Case Study: Katie’s Initial Evaluation Sandi Harrington, MA Norfolk Infant Development Program

Case Study: Katie’s Initial Evaluation Sandi Harrington, MA Norfolk Infant Development Program Infant & Toddler Connection of Virginia

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. Infant & Toddler Connection of Virginia

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. Infant & Toddler Connection of Virginia

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). Infant & Toddler Connection of Virginia

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!” Infant & Toddler Connection of Virginia

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. Infant & Toddler Connection of Virginia

Katie’s Positive Social Emotional Skills & Relationships • Age Appropriate Skills: • None yet • Foundational Skills: • Defends ownership of her toys Infant & Toddler Connection of Virginia

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. Infant & Toddler Connection of Virginia

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. Infant & Toddler Connection of Virginia

Katie’s Acquisition and Use of Knowledge & Skills • Age Appropriate Skills • None yet • Foundational Skills • Good problem solving skills with puzzles Infant & Toddler Connection of Virginia

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. Infant & Toddler Connection of Virginia

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. Infant & Toddler Connection of Virginia

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 Infant & Toddler Connection of Virginia

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 Infant & Toddler Connection of Virginia

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. Infant & Toddler Connection of Virginia

Case Study: Katie’s Initial Evaluation Sandi Harrington, MA Norfolk Infant Development Program