Psychological Evaluation Name: Date of Birth: Age: Gender: Grade: Date(s) of Assessment: Evaluated by: Mulan Hua 04/15/2009 11 years, 5 months Female 4th 10/10/2020 Madisen Baralis Referral Reason: Mulan is an 11-year-old girl who was referred for her academic functioning, by her teacher Mrs. Smith, due to concerns regarding her reading comprehension. Mulan arrived to the US from China last year with her mother. Mrs. Smith is troubled by Mulan’s lack of participation in class despite her conversing with her classmates, and she believes Mulan is falling behind in comparison to her peers when it comes to reading comprehension. Mulan does not speak with an accent when speaking in English, which led Mrs. Smith to believe Mulan should be on the same level as her classmates. Mrs. Smith is concerned that Mulan may have a learning disability or a speech language impairment. Background Information: Mulan moved to the US last year with her mother from China. She currently resides with her maternal grandparents and mother. Her parents have been married for 13 years, but her father currently lives in China. Her father and mother completed college in China, and predominately speak Mandarin. Mulan shares a bedroom with her mother and goes to bed at a reasonable hour. Mulan and her mother get along well, and her mother refers to her as a “good girl.” Mulan is disciplined by removing luxury items such as the TV or iPad. Mulan was born in China at a hospital. Her mother, Lily had a normal pregnancy, and Mulan was born two weeks early. She was born at 6lbs 11oz and was a very healthy newborn. Mulan sat up at 6 months of age, walked at 10 months, said her first words at 7 months and used sentences at 2 years old. Mulan exhibited appropriate development for her age. Mulan has health insurance and is considered a healthy child. Her last medical exam was on 7/19/2020 with Dr. Disney. There is no medical or psychiatric history in the family. Mulan attended daycare, nursery school, pre-k and kindergarten in China. She was taught English in China for one hour a day. Mulan immigrated to the US in September of 2019. Mrs. Smith her current teacher, was concerned with Mulan’s academic functioning as she was appropriately communicating with her peers but struggling in reading comprehension. Mulan is a good student and doesn’t have any behavioral problems. Prior interventions in school were English Language Learners (ELL) as a service for support. Mulan’s mother is unsure what to do, considering Mulan didn’t display any academic concerns in China. Mulan just developed this problem, and her mother attempts to help, but is limited in English herself. Mulan is interested in Math and Science while disliking English and Social Studies. Tests Administered: Woodcock-Johnson Tests of Achievement, Fourth Edition (WJ-IV Standard and Extended Batteries) Behavioral Observations During Testing: Mulan was cooperative, and enthusiastic throughout the entire assessment. She was friendly when engaging with the examiner prior to the start of the test and had great conversational skills. Rapport was easily established and maintained. Mulan offered information about her interests in and out of school and took part in a pleasant back and forth conversation. Mulan was very polite and respectful toward the examiner, and she frequently smiled when she provided her answers. Mulan maintained her attention to the tasks throughout the assessment as demonstrated by her facial expressions which displayed concentration. Mulan was also able to comprehend the instructions and general expectations of the assessment, as evidenced by her ability to answer sample and practice questions without any assistance from this examiner. Despite testing via Zoom, she paid attention to instructions, had appropriate eye contact and facial expressions. Mulan willingly came to the testing session and was compliant throughout the assessment process. She worked efficiently through tasks and appeared to put forth her best effort as evidenced by Mulan’s desire to not give up, even as the level of difficulty progressed. Cognitive Results: Mulan was administered 18 subtests from the Woodcock-Johnson of Cognitive Abilities, Fourth Edition (WJ IV-Cog). The WJ-IV is an individually administered, standardized assessment of Mulan’s overall cognitive functioning and can potentially reveal individual cognitive strengths and weaknesses. This assessment was conducted for strictly learning purposes therefore results should be considered invalid. Mulan was administered this assessment on 10/10/20. General Intellectual Ability (GIA): The General Intellectual Ability (GIA) provides the best overall estimate of Mulan’s overall intelligence. Mulan’s performance in comparison to her peers fell in the low average range. Mulan obtained a Standard Score (SS) of 87 (95% Confidence Interval= 80-94, Percentile Rank= 19). Mulan’s performance on this assessment shows an overall distribution of scores that fall in the very low to superior range. Given the 95% confidence interval and the subtest scores, it is shown that there are some relative weaknesses and strengths within Mulan’s profile that will be discussed further. GF-Gc Composite: The Gf-Gc Composite is a combined measure of Mulan’s word knowledge and general information knowledge. Mulan