Lynn Schoeneck, OTR/L
7-year-old boy, Autism Spectrum Disorder, ADHD
Difficulties with anxiety, social interactions, attention, expressive and receptive language, poor organization, fine motor coordination and gross motor coordination
Improve social interaction with both peers and adults, decrease anxiety to enable participation in group activities and changes in routine, improve motor skills, improve attention and organization
iLs Program Used:
Sensory Motor Program – 3 one-hour sessions per week; 30 hours in Fall Semester, 30 hours in Spring Semester
Other Interventions Used:
Client received Occupational Therapy (OT), Speech Therapy (ST) and music therapy within a group setting, all of which are part of the curriculum at Porter Academy. He also began receiving private OT and private speech therapy once a week.
Parent: “Every morning he is excited to go to school. He loves learning, and his confidence in his work has excelled. He has made friends, and has turned into a happy, funny, content little kid.”
Teacher: “He has gone from extremely anxious to the total opposite. He is very social and interacts with everyone, which is a total change since August. When he started, he did not recognize all his letters or their sounds; now he is the best reader in the class. He could not spell or write his name in August; today he is starting to write sentences and brief paragraphs. His letter orientation, spacing and sizing are greatly improved. He is now turned on to learning!”
Conclusions and Recommendations:
This child came in with huge deficits academically and socially. This year he has made great progress in both arenas, but he does still have a long way to go. I plan to utilize the iLs Sensory Motor Program again with him next year and continue to emphasize movement activities that cross the midline. I also will continue to incorporate activities that develop working memory and enhance processing speed.
Diagnostic Achievement Battery (3rd Edition) – %ile ranking on nationally normed assessments
Story comprehension: <1% to 16%
Synonyms: 9% to 25%
Grammatic Completion: 16% to 25%
Alphabet/Word knowledge: 5% to 50%
Reading Comprehension: 5% to 63%
Capitalization: 16% to 37%
Punctuation: 9% to 63%
Spelling: 5% to 50%
Based on the BASC-2 Parent Rating Scale, the following improved significantly: hyperactivity, anxiety, atypical behaviors, withdrawal, attention problems and functional communication.
Based on the BASC-2 Teacher Rating Scale, the following improved significantly: hyperactivity, aggression, conduct problems, anxiety, somatization and withdrawal.
Subjective Observations of Motor Skills:
At the beginning of the year, he required full physical assist for any motor movement that crossed midline; he is now able to cross midline with initial physical prompts. To start, he was unable to catch a beanbag; he is now able to catch a beanbag while maintaining balance on a balance board for 10 consecutive catches.