regional program. After five years, if there is no outstanding parent request, the educational records will be destroyed.