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Background
Information
Childs
Name:
Ben
Date
of
Birth:
7/17/2012
Sex:
Male
Reason
for
Referral:
Practice
for
students
Examiners:
Danielle
Vachon
Tool:
HELP
*Hawaii
Early
Learning
Profile
Date
of
Screening:
4/12/2014
FINDINGS
Ben
was
administered
the
Hawaii
Early
Learning
Profile.
HELP
is
a
curriculum-
based
assessment.
HELP
provides
a
listing
of
the
685
HELP
skills/behaviors
(by
age
and
domain,
e.g.,
Cognitive,
Language,
Gross
Motor,
Fine
Motor,
Social,
and
Self
Help).
Domains
Developmental
Age
Range
Cognitive
19-24
months
Language
21.5-24
months
Gross
Motor
20-21
months
Fine
Motor
16-19
months
Social
24-30
months
Self
Help
18-24
months
Cognitive
Domain
In
the
Cognitive
Domain,
Ben
scored
in
the
age
range
of
19-24
months.
The
examiner
started
observing
Ben
in
the
6-10
months
range.
Ben
was
very
talkative
and
playful
during
the
observation.
A
lot
of
his
gestures
and
talk
came
about
because
of
his
sister.
Whenever
his
sister
would
do
a
gesture,
Ben
would
repeat
it.
Ben
would
look
at
a
lot
of
books
with
his
sister
and
point
to
pictures
and
name
them
(farm
animals).
During
the
observation,
Ben
played
a
lot
of
house
with
his
sister.
He
demonstrated
drinking
from
a
cup
and
eating
food.
He
would
hand
the
cups
and
food
back
and
forth
with
the
examiner.
Bens
next
steps
would
be
in
areas
that
he
is
emerging
in:
work
on
identifying
body
parts,
work
on
downscaling
messy
projects
(staying
on
the
paper,
pasting
on
one
side
of
the
paper),
and
understanding
more
noun
objects
(people,
places,
things).
Language
Domain
In
the
Language
Domain,
Ben
scored
in
the
age
range
of
21.5-24
months.
The
examiner
started
observing
Ben
in
the
12-14
months
range.
Once
again,
Ben
was
very
talkative
and
friendly
during
the
observation.
He
was
comfortable
in
his
own
home
surrounded
by
people
he
was
familiar
with
(sister,
mom).
A
few
sentences
that
Ben
would
repeat
were,
No,
Ava,
no!
All
done
Hi!
He
was
looking
at
a
book
and
named
the
dog,
horse,
and
cow.
He
also
made
sounds
for
each
of
these
animals.
While
Ben
was
playing
he
saw
himself
in
the
mirror.
The
examiner
said,
Who
is
that?
and
the
child
pointed
to
himself.
Ben
is
emerging
in
imitating
sentences,
producing
the
following
sounds
clearly:
p,
b,
m,
k,
g,
w,
h,
n,
t,
d,
and
using
50+
words.
If
Ben
continues
to
interact
with
his
sister
and
children
at
his
daycare
he
will
begin
developing
these
skills.
Gross
Motor
In
the
Gross
Motor
Domain,
Ben
scored
in
the
age
range
of
20-21
months.
Ben
is
a
very
active
little
boy.
During
the
observation
the
examiner
picked
up
on
a
lot
of
gross
motor
activities
just
by
watching
Ben
in
the
first
10
minutes
of
being
there.
He
was
active
on
his
feet,
hands,
and
knees.
The
childs
favorite
activity
was
playing
with
a
ball.
He
was
throwing
the
ball,
dropping
it,
kicking
it,
handing
it,
and
walking
while
holding
the
ball.
Ben
seemed
to
be
climbing
on
everything.
He
was
using
his
whole
body
to
support
him
to
get
himself
up
on
couches,
chairs,
and
tables.
Ben
is
emerging
in
being
able
to
walk
by
himself
without
the
support
of
others.
He
is
becoming
very
independent
with
his
walking
upstairs
and
downstairs.
He
is
also
emerging
in
the
skill
of
jumping.
His
mother
was
telling
the
examiner
that
in
the
summer
they
have
a
trampoline
and
he
was
working
on
jumping
with
both
legs.
If
Ben
continues
to
crawl,
walk,
run,
climb
he
will
develop
the
skills
of
walking
alone
and
jumping
alone.
Fine
Motor
In
the
Fine
Motor
Domain,
Ben
scored
in
the
age
range
of
16-19
months.
The
examiner
started
observing
the
child
in
the
11-12
months
range.
He
was
able
to
grasp
a
crayon
adaptively
and
color
a
picture,
put
objects
into
a
container,
build
a
tower
with
two
blocks/cubes,
point
at
himself
in
the
mirror
with
his
index
finger,
and
place
pegs
in
the
pegboard.
Ben
is
working
on
balancing
objects
so
that
he
can
make
a
taller
tower
with
4
or
more
blocks/cubes.
He
is
also
emerging
in
imitating
crayon
motions
(circular
and
horizontal).
Social
In
the
Social
Domain,
Ben
scored
in
the
age
range
of
24-30
months.
