Assessment of selfregulation, sensory processing and attention

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Assessment of self-regulation, sensory processing
and attention

• Georgia DeGangi, Ph.D.

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Comprehensive assessment includes

• Child performance in sensorimotor, regulatory,
  attentional, parent-child interactions, and
  overall developmental, learning, and behavior
• Observations of child in naturalistic
  environments school, home, community
• Parent/family characteristics

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Intake Interview

• Referral What brought you here?
• Chief Complaint When first noticed problem? How
  it has changed since first started? What was it
  like at its worst? What has worked and not worked
  to help problem?
• Current functioning of child What he likes to
  play with? What they enjoy together.

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Intake Interview Continued

• Current functioning typical day and what they
  do, where they do it, schedules and routines,
  play activities and how child reacts in different
  settings
• Developmental and pregnancy history what child
  was like when first born? Parents reaction to
  child when born post-partum depression

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Intake Interview continued

• For feeding disorders What mealtime is like
  eating problems in family members (appetite,
  eating, weight) how they get child to eat (force
  feeding, etc.)
• Limit setting and responses of parent and child
• Health history reflux, ear infections, allergies

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Intake Interview continued

• Diagnosis who child reminds parents of? What
  they think caused the problems?
• Family History parents early childhood and
  family backgrounds, school and emotional problems
  in parents and family
• Parental expectations fantasies about child
  before born what he or she will be like 10
  years from now

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Symptom Checklists

• Infant-Toddler Symptom Checklist for 7 to 30
  month olds to identify R.D.
• Connors Parent and Teacher Scales or Child
  Behavior Checklists for behavioral and emotional
  problems
• Sensory Rating Scales (Winnie Dunn) for infants,
  preschool, school aged through adults

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Formal Observations of Sensory Integration

• Test of Sensory Functions in Infants for 4 to 18
  month olds
• TSFI measures responses to touch (reactivity to
  tactile deep-pressure visual-tactile
  integration) and movement as well as motor
  planning (adaptive-motor) and ocular-motor
  control
• For preschool children DeGangi-Berk Test of
  Sensory Integration

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