Assessments and Developmental Treatment Plan for a Child With Autism

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It was a pleasure to see Daniel (age 4 years, 2 months) in clinic on January 9, 2014 as part of his ongoing developmental assessment. Developmental testing was performed to assess his social communication, behavior and interactions, and to identify any restrictive interests or repetitive behaviors. A physical examination and some brief cognitive measures were also obtained. Daniel’s father accompanied him to this visit.

Daniel was first seen in Developmental Clinic on December 19, 2013. At that time, concerns of his family related to his overall development – they are wondering whether he is behind. Daniel’s parents also raise concerns about his social communication and how he interacts with others; they note that he is often not as engaged with others.

In the interim, Daniel has continued in his junior kindergarten class. He has also continued to receive Early Intervention Services with Vimmi from Adventure Place. Vimmi has observed Daniel in school and noted him to be engaging in reciprocal and sustained play with other children in his class. He did seem more reserved around adults, but is reportedly fitting in with the classroom routine. Adventure Place has continued to work with his family on community resources and behavioral strategies for the home environment.

ADOS-2:

For today’s assessment we have administered the Autism Diagnostic Observation Schedule – Second Edition. The ADOS-2 is a standardized semi-structure assessment of language, social interactions and play, or imaginative use of materials in individuals who have been referred because of a possible autism spectrum diagnosis. The ADOS is designed to elicit behaviors that are relevant to the diagnosis of autism spectrum disorder. The module used is determ...

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...ng steps and is a good runner, age equivalent 3 years 2 months. In his fine motor skills, Daniel can unwrap a small wrapper and write out some of his letters and numbers. He holds his pencil appropriately, age equivalent 4 years 5 months. The total motor skills composite was at the 42nd percentile for age.

IMPRESSION AND PLAN:

In summary, Daniel is a 4-year and 2-month-old boy undergoing developmental assessment. The results of testing today showed that Daniel has many strengths but is struggling in some area relating to social communication. Information from all the sources will be reviewed. I will meet again with Daniel’s parents and we will review the findings of our testing and discuss Daniel’s overall clinical picture as well as make recommendations for future plans. I will plan to send a note at that time.

Thank you for involving me in Daniel’s care.

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