Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORT ASSESSMENT FOR CHILDREN › Section 388-828-3040 - What questions are asked in the support assessment for children and how are they scored?

Current through Register Vol. 24-14, July 15, 2024
DDA scores the answers to each of the following questions
					 in the support assessment for children based on the respondent
					 information:
(1) Dress and groom self:
				  What support does the child need to dress and groom self as expected of others
				  of same age?
Answers
Definitions
LOC Score
Acuity Score
Physical Assistance
Needs major support in the form of total physical
								assistance, intensive training and/or therapy for dressing and grooming.
1
4
Training
Needs moderate support in the form of some physical
								assistance and/or training and/or therapies to dress and groom self.
0
3
Reminders/Prompts
Needs reminders or prompts to dress and groom self
								appropriately.
0
2
No support needed or at age level
At age level (may have physical supports) in
								dressing and grooming.
0
0
(2)
				  Toilet self: What support does the child need to toilet self as expected of
				  others in his/her age group?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Needs major support in the form of total physical
								support. Intensive training intervention and/or daily therapy to toilet
								self.
1
4
Partial physical assistance,
								training
Needs moderate support in the form of some physical
								assistance, standard training and/or regular therapy.
0
3
Reminders/prompts
Needs reminders or prompts.
0
2
No support needed or at age level
Toilets self or has physical support in place to
								toilet self.
0
0
(3)
				  Eat at age level: What support does the child need to eat at age level?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Needs major support in the form of total physical
								assistance, intensive training and/or daily therapy.
1
4
Partial physical assistance,
								training
Needs moderate support in the form of some physical
								assistance, standard training, and/or regular therapy.
1
3
Reminders/prompts
Needs help with manners and appearance when eating,
								in the form of reminders and prompts.
0
2
No support needed or at age level
At age level (may have physical supports) in
								eating.
0
0
(4)
				  Move around: What support does the child need to move around in the same ways
				  as other children of same age?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Needs major intervention in the form of total
								physical support to move around, intensive training and/or daily
								therapy.
1
4
Partial physical assistance,
								training
Needs moderate support such as someone's help to
								move around or may use or learn to use adaptive device or may require standard
								training.
1
3
Reminders/prompts
Needs mild intervention in the form of training and
								physical prompting for scooting/crawling/walking behaviors.
0
2
No support needed or at age level
No supports needed - child is
								scooting/crawling/walking at age level
0
0
(5)
				  Communicate: What support does the child need to communicate as others of same
				  age?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Currently someone else must always determine and
								communicate child's needs.
1
4
Training/therapy
With intensive training or therapy support, child
								may learn sufficient verbal and/or signing skills to make self easily
								understandable to others. May include partial physical support.
1
3
Adaptive device/interpreter
With physical support (adaptive device,
								interpreter), child is always able to communicate.
0
2
No support needed or at age level
No supports needed and/or at age level.
0
0
(6)
				  Learn about and use money: What support does the child need to learn about and
				  use money?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Child is not old enough to know about money.
0
4
Partial physical assistance,
								training
Family must devise special opportunities for child
								to earn/or spend money.
0
3
Create opportunities,
								reminders/prompts
Needs to learn about earning and/or spending money
								in typical age-level ways.
0
2
No support needed or at age level
Needs no support. Independently uses opportunities
								typical to his/her age group to earn and/or spend money.
0
0
(7)
				  Make choices and take responsibility: What support does the child need to make
				  choices and take responsibility?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Needs major support in the form of special and/or
								technical help to and from family/teachers to create opportunities for making
								choices and taking responsibility.
1
4
Partial physical assistance,
								training
Needs moderate support in the form of
								family/teachers creating and explaining a variety of opportunities for making
								choices and taking responsibility.
1
3
Create opportunities,
								reminders/prompts
Needs some support in the form of explanation of
								available options for making choices and taking responsibility.
1
2
No support needed or at age level
Needs no support. Readily uses a variety of
								opportunities to indicate choices (activity, food, etc.) and take
								responsibility for tasks, self, etc.
0
0
(8)
				  Explore environment: What support does the child need to explore environment?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Needs major support in the form of specialized
								technical help to and from family/teachers to create ways which
								support/encourage child to explore and reach out.
1
4
Partial physical assistance,
								training
Needs moderate support in the form of some
								training/physical help to and from family and teachers to create ways and
								opportunities for child to explore environment and reach out.
1
3
Reminders/prompts
Needs some support in the form of verbal
								encouragement or presence of someone child trusts to explore environment and
								reach out.
0
2
No support needed or at age level
Needs no support and/or is at age level. Readily
								explores environment (may have adaptive device) and reaches out in ways typical
								to child's age group.
0
0
(9)
				  Meet therapy health needs: What supports are necessary to get child's therapy
				  health needs met?
Answers
Definitions
LOC Score
Acuity Score
Daily intervention by
								professionals
Child requires medical/health intervention or
								monitoring by professionals at least daily.
1
4
Monitoring by health
								professionals
Child needs regular (weekly, monthly) monitoring by
								health professionals.
1
3
Monitoring by trained others
Child needs daily support and/or monitoring by
								training others.
1
2
Community health system
Needs regular on-going therapy and/or monitoring of
								health needs through typical community health systems.
0
1
No support needed or at age level
No specialized supports or ongoing therapies
								necessary.
0
0
(10) Help family continue to meet child's
				  needs: What support services should the system provide to help family continue
				  to meet child's needs?
Answers
Definitions
LOC Score
Acuity Score
Urgent extensive support
Substantial significant supports to child and
								parents needed. Child in, or at risk of, out-of-home placement at this
								time.
