ROCHESTER SCHOOL FOR THE DEAF 1545 ST. PAUL STREET ROCHESTER, NEW YORK 14621 EDUCATIONAL EVALUATION INTAKE Student Name: Jane Doe DOB: DOE: July 12, 2007 Age: 11 years, 1 month Evaluator: Primary Language in the Home: English Primary Language of Student: Single Signs Current Grade Placement: 8:1:1 Self-Contained REASON FOR REFERRAL Jane was referred for an academic evaluation as part of an intake process to determine her current levels of academic functioning for potential placement and programming at Rochester School for the Deaf. BACKGROUND INFORMATION Jane is an 11- year, 1 month old whose hearing abilities have been traditionally difficult to assess. Inconclusive results have not yielded an unequivocal determination of her hearing levels in the past. Jane’s most current audiological evaluation suggests a mild sloping to moderate hearing loss for at least the better ear (, July 2007). Jane’s reactions to audiological testing equipment placed on her ears and her reactions to louder sounds indicate a possible hypersensitivity to sound. Jane has not used hearing aids in the past, and none are recommended at this time. Jane presents with multiple diagnoses: Cri du Chat, cerebral palsy (spastic diplegia), episodes of respiratory arrest, failure to thrive, strabismus at birth (often part of Cri du Chat Syndrome), gastro-esophageal reflux, pica and microcephaly. Jane resides with her adoptive mother and several siblings, including an adoptive sister with Down’s syndrome. Mother reported that English is the predominant language in the home, but some sign is used as well. Jane attends School of the Holy Childhood in Rochester, New York where she is part of an 8:1:1 self-contained classroom. BOCES 1 provided her preschool and kindergarten education. Jane’s mother is seeking academic placement other than the School of the Holy Childhood for Jane because she feels that the skills presented in Jane’s current classroom are too basic and redundant for Jane and because the needs of the other children in the class are disabling Jane’s efforts to learn, develop communication abilities and to socialize. Jane receives physical therapy in order to address gait, motor planning, strength, postural control and balance skills. She also participates in occupational and speech therapy. The School of the Holy Childhood provided Jane with a “DynaMyte” assistive communication device, and she has used it consistently to communicate throughout the day when it is in good repair. Mother reported that there was a period of time from October 2006 until February 2007 when the “DynaMyte” was broken and therefore not available for Jane’s use. Jane participates in an adaptive physical education class at The School of the Holy Childhood. Mother stated that Jane has undergone trials with 3 separate “ADD medications” in order to improve Jane’s ability to focus and attend. According to her mother, when none of these medications was successful, Tenex was prescribed. Mother stated that Jane is currently taking Prilosec. Jane uses “Pull Up” undergarments and benefits from scheduled restroom breaks. Aside from this, she is able to take care of her toileting needs independently. BEHAVIORAL OBSERVATIONS Jane was accompanied to this evaluation by a previous evaluator. She cooperated during introductions, but resisted coming into the room. Jane ran away up and down the hall several times before entering the evaluation room and sitting at the table. Jane would not interact with formal testing materials, but responded to toys and puzzles. Her attention span was limited during teacher-directed activities. It was difficult to establish and maintain eye contact with Jane. She did not maintain attention on the face of this evaluator during communication attempts. While she was alert to others around her, Jane did not initiate communication. Jane responded well when her efforts were applauded, and she was somewhat motivated by stickers. Jane enjoyed doing puzzles and using crayons to draw. Jane got out of her chair numerous times during this evaluation, and while she could sometimes be encouraged to sit back down and resume work, most of the time she ran from the room. She feigned being hurt or in pain periodically. When this evaluator refused to run after her and appeared bored with Jane’s running away, Jane stopped and returned on her own. REVIEW OF INFORMAL ASSESSMENT RESULTS CURRENT PERFORMANCE LEVELS Jane did not consistently perform skills upon request. It was not clear whether she was not able to comprehend what was required of her to perform a task or if she did not possess the skill needed to complete the task successfully. In general, the skills demonstrated by Jane during this evaluation are pre-academic. Colors: Jane identified 8 out of 10 colors when the color names were presented via simultaneous voice and sign: red, blue, green, purple, orange, pink, yellow, and brown. She did not correctly identify grey or white. She demonstrated expressive use of the color