Case Study of a Child with Autism

Topics: Educational years, Third grade, Fourth grade Pages: 10 (3492 words) Published: August 27, 2013
CASE STUDY PROFILE

A. GENERAL PROFILE

Jasmine is an 11.8 years old girl. She was born on January 10, 2001 and the eldest of two siblings. In 2008, because of continued concerns with her being “makulit”, she was brought to Dr. Panlilio, a child neurologist. She was diagnosed with mild epileftiform seizures and was prescribed Keppra 250mg/day. In June 2011, she was brought to another child neurologist, Dr. Lucban for follow up. She was advised to continue medications and take a follow up EEG. She was further referred by her pediatrician to Dr. Mark Reysio Cruz for developmental assessment. The initial impression was Intellectual Disability and he recommended SPED schooling for her. Likewise, because she is of school age, she was also referred to Kidpsych, Inc. for Psycho educational Evaluation to determine her current level of cognitive and academic functioning.

Jaja, (as she is fondly called) was able to crawl at 4 months, gave her first smile at 5 months, was able to sit by 7 months, talked by 8 months, walked by 11 months and ran at 1 year and 9 months old. She spoke phrases by 2 years of age and was able to speak in complete sentences at 4 years of age.

Jaja is a fair complexioned 11 year old girl, of light build with black eyes and long hair. According to her mother, her immunizations are complete and hearing and visual screening results are normal. She has a pleasant personality and seems to be in a happy mood at all times. According to Vineland Adaptive Behavior Scales (VABS) test, she was rated as mildly deficient in the socialization domain (age equivalent of 5 years and 7 months). With her interpersonal relationships, she is able to identify others, responds to social communication and make her own friends. She has a best friend of the same gender. She also initiates social small talk when meeting acquaintances. She remembers birthdays of friends and family, but does not yet make or buy small gifts for them. She still has difficulty maintaining cooperative relationships with friends and tends to insist on getting her own way. For play and leisure, Jaja watches television, listens to the radio for entertainment and is able to follow simple game rules without being reminded. She participates in non-school sports such as badminton. For coping skills, she is able to keep secrets or confidences and uses appropriate table manners. However, she still has difficulty controlling anger and hurt feelings as well as apologizing for hurting other people’s feelings. Furthermore, according to the Teacher Report Form completed by two of her teachers, the consistently identified problem areas were on the social relationships, thought problems, attention problems and rule breaking behavior. Items rated “often true” by all three respondents were: “Doesn’t get along with other kids”, “Can’t get her mind off certain thoughts; obsessions”, “Fails to finish things she starts”’ “Can’t concentrate, pay attention for long”, “Poor school work”, “Inattentive or early distracted”, “Lying or cheating.” The DAP (Draw-a- Person) test showed her to be positive, suggesting generally happy disposition. On the SCT (Sentence Completion Test) which provides information about attitudes and socio emotional well being, her responses indicated generally positive attitudes towards the self, family and friends and also some concern about school performance. However, her mother reported that her strengths include being affectionate, kind and loving. On the VMI tests, her visual motor integration skills were within the 4th percentile for her age range. Her score was within the low performance range and she performed at the level of 6 years and 2 months. Her performance indicated much difficulty on this task. She had problems with reproducing angled and 3D shapes. She was right handed and held the pencil in a tripod grasp with closed web space. Based on the Vineland Adaptive Behavior Scale(VABS) test given to her, she was rated as mildly...
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