In administering the Ages and Stages assessment with Sarah, we found that several of the observations that we made during the assessment closely aligned with the information that Jane shared during the Routines-Based Interview. Included, was an overall concern for Sarahs behavior in the classroom and challenges with her daytime napping and evening sleeping patterns. These concerns ultimately became the priorities for intervention that we would continue to address and dive deeper into throughout our work with the family. Also, additional observations made throughout the ASQ revealed that Sarah is verbally advanced for her age, she has amazing receptive language and she is extremely active. The ASQ also revealed one area that represents a challenge for Sarah. And this was her lack of self-initiated problem-solving skills. This was measured by her inability to drop a Cheerio into a bottle and then to turn the bottle over to get it out. It was also measured by the skill that Sarah had not yet mastered of using a spoon or stick to get something out of reach. Lateral thinking was not present when observed for this assessment. However after spending additional time with the family we observed that lack of opportunity for Sarah to practice these skills. Because Sarah is difficult to engage in play beyond what her mom is doing, both at home and especially in the classroom, it is hard for Sarah to focus on these skills. Jane needs to allow Sarah to do things for herself, and while this may mean Sarah struggles, we 2 feel confident that when Sarahs behavior (tantrums) decrease, Jane can further foster Sarahs independence and these skills can be mastered. Overall the ASQ gave great insight into the behaviors and relationship between Jane and Sarah and ultimately narrowed our focus as far as resources we gathered and outcomes we created for the family.
TOPLINE OBSERVATIONS Strong communication skills with advanced verbal skills Strong gross motor skills Sarah is very physical and active. She walks, jumps and runs easily. Strong fine motor skills. Sarah enjoys turning pages of books and loves coloring. Lacking problem-solving skills as explained in overview. Strong personal and social skills. Sarah currently self feeds and dresses. She enjoys playing with dolls, snuggles and asks for help when needed.