Infant & Toddler Connection of Virginia 1 Case Study: Katie’s Initial Evaluation Sandi Harrington,...

Infant & Toddler Connection of Virginia 1

Case Study:Katie’s Initial Evaluation

Sandi Harrington, MANorfolk Infant Development

Program


KatieThe 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.


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 childRole 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.


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).


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!”


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.


Katie’s Positive Social Emotional Skills & Relationships

Age Appropriate Skills:None yet

Foundational Skills:Defends ownership of her toys


KeAsia’s Positive Social Emotional Skills & Relationships

Early SkillsStrong 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.


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.


Katie’s Acquisition and Use of Knowledge & Skills

Age Appropriate SkillsNone yet

Foundational SkillsGood problem solving skills with puzzles


Katie’s Acquisition and Use of Knowledge & Skills

Early SkillsKatie 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.


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.


Katie’s Ability to Take Actions to Get Needs Met

Age Appropriate SkillsExcellent motor skills – can get to whatever she wants – even climbs onto chair to get to diaper bag, unzips and gets cookies independentlyGood hand-eye coordinationSelf sufficient in feeding herself entire meal – can use an open cup


Katie’s Ability to Take Actions to Get Needs Met

Foundational SkillsDressing – puts pants on half way, assists putting shirt on. Cannot take shirt off independently.Says “more please” when she wants more food or drinkNo awareness yet of toileting needs or that she is wet or soiled


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 1 Case Study: Katie’s Initial Evaluation Sandi Harrington,...

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