553 Report - Write up practice for a fake student PDF

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Write up practice for a fake student...

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RUNNING HEAD: 553 Report Social-Emotional Evaluation (Confidential) Name: Giselle Student Date of Birth: 1/1/2008 Age: 9 years old Date of Report: 3/17/17 Examiner: Brittany Gamble

Reason for Referral: Giselle’s teacher, Mr. Nichols, referred Giselle due to her behavior in the classroom. Mr. Nichols reported Giselle is four years below grade level in reading and has been displaying off task behavior and aggressive behavior towards her peers.

Methods of Assessment: 

Structured Interview with Kelly Nichols – Giselle’s teacher on February 10, 2017

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Structured Interview with Brittany Gamble – Giselle’s mother on February 10, 2017

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Behavioral Observation of Students in Schools (BOSS) February 23, 2017

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Behavior Assessment System for Children 3rd Edition (BASC-3) on February 28, 2017

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Vineland Adaptive Behavior Scales 2nd Edition (Vineland-II) on March 7, 2017

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Social Skills Improvement System (SSIS) on March 15, 2017

Background Information: Giselle is a 4th grade student who is not currently on any medications and does not have any prior health conditions or diagnoses. Giselle lives with her mother, Brittany Gamble, and does not

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have contact with her father since their divorce 4 years ago. Giselle is on the soccer team and has close friendships from the team.

Social-Emotional Functioning Interviews Parent Interview – During the parent interview, Kelly, the school psychologist, used locally developed questions to interview Giselle’s mother on February 10, 2017. During this interview Giselle’s mother, Brittany, expressed her concerns about Giselle’s aggressive behavior and her performance in reading. She identified Giselle has strengths in math and athletics and enjoys these activities. At home, Giselle gets angered when asked to perform tasks and reacts by yelling, door slamming, and throwing objects. These tantrums last anywhere from a few minutes to a couple hours. Teacher Interview – Brittany, the school psychologist, interviewed Giselle’s teacher, Kelly Nichols, regarding his concerns with Giselle’s classroom behavior using locally developed questions on February 10, 2017. Mr. Nichol’s expressed his concerns with Giselle’s aggressive behavior towards her peers in the classroom. He reported that she refuses to do work, does not sit in her seat, and has pushed over chairs when agitated. He reported that these behaviors occur in the classroom at least 3 times a week. He identified weakness in staying on task, reading and writing. Behavioral Observations: On February 23, 2017 Giselle was observed using the BOSS system during her 4th grade math class with Mr. Nichols for approximately 10 minutes. Giselle was observed displaying actively engaged on task behavior 51% of the time while her peers were observed displaying the

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same behavior 44% of the time. Giselle displayed passively engaged on task behavior 49% of the time and peers were observed passively on task 44% of the time. Overall, Giselle and peers spent about half the time actively engaged and the other half of the time passively engaged, though there was some off task behavior. Giselle displayed...