Autism: Intelligence Quotient and Joey S Teacher

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CLINICAL REPORT

Name: Joseph Patrick
Date of Birth: 6/20/04
Chronological Age: 7
Grade: 2nd
Date of Evaluation: December 14, 2011

Referral Question:
Does the child meet criteria for Autism or ADHD, and based on testing results, are there recommendations for school and home that can help the child? Relevant Developmental History

Medical History
Joey was born prematurely at 28 weeks gestation, weighing only 3 pounds, 4 ounces. During her pregnancy, his mother experienced bleeding in the first trimester. She took prenatal vitamins and did not smoke or drink. She ceased taking her migraine medication while she was pregnant. After his birth, Joey spent three days on mechanical ventilation. At 30 days, Joey was diagnosed with periventricular leukomalacia. He spent a total of seven weeks in the hospital before he was released. Joey developed spastic hemiplegia on his left side and was diagnosed with cerebral palsy at 8 months of age. Joey has undergone many surgical procedures, including, strabismus in his eyes and tendon releases. He also experienced severe reflux and received nutrition through a gastric tube. Related to his spastic hemiplegia, Joey had a Baclofen pump implanted, which, from parent reports, has greatly decreased his spasticity. Around his fifth birthday, Joey began to have seizures. According to his mother, Joey has had 12-15 significant seizures, but none within the last year. He currently takes Trileptal to control his seizure activity.

Family History
Joey’s immediate family consists of his father, mother, older brother, Tanner, and younger sister, Marie. His family is Caucasian and only speak English in the home. Tanner is 13-years-old and has been treated for ADHD since his diagnosis in 2008. He receives services through his IEP; accommodations include occupational therapy for handwriting once a week, daily math instruction in a resource room, and may resume speech therapy. Marie is 5-years-old and was also born prematurely at 30 weeks gestation. Marie had expressive speech and language delays, but is now declassified. She is currently not receiving any services. Both of Joey’s parents are healthy, though his mother had a history of migraines that ceased five years ago. On his mother’s side, he as one first cousin with a learning disability and one cousin on his father’s side with Down Syndrome.

School History
Joey attends Northpoint Elementary School in Granger, IN. He is currently in a mainstream classroom and receives both physical and occupational therapy for 30 minutes, once a week, as stated by his IEP. Recently, both his mother and teacher have reported he has become more distractible during certain activities, especially spelling. They also note that Joey becomes frustrated easily with reading and spelling and will attempt to avoid these subjects. Joey has received grades of ‘needs work’ in reading for the first and second quarter and in spelling for the second quarter. In all other subjects, he received ‘progressing’ or ‘good’ marks. His teacher reports that she believes Joey is a ‘natural’ in his math abilities, but does not apply the same focus with other subjects. She has noticed that Joey is inattentive and attempts to avoid subjects such as reading and spelling, but also notes this inattention happens inconsistently. She has noticed this behavior more in the last month, but does not consider Joey’s behavior to be disruptive to the rest of the class. Joey’s handwriting is also a concern, possibly due to physical limitations. His teacher indicates that Joey can be a very enthusiastic participant during class, especially during group activities. Recently, Joey has been ‘zoning out’ during school and has been struggling with his schoolwork, particularly reading and spelling.

Personal History
Joey is very interested in the movie Cars, and often quotes lines from the movie. In school, he often wants to discuss the movie, but...
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