To Whom It May Concern,
I saw Zoe Meszaros for developmental pediatrics assessment on December 11, 2012.
- global developmental delay, estimated governmental functioning currently 3.5 years equivalent
- autistic features, query autism, for further assessment
Zoe has a complex developmental profile. She is difficult to engage in testing. I suspect that she has a relative strength in nonverbal/visual spatial functioning with overall functioning about the 3.5 year level. Her social development is certainly a relative challenge with difficulties with basic skills at times far below levels such as requesting. At the same time, she has some "splinter" skills by report including recognizing letters and numbers. We plan to reassess her in a multidisciplinary team in order to attempt to gain a better understanding and provide updated information and recommendations.
Impact on academic environment and recommendations:
- I recommend social environments with exposure to typically developing peers and modelling by educators as intervention for social skills (eg. social language scripts; supporting turn taking)
- An Individual Education Plan will be required for expectations for behaviour, compliance with classroom structure and academic tasks in school, and should be consistent with overall developmental functioning
- Ongoing speech language pathology involvement will be required to inform curriculum expectations for comprehension (i.e. what instruction can she understand, how does she need things explained).
-An Individual Education Plan will be required for academic work (pre-literacy, pre-numeracy)
- Occupational therapy assessment and recommendations are required to address motor coordination (eg writing) skills.
- Psychoeducational assessment will be required; until this is complete (usually around grade 3), intermittent reassessment of functional skills (e.g. language, motor, adaptive) is required with adjustments to program and supports made accordingly, as developmental trajectories may change in the preschool/early school age years.
Dr. Klein, Developmental Pediatrician