DIAGNOSTIC
The program will ensure that they're have been obtained the ??medical assessment (ideally including hearing, cytogenetics, fragile X syndrome screen, sleep EEG, and other tests as clinically indicated)
Purposes of Assessment:The assessment each child receives at the regional program must be sufficiently broad to accomplish three rather different purposes:
Accurate Diagnosis and Description:
- to confirm or further specify the referral source's diagnosis if vague, inaccurate, or contradictory;
- to determine severity of the disorder (and clinical features which may relate to subgroupings of the specific disorders);
- to determine developmental level and severity of potential developmental delays.
Intervention Planning::
-to help understand the child thoroughly so as to determine starting points for intervention, based on the child's developmental level and individual profile;
-to make a clinical decision regarding intensity and setting(s) of service;
-to incorporate the principle of individualization into program planning by taking into account each child's strengths and needs, likes and dislikes, effective teaching strategies and motivational systems; and
-to explore the possibility of other services the child or family may need or desire.
Program Evaluation:
-to provide standardized measures used by all regional programs to demonstrate change and progress in children;
-to allow for continuous quality assurance monitoring.
Components of Assessment.The regional program assessment will include the following components:
1. Diagnostic Assessment. Depending on the adequacy and thoroughness of the independent referring diagnostician's report, it may be necessary for the program to conduct a diagnostic assessment. This part of the assessment should:
-include thorough, systematic observation of the child by the diagnostician, preferably over more than one occasion and in more than one setting (i.e., with parents, with other adult, alone, free toy play);
-use standardized diagnostic observation measure;
-include history by parent report (videos if available) and possibly a standardized diagnostic interview measure;
-be supplemented by other measures as clinical need suggests ; and
-include a review of previous assessments and reports.
2.Developmental Assessment -this part of the assessment should:
- include standardized measures of verbal and nonverbal cognitive skills appropriate to the child's age and functioning level;
-include measures of expressive and receptive language appropriate to the child's age and level as well as information on the communicative functions and modalities used by the child;and
- include standardized, broad-based measure of adaptive behaviour (including Social & Play Skills, Communication, Self-help Skills, and Motor Skills) based on parent report.
3. Functional Assessment - this part of the assessment should:
-include consideration of parent priorities and family values;
be multidimensional, covering all important areas of development;
-lead directly to intervention planning for the child;
-be drawn in part from developmentally-normed measures;
-be supplemented with curriculum-based interview or questionnaire measures based at least partly on parent report as needed; and
-include behavioural assessment of problematic behaviours if needed.
In "Diana" Association, the intervention is oriented towards the following developmental disorders (ICD -10):
Specific developmental disorders of speech and language:
-Specific speech articulation disorder
- Expressive language disorder
-Receptive language disorder
-Acquired aphasia with epilepsy (Landau- Kleffner Syndrome)
-Other developmental disorders of speech and language
- Developmental disorders of speech and language, unspecified
Pervasive developmental disorders:
-Childhood autism
-Atypical autism
-Rett's Syndrome
-Other childhood disintegrative disorders
-Overactive disorder associated with mental retardation and stereotyped movements
-Asperger's Syndrome
-Other pervasive developmental disorders
-Pervasive developmental disorders, unspecified.
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ROMANIAN VERSION
