Posted by: Morgan | June 14, 2012

Logan’s Evaluation

Today we finally were able to get to the oft-rescheduled evaluation for Logan with ECI. I was able to move my hours and take him. We were scheduled to meet with two therapists, one of which is an occupational therapist. Halfway through the evaluation they learned that the speech therapist’s scheduled appointment had been canceled, so she was available to come evaluate Logan (apparently her wait time is extraordinary).

Overall, he is delayed 45-66%, depending on the category being evaluated. His expressive communication is the lowest, with him being placed at 7 months. His highest is 14 months, so there is definite delays in every area. We were able to decide on some 6-month goals and they gave me some strategies to use at home to work with him. A therapist will be coming to the house twice a month to work with him and help us learn how to teach him, and we’ll also be going to ECI occasionally to do updated evaluations.

On the autistic screening evaluation, he was checked on a ‘pass/fail’ for 23 different questions, 7 of which are considered critical. He failed on 15 out of 23, and 6 out of 7 critical questions. This definitely puts him on the radar for autism evaluation in the future.

 

They also agreed that he has major sensory issues, based on his banana obsession (that recently ended) and the fact that he’s so oral; absolutely everything goes into his mouth. They want us to ask the therapist to focus on sensory integration.

 

So Caleb and I now have a few things to work with him on at home and will be scheduling follow-up appointments soon. Some of our goals for the next 6 months are for him to:

  • Be able to imitate 4-5 signs. We will be working on ‘more’, ‘drink’, ‘eat’, ‘my turn’, and ‘all done’.
  • Point to what he wants.
  • Make sounds for toys (cars, trains) and animals.
  • Participate in reciprocal play (rolling a ball between him and another person).
  • Asking for ‘my turn’ when wanting a toy.

 

I’m really pleased with the experience and the evaluation really just confirmed to me what we already were thinking. I’m interested to see his progress as we use these tools.

 

 

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Responses

  1. I am glad that you were able to get some answers and some guidance. I earnestly feel that as you have previously said in other posts, that while there are delays, that there is nothing WRONG with him. Just a difference in his learning style and personality – all of which are things that you can work with and adapt to. Logan is beautiful and precious. ❤ Unique designs from a grand Creator. ❤

  2. Thanks for sharing the update, Morgan. I am glad to see things went smoothly and it sounds like they were able to get a good picture of his current skills and needs and help focus in on areas that will help him grow. I like the goals you all came up with and they are exactly where I would start with him too if he were coming to me for therapy with an OT.

    One thing I have often found with kids who have sensory integration difficulties paired with delays in other areas was that addressing the sensory issues is crucial in order to make progress in language, play, and social interaction (all things that fall under the SLP’s domain here in WA). That’s because when their sensory system is disorganized they can’t focus and learn even in basic areas. I have seen some videos on facebook of him doing some spinning around on the floor, and have wondered if that is his way of seeking extra sensory input and I also think you have talked about the bananas and extra oral sensory seeking he seems to be doing. If kids (or people for that matter) aren’t getting the kind and amount of input to the sensory processing part of their brain that they need, it leaves them feeling chaotic and scattered. Imagine something that gives you sensory overload… like for me it’s going to the mall at Christmas time or hearing loud music for long amounts of time… and then imagine being expected to pick up a new and difficult skill on top of that or right after that… that’s a good comparison to what he might be dealing with. So I am so glad they want the therapist to focus on sensory integration ideas to help him organize and be more able to attend to language, play, fine motor, etc.
    I love the communication goals you have, they sound like they are meeting your family exactly where you need – basic early communication and really useful and necessary starting vocabulary.
    Okay, I won’t keep going on and on, but one last just FUN idea that you might consider if you aren’t overwhelmed by the idea… I don’t know if he pays any attention to books yet, but even if he doesn’t, I worked with moms who enjoyed making picture books to read with their kids who had the same kind of goals as Logan – I mean photo books, maybe kind of like a scrapbook but it could be as simple as printed out pictures on computer paper and stapled together in a homemade book. The kinds of pictures they usually included was really every-day vocabulary, especially pictures of family, favorite foods or toys or activities and the kids sometimes liked them more than a regular book, especially since they were pictures of things they could begin to relate to. The books were really used only as something fun to interact around, not necessarily to try to directly teach vocabulary, but it was a nice backdoor way to increase attention for books and really pre-literacy skills and increase receptive vocabulary…

    Okay I really will stop, haha! I love where my life is right now but I really miss the families I used to work with and the kinds of things we did together, which is probably abundantly clear from this comment.

  3. Thanks for tagging me so I wouldn’t miss your update. It sounds like a smooth, yet thorough evaluation and I am sure that it is a relief to have some extra eyes on him and to give you the help you will need to raise him. Sarah’s comment is full of good information and it sounds like your therapist has the same thoughts. I have said it before and will say it again, early intervention services in this country have been the best thing for kids at risk for any kind of delay–whether just a small little issue that can grow to something bigger or for delays stemming from something bigger, like autism spectrum disorder.

    I know that you and Caleb will find comfort as you begin to work on those concrete goals for your little guy, knowing that you are being empowered to help him where he is.

    And remember, no matter what the diagnosis is, he is still a beautiful boy, created by God and chosen to be yours! God will be with you as you begin this journey with him–giving you the peace, comfort, strength and joy that you will need in the coming years with sweet Logan.

    **Hugs**
    Kim


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