1
4
Substantial support/referrals
								needed
Substantial support needed/requested; (e.g.,
								requests for more than two days per month respite, referral to homemakers,
								home-builders; request for long term behavior management training, need
								extensive and/or expensive environmental modification or equipment; request
								frequent contact with case manager.)
1
3
Moderate support
Moderate external support needed/requested; (e.g.,
								requests for regular respite, intensive but short-term behavior management,
								referral for parent training help, referral to day care services; and/or
								request for regular contact with case manager.)
0
2
Minimal support
Minimal external support needed/requested; (e.g.,
								requests for occasional respite, referrals to parent support group, and/or case
								manager helps obtain adaptive equipment.)
0
1
No support needed or at age level
No external supports are necessary. Family has
								obtained any necessary adaptive equipment.
0
0
(11) Have relationships with family members:
				  What support does the child need to make the kind of relationships with family
				  members expected of nondisabled children of the same age?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Opportunities for contributing to family life
								totally dependent on others to maintain, interpret child's role to other family
								members.
0
4
Partial physical assistance,
								training
Requires major support in the form of daily/weekly
								creation of opportunities to be seen as a contributing member and assume
								typical family responsibilities.
0
3
Reminders/prompts
Requires moderate support in the form of adaptive
								device, training and/or reminders to be seen as contributing member and assume
								typical family responsibilities.
0
2
No support needed or at age level
Needs no support to form positive family
								relationship.
0
0
(12) Explore and use typical community
				  resources: What support does the child need to explore and use typical
				  community resources such as stores, parks, and playgrounds?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Family needs major support (perhaps respite) to
								continue to provide child total physical support to use typical
								resources.
0
4
Partial physical assistance,
								training
Moderate support is needed - family must create
								ways for child to use these resources in ways typical to child's age
								group.
0
3
Reminders/prompts
Minimal support needed - family may wish
								suggestions or some support on ways to enable child's regular use of typical
								resources.
0
2
No support needed or at age level
Needs no support and/or at age level. Uses these
								resources regularly.
0
0
(13) Play with others: What supports are
				  needed for the child to develop age-level skills in playing with others?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Major support needed by others to help child play.
								Parents may request special adaptive equipment and training to foster child's
								playing skills.
0
4
Partial physical assistance
								training
Moderate support needed in the form of a verbal
								and/or some physical intervention to help child play. Parents may be requesting
								suggestions instruction in ways to help child develop playing skills.
0
3
Reminders/prompts
Minimal support needed.
0
2
No support needed or at age level
No supports needed and/or at age level. Child's
								playing skills developing at age level.
0
0
(14) Have opportunities to play with
				  typically developing children: What supports does the child need to have
				  opportunities to play with typically developing children?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Substantial system support (e.g., system must set
								up "programs" that allow for interaction with typically developing children and
								the "programs").
0
4
Partial physical assistance,
								training
Moderate supports (e.g., parents have to create
								opportunities for contacts). Parents may ask for instruction in how to
								facilitate such contacts. System may need to provide structural supports (e.g.,
								transportation, barrier-free public play environments, etc).
0
3
Reminders/prompts
Minimal support (e.g., some monitoring). Parents
								may request help on how to broaden child's range of contacts or to increase the
								age appropriateness of contacts.
0
2
No support needed or at age level
No support needed.
0
0
(15) Identify and respond safely to
				  emergencies: What support does the child need to identify and respond safely to
				  emergencies?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Needs total physical support to respond to
								emergencies.
1
4
Always needs help to identify and
								respond
Needs help all of the time to identify emergencies
								and to respond.
1
3
Sometimes needs help to identify and
								respond
Needs help some of the time to identify emergencies
								and to respond.
1
2
Can identify, needs help to
								respond
Independently identifies emergencies; needs help
								from others to respond.
1
1
No help needed or at age level
Needs no help from others in emergencies.
0
0
(16) Practice age-level safety measures: What
				  support does the child need to practice age-level safety measures?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Needs total physical support for safety measures in
								daily activities and routines.
1
4
Partial physical assistance,
								training
Does not recognize own safety needs and requires
								help in most safety areas.
1
3
Reminders/prompts
Knows importance of safety measures. Needs training
								and/or physical support in many areas.
1
2
No support needed or at age level
Needs no support in providing for own
								safety.
0
0
(17) Effectively relate to other
				  students/peers: What support does the child need to most effectively relate to
				  fellow students and/or peers?
Answers
Definitions
LOC Score
Acuity Score
Total physical support
Needs physical support by others in the form of
								interpretation of self to others to interact with peers.
1
4
Partial physical assistance,
								training
Needs physical intervention in the form of modeling
								to enable child to reach out to peers to give and take support.
1
3
Reminders/prompts
Needs much encouragement, supervision and guidance
								in how to give and ask for support and interact with peers.
0
2
No support needed or at age level
Without support, child relates to others as a
								valued member of work/learning unit.
0
0
(18) Have behaviors which promote being
				  included: What support is needed for this child to have behaviors which promote
				  being included?
Answers
Definitions
LOC Score
Acuity Score
Continuous behavioral
								interventions
Needs major tolerance and control. Could include
								being dangerous to self and/or others.
1
4
Major behavior modifications
Needs major behavior modifications to be perceived
								as typical. Child's behaviors are extremely disagreeable to others.
1
3
Modeling, reminders, prompts
Needs participation in typical settings with
								typically developing others to model desirable behaviors. Child's behaviors
								cause him/her to be easily recognized as different from others.
0
2
Minor support
Needs interactions with typically developing
								others. Child's behaviors are different from others in minor ways and the child
								may not immediately be perceived as different.
0
1
No support needed or at age level
Needs no support. Behaviors are similar to others
								in general community of same age and culture.
0
0
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-3040, filed 4/23/07, effective
						6/1/07.