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Presented to the
  Louisiana Educational
Diagnosticians Association
    September 6, 2012
Proposed DSM-5
0 Diagnosis of Specific Learning Disorder is made by
 clinical synthesis of the individual’s
  0 History (development, medical, family, education)
  0 Psychoeducational reports of test scores and
    observations and
  0 Response to Intervention
0 Using the following diagnostic criteria




                                            American Psychiatric Association
                                                 DSM-5 Development, 2012
                                              Proposed Revision May, 2013
History
0 History or current presentation of persistent
 difficulties in the acquisition of
  0 Reading
  0 Writing
  0 Arithmetic
  0 Mathematical reasoning skills
0 During the formal years of schooling (i.e., during the
 developmental period).


                                           American Psychiatric Association
                                                DSM-5 Development, 2012
                                             Proposed Revision May, 2013
The individual must have at
 least one of the following:
0 Inaccurate or slow and effortful word reading
0 Difficulty understanding the meaning of what
  is read (e.g., may read text accurately but not
 understand the
 sequence, relationships, inferences, or deeper
 meanings of what is read



                                     American Psychiatric Association
                                          DSM-5 Development, 2012
                                       Proposed Revision May, 2013
Avoidance
0 Avoidance of activities requiring
  0 Reading
  0 Spelling
  0 Writing or
  0 Arithmetic




                                      American Psychiatric Association
                                           DSM-5 Development, 2012
                                        Proposed Revision May, 2013
Further Criteria
0 Current skills in one or more of these
  academic skills are
  0 Well-below the average range for the individual’s
    age or intelligence, cultural group or language
    group, gender, or level of education
  0 As indicated by scores on individually-
    administered, standardized, culturally and
    linguistically appropriate tests of academic
    achievement in reading, writing, or mathematics

                                         American Psychiatric Association
                                              DSM-5 Development, 2012
                                           Proposed Revision May, 2013
Exclusionary Factors
0 The learning difficulties are not better
 explained by
  0 Intellectual Developmental Disorder,
  0 Global Developmental Delay
  0 Neurological, sensory (vision, hearing), or
  0 Motor disorders.




                                           American Psychiatric Association
                                                DSM-5 Development, 2012
                                             Proposed Revision May, 2013
Finally
0 Learning difficulties … significantly interfere with
   0 Academic achievement
   0 Occupational performance
   0 Activities of daily living
0 that require these academic skills, alone or in any
 combination




                                            American Psychiatric Association
                                                 DSM-5 Development, 2012
                                              Proposed Revision May, 2013
Focus is on
0 Word reading accuracy
0 Reading rate or fluency
0 Reading comprehension




                               American Psychiatric Association
                                    DSM-5 Development, 2012
                                 Proposed Revision May, 2013
Early Indicators
0 Learning names of colors
0 Learning names of shapes
0 Learning names of letters
0 Learning nursery rhymes
0 Extensive slurring of words
0 Lack of rhyming ability
0 Lack of word play



                                The Source for Dyslexia &
                                      Dysgraphia (1999)
Early Indicators
0 Difficulty recognizing sound similarities
0 Creating a story based on picture clues
0 Difficulty with spatial terms




