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Friday, January 18, 2013

87. Pulling the Inside, Out


It was all finally documented. Testing revealed that her intellectual ability was in the average range while her achievement scores were in the average to above average range. The IEP team recommended that she receive special education services under "Other Health Impaired".
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The graphs showed that Savannah was all over the place. The most surprising part to me was that she was demanding at school. When she needed or wanted attention, she was not afraid to demand it. This was not the case at home. And out of all of the findings, this made me the most sad. I didn't want her to demand it per se, but I wanted her to let me know. She seldom ever let me know.

86. Likely Possibly

Child Observation Forms

"Savannah has extreme difficulty focusing, staying on task. She cannot handle numerous directions, activities at once. She is overwhelmed easily. She gets fixated on an idea, thought, cannot get it out of her mind, demands attention immediately - very creative, if she does not like the activity - she does not want to do it. She fiddles at her desk, writing, drawing, has trouble staying focused to listen to directions. She demands to be heard." -- Mrs. Dyess, 3rd grade teacher

"At times she is very active and loud - but not really participating in game play. She does not seem to know what to do. Other times, she will sit and look off and will not participate at all - seems unaware of other children." -- Coach Thomas, Physical Education

"Savannah loves Music, so I don't have a great deal of trouble with her staying on task. She does blurt out and acts impulsively sometimes." --Mrs. Elmore, Music

"Her inattentiveness is largely devoted to internal distractions. External distractions are a problem, however. She is aware that she may receive medication and that her inattentiveness has increased." 
--Mrs. Cross, Counselor

Special Education Teacher Observation by Ms. Noble:

Activity - Globes
Class - 3rd regular classroom

"Every child in the classroom has a globe, dry erase marker, and notebook on their desk. As a class, the teacher went through the notebook questions and instructions one by one. Each child was the follow the directions which included finding a place on the globe, circling it, then recording in notebook. The majority of the class seemed very engaged and excited (perhaps a bit rowdy). As I observed, Savannah, who was seated in the front middle, did not do anything. She seemed to just sit in a daze. The teacher prompted her a few times, but she still did not participate. She may have been listening, but was not using her globe, pen, or notebook."

Student Referral Form Notes:
- delightful child, very sweet
- extremely creative (loves to draw, act - plays)
- reading comprehension - strength
- math - weakness (especially problem solving) 
*uhh, isn't that what math is? I'm just saying*
- overwhelms easily if timed
- tunes out to oral directions
- needs 1-1 instruction
- will understand concept one day - next week does not remember how to do it
- obsessive (lost lunch, coat, missing folder, etc)

Concerns:
- cries - wants to see the counselor
- stubborn - wants to do what she wants, inflexible
- demands immediate attention

Asperger's Syndrome Diagnostic Scale - ASDS
80 - 89 Possibly
90 - 11- Likely

Mom's rating: 86
Mrs. Dyess' rating: 92

And so the tests went on and on:
Vision
Hearing
WISC III (Wechsler Intellectual Scale for Children III)
WIAT (Wechsler Individual Achievement Test)
BASC (Behavior Assessment System for Children)
Conner's Behavioral Rating Scales

The concerns were strong in the areas of inattention, cognitive problems, anxiety, atypicality, adaptability, depression, social skills, internalizing problems.
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"Internalizing problems" seemed to scare me the most.