Autism: Intelligence Quotient and Joey S Teacher
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
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