Screening Report Two 4/27/10 For purposes of confidentiality, all names and addresses are fictitious. Child's Name: Sophia Bonnett Birth date: 4/22/09 Age at Assessment: 12 months/ 1 year Gender: Female Diagnosis: None known Parents' Names: Sarah and Mike Bonnett Address: 103 Pond Way Bubbles, AZ 20293 Assessment Date: 4-24-10 Report Date 4-27-10 Name of Assessment: Battelle Developmental Inventory Screener - 2nd Edition (BDI-2 Screen) Program: None Examiner: Description of Child and Testing Situation: Sophia is a 12 month old Caucasian girl from an English speaking American family. She lives with her mother and father. Sophia’s father is a contractor and her mother stays at home with her. Sophia was born weighing 7lbs, 1 8oz at 36 weeks gestation and has a clean bill of health since she was born a year ago. The Battelle Developmental Inventory Screener-2nd Edition (BDI-2 Screen) screening was conducted at Sophia’s home to assess her development as compared to typically developing children. Sophia’s mother was present in the house and 2 remained with Sophia and the examiner during the assessment, which began at the living room coffee table and was completed on the living room floor. On the day of the assessment, Sophia appeared vibrant, well-rested, and dressed comfortably. She followed all instructions and cooperated by attempting all of the tasks requested. A hearing screening reported that Sophia’s hearing is normal. The wording of this makes it sound like the hearing screening was a person who said something. You’d need to say more than that about her hearing AND vision screening. Interpretation of Child's Performance The BDI-2 Screening assesses developmental skills in the five domains of child development: Cognitive, Personal-Social, Communication, Motor, and Adaptive or Self-Help. The skills which comprise the 450 test items were chosen because they were identified through research studies as ones critical to the development of functional life skills and could be impacted by educational intervention. Through observation, interview, and structured activities the examiner determines whether or not a child ages six months to eight years is making developmentally appropriate progress through each domain. This information aids professionals and families in determining the need for further assessments or evaluations. In this screening of each of the five domains, a basal and ceiling were established. A basal is defined as a score of 2 on three consecutive lowest numbered items administered. Once the basal has been determined for each specific domain, credit for each assessment item that falls before that basal in that domain is granted. A ceiling is defined as a score of 0 on three consecutive highest numbered items given. Once a ceiling is determined, no further items are given in that domain because it is assumed that the child will not demonstrate skills more advanced than 3 that point. The Adaptive domain is the skills needed for self – help. Such skills include feeding, dressing, and toileting independently. The basal for Sophia in the Adaptive Domain began at the 12-17 month screening items: "takes strained food from a spoon and swallows it” and was established when she completed the item, "helps dress himself or herself by holding out his arms or legs.” The ceiling for this domain was reached when Sophia did not demonstrate using a spoon to feed herself, removing her shoes without assistance, or feeding herself independently. Sophia received a raw score of 10 in this domain. At -1.5 Standard Deviation, the cut score (minimum score for passing – good to explain) for this domain is 9. Sophia passed this area of development. In the Personal-Social Domain, which measures social interactions as well as regulation of emotions, Sophia demonstrated a desire for social attention, pointed to (?) 4 and was aware of her own feet, and discriminated between her mother and the examiner as a familiar and unfamiliar person. A basal was met because of this. The ceiling for this domain was met 5 when Sophia’s 6 mother reported that she has not observed Sophia differentiating between familiar and unfamiliar children, that she did in fact observe Sophia allowing others to participate in her activities as well as has engaged in adult role – playing and imitation. (it sounds like she got credit for these two. Why would that help in setting the ceiling?) Sophia received a raw score of 11 for this domain. At -1.5 Standard Deviation, the cut score (minimum score for passing) for this domain is 8. Sophia passed this area of development. The Communication Domain measures expressive language, or what the child understands, and expressive language, or what the child conveys. Sophia responded to different tones in the examiner’s voice, produced two single – syllable consonant vowel sounds, and identified the family dog when named to achieve the basal in the Communication Domain. The ceiling was reached when Sophia did not demonstrate spontaneously initiating sounds, words, or gestures that were associated with objects in the immediate environment, did not respond to the prepositions out and on, and did not use two – word utterances to express meaningful relationships. Sophia received a raw score of 12 for this domain. At 1.5 Standard Deviation, the cut score (minimum score for passing) for this domain is 10. Sophia passed this area of development. The Motor Domain measures both the gross, or large muscle, 7 skills such as kicking a ball and fine, or small muscle, skills such as writing or grasping. Sophia maintained an upright posture at adult’s shoulder without assistance for more than two minutes, held hands in an open, loose – fisted position when not grasping anything, and retrieved a small object by raking it with her hand and pulling it into the palm of her hand to achieve the basal. Although the examiner began this domain in the 12 – 17 month area, a basal was not met and therefore, the examiner had to begin at the 0 – 11 month section. The ceiling was reached when Sophia did not 8 maintain her balance when moving from a standing position to a nonvertical position, when she did not remove forms from a form board, and when she did not run 10 feet without falling. She received a raw score of 8 for this domain. At -1.5 Standard Deviation, the cut score for