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S
Case Study- Frank
Mac Roche
Background
S New student (1st grade) at Rayberg Elementary school
S Lives with parents and younger sister
S Father is an engineer and isn't home often
S Began kindergarten in Alabama
S Following summer moved to Kansas
S In October of that year he moved to Indiana
S February moved to a “southern state” where he is at now
Referred
S Frank was referred by his first grade teacher for:
S High levels of distractibility and activity
S Short attention span
S Both were affecting his daily classroom performance
S Seems to be happy, intellectually curious and very verbal
Difficulties
S His short attention span affects both his comprehension of
directions and reading skills.
S Frequent reversals of letters and numerals when writing
S Disorganized in his work habits
S Easily distracted by his own thoughts
S When frustrated and tired, he acts immaturely and throws
temper tantrums
S Hits his head saying “It wont work”
Mother’s thoughts
S Mother indicated that Frank has always struggled paying
attention in school
S All of his teachers had concerns about his behaviors
S Mother was under stress during pregnancy
S Prolonged labor
S On oxygen for the last 8 hours because decrease in Frank’s
heartbeat with every contraction
S Doctor said he had normal neonatal health
Developmental Milestones
S Frank met most developmental milestones within expected
ranges
S Began walking early at 9 months
Difficulties due to Physical
Impairment?
S Many teachers thought he might have difficulties due to hearing
problem
S Frank had extensive ear infections that required tubes in his ears at
age 3
S Recently checked his hearing and he was found to have normal
hearing
S Also passed both near and far vision screenings
S Receives speech therapy for articulation problems.
Teaching Strategies
S Modified instruction and use of multisensory literature-based reading
program
S Receives math instruction through an activity-based manipulative
program
S Supplementary texts and materials such as tapes, word cards, and
dictated stories
S Received praise for appropriate responses by his parents and teachers
S All efforts resulted in improvements in Frank’s academic skills and
behavioral responses
School based testing
S Peabody Picture Vocabulary Test 4
S Standard score: 115 Percentile: 84
S WIAT-II
S Cluster scores
S Oral language: 105
S Reading: 97
S Math: 114
S Written Language: 97
Cont.
S WIAT-II
S Subtest scores
S Listening Comprehension: 115
S Oral Expression: 95
S Word Reading: 99
S Pseudoword decoding: 95
S Comprehension: 98
S Spelling: 95
S Math reasoning: 113
S Numerical Operations: 116
School Psychologist
S Performed complete psychological evaluation
S He was attentive to individual activities
S Put forth good effort
S Very bouncy and physically restless throughout
S WISC-IV
S Full scale IQ: 118
S Verbal Comprehension: 119
S Perceptual Reasoning: 112
S Working Memory: 98
S Processing speed: 100
WISC-IV results
S Overall abilities fall within average to high-average
S Minor weaknesses in areas affected by attention and
processing speed
S Underestimate his true potential because of his physical
restlessness and distractibility throughout
Additional assessment
S Short term visual and auditory learning
S Responses suggested strengths in immediate memory for
auditory and visual cues
S Reversed several numerals
S Formation and spacing of his numerals suggested impulsivity
in responses
WIAT-II results
S Deficits in academic skills, which were reflected in his
classroom performance
S Difficulty with basic phonetic skills affects his ID of less
familiar words
S Some of his correct answers on the passage comprehension
were achieved by guessing
S Used pictures as clues when he didn’t recognize a word
S Written responses revealed week phonetic skills
Attention Deficit Disorder Behavior
Rating Scale
S Significant concerns about his:
S short attention span and impulsivity
S weak listening skills
S poor concentration
S high level of distractibility
S weak organizational skills
S tendency to interrupt or speak out of turn
Result
S Frank is a student who would benefit greatly from a more
detailed medical evaluation to further evaluate his activity
and attention
S His mother is all for it because of his current difficulty in
school

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Sped 304 case study frank

  • 2. Background S New student (1st grade) at Rayberg Elementary school S Lives with parents and younger sister S Father is an engineer and isn't home often S Began kindergarten in Alabama S Following summer moved to Kansas S In October of that year he moved to Indiana S February moved to a “southern state” where he is at now
  • 3. Referred S Frank was referred by his first grade teacher for: S High levels of distractibility and activity S Short attention span S Both were affecting his daily classroom performance S Seems to be happy, intellectually curious and very verbal
  • 4. Difficulties S His short attention span affects both his comprehension of directions and reading skills. S Frequent reversals of letters and numerals when writing S Disorganized in his work habits S Easily distracted by his own thoughts S When frustrated and tired, he acts immaturely and throws temper tantrums S Hits his head saying “It wont work”
  • 5. Mother’s thoughts S Mother indicated that Frank has always struggled paying attention in school S All of his teachers had concerns about his behaviors S Mother was under stress during pregnancy S Prolonged labor S On oxygen for the last 8 hours because decrease in Frank’s heartbeat with every contraction S Doctor said he had normal neonatal health
  • 6. Developmental Milestones S Frank met most developmental milestones within expected ranges S Began walking early at 9 months
  • 7. Difficulties due to Physical Impairment? S Many teachers thought he might have difficulties due to hearing problem S Frank had extensive ear infections that required tubes in his ears at age 3 S Recently checked his hearing and he was found to have normal hearing S Also passed both near and far vision screenings S Receives speech therapy for articulation problems.
  • 8. Teaching Strategies S Modified instruction and use of multisensory literature-based reading program S Receives math instruction through an activity-based manipulative program S Supplementary texts and materials such as tapes, word cards, and dictated stories S Received praise for appropriate responses by his parents and teachers S All efforts resulted in improvements in Frank’s academic skills and behavioral responses
  • 9. School based testing S Peabody Picture Vocabulary Test 4 S Standard score: 115 Percentile: 84 S WIAT-II S Cluster scores S Oral language: 105 S Reading: 97 S Math: 114 S Written Language: 97
  • 10. Cont. S WIAT-II S Subtest scores S Listening Comprehension: 115 S Oral Expression: 95 S Word Reading: 99 S Pseudoword decoding: 95 S Comprehension: 98 S Spelling: 95 S Math reasoning: 113 S Numerical Operations: 116
  • 11. School Psychologist S Performed complete psychological evaluation S He was attentive to individual activities S Put forth good effort S Very bouncy and physically restless throughout S WISC-IV S Full scale IQ: 118 S Verbal Comprehension: 119 S Perceptual Reasoning: 112 S Working Memory: 98 S Processing speed: 100
  • 12. WISC-IV results S Overall abilities fall within average to high-average S Minor weaknesses in areas affected by attention and processing speed S Underestimate his true potential because of his physical restlessness and distractibility throughout
  • 13. Additional assessment S Short term visual and auditory learning S Responses suggested strengths in immediate memory for auditory and visual cues S Reversed several numerals S Formation and spacing of his numerals suggested impulsivity in responses
  • 14. WIAT-II results S Deficits in academic skills, which were reflected in his classroom performance S Difficulty with basic phonetic skills affects his ID of less familiar words S Some of his correct answers on the passage comprehension were achieved by guessing S Used pictures as clues when he didn’t recognize a word S Written responses revealed week phonetic skills
  • 15. Attention Deficit Disorder Behavior Rating Scale S Significant concerns about his: S short attention span and impulsivity S weak listening skills S poor concentration S high level of distractibility S weak organizational skills S tendency to interrupt or speak out of turn
  • 16. Result S Frank is a student who would benefit greatly from a more detailed medical evaluation to further evaluate his activity and attention S His mother is all for it because of his current difficulty in school