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Rule Out Step 1
Rule Out Step 2
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Childhood
Disabilities: Early
Identification and Intervention
Rule Out Model for the Early Identification and Treatment of Children with
Developmental Disabilities
Rule
Out Step 2
Content:
Rule Out Step 2: Sensory Motor and Cognitive Components
All
children have
biologically based "individual
differences" with regards to theirmotor, sensory, reasoning, and
affective patterns, etc. These traits may or may not
be modifiable, depending upon where the child is in the developmental biological
life cycle. The earlier one intervenes with the child, the more likely that one
can modify these traits. The earliest possible intervention is important to
increase the chance of modifying any trait.
These
traits, for the purposes of early evaluating and treating can be represented as strengths or weaknesses in i.e.:
- Visual
acuity
- Visual/spatial
processing
- Auditory
acuity
- Auditory
processing
- Sensory
modulation
- Motor
planning and sequencing
- Kinesthetic
processing
- Affective
processing
- Cognitive
functioning
- Memory
processing
- etc,
etc, etc…
Factors
which impact sensory, cognitive and motor functioning
Sensory stimuli from the environment and all individuals who
interact with the child can impact the functioning of sensory, cognitive and
motor traits. These external factors include:
- Parents,
siblings, caregivers and peers
- TV,
radio, games, etc.
- All
other tactile, auditory, visual, gustatory and olfactory stimuli
- Interactions
with therapists
The
interactions of the child with all these personal, interpersonal and
sensory/communications factors can result in dysfunctional behaviors. For most children the
external factors impacting their physiological state, sensory, cognitive and
motor traits are sufficient to
produce constructive, socially appropriate behaviors and allow the child to
progress appropriately through the developmental levels. However for children at
risk for a developmental disorder these modifiers can result in
more dysfunctional behaviors.
Step
2 Assessments
This
assessment should examine strengths and weaknesses in functioning in:
- Auditory
reception and processing
- Visual-spatial
perception and processing
- All
other sensory input and processing modes
- Plus:
cognitive functioning, speech and language, motor planning
The
impact of external factors needs to be identified, especially with respect to:
- Family
- Environment
- School
- Caregivers
Interactions with Child
Children's
sensory, cognitive and motor traits need at the same time of the recommended medical
evaluations the following screening:
- Audiological/Central
auditory processing/hearing evoked potential evaluation by pediatric
Audiological specialist
- Visual
acuity/visual-spatial processing evaluation by pediatric visual specialist
- Intellectual,
cognitive, or developmental functioning evaluations
Services
Needed to Address Sensory, Cognitive and Motor Traits
Speech
& Language Therapy, Occupational Therapy, Sensory Integration Therapy,
Sensory Modulation Training, Motor Planning Therapy, Ameliorate Perceptual &
Processing Issues, Listening & Auditory Processing Training, Sensory
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