Psychological Development
Indicate whether the individual in question has experienced a developmental
delay and the estimated delay in months.
Number of responses 39/51 Question type: select one.
Estimated delays in months are recorded separately in a Google Docs spreadsheet. Click here to view.
|
yes |
no |
unsure |
| Fine Motor Delay |
34 |
4 |
1 |
| Fine Motor Delay |
34 |
4 |
1 |
| Gross Motor Delay |
33 |
4 |
2 |
| Language Delay |
30 |
3 |
7 |
| Learning Difficulties |
27 |
4 |
8 |
| Overall Developmental Delay |
32 |
4 |
3 |
How would you describe the overall degree of impairment if present?
Number of results: 40/51 Question type: select one.
| None |
3 |
| Mild |
7 |
| Moderate |
20 |
| Severe |
9 |
| Unsure |
1 |
Current Grade
Number of results: 40/51 Question type: select one.
| Not Yet in Pre-school |
21 |
| Pre-school |
3 |
| K-6 Elementary School |
12 |
| Middle School (7th-8th grade) |
2 |
| High School (9th-12th grade) |
2 |
| College |
0 |
| Beyond College |
0 |
Does the individual with M-CM require special education classes?
Number of results: 38/51 Question type: select one.
Select all therapies that the person with M-CM participates in.
Question type: checkboxes + open-ended "other".
| Physical Therapy |
31 |
| Occupational Therapy |
27 |
| Speech Therapy |
31 |
| Sensory Therapy |
5 |
| Psychological Therapy |
8 |
Other:
- Special Instructor
- ABA Therapy
- Music Therapy
- Developmental
- Vision
- Hippotherapy
- Adaptive PE
- Orientation & Mobility
- Assistive Technology
|
Has the individual with M-CM had a formal IQ Test?
Number of results: 39/51 Question type: select one.
| Yes |
7 |
| No |
29 |
| Unsure |
3 |
| Full Scale IQ (FSIQ):
|
Other psychological tests performed and results.
Question type: open ended.
- WISC-IV
- Leiter Revised
- Toni-3
- SCOS-C
- KABC-2
- NEPSY II
- TAPS-3
- TOLD-13
- CASL
- WRAVMA
- Woodcock Johnson
- ABAS-II
- ADOS Testing
- Educational Psychologist
- Weshlseir
- Kaurman Assessment
- Test of nonverbal Intelligence
- CCT-1
- Roberts 2
- WJAT-III
- SRS
- IVA+
- CASL
- TOL-2
- ASEBA
|
Fill out the following table in regards to development milestones.
Number of responses 38/51 Question type: select one.
Ages of achievement in months are recorded separately in a Google Drive spreadsheet. Click here to view.
|
yes |
no |
unsure |
| Head Erect |
32 |
5 |
1 |
| Crawled |
30 |
8 |
0 |
| Took Steps |
25 |
13 |
0 |
| Babbled |
30 |
7 |
2 |
| Two-word Sentence |
19 |
19 |
0 |
| Rolled Over |
34 |
3 |
1 |
| Sat |
32 |
6 |
0 |
| Toilet Trained |
10 |
27 |
1 |
Select all that apply in regards to behavioral problems.
Question type: checkboxes + open-ended "other".
| Needs Routine/Upset by Disruption of Routine |
14 |
| OCD (Obsessive Compulsive Disorder) |
5 |
| Autistic-Like Behavior |
6 |
| Autism |
1 |
| Autism Spectrum Disorder |
4 |
Asperger Syndrome |
2 |
| Anti-Social Tendencies |
3 |
| Immature Development of Social Skills |
14 |
| Anxiety |
11 |
| Irritability |
10 |
| ADD |
1 |
| ADHD |
1 |
| Hyperactivity |
0 |
| Behavioral Issues in School |
2 |
| Oppositional Defiant Disorder (ODD) |
1 |
| Mood Swings |
4 |
| Tantrums |
4 |
| Bipolar Disorder |
0 |
| Depression |
1 |
| Upset by Crowds |
10 |
| Upset when Touched |
4 |
| Sensitivity to Being Touched by Water |
3 |
| Sensitive to Sound |
13 |
| Violent/Aggressive Behavior |
4 |
| Happy, Laid-Back Demeanor |
31 |
Other Behavior:
- Smiles a lot
- Happy yet not laid-back
- Demanding at Times
- Happy when things go his way.
- Very Social
- Happy with people he knows
|
Is the individual with M-CM on any medication for behavioral issues?
Number of responses 40/51 Question type: select one + open-ended "other".
| Yes |
3 |
| No |
37 |
Specify Medication(s):
- Risperidone
- Focalin XR 5 mg/day for attention
- Intuniz 4 mg & Prozac 10 mg
|
Has the medication(s) helped the behavioral issues?
Question type: select one + open-ended "details".
| Yes |
2 |
| No |
3 |
| Unsure |
2 |
| Details:
|