signs blue, red, green and yellow. Numbers and Counting: Jane demonstrated the ability to count up to 2 objects using 1:1 correspondence. She was able to hold up 2 fingers to indicate 2 objects. Jane did not demonstrate the ability to imitate number signs. She was not able to provide the correct number of objects 1-5 upon request or demonstrate understanding of the concept “one more”. While mother reported that Jane is able to count to ten and identify the numbers 1-10 on a number line, Jane did not demonstrate this ability during the evaluation. Letters: Mother reported that Jane is able to recognize alphabet letters, but is not able to recite (via voice or sign) in order. Jane did not demonstrate this skill during this evaluation. Visual Discrimination: Jane experienced difficulty focusing on this task and understanding what she was to do. Vocabulary: Mother stated that Jane uses approximately 50 signs. During this evaluation, Jane responded to a small number of tasks on the Peabody Picture Vocabulary Test (Expressive). She correctly signed “boat”, “tree” “apple”, “cat”, and “phone”. She was observed to use the signs “Halloween”, “help”, “cry” and “pig” spontaneously. PreHandwriting: Jane held crayons in a full-fist grip in her right hand when making strokes on paper. She exerted extremely heavy pressure on the crayons when executing marks. As a result, her marks were extremely bold. Most of her marks were sharp zigzag shapes. No printed alphabet letters were discernable although she sequenced 3 vertical lines following a pre-printed J in order to spell her name. Response to Instruction: Jane required frequent and persistent redirections to task. When she was interested in a task, she worked cooperatively with this evaluator for extended periods of time (i.e., approximately 15-20 minutes). She was most successful following directions administered via gestures. Once when she was having difficulty placing a puzzle piece, she asked for help by signing “help”. Jane demonstrated the strategy of acting out her thoughts and ideas occasionally. For example, when she wanted to communicate that a cat scratches, she formed her hand into a claw and lashed. Calling Jane’s name was not successful in getting her attention. She did respond appropriately to the words “stop” and “no”. Adding sign to spoken language did not appear to enhance Jane’s performance on communication or learning tasks. Jane did not appear to rely on sign any more than on auditory information to understand communicative and instructional interactions. However, she is dependent on her use of expressive sign to communicate with others, especially since her speech is not intelligible. Jane was most successful working with manipulative materials. Stickers, applause, the prospect of playing with toys and the privilege of earning some hand lotion motivated Jane. SUMMARY and RECOMMENDATIONS Jane is an 11- year, 1 month old whose most current audiological evaluation suggests a mild sloping to moderate hearing loss for at least the better ear (Sterling, July 2007). Jane presents with multiple diagnoses including Cri du Chat and cerebral palsy (spastic diplegia). Jane resides with her adoptive mother and several siblings, including an adoptive sister with Down’s Syndrome. Mother reported that English is the predominant language in the home, but some sign is used as well. Jane attends School of the Holy Childhood in Rochester, New York where she is part of an 8:1:1 self-contained classroom. Jane’s mother is seeking academic placement for Jane at Rochester School for the Deaf (RSD) because she feels that Jane needs exposure to different learning goals, to American Sign Language (ASL) and to children with whom she can socialize and communicate. Jane receives physical, occupational and speech therapy. Results of this educational evaluation suggest that Jane is performing tasks at a preacademic level and that a marked lag in language acquisition, attention and behavioral factors are among those that have a significant impact on Jane’s learning. A highly structured classroom environment that communicates clear, consistent expectations for appropriate behavior will facilitate Jane’s learning. One-on-one support is strongly recommended throughout the school day, as is immersion in language and socialization skill development activities. Jane does not have the language, socialization or classroom skills to function within a class of her age peers at Rochester School for the Deaf (RSD). Significant program modifications would need to be made if Jane’s needs are to be met at RSD at this time. Considerations include the latitude RSD can be afforded in initiating a program that blends life skills and early academic skills for a child as young and multiply involved as Jane. Another consideration is the availability of a class placement and the teaching staff necessary to provide constant supervision, one-on-one interactions and significantly modified instruction. Educational Evaluator