Assessment process at CCDD is means of gathering critical information about your child's development. The methods used to gather information includes observation of the child, interviews with the family, checklists, informal tests and standardized formal test measures. The information obtained thorough assessment procedures will aid in diagnosis and identifying the child as eligible for developmental intervention. Following are the list of assessment tools used in our center.
NEUROPSYCHOLOGICAL DIAGNOSTIC MEASUREMENT TOOLS
The Diagnostic Assessment include referral batteries with sub tests critical to the diagnosis of specific disorders.
Recommended referral batteries include Learning Differences- Reading, Learning Differences - Math, Attention /Concentration, Behavior Management, Language Delays/Disorders, Perceptual and/or Motor Delays/Disorders, School Readiness and Social/Interpersonal Differences. Following is the assessment battery used as standard Neuropyschological diagnostic tool @ CCDD.
Neuropsychological Assessment II [NEPSY - II] The NEPSY-II is the only single comprehensive measure to assess neuropsychological development in children, ages 3-16 years across six functional domains. The test domains are Social, Perception, Executive, Functioning/Attention, Language, Memory and Learning, Sensorimotor Functioning, Visuospatial Processing. The tool allows clinician to create a tailored assessment across six domains, specific to a child's situation in order to inform diagnostic concerns and aid in intervention of variety of childhood disorders.
With integrated NEPSY-II, Clinician can:
The most common types of assessment using the NEPSY-II are
AUTISM RELATED MEASURES
Screening Tools
Modified Checklist for autism in Toddlers [M-CHAT]
M-CHAT is a developmental screening tool for toddlers between 16 to 30 months of age. It is designed to identify children who may benefit from a more thorough developmental and autism evaluation.
Childhood Autism Rating Scale [CARS]
CARS is a behavior rating scale intended to help diagnose autism. It is designed to differentiate children with autism from those with other developmental delays such as mental retardation.
Diagnostic Tools
ADOS / ADI-R
ADOS - Autism Diagnostic Observation Schedule The ADOS is an instrument used for diagnosing and assessing Autism / Autism spectrum disorders. The assessment involves the social interaction between the assessor and the individual. It consists of a series of structured and semi-structured tasks that takes between 30 and 60 minutes. The assessor observes and identifies segments of the individual's behaviour and assigns these to predetermined observational categories.Categorized observations are subsequently combined to produce quantitative scores for analysis.Research-determined cut-offs identify the potential diagnosis of autism or related autism spectrum disorders.
ADI-R = Autism Diagnostic Interview - Revised
The Autism Diagnostic Interview-Revised (ADI-R) is a structured interview conducted with the parents of individuals who have been referred for the evaluation of possible autism or autism spectrum disorders.The ADI-R interview covers 93 questions, spanning the three main behavioral areas: Language/Communication, Reciprocal Social Interactions and Restricted, Repetitive and Stereotyped Behaviours and Interests. An autism diagnosis is indicated when scores in all three behavioral areas exceed the research determined minimum cutoff scores.
Therapeutic Tool
Early Start Denver Model (ESDM) Curriculum Checklist
The ESDM Curriculum Checklist is used to comprehensively assess the skills of toddlers and preschoolers with autism across multiple developmental domains. The domains include receptive communication, expressive communication, social skills, play skills, cognitive skills, gross motor skills, fine motor skills and adaptive behavioral skills. The checklist is designed to establish unique and individualized teaching goals for intervention.
ASSESSMENT OF LANGUAGE DEVELOPMENT
Rosetti Infant Toddler language Scale
It is a criterion reference instrument designed to assess the language skills of children from birth through 36 months of age. The scale assesses preverbal and verbal areas of communication and interaction including interaction attachment, pragmatics, gestures, play and language comprehension and language expression.
Cognitive Adaptive Scale [CAT] and Clinical Linguistic and Auditory Milestone Scale [CLAMS]
CAT & CLAMS are used as an instrument for detecting cognitive and language milestone delays.
PROBLEM BEHAVIOURS IN CHILDREN
Child Behavior Checklist [CBCL]
CBCL is a parental rating scale used to detect various beha in children.
Vanderbilt ADHD Parental Rating Scale
It is a questionnaire rated by parents to detect Attention Deficit Hyperactivity Disorder. The Scale follow closely the criteria set forth in DSM-IV (Diagnostic and Statistical Manual - IV) and allow clinician to not only to make a diagnosis of ADHD, but also categorize the disorder into of its subtypes such as inattentive, hyperactive/impulsive or combined.
TEST OF INTELLIGENCE
Malin's Intelligence Scale for Indian Children [MISIC]
MISIC is the Indian adaptation of Wechsler Intelligence Scale for Children [WISIC]. It's made for children from 6-15yrs of age assessing the verbal and non-verbal areas of intelligence.
