Thursday, September 29, 2011

Developmental Assessment Results- 15 months.

Today I received the much awaited report from Joshua's Developmental Screening.  This assessment was done as part of the entry process to Carpentaria Disability Services (though we had already been told he was accepted before this screening was done).

So, here it is:

Joshua's Chronological Age at screening:
15 months, 02 Days  (15.07 months)

Assessments used:
Griffiths Mental Developmental Scales Extended Revised (GMDS-ER)
The results of this assessment will determine Joshua's eligibility for Carpentaria Early Intervention Services.

Referral information:
Joshua was referred to Carpentaria Disability Service by Dr Peter Morris, Paediatrician, Royal Darwin Hospital.  Joshua has a complex medical history and a diagnosis of Cerebral Palsy- Spastic Quadriplegia.  There are concerns with Joshua's overall Development.

An Ages and Stages Questionnaire complete in July 2011 by Melissa Reid from the Children's Development Team, indicated below cut off scores in all domains; communication, gross motor, fine motor, problem solving and personal/social.

Behavioural Observations:
The screening assessment with Joshua was conducted at CDS, Early Intervention Services Centre with his mother, Karissa present.  Joshua was happy enough but had difficulty remaining on task, preferring to occupy himself with the toys and playthings available.  He just loved the toy car and did not respond well to direction; from the examiner, his assistant or his mother, to attempt assessment items.  Karissa felt that today was a typical day for Joshua and that he performed according to her expectations.  With Joshua's concentration and co-operations, it is felt that today's results are a good estimate of his current abilities.

Griffiths Mental Development Scales - Extended Revised:
This is a Developmental assessment looking at the child's development in five sub-scales including locomotor, personal/social, language, hand-eye coordination, performance and practical reasoning.
A brief outline of the results is given below:

A.  Locomotor (Gross Motor Skills) - 7 to 11 months
B.  Personal/Social  (Self Care Skills, Socialisation Skills) - 5 to 9 months
C.  Hearing and Language (Language Skills) -  7 to 11 months
D.  Eye and Hand Coordination (Fine Motor skills) - 10 to 14 months
E.  Performance  (Puzzles, Problem Solving) - 9 to 13 months

Summary and Recommendations:
The results of this developmental screening assessment indicate that Joshua is currently functioning at approximately the 7.5 to 11.5 months age level.

The results indicate that Joshua's Development is significantly delayed.  It is important to keep in mind that the age equivelants are an estimate, and may change slightly if performed on a different day.

Based on these observations, Joshua was deemed eligible to receive services from Carpentaria Early Intervention Services; with significant needs requiring support from at least three disciplines (Occupational Therapy, Speech Pathology, Physiotherapy and/or Psychology)

And now for my thoughts...

Overall there is nothing new or shocking in this report.  My own estimation before having this assessment done was that he was around the 9 months mark, so I wasn't too far off.  The most shocking thing to me in the results was the score for Social skills.  Only because he seems SO social to me.  He loves people and goes out of his way to interact with them.  Though, when you think about it, I suppose his interactions are not age appropriate.  It just seems strange to say that someone who is so social is not very good at socialising.  LOL  I don't think I would have guessed that as being his "worst" area.
Other than that, the only thing that annoyed/amused me was the comment about how he had trouble remaining on task and did not respond well to direction.  I am not even sure what that means.  LOL  I think most kids his age are like that in terms of "remaining on task" and I am not sure what directions he didn't respond well to.  The way that was written makes it sound like he was having some kind of tantrum because he didn't want to do what he was told and was being uncooperative.  But that didn't happen.  Sure, he preferred to play with one thing over another...  especially when that thing was something he had zero interest in and was something that was too hard for him to do anyway.  Maybe it is because for example, when he tried to get him to do something (Like putting something into something else) he'd grab the piece and throw it.  But he wasn't doing that to be naughty or uncooperative...  he was doing that because he'd just learnt how to throw things and wanted to practice his new skill...  that, and throwing things is a lot easier than what he was *supposed* to do.  So it sort of annoys me that he was given the "uncooperative" label, because I don't think he really deserves that.  He was simply using the equipment that was offered to him in a way that was typical of his developmental level.

Oh well... None of it really matters anyway.  He is still doing awesome!

1 comment:

  1. Hmmm. He's got that "uncooperative" label just like his mama! LOL! In all seriousness, when I read that part I thought it was odd too...