Thursday, September 06, 2007

OT Report from 2004

This time I found an old OT report and wanted to post it. For those of you who didn't know Michael as a preschooler, this information may help you understand his progress.

DATE: August 6th, 2004

Chron. Age: 4 years, 11 months (this was his last eval at the preschool)

"Michael is a 4.11 yr old boy who continues to progress slowly towards his OT goals. Michael is frequently difficult to engage during treatment sessions, however he responds to vestibular and proprioceptive input. He demonstrates inconsistent eye contact with the therapist and decreased attention. According to the MEIDP, Michael exhibitors solid skills to the 28-31 month level with exception of an emerging skill to imitate paper folding. He demonstrates scattered skills to the 3 1/2-4 year level and few emerging skills in the 4-4 1/2 year level. Michael is able to cut scissors (32-35 mos.), build a three-cube bridge (3-3 1/2 yrs), and complete a simple puzzle (3 1/2-4 yrs). He is unable to copy a circle already drawn (32-35 mos.) and imitate drawing a cross (3-3 1/2 yrs)."

Wednesday, September 05, 2007

2004 Eval

I found another old evaluation.

Date: August 13, 2004
Chron. Age: 4 yr 11 months

Some of the goals for the summer:

"use a spoon, use an open cup
indicate need to be changed, sit on toilet
point to pictures/objects/body parts
sort objects: sequence by size..."

Summary of Progress:

"Michael has maintained his skill level during the summer session. Michael can label and receptively identify over 100 pictures of common objects and 50 common objects. He is resistant to attempts at introducing a spoon and open cup. Michael will sit on the toilet during diaper changes and at times will indicate when his diaper is soiled. At times, Michael maintains eye contact with adults, but often prompting is needed. He is responsive to adult initiated play, but for a limited length of time (5-10 min)."

This is from his Speech Teacher:

"Michael's progress in speech this quarter has been inconsistent. At times, responses from him and overall awareness are right on target. At other times, Michael is very hard to re-direct from his own agenda. Prompts are still used to reduce echolalic responses and to increase overall awareness of adult/peers around him. Physical activity as well as songs have helped."

First Day of School

Michael had his first day of 3rd grade today. I stopped by to drop some meds to the nurse and caught Michael and his class walking down the hall. Michael was fine. He adjusts pretty well. I look forward to open house, so I can meet the other parents. We handed out party invites for Michael's Bowling party. I'm excited about it. I hope the kids from his class show up. More on the party later.

Monday, September 03, 2007

Old Functional Behavioral Assessment Report

I was cleaning my office and found this old functional behavioral assessment (FBA) report. Many people look at video of Michael and can't believe that he was dx with mild-moderate autism. So, I thought I would post this info from the report.

Date of Report: March 21, 2005
Age: 5 years, 6 months

Reason for Referral:

"The teacher had expressed concern regarding Michael's increase in behavioral problems since returning from the winter holiday vacation. Concern was expressed regarding Michael's perseverative verbalizations, screaming, and fake crying, as well as his lack of attending. It was reported that when screaming or fake crying, Michael appears to be agitated and tense. He may clench his lower jaws and fists. Once his behavior escalates, it is very difficult to redirect Michael back to work. It was also reported that Michael has been attempting to hug and climb on adults when he is agitated. There has also been an increase in his lining up manipulatives and chairs in the classroom."

I think part of the problem was that a new student joined the classroom in January of 2005. This student had many behaviors and Michael started imitating him. Plus, in Feb. and March- it's the end of winter and Michael spends a lot of time indoors. It's always a hard time of year. Also, back then I was working on the conference for the second year and spending a lot of time on it. Basically, he was bored.

But, it does show you a small window into what Michael was like in the past. As I find old reports, I will post them here.