Binet-Kamat Test of Intelligence [BKT]
The tool assesses verbal and non-verbal aspects of intelligence from the age group of 3 to 22 years.
SOCIO-EMOTIONAL FUNCTIONING AND ADAPTIVE/MALADAPTIVE BEHAVIOURAL SCALES
Vineland Social maturity Scale [VSMS]
The Vineland Social Maturity Scale is a nonprojective personality measure designed to assess social competence from birth to adulthood. The test scores based on parent's interview and consists of 8 sub-scales measuring Communication skills, General self-help ability, Locomotion skills, Occupation skills, Self-direction, Self-help eating, Self-help dressing, and Socialization skills.
Vineland Adaptive Behavior Scale [VABS]
VABS is an individually administered measure of adaptive behavior from birth through 90yrs. Vineland-II forms aid in diagnosing and classifying mental retardation and other disorders, such as autism, Asperger Syndrome, and developmental delays. The test items of the scale are organized in to four domains: Communication, Daily Living skills, Socialization, Motor Skills and Maladaptive behavioral index.
DEVELOPMENTAL ASSESSMENT
Developmental assessment scale for Indian infants (DASII)
DASII is the most comprehensive measurement tool that evaluates development in Indian children, ages 0-3 yrs. The measure consist of series of developmental play tasks that evaluates motor (gross and fine motor) and mental development (Cognition, Language and social development).
N VM Early intervention developmental profile (EIDP)
NVMEIDP is a diagnostic manual developed by a Developmental Pediatrician and a Clinical Psychologist for practicing doctors and professionals dealing with high risk infants in India. The scale helps in identifying children who may require special attention to maximize their development. The scale outlines development in the first three years of life from birth to 36 months, considering being the most crucial years of development. The scale assesses the following areas; Gross Motor, Perceptual/Fine Motor, Language, Self care, Social/Emotional.
EVALUATION OF MOTOR FUNCTION
Test of Gross Motor Development (TGMD-2)
The TGMD-2 is a measure of common gross motor skills of children ages 3 through10 years. It helps identify children who are significantly behind peers in gross motor skill development and who may need special services in physical education. The test consist of two subtest: Locomotion and object control.
GMFM
GMFM is a clinical measurement tool designed to evaluate gross motor function in children with Cerebral Palsy. The items of GMFM are grouped under four activities; lying, rolling, alking, running and jumping skills. The scale provides in-depth information about level of gross motor difficulty that will assist in goal directed intervention.
NDT Posture and Movement analysis
Posture and Movement analysis is a non-structured evaluation measure based on NDT principles The Evaluation is done by a Certified Neuro-Developmental therapist (NDTA, USA). The evaluation involves handling the child in various postures and movement to determine the bodily systems that are responsible to gross and fine motor deficits. The evaluation is based on NDT enablement model which is an extension of WHO's International Classification of Functioning, Disability and Health. The impairments identified during an assessment are used to set functional goals and to choose appropriate NDT based treatment strategies.
HANDWRITING EVALUATION
Evaluation tool for Children's Handwriting
ECTH evaluates manuscript and cursive handwriting skills of students in Grade 1 -6. The test assess student's legibility components, speed of writing, pencil grasp, hand preference, manipulative skills with writing tool. The writing task includes alphabet, numerical, near-point copying, far point copying, dictation and sentence generation.
ASSESSMENT OF SENSORY PROCESSING DISORDER
Sensory Profile
The Sensory Profile is a caregiver questionnaire which measures children's responses to sensory events in everyday life (for children 3-10 years of age). The Sensory Profile contains 125 items in sections corresponding to each sensory system, sections which indicate the modulation of sensory input across sensory systems, and sections which indicate behavioral and emotional responses that are associated with sensory processing. The caregiver completes by reporting how their child respond to particular item in a 5 point likert scale. The scores obtained from the scale informs about sensory processing patterns that leads to diagnosis and also provide guidance for intervention.
Infant / toddler sensory profile
The Infant/ Toddler Sensory Profile is a caregiver questionnaire which measures children's responses to sensory events in everyday life. The profile has 48 items related to sensory processing that evaluates children ages 7-36 months.The caregiver completes by reporting how their child respond to particular item in a 5 point likert scale. The scores obtained from the scale informs about sensory processing patterns that leads to diagnosis and also provide guidance for intervention.
SCHOOL READINESS
School Readiness
School Readiness is the ability of a child to transit in to pre-school/kindergarten with skills that are required for school success. The School Readiness is influenced by five developmental domains that are intrinsically interrelated. The Domains are Physical, Cognitive, Linguistic, Social and Emotional development. School readiness evaluation at CCDD is a comprehensive one that evaluates all the domains of development that is necessary for pre-school preparedness.