Randal County Early
Summary for Billy Donaldson
Julie Falconer/Social Worker
Michelle Bechtel/Physical Therapy
Stacy Walters / Speech and Language Therapist
Welcome to Randall County Early
This presentation was developed to help
Mae and Jack’s family understand their
child’s evaluation and provide a quick
reference for activities they can do
with Billy to work toward his individual
goals and objectives.
What is the role of a parent in
the assessment process?
Because you know your child best, we invite you to
Participate at a level you are comfortable with and
always let us know if:
You feel your child will work better if you are not present
You may feel like an assessment would be more effective if you present
test items yourselves.
You may feel uncomfortable "helping" while professionals are watching. or
helpless and frustrated when your child will not or cannot do something.
try to remember, many professionals feel the same uneasiness and
frustration whey they cannot get a child to respond.
We are here you help relieve your fears and anxieties or validate concerns
you have about your child. It is important for both families and
professionals to share feelings and concerns. Sharing feelings can help to
begin to develop a partnership.
Each member of
your team has
and prepared a
summary of the
have also Social
written some Nutritionist
goals designed Worker OT
to help you and
your family work
from a position Mae Billy Jack
Billy grow PT Teacher
Your Social Worker: Julie Falconer
Cannot sleep through the night Would like to see if nutrition
piece had an affect here
Nutrition is difficult and Billy
is too thin Nutritionist has designed a diet
based on your doctor’s
Need Online Support
Will provide 3 discussion boards
of parents who are experiencing
Increase social the same thing you are.
Billy When you are ready, we will get
Billy signed up with PEAK. This
is a program for kids his age.
Goals and Desired Outcomes
1. Family will consult with pediatrician/Dr.
to find foods to increase Billy’s calorie
2. Billy will communicate his needs; food,
drink, toys, etc., by using words and
3. Billy will gain strength and movement by
doing daily exercises with help from
mom to stretch his muscles and lower
4. Billy will sleep through the night without
waking up more than once.
Observations: Speech / Language
Billy completed many of the tasks in the 7-9
month age range. He can understand
some words but uses appropriate
gestures and his voice together with
pointing. Billy’s listening and talking
skills fall in the 7-9 month range. He
babbles, imitates, mother, responds to
name, waves or responds to “bye- bye”,
attends to the conversation of others,
says the words, bottle, Nanna
(grandmother) shoes, boo, truck and
“bye-bye”. He orients correctly to
“mommy” and “daddy”.
Billy’s language skills are 2-4 months
delayed in development. Billy needs
speech and language services at home in
a play setting with SLP and Mae. Mae
and Jack will have a a schedule of a
variety of activities to do with Billy to
strengthen his speech and language
Some distress when asked to
perform specific tasks.
Billy crawled in a bunny-hop fashion,
moving both legs
No reciprocal motion was present in
lower body. Billy is able to roll over supine to
Billy was observed to prefer W- prone and vice-versa.
sitting, but was receptive to Billy had a keen interest in moving
this being corrected into a toys and small toys.
tailor position. His pincer grasp was inferior
Billy was able to stand to reach for compared to other children his
a toy, but did not take any steps age.
to acquire the item. He did not He passed objects from hand to
let go of support while standing. hand at midline, never through
When standing, his Achilles tendons When Billy was using hand-over-
were tight, not allowing his heels hand prompt, he demonstrated
to touch the floor. limited independent scribbling
Billy also stood in somewhat of a for a few seconds after the
“squatted” position, without full administrator faded the
extension of his knee or hip assistance.
joints. Tightness in these joints When Billy was sitting, his upper
was also noted. extremities demonstrated
Billy is able to get into a sitting appropriate strength and
position on his own but needs fluidity of movement.
correction At one time when Billy tried to
He did not demonstrate quadruped reach for a toy from a standing
crawling position during this position, it was noted that his
assessment. right arm trembled. Trunk
. control seemed appropriate
during all phases of positioning. 8
Billy would benefit from
with his lower extremities
on a daily basis.
Mae needs training to learn
how to do stretching
exercises with Billy. Family
needs information on an
alternative to W-sitting.
Billy is encouraged to
participate in more fine-
motor activities, such as
scribbling drawing and
Crossing midline should be
encouraged in all play, and
stimulation, such as spinning,
rocking, and/or swinging may
be beneficial to brain
Show Mae and Jack how to
apply what they have
Playing, Thinking, and Exploring (Cognitive Skills)
Things I do well: Things I find difficult or need
Ring a bell Imitate an adults actions;
Put my fingers in pegboard imitating stirring spoon in
Put cubes in a cup when I am Pick up a cup to find a
asked hidden object
Beginning to learn how to Developing object
drink from cup permanence
Can get around and explore Learning that objects have
Can play with my toys; reach, functions instead of just to
grab, pull, bang and throw chew on; phone, toothbrush
his toys Play with one toy at a time
Build and take apart toy and
Interacting with Others
Things I do well:
Things I find difficult
Plays well with Dad and Mom or need help with:
Recognizes parents and their
Coos and babbles, can Expressing needs; Billy is
communicate by pointing unable to talk, but can point
fingers and grunting at what to objects or things that he
he wants wants
Responds to his name being Billy is hyper susceptible to
called illness, so he has not had a
Expresses moods with lot of opportunity to play
different sounds and body and interact with other
Mimic facial expressions
Play games like patty cake
Plan of Action
What we see now: Outcome Statement:
What we would like to see happen for
functioning is Support for Mom and Dad.
8.1months. He is
significantly below his Mom and Dad to continue to
chronological age of 14 play with Billy.
months and his adjusted Billy’s eating habits improved.
age for prematurity of Sleep habits/routines to
11.5 months. improve.
His developmental levels
functioning are also
significantly below his
Strategies to address best practices within the
child/family’s everyday routines, activities, and
environments Amanda Higgins
Continue to encourage
parents to play with Billy.
Play games with Billy like
peek-a-boo and patty
Hide objects for Billy to
find and help him
understand that the
objects are there even if
he cannot see them.
Talk and read books to
Billy and point out and say
names for different
objects around the house. 13