Overall Level of Concern for this students Attention Control III. PSYCHOSOCIAL/BEHAVIORAL Domain/Description and Examples Observed/Reported Behavior Source (A) - Assessed (O) - Observed (RO) - Report Others (MR) - Medical Report Pre TBI Functioning (DK) - Don't Know (RN) - Reported Normal (ON) - Observed Normal (AN) - Assessed Normal Current Functioning (DK) - Don't Know (RN) - Reported Normal (ON) - Observed Normal (AN) - Assessed Normal Rating of Concern (0) - Little or none (1) - Mild (2) - Moderate (3) - High Depression/Withdrawal Mental Flexibility Decline (Empathy decrease; Feed-back rejection; Dogmatic Single-minded personality; Responsibility not accepted; Blame projections) Denial of: (Personality differences; Physical disabilities; Cognitive deficits; Emotional differences; Social inadequacies) Frustration Tolerance/Anger (Overt actions-verbal or physical aggressive; Patience in taxing situation; Passive-aggressive responses) Irritability/Restlessness (Hopeless/helpless statements; Negativity/pessimism statements; Sleep deficits, pacing) Anxiety (Obsessive orderliness; Fear of social situations; Fear of unknown) Lability (abrupt mood changes; rapid and frequent) Impulsivity Social Judgment Disinhibitions (Social norm, law violations; Lack of consequence recognition)
Reaction Time Speed of Response Data Integration Output Quality Overall Level of Concern for this students SPEED OF INFORMATION PROCESSING VI. SPATIAL REASONING Domain/Description and Examples Observed/Reported Behavior Source (A) - Assessed (O) - Observed (RO) - Report Others (MR) - Medical Report Pre TBI Functioning (DK) - Don't Know (RN) - Reported Normal (ON) - Observed Normal (AN) - Assessed Normal Current Functioning (DK) - Don't Know (RN) - Reported Normal (ON) - Observed Normal (AN) - Assessed Normal Rating Level of Concern (0) - Little or none (1) - Mild (2) - Moderate (3) - High Judging Distances Navigating in Environment Map Reading Visualizing Images Mechanical Thinking Skills (how things fit together) Shape Recognition Overall of Concern for this students SPATIAL REASONING
VII. CONCEPTUALIZATION Domain/Description and Examples Observed/Reported Behavior Source (A) - Assessed (O) - Observed (RO) - Report Others (MR) - Medical Report Pre TBI Functioning (DK) - Don't Know (RN) - Reported Normal (ON) - Observed Normal (AN) - Assessed Normal Current Functioning (DK) - Don't Know (RN) - Reported Normal (ON) - Observed Normal (AN) - Assessed Normal Rating Level of Concern (0) - Little or none (1) - Mild (2) - Moderate (3) - High Categorize Sequence Abstract Prioritize Difficulty From Part to Whole Problem Solving: Abstract Reasoning Overall Level of Concern for this students CONCEPTUALIZATION VIII. MOTOR/PHYSICAL/SENSORY Observed/Reported Behavior Source (A) - Assessed Pre TBI Functioning Current Functioning Rating Level of Concern
Pain/Sensitivity (sharp/dull) Body Position Awareness Taste/Smell Impairment Evidence of Hypersensitivity To Sensory Stimuli Evidence of Hyporesponsiveness To Sensory Stimuli Other Physical Bowl Bladder Regulate Appetite/Thirst Respiratory Complications Yawning Overall Level of Concern for this students MOTOR/SENSORY PHYSICAL IX. EXECUTIVE FUNCTIONS Domain/Description and Examples Observed/Reported Behavior Source (A) - Assessed (O) - Observed (RO) - Report Others (MR) - Medical Report Pre TBI Functioning (DK) - Don't Know (RN) - Reported Normal (ON) - Observed Normal (AN) - Assessed Normal Current Functioning (DK) - Don't Know (RN) - Reported Normal (ON) - Observed Normal (AN) - Assessed Normal Rating Level of Concern (0) - Little or none (1) - Mild (2) - Moderate (3) - High Goal Setting
XI. ACADEMIC FUNCTIONS Domain/Description and Examples Observed/Reported Behavior Source (A) - Assessed (O) - Observed (RO) - Report Others (MR) - Medical Report Pre TBI Functioning (DK) - Don't Know (RN) - Reported Normal (ON) - Observed Normal (AN) - Assessed Normal Current Functioning (DK) - Don't Know (RN) - Reported Normal (ON) - Observed Normal (AN) - Assessed Normal Rating Level of Concern (0) - Little or none (1) - Mild (2) - Moderate (3) - High Reading Decoding (basic) Skills Reading Comprehension Reading Fluency Written Expression Mathematics Calculation Mathematics Reasoning Overall Level of Concern for this students ACADEMIC FUNCTIONS GLOBAL MEASURES OF FUNCTIONING