                                              The Source for Dyslexia &
                                                    Dysgraphia (1999)
Milestones
0 Early Childhood
0 Preschool
0 Kindergarten – 2nd grade
0 3rd grade
   0 Move from “learning to read” to “reading to learn” skills
National Reading Panel:
    Five Basic Elements
0 Phonological Awareness
0 Phonics
0 Fluency
0 Vocabulary
0 Comprehension
Woodcock Johnson III Tests of
   Achievement (WJ III)
0 Reading achievement, including reading
  decoding, reading speed, and the ability to
  comprehend connected discourse while reading
0 Sight vocabulary, phonics, and structural analysis
0 Reading comprehension, vocabulary, and reasoning
0 Ages 2 – 90+
Wechsler Individual
Achievement Test III (WIAT III)
0 Word Reading
0 Reading Comprehension
0 Pseudoword (phonetic) Decoding
0 Ages 5 - 50
Woodcock Reading Mastery
   Test III (WRMT III)
0 Evaluate struggling readers
0 Identify specific strengths and weaknesses in reading
  skills to plan targeted remediation
0 Guide educational selection and placement decisions
0 Screen for reading readiness
0 Determine reading strategies for students with special
  needs
0 Ages 4.6 – 79.11
Single Topic
0 Test of Word Reading Efficiency (TOWRE)
   0 Word Reading
   0 Individual Administration
   0 Ages 6 through 24
0 Test of Silent Word Reading Fluency (TSWRF)
0 Test of Irregular Word Reading Efficiency (TIWRE)
   0 Reading Comprehension
   0 Individual Administration
   0 Ages 3 through 94
THE GORTS
0 Gray Oral Reading Tests - 5 (GORT-5)
   0 Oral Reading Comprehension
   0 Individual Administration
   0 Ages 6 through 23
0 Gray Silent Reading Test (GSRT)
   0 Reading Comprehension
   0 Individual / Group Administration
   0 Ages 7 through 25
Test of Reading
Comprehension - 4 (TORC-4)
0 Vocabulary, Syntax, Paragraph Reading, Sentence
  Sequencing
0 Individual Administration
0 Norm Referenced
0 Ages 7 through 17-11
Test of Early Reading Ability
      3 rd Ed (TERA-3)
0 Alphabet: measuring knowledge of the alphabet and
  its uses
0 Conventions : measuring knowledge of the
  conventions of print
0 Meaning: measuring the construction of meaning
  from print.
0 Age 3.6 – 8.6
Role of RTI
Incorporating information for
       report writing
0 Assessment
   0 Data collection from multiple sources
     (e.g., individual, group, standardized, informal, formativ
     e, and summative)
0 Evaluation
   0 Follows assessment and integrates all data to produce a
     student profile to inform decisions about
     identification, eligibility, services, and instruction.




                                    Learning Disabilities Association, 2010
Combine With
0 Functional measures
0 Including
Observation
0 Pre testing
0 During testing
0 Post testing
Checklists
0 Use of
0 Limits of
Sources of Information
0 Student
0 Parent
0 Teacher
0 Other (e.g. paraprofessionals, counselor, principal)
Integrating Multiple Measures of Data
                                                Criterion-    Curriculum-Based          Norm-
                            Informal
                                               Referenced      Measurement            Referenced
                      •Parent Interview    •State Standards   •Aimsweb           •WIAT III
 Oral Expression
                      •Teacher Interview   Assessment                            •WJ III Ach
                      •Observation


                      •Parent Interview
   Listening
                      •Teacher Interview
 Comprehension        •Observation



                      •Parent Interview
Basic Reading Skill
                      •Teacher Interview
                      •Observation


                      •Parent Interview
    Reading
                      •Teacher Interview
 Comprehension        •Observation



                      •Parent Interview
Reading Fluency
                      •Teacher Interview
     Skill            •Observation
Determining the
“Appropriateness” of the FIE
0 “Skills”
  0 Equality of members
  0 Vary in training
  0 Analyze the situation through different “lenses”
  0 Data complements, not competes




                                                       Etscheidt, 2003
Determining the
“Appropriateness” of the FIE
0 “Adequacy” - Compliance with IDEA evaluation
 requirements
  0 Use a variety of assessment tools
  0 Use technically sound instruments
  0 Utilize non-discriminatory procedures
  0 Administer standardized tests validated for the specific
    purpose for which they are used
  0 Administered by trained and knowledgeable personnel
    in accordance with instructions provided by the test
    producer

                                                      Etscheidt, 2003
Determining the
“Appropriateness” of the FIE
0 “Scope” of the evaluation
   0 Must be assessed in all areas of suspected disability
   0 Should not use a limited selection of assessment tools
   0 If there are reasons to suspect additional areas
     requiring assessment, then the scope of the evaluation
     must be broadened to include assessment in those areas
   0 Must be comprehensive enough to address related
     services as well




                                                    Etscheidt, 2003
Determining the
“Appropriateness” of the FIE
0 “Utility” - Provision of sufficient information to
 develop the IEP
  0 Must determine/identify the educational needs of the
    child
  0 Must discuss the impact of the child’s disability on
    educational performance
  0 Must lead to the development of goals and objectives




                                                       Etscheidt, 2003
NCEDOnline
0 Enhances professional credibility        Pat Frawley, Ed.D.
  and visibility                             NCED #0002
0 Represents highly qualified status          New Jersey
  as an assessment professional
0 Assures parents/school officials of
  rigorous opportunities for practice
0 Permits use of credential after       Linda De Zell Hall, Ph.D.
  name in reports and                        NCED #0005
  correspondence                                Texas
0 Connects the practitioner with
  current trends and issues in the
  field of assessment.
0 Visit http://www.ncedb.org/
  today!