this domain is 10. Sophia did not this area of development. The Cognitive Domain measures thinking, reasoning, problem – solving, and understanding skills and a basal for this domain was achieved when Sophia attended to an ongoing sound or activity for 33 seconds, felt and explored objects, and attended to a game of peek-a-boo for one minute. The ceiling was established when Sophia did not look at, point to, or touch pictures in a book; imitate simple facial gestures; 10 or find a hidden object under either of the cups. Lucy's 9 raw score in the Cognitive domain was 11. At -1.5 Standard Deviation, the cut score for this domain is 9. Sophia passed this area of development. Sophia’s total screening raw score was 52. At -1.5 Standard Deviation, the cut score for the total screening is 51. Sophia passed all but the motor domains but passed the total score. Her age equivalent was calculated to be 11 months. Because of the age of the child, it is not unusual for a non passing score to result. Sometimes, it is too early to accurately test skills in certain domains. The results of this BDI-2 screening indicate that Sophia is developing appropriately in all but one domain and additional assessments at a later date are recommended. Instead, I’d screen her motor skills again in 6 months, after recommending to the mother that she encourage Sophia in her exploration, such as climbing, walking on uneven surfaces, and playing on play structures. Checklist and Rubric ____The pronoun and referent match in number. ____There are no incorrectly spelled words. ____ I have subject/verb agreement. ____ I’ve selected the right word. ____ I spelled out the word for numbers under ten and used the number for those over ten. ____ I used people first language. ___ I used “me” and “I” correctly. ___ I showed possession and plurality properly. 1 error ____I used past tense in writing about the family. ____No personal pronouns are used to refer to myself in the report. ____There are no subjective statements in my report. ____I gave the child's age, in years and then months at the time of testing. 1 error ____I used an obviously made up address and names for the child/family. ____Before using an abbreviation, I wrote what the abbreviation stands for. ____ I used past tense for actions which occurred in the past, such as giving the assessment. 6 changes I made ____ Every time I included information from a source other than myself, I indicated that source and his/her relationship to the child. ____ I didn’t say the child couldn’t do a skill or was unable. ____ I put any words which are used as words, in quotation marks. I put sounds in slashes. ____ I didn’t use informal terms like “mom”, “dad” or “kid”. ____ I didn’t say “he was able to”. Target 3 points Grading Rubric Acceptable 2 points Protocol (If Six to seven of the you use a items are correctly pencil to completed. complete the All blanks and protocols, boxes filled in make sure the accurately and writing is dark completely. Didn’t enough for mark what me to read it.) language items administered in or assessment period. Age correctly computed. Items scored properly. Math is correct in figuring scores. Identifying information is complete. Basal is figured correctly for all domains. Ceiling is figured correctly for all domains. Four to five of the items are correctly completed. Report: Four to five of the items are addressed correctly. Six of the items are addressed correctly. Report Identifying information is Needs improvement 1 point One to three of the items are correctly completed. One to three of the items are addressed correctly. Unacceptable 0 points None of the items are correctly completed. None of the items are addressed correctly. complete. Statement on report that identifying information is fictitious. Description of Child: Uses people-first, respectful language. Contains no extraneous or inappropriate information. Could be read by family with no offense taken. Any subjective statements are supported by observations. Gave source of information where needed. Description of testing situation: Three of the items are addressed correctly. Description of how the child responded to the testing is provided. Child’s responses to the testing and examiner are analyzed. Examples of what the child did and did not do during the testing are provided. Two of the items are addressed correctly. One of the items are addressed correctly. None of the items are addressed correctly. Interpretation of the Child’s Performance: Six to seven of the items are addressed correctly. Named the test(s) given and their Four to five of the items are addressed correctly. One to three of the items are addressed correctly. None of the items are addressed correctly. Hearing and Vision Screening: purpose. An accurate interpretation is provided of the child’s test behavior and the behavior is placed in developmental contexts. Explanation shows good clinical judgment. Defined all domains. Recommendations are practical and appropriate. Explained basal and ceiling. Explained the assumptions about the items below the basal as passed and above the ceiling as failed and why. All five items are addressed correctly. Hearing screening form filled in completely and correctly. Vision screening form filled in completely and correctly. Appropriate discussion and interpretation of results of hearing screening. Appropriate discussion and interpretation of results of vision screening. Hearing and vision Three to four items are addressed correctly. One to two items are addressed correctly. None of the items are addressed correctly. Basics Writing done prior to the developmental assessment. You needed much more here. All areas are addressed correctly: Turned in on time N/A Turned in electronically Rubric attached Signed agreement form provided. Writing checklist included. Five or fewer errors in all of the areas listed: spelling, grammar, sentence construction, punctuation, clarity organization reference to self in first person Four to five areas are addressed correctly. One to three areas are addressed correctly. None of the areas are addressed correctly. Six errors in all of the areas listed. Seven errors in all of the areas listed. Eight or more errors in all of the areas listed. -.5 Grade = 15.5 plus 5 points for editing = 20.5 What happened to your writing?