Infant & Toddler Connection of Virginia 1 Case Study: KeAsia’s Annual Assessment Sandi Harrington, MA Norfolk Infant Development Program

Infant & Toddler Connection of Virginia 2 KeAsia The video you will see is of an annual assessment (you are only seeing the narrative part, the assessment has been edited out in the interest of time.) KeAsia is 19 months old. She has been in the program for a year and has received Education and Physical Therapy services. KeAsia has a diagnosed condition as well as developmental delays.

Infant & Toddler Connection of Virginia 3 Positive Social Emotional Skills & Relationships At 19 months, we would expect a child to: Begin to assert independence in moving around the house – not so reliant on adults Have temper tantrums to express emotions Notice other children, but still only participate in parallel play. May take a toy from another child. Do things to please adults (i.e. clean up toys) Imitate grown up activities (i.e. talking on the phone, sweeping, etc.) Participate in songs / finger plays

Infant & Toddler Connection of Virginia 4 Acquisition and Use of Knowledge & Skills At 19 months, we would expect a child to: Understand language – pointing to many body parts beyond facial features; points to many pictures in books; repeats words when asked; listens to a whole short story being read to them; follows two step directions Names several single items – vocabulary approximately spontaneous words Engages in early pretend play – feeds a doll Only puts food in mouth – plays with toys and experiments with different uses for one toy

Infant & Toddler Connection of Virginia 5 Ability to Take Actions to Get Needs Met At 19 months, we would expect a child to: Walk, run, squat, climb – basically move all around her environment without assistance to explore. Climb into adult chairs/ onto couch. Can walk up stairs with only one hand held Use a spoon skillfully to feed herself Take off some clothing – shoes, socks, gloves, hat, unzip jacket / purse Use words to get needs met, although, motor skills may take over and child may just get what she wants on her own.

Infant & Toddler Connection of Virginia 6 KeAsia’s Annual Assessment Please click on the link to watch KeAsia’s annual assessment. Think about the skills you hear. Write them down in the following three categories: age appropriate; foundational; and the skills of a much younger child.

Infant & Toddler Connection of Virginia 7 KeAsia’s Positive Social Emotional Skills & Relationships Age Appropriate Skills: Shows range of emotions – excitement, possessiveness, happiness, sadness Expresses some emotions /feelings with words – “stop it,” “hi,” “bye” Enjoys interacting with adults – engages everyone with a smile Wants to please adults

Infant & Toddler Connection of Virginia 8 KeAsia’s Positive Social Emotional Skills & Relationships Foundational & Early Skills Strong bond with Mom (early skill -emerges much younger, this is a continuing skill) Starting to assert her independence by going into the kitchen (foundational) Stays near adults – does not allow Mom to leave the room (early skill) No interest in the other children at daycare (early skill)

Infant & Toddler Connection of Virginia 9 Keasia has some aspects of the indicator which are age appropriate, therefore we move to the right side of the decision tree. She only has some aspects that are age appropriate. Therefore we are at Near Somewhat – 4 for her rating.

Infant & Toddler Connection of Virginia 10 KeAsia’s Acquisition and Use of Knowledge & Skills Age Appropriate Skills Ability to attend to a task – however, this is a skill that emerges at a younger age. This is not enough to consider moving to the right side of the decision tree. Beginning to put two words together – “more Sandi” – this just emerged during the assessment and is not a common task for her

Infant & Toddler Connection of Virginia 11 KeAsia’s Acquisition and Use of Knowledge & Skills Foundational Skills Pointing to facial features when asked Imitating words Has several single words – dog, book, block, more, hi, bye, approximation for pacifier, baby, Mom, sister’s name, Educator’s name

Infant & Toddler Connection of Virginia 12 KeAsia’s Acquisition and Use of Knowledge & Skills Early Skills Activates cause/effect toys – turns out the light Puts objects in and out – enjoys this as her mode of play rather than pretending with her toys Like books, but doesn’t listen to story or point to many pictures on request (will point to 2 pictures – keys and glasses) Still puts toys in her mouth to learn about them

Infant & Toddler Connection of Virginia 13 KeAsia had two aspects that appeared to be age appropriate, however, the attention to task emerged at a much younger age and continued on. The two words together was a one time occurrence and was not yet an acquired skill. Since she therefore is not using age appropriate skills, we move to the left side of the decision tree. The bulk of KeAsia’s skills fell between foundational skills and the skills of a much younger child (early skills). Because she is using some foundational skills, she scores at Near Emerging – 2.

Infant & Toddler Connection of Virginia 14 KeAsia’s Ability to Take Actions to Get Needs Met Age Appropriate Skills None yet for KeAsia Foundational Skills Spoon feeds herself with 50% success

Infant & Toddler Connection of Virginia 15 KeAsia’s Ability to Take Actions to Get Needs Met Early Skills Crawling, pulling to stand, cruising one cushion length of couch. Uses hands purposefully Cooperates in dressing, pulls off socks Relies on Mom to initiate play activities with her toys – she won’t go and get a toy on her own Attempts to verbalize wants/needs, gets frustrated easily.

Infant & Toddler Connection of Virginia 16 KeAsia did not have any age appropriate skills, therefore, we moved to the left side of the decision tree. The bulk of KeAsia’s skills are the skills of a much younger child (early skills), therefore, she is considered to have the Early Skills – 1.