Clinical Assessment of Child and Adolescent Personality and ...

364 chapter 16 report writingStudent's Name Jane Smith_____________________________ Date of Referral 10/11/07Referring School Stuart Elem.______ Age 8 _ Grade 2 _____ Grades Repeated N/AIs the student now receiving speech therapy? ___ Yes x noNever Sometimes OftenExpressive Language (problems in grammar, limited vocabulary)Receptive Language (comprehension not following directions)Speech (poor enunciation, lisps, stutters, omits sounds, infantile speech)xxxGross Motor Coordination (eye-hand, manual dexterity)xVisual (cannot see blackboard, squints, rubs eyes, holds book too close) xHearing (unable to discriminate sounds, asks to have instructionsrepeated, turns ear to speaker, often has earaches)Health (example: epilepsy, respiratory problems, etc.)xxMedications (yes) (no) (Type)Overly energetic, talks out, out of seat: SometimesVery quiet, uncommunicative: OftenActing out (aggressive, hostile, rebellious, destructive, cries easily): SometimesInattentive (short attention span, poor on task behavior): OftenDoesn ' t appear to notice what is happening in the immediateenvironment:SometimesPoor Peer Relationships (few friends, rejected, ignored, abused by peers): OftenACADEMIC PROBLEMSReading (word attack, comprehension): OftenWriting (illegible, reverses letters, doesn't write): OftenSpelling (cannot spell phonetically, omits or adds letters): OftenMathematics (computation, concepts, application): NeverSocial Science, Sciences (doesn't handle concepts, doesn't understandrerelationships, poor understanding of cause and effect): NeverSignature and position of referring personFigure 16.2Referral for consultation used by schoolsanswer report over the psychoeducationalreport. The short form was clearly leastpreferred. These are intriguing results inthat they hint that length may be overratedas a problem in report writing and thatteachers may prefer a question-and-answerreport format. This finding is interestingbecause this format is rarely used in reportsfrom clinical assessments.Do parents have different preferencesfrom teachers? In a follow-up study withparents using the same methodology, Wienerand Kohler (1986) found that teachersand parents have similar preferences. Inthis second study, the same three reportformats were used. As was the case withteachers, parents comprehended the twolonger reports significantly better than