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Hall & Frawley (2012) The Educational Diagnostician's Role in the Evaluation of Reading Assessment

  • 1. Presented to the Louisiana Educational Diagnosticians Association September 6, 2012
  • 2. Proposed DSM-5 0 Diagnosis of Specific Learning Disorder is made by clinical synthesis of the individual’s 0 History (development, medical, family, education) 0 Psychoeducational reports of test scores and observations and 0 Response to Intervention 0 Using the following diagnostic criteria American Psychiatric Association DSM-5 Development, 2012 Proposed Revision May, 2013
  • 3. History 0 History or current presentation of persistent difficulties in the acquisition of 0 Reading 0 Writing 0 Arithmetic 0 Mathematical reasoning skills 0 During the formal years of schooling (i.e., during the developmental period). American Psychiatric Association DSM-5 Development, 2012 Proposed Revision May, 2013
  • 4. The individual must have at least one of the following: 0 Inaccurate or slow and effortful word reading 0 Difficulty understanding the meaning of what is read (e.g., may read text accurately but not understand the sequence, relationships, inferences, or deeper meanings of what is read American Psychiatric Association DSM-5 Development, 2012 Proposed Revision May, 2013
  • 5. Avoidance 0 Avoidance of activities requiring 0 Reading 0 Spelling 0 Writing or 0 Arithmetic American Psychiatric Association DSM-5 Development, 2012 Proposed Revision May, 2013
  • 6. Further Criteria 0 Current skills in one or more of these academic skills are 0 Well-below the average range for the individual’s age or intelligence, cultural group or language group, gender, or level of education 0 As indicated by scores on individually- administered, standardized, culturally and linguistically appropriate tests of academic achievement in reading, writing, or mathematics American Psychiatric Association DSM-5 Development, 2012 Proposed Revision May, 2013
  • 7. Exclusionary Factors 0 The learning difficulties are not better explained by 0 Intellectual Developmental Disorder, 0 Global Developmental Delay 0 Neurological, sensory (vision, hearing), or 0 Motor disorders. American Psychiatric Association DSM-5 Development, 2012 Proposed Revision May, 2013
  • 8. Finally 0 Learning difficulties … significantly interfere with 0 Academic achievement 0 Occupational performance 0 Activities of daily living 0 that require these academic skills, alone or in any combination American Psychiatric Association DSM-5 Development, 2012 Proposed Revision May, 2013
  • 9. Focus is on 0 Word reading accuracy 0 Reading rate or fluency 0 Reading comprehension American Psychiatric Association DSM-5 Development, 2012 Proposed Revision May, 2013
  • 10. Early Indicators 0 Learning names of colors 0 Learning names of shapes 0 Learning names of letters 0 Learning nursery rhymes 0 Extensive slurring of words 0 Lack of rhyming ability 0 Lack of word play The Source for Dyslexia & Dysgraphia (1999)
  • 11. Early Indicators 0 Difficulty recognizing sound similarities 0 Creating a story based on picture clues 0 Difficulty with spatial terms The Source for Dyslexia & Dysgraphia (1999)
  • 12. Milestones 0 Early Childhood 0 Preschool 0 Kindergarten – 2nd grade 0 3rd grade 0 Move from “learning to read” to “reading to learn” skills
  • 13. National Reading Panel: Five Basic Elements 0 Phonological Awareness 0 Phonics 0 Fluency 0 Vocabulary 0 Comprehension
  • 14.
  • 15. Woodcock Johnson III Tests of Achievement (WJ III) 0 Reading achievement, including reading decoding, reading speed, and the ability to comprehend connected discourse while reading 0 Sight vocabulary, phonics, and structural analysis 0 Reading comprehension, vocabulary, and reasoning 0 Ages 2 – 90+
  • 16. Wechsler Individual Achievement Test III (WIAT III) 0 Word Reading 0 Reading Comprehension 0 Pseudoword (phonetic) Decoding 0 Ages 5 - 50
  • 17. Woodcock Reading Mastery Test III (WRMT III) 0 Evaluate struggling readers 0 Identify specific strengths and weaknesses in reading skills to plan targeted remediation 0 Guide educational selection and placement decisions 0 Screen for reading readiness 0 Determine reading strategies for students with special needs 0 Ages 4.6 – 79.11
  • 18. Single Topic 0 Test of Word Reading Efficiency (TOWRE) 0 Word Reading 0 Individual Administration 0 Ages 6 through 24 0 Test of Silent Word Reading Fluency (TSWRF) 0 Test of Irregular Word Reading Efficiency (TIWRE) 0 Reading Comprehension 0 Individual Administration 0 Ages 3 through 94