received a standard score of 77 (Percentile Rank= 6, 95% Confidence Interval= 71-84), which indicates that her intellectual level is within the low range of her same aged peers. As a result, it can be suggested that Mulan’s reasoning abilities and knowledge, specifically vocabulary knowledge may be limited. Comprehension-Knowledge (Gc): Comprehension Knowledge (Gc) is measured by the ability to communicate and reason effectively. Mulan’s comprehension knowledge was tested on two comprehension tasks Test 1: Oral Vocabulary, and Test 8: General Information. Both of the subtests in this section required a verbal response. Mulan appeared to demonstrate the most difficulty in this section and her scores on both subtests fell into the very low range (SS=52, Percentile Rank=0.1, 95% Confidence Interval=44-61). Low performance in this area may be a result of word retrieval difficulties or limited background knowledge. Mulan may have issues understanding new information without having background knowledge. Fluid Reasoning (Ext): Fluid Reasoning refers to Mulan’s ability to form concepts and solve problems that generally involve unfamiliar information or procedures. Fluid Reasoning is derived from three tests, Test 2: Number Series, Test 9: Concept Formation and Test 15: Analysis Synthesis. Number Series primarily measures deductive and inductive quantitative reasoning, while Concept Formation measures verbal, language based inductive- reasoning. Analysis Synthesis is a measure of deductive reasoning. Mulan earned a score at the 70th percentile of her same aged peers in this section (SS= 108, 95% Confidence Interval= 100-115), which is in the average range. Fluid reasoning is a strength for Mulan, which suggests she will easily be able to form concepts and solve problems. Mulan’s performance indicates that her problem-solving abilities are typically developed for her age. Short-Term Working Memory (Ext): Short-Term Working Memory measured Mulan’s ability to attend to, hold, and manipulate temporary information. Short-Term Working Memory (Ext) involves four subtests, Test 3: Verbal Attention, Test 10: Numbers Reversed, Test 16: Object-Number Sequencing, and Test 18: Memory for Words. Verbal Attention measures temporary storage of verbal information to solve problems, and Memory for Words measures storage capacity for unrelated words in primary memory. Mulan’s short-term working memory standard score is in the average range (SS= 104, 95% Confidence Interval= 96-112) compared to her same aged peers in this area. Her short-term working memory falls in the average range. This implies that Mulan can temporarily store, hold and recall information. Taking a closer look into the Short-Term Working Memory (ext.) subtests, Mulan performed best at the numbers reversed and object-number sequencing. For numbers reversed Mulan received a standard score of 112 (Percentile Rank= 79, 95% Confidence Interval= 101-122). On Object-Number sequencing Mulan earned a standard score of 104 (Percentile Rank=61, 95% Confidence Interval=92-115). Numbers Reversed not only tests short-term working memory, but number facility and cognitive efficiency. These findings suggest that Mulan’s ability to temporarily store number information is more proficient than verbal information. Cognitive-Processing Speed (Gs): Cognitive Processing Speed is defined as the ability to quickly complete both simple and complex cognitive tasks. Performances in this area are related to determining how Mulan will perform when learning new tasks and how efficiently she can complete the task in a limited time period. This area is also associated with Math calculation skills. There are two subtests that are in this cluster: Test 4: Letter- Pattern Matching and Test 17: Pair Cancellation. Mulan fell in the very superior range and she performed higher than 99.5 percent of her same aged peers in this area (SS=139, 95% Confidence Interval= 130-148). This suggests that Mulan has a greater ability to easily do simple or previously learned tasks. Auditory Processing (Ga): Auditory Processing refers to the ability to analyze, discriminate and integrate auditory stimuli. This area is related to the ability to hear and understand words, and numbers. Mulan performed in the very low range in this area (SS=45, Percentile Rank=<0.1, 95% Confidence Interval= <4054), however there were some variations between the two subtests. The two subtests administered to evaluate Mulan’s Auditory Processing abilities were Phonological Processing and Nonword Repetition. Mulan performed in the very low range in the Phonological Processing subtest (SS= 63, Percentile Rank=1, 95% Confidence Interval=52-75). However, in Nonword Repetition, Mulan performed in the very low range (SS=50, Percentile Rank=<0.1, 95% Confidence Interval= 41-59). This suggests that Mulan struggles to process and understand what she hears. Long Term Retrieval (Glr): Long Term Retrieval incorporates the abilities to acquire, store and retrieve information over periods of time. It involves the amount of information that Mulan can store as well as the rate and fluency by which she can retrieve the information. Glr is associated with the merging of semantic memories, which is crucial for learning. The two subtests administered to evaluate Mulan’s Long-Term Retrieval (Glr) were Test 6: Story Recall and Test 13: Visual- Auditory Learning. Mulan performed in the low range in this area (SS=78, Percentile Rank= 7, 95% Confidence Interval= 69-86). This suggests that Mulan has a difficult time encoding meanings, and retrieval abilities. Visual Processing (Gv): Visual Processing is highly related to math skills and refers to the ability to analyze and associate visual stimuli as well as manipulate mental images in order to solve problems. The two subtests given to evaluate Mulan’s visual processing abilities were Test 7: Visualization and Test 14: Picture Recognition. Mulan achieved scores in the average range (SS=100, Percentile Rank= 50, 95% Confidence Interval=90-109). This suggests that Mulan is easily able to use and interpret visual information. CHC Narrow Ability and Clinical Clusters Quantitative Reasoning: Quantitative reasoning refers to the ability to understand mathematical facts and concepts and ability to apply them to real-world scenarios. This area has been found to be related to Math achievement. The two subtests administered to evaluate Mulan’s Quantitative Reasoning abilities were Test 2: Number Series and Test 15: Analysis- Synthesis. Mulan performed in the average range (SS=109, Percentile Rank=73, 95% Confidence Interval= 100-118). This suggests that Mulan can easily apply mathematical skills, to the analysis and interpretation of real world quantitative information. Number Facility: Number Facility measures Mulan’s speed at which basic math operations are performed accurately. It has been linked to Math performance and requires manipulation of the working memory. Number Facility is derived from two subtests: Test 10: Numbers Reversed and Test 11: Number-Pattern Matching. Mulan performed in the superior range (SS=125, Percentile Rank= 95, 95% Confidence Interval=115-135). As a result, this implies that Mulan has the ability to rapidly and accurately manipulate and deal with numbers. Perceptual Speed: Perceptual Speed refers to the ability to recognize and match words and numbers quickly and accurately in a short period of time. Test 4: Letter- Pattern Matching measures letter pattern visual perceptual discrimination and Test 11: Number- Pattern Matching measures numeric visual perceptual discrimination ability. This area has been linked Math performance. Mulan performed in the very superior range (SS=133, Percentile Rank=99, 95% Confidence Interval=122-143). This suggests that Mulan is able to quickly and accurately compare similarities and differences among sets of letters, numbers, objects or pictures. Cognitive Efficiency (ext): Cognitive Efficiency consists of Mulan’s ability to perform visual matching tasks rapidly and how well she can temporarily store information. Test 4: Letter- Pattern Matching, Test 10: Numbers Reversed, Test 3: Verbal Attention and Test 11: Number-Pattern Matching compose the Cognitive Efficiency (ext.). Mulan performed in the superior range (SS=125, Percentile Rank=95, Confidence Interval= 116-134). Cognitive Efficiency is a possible indicator for Mulan’s attention span and her ability to retain information at a rapid pace. Mulan’s scores throughout the four subtests ranged from average to very superior, with Mulan performing best on the perceptual speed tests. As a result, it can be suggested that Mulan can efficiently process information at a high rate of speed and quickly retrieve recent memories. Summary: Mulan was referred for a psychological evaluation for her academic functioning relating to her reading comprehension. As reported by her teacher, Mrs. Smith’s concern was noted regarding Mulan falling behind in comparison to her same age peers. Mulan was tested in one session via Zoom. Mulan maintained her attention to the tasks throughout the assessment as demonstrated by Mulan’s facial expressions which displayed concentration. Mulan was also able to comprehend the instructions and general expectations of the assessment, as evidenced by Mulan’s ability to answer sample and practice questions without any assistance from examiner. Mulan received a General Intelligence Ability (GIA) standard score of 87, which falls into the low average range at the 19th percentile. GIA provides the best comprehensive estimate of global intelligence. Mulan’s scores ranged from the 99.5th. percentile to the <0.1st percentile. Mulan’s strengths appeared to be in Fluid Reasoning (ext), Cognitive Processing speed, Quantitative Reasoning and Perceptual speed. Mulan appeared to excel in areas that measured her cognitive processing speed and may account for her ability to succeed on grade-level tasks such as learning new tasks and efficiently completing the task in a limited time period. Mulan’s scores on other areas are evenly distributed and it appears Mulan is of low average intelligence. Mulan has below average abilities and her weaknesses are in Oral Vocabulary, Phonological Processing, Story Recall, Comprehension Knowledge, Auditory Processing, and Long-term retrieval. Recommendations: Given Mulan’s overall performance in the high average range, it is recommended Mulan continue her academic programs as currently indicated. It is also recommended that Mulan’s Long-term retrieval, Auditory processing, and Comprehension Knowledge, be challenged to enhance her ability by: ● Using visual aids and concrete objects (blocks with letters on them) for the student to physically move when saying and reading a word ● Using rehearsal strategies (rhymes, acronyms, anagrams) ● Encouraging verbal repetition in class ● Using active reading strategies such as highlighting, under-lining, graphic organizers ● Using decodable texts for daily practice ● Listen to books on tape ● Compile a class booklet of new words, and their definitions Broad CHC & Subtests SS 95% CI %ile RPI Classification Description GIA 87 80-94 19 80/90 Low Average Oral Vocabulary 63 52-74 1 27/90 Very Low Number Series 103 92-113 58 93/90 Average Measures how well a child works with numbers, as well as providing oral response to oral stimuli Verbal Attention 93 81-105 32 81/90 Average Measures temporary storage of verbal information to solve problems Letter-Pattern Matching 129 116-142 97 100/90 Superior Measures how quickly a child can match simple material by comparing similarities and differences in a timed condition Phonological Processing 63 52-75 1 34/90 Very Low Story Recall 79 66-93 8 70/90 Low Visualization 98 87-108 45 88/90 Average Gf-Gc Composite 77 71-84 6 58/90 Low Oral Vocabulary 63 52-74 1 27/90 Very Low Number Series 103 92-113 58 93/90 Average General Information 54 44-64 0.1 5/90 Very Low Concept Formation 103 95-111 55 93/90 Average Comp-Knowledge (Gc) 52 44-61 0.1 13/90 Very Low Oral Vocabulary 63 52-74 1 27/90 Very Low Measures knowledge of words and word meanings General Information 54 44-64 0.1 5/90 Very Low Measures general object knowledge Fluid Reasoning (Gf) 104 96-111 61 93/90 Average Number Series 103 92-113 58 93/90 Average Measures how well a child works with numbers, as well as providing oral response to oral stimuli Concept Formation 103 95-111 55 93/90 Average Looks at information presented and then requires someone to identify and test a hypothesis Fluid Reasoning (Ext) 108 100-115 70 95/90 Average Analysis-Synthesis 112 100 – 123 79 97/90 High Average Short-Term Work Memory (Gwm) 104 94-113 61 93/90 Average Verbal Attention 93 81-105 32 81/90 Average Numbers Reversed 112 101-122 79 97/90 High Average Measures knowledge of words and word meanings Measures the ability to differentiate between sounds that make-up words Measures listening ability with attention to oral stimuli and long-term retrieval for meaningful memory Using information from visual stimuli to solve problems Measures knowledge of words and word meanings Measures how well a child works with numbers, as well as providing oral response to oral stimuli Measures general object knowledge Looks at information presented and then requires someone to identify and test a hypothesis Measure how a child uses symbols to figure out a pattern Measures temporary storage of verbal information to solve problems Measures temporary storage and control of attention to remember numbers and words Short-Term Work Memory (Ext) 104 96-112 61 93/90 Average Object-Number Sequencing 104 92-115 61 93/90 High Average Memory for Words 101 90-111 53 100/90 Average Cog-processing Speed (Gs) 139 130-148 99.5 100/90 Very Superior Letter-Pattern Matching 129 116-142 97 100/90 Superior Pair Cancellation 137 129-146 99 100/90 Very Superior Auditory Processing (Ga) 45 <40-54 <0.1 12/90 Very Low Phonological Processing 63 52-75 1 34/90 Very Low Measures the ability to differentiate between sounds that make-up words Nonword Repetition 50 41-59 <0.1 4/90 Very Low Measures sound and the ability to remember the sounds Long-Term Retrieval (Gur) 78 69-86 7 71/90 Low Story Recall 79 66-93 8 70/90 Low Visual-Auditory Learning 84 78-90 14 72/90 Low Average Visual Processing (Gv) 100 90-109 50 90/90 Average Visualization 98 187-108 45 88/90 Average Using information from visual stimuli to solve problems Picture Recognition 102 87-116 55 91/90 Average Measures the ability to temporarily store and recall visual stimuli Measures the ability to sort auditory input Measures storage capacity for unrelated words in primary memory Measures how quickly a child can match simple material by comparing similarities and differences in a timed condition Measures the ability to quickly determine symbol discrimination in a timed condition Measures listening ability with attention to oral stimuli and long-term retrieval for meaningful memory Measures the ability to pair a heard word with a symbol and then the ability to commit the pair to memory Clinical Cluster SS 95% CI %ile RPI Classification Quantitative Reasoning 109 100-118 73 96/90 Average Number Series 103 92-113 58 93/90 Average Analysis-Synthesis 112 100 – 123 79 91/90 High Average Number Facility 125 115 – 135 95 99/90 Superior Numbers Reversed 112 101-122 79 97/90 High Average Number-Pattern Matching 129 116-142 97 100/90 Superior Perceptual Speed 133 122-143 99 100/90 Very Superior Letter-Pattern Matching 129 116-142 97 100/90 Superior Number-Pattern Matching 129 116-142 97 100/90 Superior Cognitive Efficiency 127 116-138 96 99/90 Superior Letter-Pattern Matching 129 116-142 97 100/90 Superior Number-Pattern Matching 129 116-142 97 100/90 Superior Cognitive Efficiency (Ext) 125 116-134 95 99/90 Superior Verbal Attention 93 81-105 32 81/90 Average Memory for Words 101 90-111 53 91/90 Average ______________________________________ Madisen Baralis Queens College