The
examiner
started
observing
Ben
at
the
8-12
months
range.
While
observing
Ben,
he
would
extend
toys
to
show
others
but
not
release
them.
He
found
this
funny
and
would
laugh
every
time
someone
would
extend
his
or
her
hand
out
to
take
the
toy.
During
the
observation,
Ben
wanted
to
be
in
constant
sight
and
hearing
of
an
adult.
He
liked
all
eyes
on
him.
Ben
is
working
on
not
acting
impulsively
and
trying
to
recognize
rules.
There
was
a
few
times
during
the
observation
where
Ben
would
pull
his
sisters
hair.
At
one
point
during
the
observation
the
mother
separated
Ben
and
his
sister
because
Ben
was
showing
signs
of
jealousy.
He
would
cry,
try
to
hit,
and
pull
her
hair
because
she
had
a
toy
he
wanted.
When
they
were
getting
along,
Ben
enjoyed
playing
rough
and
tumbling
with
her.
They
would
put
blankets
on
each
others
heads
and
then
roll
on
the
ground.
Ben
is
emerging
in
his
skills
of
sharing
and
cooperating
with
others.
He
is
working
on
obeying
the
rules
and
keeping
his
hands
to
himself.
Self
Help
Domain
In
the
Self
Help
Domain,
Ben
scored
in
the
age
range
of
18-24
months.
During
feeding,
Ben
was
able
to
chew
food
with
coordinated
movements,
finger
feed
himself,
hold
a
spoon
and
bring
it
to
his
mouth,
and
refuses
some
foods
(tomatoes
and
other
veggies
according
to
mom).
Ben
sleeps
nights
12-14
hours
and
takes
a
nap
once
or
twice
each
day
(1-4
hours).
Ben
is
emerging
with
taking
off
shoes
when
they
are
untied
and
unzipping
sweatshirts/jackets.
During
the
observation,
he
was
trying
to
remove
the
shoes
by
kicking
them
off
his
feet
but
was
unsuccessful.
He
began
to
discover
that
pulling
down
on
the
zipper
will
unzip
it.
Ben
is
working
on
sitting
on
a
potty
chair.
He
watches
his
older
sister
and
tries
to
do
what
she
does.
If
Ben
continues
to
work
on
his
potty
training
and
continues
to
watch
his
older
sister,
he
will
emerge
in
this
skill.
Reflection:
Ben
is
a
child
that
I
babysat
all
summer
and
I
am
very
familiar
with
him.
It
took
him
awhile
to
open
up
to
me
because
I
havent
seen
him
since
Christmas
break.
He
was
very
curious
about
all
of
the
materials
I
had.
I
was
unsure
at
how
I
wanted
to
distribute
the
materials
so
that
they
would
be
useful
for
my
observation.
I
then
realized
that
just
by
watching
Ben
in
his
normal
play
area
with
his
toys
was
very
beneficial
for
me.
I
would
watch
him
do
something
and
then
check
it
off
on
my
list
with
a
+
sign.
If
I
did
not
see
him
do
it
I
would
put
a
-.
If
Ben
could
not
do
it
I
would
write
no.
This
method
just
helped
me
so
that
when
I
went
back
I
could
tell
what
Ben
could
and
couldnt
do.
After
I
observed
him
for
a
while,
I
looked
back
at
my
checklist
for
things
that
I
had
missing.
This
is
when
I
would
pull
out
different
materials
to
see
what
he
would
do
with
them.
Bens
sister
was
a
big
asset
to
this
observation.
She
is
going
to
be
turning
4
in
a
few
months.
She
helped
Ben
open
up
and
really
show
me
his
personality.
Watching
the
two
of
them,
Ben
wants
to
do
everything
that
his
sister
does.
If
she
is
not
paying
attention
to
him
or
has
something
that
he
wants,
he
does
not
react
very
positively.
My
recommendation
for
this
would
be
to
have
Ben
interact
with
children
his
own
age.
He
goes
to
daycare
twice
a
week
and
the
rest
of
the
days
he
is
home
with
his
sister.
I
think
that
if
Ben
had
more
interaction
with
children
his
age
he
would
be
able
to
blossom
into
his
own
person
more.
Another
thing
I
noticed
during
this
screening
was
that
his
sister
would
jump
in
and
answer
a
lot
of
questions
for
him.
I
would
say,
Ben
what
is
this?
Ben
where
is
the
dog?
and
his
sister
would
jump
right
in.
I
asked
mom
if
this
happens
often
and
she
said
that
it
did
happen
a
lot.
She
has
been
trying
to
tell
his
sister
that
it
is
important
for
Ben
to
answer
so
that
he
can
learn.
I
think
that
once
his
sister
understands
this
then
Bens
language
will
improve
dramatically.
I
really
enjoyed
administering
the
HELP.
At
first
it
was
confusing
with
the
amount
of
materials
that
I
was
given,
but
I
think
I
managed
them
pretty
well.
I
like
how
the
HELP
is
administered
over
time
so
you
can
watch
the
childs
growth.
I
think
it
is
a
very
positive
assessment.