  • 19. THE GORTS 0 Gray Oral Reading Tests - 5 (GORT-5) 0 Oral Reading Comprehension 0 Individual Administration 0 Ages 6 through 23 0 Gray Silent Reading Test (GSRT) 0 Reading Comprehension 0 Individual / Group Administration 0 Ages 7 through 25
  • 20. Test of Reading Comprehension - 4 (TORC-4) 0 Vocabulary, Syntax, Paragraph Reading, Sentence Sequencing 0 Individual Administration 0 Norm Referenced 0 Ages 7 through 17-11
  • 21. Test of Early Reading Ability 3 rd Ed (TERA-3) 0 Alphabet: measuring knowledge of the alphabet and its uses 0 Conventions : measuring knowledge of the conventions of print 0 Meaning: measuring the construction of meaning from print. 0 Age 3.6 – 8.6
  • 22.
  • 24.
  • 25. Incorporating information for report writing 0 Assessment 0 Data collection from multiple sources (e.g., individual, group, standardized, informal, formativ e, and summative) 0 Evaluation 0 Follows assessment and integrates all data to produce a student profile to inform decisions about identification, eligibility, services, and instruction. Learning Disabilities Association, 2010
  • 26. Combine With 0 Functional measures 0 Including
  • 27. Observation 0 Pre testing 0 During testing 0 Post testing
  • 29. Sources of Information 0 Student 0 Parent 0 Teacher 0 Other (e.g. paraprofessionals, counselor, principal)
  • 30. Integrating Multiple Measures of Data Criterion- Curriculum-Based Norm- Informal Referenced Measurement Referenced •Parent Interview •State Standards •Aimsweb •WIAT III Oral Expression •Teacher Interview Assessment •WJ III Ach •Observation •Parent Interview Listening •Teacher Interview Comprehension •Observation •Parent Interview Basic Reading Skill •Teacher Interview •Observation •Parent Interview Reading •Teacher Interview Comprehension •Observation •Parent Interview Reading Fluency •Teacher Interview Skill •Observation
  • 31.
  • 32. Determining the “Appropriateness” of the FIE 0 “Skills” 0 Equality of members 0 Vary in training 0 Analyze the situation through different “lenses” 0 Data complements, not competes Etscheidt, 2003
  • 33. Determining the “Appropriateness” of the FIE 0 “Adequacy” - Compliance with IDEA evaluation requirements 0 Use a variety of assessment tools 0 Use technically sound instruments 0 Utilize non-discriminatory procedures 0 Administer standardized tests validated for the specific purpose for which they are used 0 Administered by trained and knowledgeable personnel in accordance with instructions provided by the test producer Etscheidt, 2003
  • 34. Determining the “Appropriateness” of the FIE 0 “Scope” of the evaluation 0 Must be assessed in all areas of suspected disability 0 Should not use a limited selection of assessment tools 0 If there are reasons to suspect additional areas requiring assessment, then the scope of the evaluation must be broadened to include assessment in those areas 0 Must be comprehensive enough to address related services as well Etscheidt, 2003
  • 35. Determining the “Appropriateness” of the FIE 0 “Utility” - Provision of sufficient information to develop the IEP 0 Must determine/identify the educational needs of the child 0 Must discuss the impact of the child’s disability on educational performance 0 Must lead to the development of goals and objectives Etscheidt, 2003
  • 36. NCEDOnline 0 Enhances professional credibility Pat Frawley, Ed.D. and visibility NCED #0002 0 Represents highly qualified status New Jersey as an assessment professional 0 Assures parents/school officials of rigorous opportunities for practice 0 Permits use of credential after Linda De Zell Hall, Ph.D. name in reports and NCED #0005 correspondence Texas 0 Connects the practitioner with current trends and issues in the field of assessment. 0 Visit http://www.ncedb.org/ today!

Editor's Notes

  1. Learning Disabilities Association, 2010Provide accurate and useful informationBe derived from a variety of assessment measuresEnsure thatstandardized assessments are current, reliable, and valid, as well as culturally, linguistically, developmentally, and age appropriate; administration, scoring, and reporting procedures are followedmultiple measures, including standardized and nonstandardized data sources are usedfunctioning and/or ability levels across domains are consideredinclusionary and exclusionary factors are consideredall data, including informal data, are discussed, integrated, and balanced to describe current academic and functional levels and guide identification, eligibility, services, and instruction