Transcript Infant & Toddler Connection of Virginia

Case Study:
Katie’s Initial
Evaluation
Sandi Harrington, MA
Norfolk Infant Development Program
Infant & Toddler Connection of Virginia
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Katie
The video you will see is of an initial
evaluation to determine eligibility and
develop the IFSP. In the interest of time,
the actual testing portion and IFSP goal
development has been edited out of the
video.
Katie is 26 months old. You will see her
here with her Mother, younger sister,
Service Coordinator, Educator and Speech
Therapist.
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Positive Social Emotional
Skills & Relationships
At 26 months, we would expect a child to:
Really claim ownership of their toys – “mine” is a
favorite word.
Attempt to initiate play with other children and adults.
Will definitely enjoy being with children their same age
and playing with them. May even offer a toy to another
child
Role plays with dolls or other toy figurines. Will act out
everyday occurrences and may show some aggression
in this role play.
Beginning to become rigid, not liking changes in
routine and may get frustrated when she can’t do a
task independently.
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Acquisition and Use of
Knowledge & Skills
At 26 months, we would expect a child to:
Express themselves using two word sentences
with a vocabulary of over 50 words. Begins to use
pronouns, but not always correctly. Refers to
herself by name or I. Names many pictures in a
book.
Attention span is intense and may become very
upset when play is interrupted.
Has creative use of toys – uses them in pretend
ways other than what they were created for
(pretends a block is a slice of pizza).
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Ability to Take Actions to Get
Needs Met
At 26 months, we would expect a child to:
The intense motor driven burst will settle down
now in favor of more thoughtful play. Gross and
fine motor skills are well developed.
Use a spoon skillfully to feed herself with little
spilling. Independent in feeding.
Takes off all clothing with help on buttons. Can
pull pants/shorts on and off.
Uses words to request snacks/ drinks. Likes to say
“Mine!”
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Katie’s Initial Evaluation
Please click on the link to watch Katie’s
initial evaluation.
Think about the skills you hear. Write
them down in the following three
categories: age appropriate;
foundational; and the skills of a much
younger child.
Listen to the upcoming skills to get an
idea of the skills Katie has not yet
acquired.
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Katie’s Positive Social Emotional
Skills & Relationships
Age Appropriate Skills:
None yet
Foundational Skills:
Defends ownership of her toys
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KeAsia’s Positive Social
Emotional Skills & Relationships
Early Skills
Strong attachment to Mom which has resulted in a
lengthened separation anxiety phase. Katie has
difficulty with strangers being around her.
Plays by herself – not interested in other children
including her sister. Picks her own activities, does
not allow adults to suggest play activities.
She will repeat an action if it gets a laugh from
Mom, but otherwise doesn’t show a true
engagement with others. Eye contact is poor.
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Katie did not have any age
appropriate skills, therefore,
we moved to the left side of
the decision tree.
The bulk of Katie’s skills are
the skills of a much younger
child (early skills), therefore,
she is considered to have
the Early Skills – 1.
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Katie’s Acquisition and Use of
Knowledge & Skills
Age Appropriate Skills
None yet
Foundational Skills
Good problem solving skills with puzzles
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Katie’s Acquisition and Use of
Knowledge & Skills
Early Skills
Katie is not yet engaging in pretend play.
She is a visual learner – touching, exploring and
observing other people to learn how to do puzzles
and play with toys, rather than independently
trying to figure it out.
Language is very limited – only imitates or uses
memory of words that are repeated multiple times
(counting). Little to no spontaneous language.
Not yet engaging in turn taking tasks.
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Katie did not have any age
appropriate skills, therefore,
we moved to the left side of
the decision tree.
The bulk of Katie’s skills are
the skills of a much younger
child (early skills), therefore,
she is considered to have the
Early Skills – 1. Although she
has good problem solving
skills, given the whole picture
of her development, she
mostly functions like a much
younger child.
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Katie’s Ability to Take Actions
to Get Needs Met
Age Appropriate Skills
Excellent motor skills – can get to
whatever she wants – even climbs onto
chair to get to diaper bag, unzips and gets
cookies independently
Good hand-eye coordination
Self sufficient in feeding herself entire meal
– can use an open cup
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Katie’s Ability to Take Actions
to Get Needs Met
Foundational Skills
Dressing – puts pants on half way, assists
putting shirt on. Cannot take shirt off
independently.
Says “more please” when she wants more
food or drink
No awareness yet of toileting needs or that
she is wet or soiled
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Katie has some age
appropriate skills, therefore,
we moved to the right side
of the decision tree.
Because Katie only had
some aspects of this
indicator, we determined
her to be Near Somewhat –
4 in regard to having the
functional skills to take
actions to get her needs
met.
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