Morgan had an early intervention assessment this week and here's the report. We thought he had a bit of a speech delay since he's two and doesn't talk. This is not what we were expecting to hear.
Child's Name: Morgan
Evaluated by: Stepping Stones Birth to Three Program
Referred for: speech delay
Assessment (scores from Age Appropriate, Mild Delay, Moderate Delay, or Significant Delay):
Gross Motor - Significant Delay
Morgan walks well by himself. He can take steps forwards and sideways while playing. He can also squat down to play and resumes standing without support. Morgan cannot walk up or down stairs but can creep on the stairs by himself. He cannot balance well enough to kick a ball.
Fine Motor - Significant Delay
Morgan uses both of his hands to play with toys. He does display a neat pincer grasp with small items and a voluntary release as he hands toys to an adult. Morgan was not interested in the tasks presented today but reportedly can stack blocks. He could not figure out how to turn over a bottle to get a Cheerio out and could not place rings on a post.
Cognition/Learning Style - Significant Delay
Morgan does display an understanding of simple cause and effect and can operate toys that have buttons or switches. He was also able to complete a simple shape puzzle using a trial and error approach. He is able to play with a toy for a long time if it is an activity he chooses. He is a very self directed child who gets frustrated when he cannot do things.
Personal Social - Significant Delay
Morgan makes eye contact. He imitates sounds and words, although not always He responds to the talking of familiar persons. Dad reports that at times Morgan seems to have selective hearing. He responds well to praise and assists with some household tasks. He greets familiar adults i.e. Mom/Dad when they have been gone for a while via running for a hud to Dad and sometimes the same for Mom. He babbles during the day.
Morgan gets frustrated easily - closes his eyes and whines. He does not always like to follow instruction from others - very self directed. Transitions can be difficult for him. He shows affection via kisses. He will sit for a short story and claps for himself when happy with something that he has done. He is not yet using pronouns, stating his name, or using words for ownership or possession.
Self Help/Adaptive Skills - Significant Delay
Morgan is able to play independently very well. He enjoys music, throwing golf balls, playing with blocks, and watching Sesame Street. He can play for up to 20 minutes prior to demanding attention. He can play with one activity for at least three minutes. During play with other children he reportedly does not actively participate.
Regarding eating, Morgan drinks from a sippy cup and takes his bottle when not feeling well to increase fluid intake. He uses some gestures to indicate his desire for food/drink. He can drink from an open cup, needs help with a spoon as he doesn't always repeat the process to finish the meal. He does not always distinguish between food and non-food items.
Communication:
Receptive Language - Moderate Delay
Expressive Language - Significant Delay
Communication Total - Significant Delay
Receptively, Morgan responds to sounds and voices, although sometimes inconsistently. He seems to know the names of some familiar objects and people, but is inconsistent in looking for them or towards them. His listening skills are described as selective. He will sometimes follow directions but not usually.
Expressively, Morgan vocalizes often during play. He especially likes to "sing". He is not using words to communicate but will sometimes use gestures. He often whines when he gets frustrated and will close his eyes and pay his face. He is doing some jargonning, changing his intonation, but there are no recognizable words. He does do some imitation and can imitate members of syllables and intonation better than the actual words.
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