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Evidence-Based Practice
three pillars: external scientific evidence, clinical expertise, and client/patient/caregiver perspectives
Comprehensive Assessment
assessment should be thorough and assess many areas
Multi-disciplinary Assessment
should involve multiple different professionals, disciplines
Valid Assessment
should be accurate, test what is meant to be tested
Non-biased Assessment
should not skew results for or against any group, should be applicable regardless of person’s identity/background
4 purposes of assessment
To identify the presence of a disorder, describe it, and determine the need for intervention
to design intervention
to monitor progress over time
to qualify a person for special services
Differential Diagnosis
when symptoms match more than one condition, diagnosis before narrowing down
Eligibility
qualification for special services, gained after assessment and diagnosis, must be below 7th percentile
Empirical
evidence based on observation/experience
Screening
comes before assessment, is quick, broad enough to catch many, narrow enough to avoid over-referral
Sensitive Screening
must be sensitive enough to catch anyone who might have the disorder in question
Specific Screening
must be specific enough to avoid catching people with different disorders/who didn’t meet the necessary threshold
Validity
makes sure a screening/assessment measures what it is supposed to
Reliability
makes sure a screening/assessment consistently identifies (ex: 2 ppl with same symptoms should both be referred)
Standardized
screening/assessment based on how others in the participant’s age group have performed, has been researched, must reflect child’s identity
Standard Scores
score relative to mean and standard deviation in a group of scores
Normative Sample
representative group of individuals used to establish norms or standards for an assessment
Zone of Proximal Development
area between what a child can do independently and what they can’t do even with help, represents what a child can do with assistance
Norm-Referenced vs Criterion-Referenced Testing
NR: has been normed with many kids, standardized (see: SAT, GRE, AP) CR: survey or questionnaire, yes/no, predetermined standard
Performance-based vs Dynamic Assessment
PB: functional assessment, child is assessed in a real world context with real demands, supports
DA: works within ZPD, sees how much support is needed to complete the task
Primary Diagnosis
Definition: most impactful diagnosis for a child, main disruptor
Example: if a child has Down syndrome and ADHD, down syndrome is primary
Secondary Diagnosis
Definition: secondary disruptor to child’s life, may only impact some areas of life, additional descriptor
Example: if a child has Down syndrome and ADHD, ADHD is secondary
Intervention should be…
effetive, efficient, and feasible
Effective Intervention
intervention should successfully treat the intended disorder
Efficient Intervention
intervention should work in a timely manner
Feasible Intervention
intervention should be attainable and realistic for the family considering their circumstances
Purposes of Intervention
preventative intervention, remediation, compensation
Prevention
making sure a disorder does not occur in the first place, catching before it begins
Remediation
treating a disorder that is present
Compensation
working to minimize the effects of a disorder that is present (ex: hearing aids for prebycusis)
Factors involved in intervention planning
intervention approach, time/duration, place and person, intervention goals