Child assessment Flashcards

1
Q

What is the difference between a learning disorder and a cognitive disability?

A

Learning disorder: can be helped by tutoring

Cognitive disability: can’t be helped by tutoring

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2
Q

Why should you check that the GP has given you all information and has done all of the physical tests, before starting assessment?

A

Because if they haven’t you’ll have to wait another two years to assess and the results could be confounded

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3
Q

What are the steps to child assessment?

A
Clear referral question 
Hypotheses/ list info you need to find out first
Assessment 
Conclusions 
Report and provide direction
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4
Q

How long does a clinical interview with parents usually take?

A

2 hours

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5
Q

What are you testing in assessment?

A

behavioural, emotional and cognitive markers

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6
Q

How should feedback be given to parents?

A

Discussion and then written report

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7
Q

What are the 3 MAIN STAGES after getting a referral and what should be considered?

A

Gathering info
Assessing
Feedback

Who is involved?/ What adjustments need to be made because of family/ subject/ difficulties etc.?

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8
Q

An ideal referral will have?

A
Guide to: 
Area needing to be assessed
Possible problem 
Type of info they want back
Relevant background info
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9
Q

What are some reasons a GP wouldn’t give you enough information in a referral?

A
  • they doesn’t agree with parents
  • they don’t want it written down on record / don’t want parents to see it
  • they didn’t know/ don’t understand psych assessment
  • parents won’t allow giving of confidential information
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10
Q

Where should you gather extra information other than from the GP?

A
  • parents
  • teachers
  • nanny
  • grandparents
  • other people around
  • the child
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11
Q

Why should you gather information on how the child is like from multiple people?

A

They may be different in different settings and around different people = indication of global functioning

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12
Q

When you gather information from multiple people/ environments what should you do?

A

Track where/ who you got it from

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13
Q

How would toy selection be different in the clinic vs their home?

A

Given vs selecting

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14
Q

Who should you invite to the first meeting?

A

Uder 12: only parents

Over 12: both (also ask them to explain to the child so no shock)

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15
Q

What should you envisage to do if the parent is busy on the day of the meeting?

A

Reschedule
or
Call them

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16
Q

What types of information should you gather?

A

Presenting
Precipitating
Predisposing

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17
Q

What is presenting information?

A

Immediate concerns at exactly that moment in time… e.g. I have noticed/ been concerned with

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18
Q

What is precipitating information?

A

Changes in lifestyle / triggers

Fluctuations in how bad / in environment?

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19
Q

What is a genogram?

A

a pictorial display of a person’s family relationships and medical history

20
Q

What is predisposing information?

A

Family history
Birth
Milestones/ developmental markers

(things that increase vulnerability)

21
Q

What does red symbolise in a genogram?

A

Cognitive disabilities

22
Q

What does a dotted line around some shapes mean in a genogram?

A

Live in the same house

23
Q

What is a normal structure in a genogram?

A

Man and woman on top of line

Children below line

24
Q

What is most important when working with a child?

A

Engaging them

25
Q

What is a child assessment for emotion?

A

Multidimensional Anxiety Scale (MASC-2-SR)
Revised CMAS-2
BDI (beck depression)
CDI (depression)

26
Q

What is a child assessment for behaviour?

A

Achenbach Child Behaviour checklist (for parent and teachers)
Adaptive behaviour assessment system (parent and teacher)

27
Q

What is a child assessment for cognition?

A
TMT (Trail.... executive function)
Rey Complex Figure Test (RCFT) 
Test of Everyday Attention 
Connor Continuous Performance Test 2
WISC WPPSI IV
WIAT
WRAT
28
Q

What does WPPSI stand for?

A

Weschler Preschool and Primary Scale of Intelligence

29
Q

How does assessment change if a child is being assessed for giftedness vs. learning disability?

A

If on age border give gifted student WISC or WAIS

If on age border give lower student WPPSI or WISC

30
Q

What do the WIPPSI and the WISC tap into?

A

Intelligence independent from academic schooling

31
Q

What do the WIAT and the WRAT tap into?

A

School intelligence

32
Q

If a child was found to have average intelligence on the WISC but high intelligence on the WIAT what could this lead to?

A

Burn out … e.g. they’re only of average intelligence but they work hard at school

33
Q

What do the WRAT scales measure?

A

reading
comprehension
spelling
arithmetic

34
Q

What do the WIAT and the WRAT stand for?

A

WIAT: Weschler Individual Achievement Test
WRAT: Wide Range Achievement Test

35
Q

What is the difference between aptitude and achievement?

A

Aptitude: Projected potential intelligence
Achievement: Current abilities

36
Q

If a discrepancy is found between the level of achievement one would expect from their general intelligence level and a particular area (e.g., reading) what could be determined?

A

learning disability

37
Q

You should be worried if at 0-4 months a baby is?

A
  • floppy or stiff
  • not responding to or making sounds
  • not showing interest/ responding
38
Q

You should be worried if at 5-8 months a baby is?

A
  • not learning to roll
  • not babbling
  • not playing with feet/swapping objects between hands
39
Q

You should be worried if at 9-12 months a baby is?

A
  • not beginning to sit, crawl, or pull to stand
  • not holding toys
  • not learning to eat solids
40
Q

You should be worried if at 1-2 years a child is?

A
  • not using words or actions to communicate
  • not wanting to move
  • not seeking attention
41
Q

You should be worried if at 2-3 years a child is?

A
  • not playing, eating
  • falling a lot
  • hard to use small objects
  • not understanding simple instructions
  • not joining words
42
Q

You should be worried if at 3-5 years a child is?

A
  • not understood / speech fluency problems

- not able to go to the toilet or wash him/herself

43
Q

What could some issues be with child assessment?

A
No clear treatment 
Need skills to work with children 
Learning exposure 
Stressful on kids 
Validity
44
Q

Why should you assess children if you suspect something?

A

Early intervention: plasticity

45
Q

What model do we use when hypothesising?

A

Biopsychosocial model